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Oral and dental late effects in survivors of childhood cancer: a Children’s Oncology Group report

Identifieur interne : 001861 ( Main/Curation ); précédent : 001860; suivant : 001862

Oral and dental late effects in survivors of childhood cancer: a Children’s Oncology Group report

Auteurs : Karen E. Effinger ; Cesar A. Migliorati ; Melissa M. Hudson ; Kevin P. Mcmullen ; Sue C. Kaste ; Kathy Ruble ; Gregory M. T. Guilcher ; Ami J. Shah ; Sharon M. Castellino

Source :

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [ 0941-4355 ] ; 2014.

RBID : PMC:4118932

Abstract

Purpose

Multi-modality therapy has resulted in improved survival for childhood malignancies. The Children’s Oncology Group Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancers provide practitioners with exposure- and risk-based recommendations for the surveillance and management of asymptomatic survivors who are at least 2 years from completion of therapy. This review outlines the pathophysiology and risks for oral and dental late effects in pediatric cancer survivors and the rationale for oral and dental screening recommended by the Children’s Oncology Group.

Methods

An English literature search for oral and dental complications of childhood cancer treatment was undertaken via MEDLINE and encompassed January 1975 to January 2013. Proposed guideline content based on the literature review was approved by a multi-disciplinary panel of survivorship experts and scored according to a modified version of the National Comprehensive Cancer Network “Categories of Consensus” system.

Results

The Children’s Oncology Group oral-dental pan el selected 85 relevant citations. Childhood cancer therapy may impact tooth development, salivary function, craniofacial development, and temporomandibular joint function placing some childhood cancer survivors at an increased risk for poor oral and dental health. Addition ally, head and neck radiation and hematopoietic stem cell transplantation increase the risk of subsequent ma lignant neoplasms in the oral cavity. Survivors require routine dental care to evaluate for potential side effects and initiate early treatment.

Conclusions

Certain childhood cancer survivors are at an increased risk for poor oral and dental health. Early identification of oral and dental morbidity and early interventions can optimize health and quality of life.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4118932

DOI: 10.1007/s00520-014-2260-x
PubMed: 24781353
PubMed Central: 4118932

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PMC:4118932

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<author><name sortKey="Migliorati, Cesar A" sort="Migliorati, Cesar A" uniqKey="Migliorati C" first="Cesar A." last="Migliorati">Cesar A. Migliorati</name>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
<p id="P1">Multi-modality therapy has resulted in improved survival for childhood malignancies. The <italic>Children’s Oncology Group Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancers</italic>
 provide practitioners with exposure- and risk-based recommendations for the surveillance and management of asymptomatic survivors who are at least 2 years from completion of therapy. This review outlines the pathophysiology and risks for oral and dental late effects in pediatric cancer survivors and the rationale for oral and dental screening recommended by the Children’s Oncology Group.</p>
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<sec id="S2"><title>Methods</title>
<p id="P2">An English literature search for oral and dental complications of childhood cancer treatment was undertaken via MEDLINE and encompassed January 1975 to January 2013. Proposed guideline content based on the literature review was approved by a multi-disciplinary panel of survivorship experts and scored according to a modified version of the National Comprehensive Cancer Network “Categories of Consensus” system.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">The Children’s Oncology Group oral-dental pan el selected 85 relevant citations. Childhood cancer therapy may impact tooth development, salivary function, craniofacial development, and temporomandibular joint function placing some childhood cancer survivors at an increased risk for poor oral and dental health. Addition ally, head and neck radiation and hematopoietic stem cell transplantation increase the risk of subsequent ma lignant neoplasms in the oral cavity. Survivors require routine dental care to evaluate for potential side effects and initiate early treatment.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Certain childhood cancer survivors are at an increased risk for poor oral and dental health. Early identification of oral and dental morbidity and early interventions can optimize health and quality of life.</p>
</sec>
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Oral and dental late effects in survivors of childhood cancer: a Children’s Oncology Group report

Oral and dental late effects in survivors of childhood cancer: a Children’s Oncology Group report

Source :

Abstract

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