Experience and expertise regarding orthodontic management of childhood and adolescent cancer survivors

Neill, Carrie C.; Migliorati, Cesar A.; Trojan, Terry M.; Kaste, Sue C.; Karydis, Anastasios; Rowland, Christopher; Parris, William G

doi:10.1016/j.ajodo.2015.05.027

Cited by 18 publications

(25 citation statements)

References 14 publications

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“…Nele, foi verificada a presença de raízes curtas e posicionamento ectópico dos elementos dentais 23 e 47. Neil et al (2015) afirmam que, quanto mais jovem o paciente, maior probabilidade de desenvolvimento da microdontia e da malformação radicular 27 .…”

Section: Discussionunclassified

“…Os efeitos colaterais desencadeados pela radioterapia após o término do tratamento afetam, também, as glândulas salivares, os dentes, os ossos, os músculos e a pele 31 . Pacientes que passaram pelo tratamento antineoplástico anteriormente possuem maiores incidências de complicações, sendo elas as mais frequentes: alterações no crescimento e desenvolvimento, malformação radicular e dentária (agenesia, taurodontia, hipodontia e microdontia), dentes mal alinhados, sangramento gengival, mucosite, cárie dentária, xerostomia e mobilidade dentária 3,5,19,22,27,28,32,33,34,35 . Lopes et al, (2006), a taurodontia foi a anormalidade mais comum em crianças e adolescentes submetidos a tratamento antineoplásico.…”

Section: Discussionunclassified

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Agravos bucais e desenvolvimento da dentição em pacientes com leucemia - Revisão Integrativa

et al. 2020

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Objetivo: verificar os principais agravos bucais e o desenvolvimento da dentição em indivíduos diagnosticados com leucemia e submetidos às terapias antineoplásicas. Métodos: trata-se de uma revisão integrativa da literatura fundamentada em artigos científicos, classificados de acordo com o nível de evidência (NE) científica proposto pelo Oxford Centre Evidence Based Medicine, 2009. A pergunta norteadora do presente estudo compreende: Quais as principais manifestações orais e alterações no desenvolvimento da dentição em pacientes com leucemia? Resultados: 14 estudos foram incluídos, publicados entre os anos de 2003 e 2019. As principais alterações bucais apresentadas foram morfologia anormal do esmalte e das raízes (taurodontia, hipodontia, microdontia, hipoplasia, raízes curtas), agenesias, sangramento gengival, mucosites, xerostomia e desenvolvimento dental tardio. Conclusões: torna-se necessário o acompanhamento

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Section: Discussionunclassified

Agravos bucais e desenvolvimento da dentição em pacientes com leucemia - Revisão Integrativa

et al. 2020

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“…15 The long-term complications of chemotherapy, reported in the literature, include missing tooth buds, microdontia, tooth crown hypoplasia, deficient enamel mineralization, and disturbed formation of the tooth root. [15][16][17] Chemotherapy-induced dental anomalies occur when the patient is treated before the age of 6 years. The degree of damage to the teeth and bones depends on the patient's age, and the type and duration of chemotherapy.…”

Section: Introductionmentioning

confidence: 99%

Radiological imaging and orthodontic treatment in the case of growing patients after oncological treatment: Case reports

Michalak¹,

Kuśmierczyk

Bluj-Komarnitka³

et al. 2019

Dent. Med. Probl.

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According to the classification of the World Health Organization (WHO), the most common childhood malignant neoplasms include leukemia, lymphomas, and neoplasms of the central nervous system (CNS) and the sympathetic nervous system. Cancer diseases themselves as well as their treatment carry a high risk of both early and distant effects. The most common dentition disorders resulting from the radiotherapy of the head area and chemotherapy in patients up to the age of 6 years include root agenesis, V-shaped roots, microdontia, hypoplasia of the maxilla and the jawbone, hypodontia, and enamel hypoplasia and hypomineralization. Patients undergoing oncological treatment at the age of <6 years should receive adequate and long-term monitoring due to the possible distant effects of the underlying disease and its treatment. The radiotherapy of the head and neck region performed on a growing patient significantly worsens the patient's prognosis and results in a number of irreversible complications. Planning appropriate orthodontic treatment in such patients contributes to increased comfort later in the patients' lives. Oncology patients do not require special orthodontic procedures; however, the high risk of complications does encourage the planning of orthodontic treatment with the least burden. Dental care for a young patient with a history of oncological disease requires the interdisciplinary cooperation of a pedodontist, orthodontist, prosthetist, and dental surgeon.

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“…Thus, more and more Orthodontists will be required to treat patients with cancer history (3). However, there is need for more information about dental complications of orthodontic treatment in patients after radiotherapy and the development of protocols to be followed in these cases (4,5).…”

Section: Introductionmentioning

confidence: 99%

Glass Ionomer Cements can be used for Bonding Orthodontic Brackets After Cancer Radiation Treatment?

et al. 2018

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Patients undergoing radiotherapy treatment present more susceptibility to dental caries and the use of an orthodontic device increases this risk factor due to biofilm accumulation around the brackets. The objective of this study was to evaluate the shear bond strength to irradiated permanent teeth of orthodontic brackets bonded with conventional glass ionomer cement and resin-modified glass ionomer cement due to the fluoride release capacity of these materials. Ninety prepared human premolars were divided into 6 groups (n=15), according to the bonding material and use or not of radiation: CR: Transbond XT composite resin; RMGIC: Fuji Ortho LC conventional glass ionomer cement; GIC: Ketac Cem Easymix resin-modified glass ionomer cement. The groups were irradiated (I) or non-irradiated (NI) prior to bracket bonding. The specimens were subjected to a fractioned radiation dose of 2 Gy over 5 consecutive days for 6 weeks. After the radiotherapy, the brackets were bonded on the specimens with Transbond XT, Fuji Ortho LC and Ketac Cem Easymix. After 24 h, the specimens were subjected to shear bond strength test. The image of enamel surface (classified by Adhesive Remnant Index - ARI) was also evaluated and its frequency was checked among groups/subgroups. The shear bond strength variable was evaluated with ANOVA and Tukey's post-hoc test. GIC group showed the lowest adhesion values among the groups (p<0.05). There was no statistically significant difference among non-irradiated and irradiated groups (p>0.05). As for the ARI, the CR-I group showed the highest material retention on enamel surface among the irradiated groups. RMGIC group showed the highest values for shear bond strength and presented ARI acceptable for clinical practices.

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Experience and expertise regarding orthodontic management of childhood and adolescent cancer survivors

Cited by 18 publications

References 14 publications

Agravos bucais e desenvolvimento da dentição em pacientes com leucemia - Revisão Integrativa

Agravos bucais e desenvolvimento da dentição em pacientes com leucemia - Revisão Integrativa

Radiological imaging and orthodontic treatment in the case of growing patients after oncological treatment: Case reports

Glass Ionomer Cements can be used for Bonding Orthodontic Brackets After Cancer Radiation Treatment?

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