Dental and maxillofacial outcomes in childhood head and neck cancer survivors: a retrospective study and dental care considerations
DOI:
https://doi.org/10.5327/2525-5711.246Keywords:
Cancer Survivors, Long-Term, Radiotherapy, Chemotherapy, Maxillofacial AbnormalitiesAbstract
Cancer treatment during childhood, including head and neck radiotherapy and chemotherapy, can cause persistent dental and
maxillofacial changes, which may lead to long-term complications in dental care and oral rehabilitation. Objective: The aim
of this study was to evaluate dental and maxillofacial alterations resulting from childhood head and neck cancer treatment and
discuss considerations regarding dental care for these patients. Methods: This retrospective study utilized a Cancer Center
database, including patients referred to the Stomatology Department from 2004 to 2018. Results: The sample comprised 12
patients (7 males and 5 females) with a mean age of 5 years at diagnosis, who underwent oncological treatment in the head and
neck region. Half exhibited facial bone hypoplasia, predominantly mandibular (33.33%) over maxillary (16.67%). Nearly all
patients showed dental abnormalities, including agenesis (50%), supernumerary teeth (16.67%), and root formation anomalies
(66%). Conclusion: This study underscores the importance of understanding these treatment-related alterations to ensure
appropriate dental care for these patients. The involvement of a dental surgeon is crucial to providing comprehensive care and
effectively monitoring any dental and maxillofacial complications.
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Copyright (c) 2024 Kaio Heide Sampaio Nobrega, Riéli Elis Schulz, Fabio Abreu Alves, Cecilia Maria Lima da Costa, Juliane Piragine Araujo
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