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Review ArticleREVIEWS AND CONTEMPORARY UPDATES

Dental Care for Patients With Childhood Cancers

Priyanshi Ritwik
Ochsner Journal December 2018, 18 (4) 351-357; DOI: https://doi.org/10.31486/toj.18.0061
Priyanshi Ritwik
Department of Pediatric Dentistry, Louisiana State University Health Sciences Center School of Dentistry, ,
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  • For correspondence: pritwi@lsuhsc.edu
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  • Figure 1.
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    Figure 1. A smear of fluoridated toothpaste (left) is recommended for children younger than 3 years, whereas a pea-size amount of toothpaste (right) is recommended for children 3-6 years.
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    Figure 2. Panoramic radiograph of a 15-year-old male who was diagnosed with high-risk acute lymphoblastic leukemia at 2 years of age. He received chemotherapy, radiation therapy, and hematopoietic cell transplantation. Radiograph shows microdontia of all his permanent teeth, blunting and tapering of roots, and agenesis of permanent third molars.
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    Figure 3. Panoramic radiograph of an 8-year-old male with Diamond-Blackfan anemia who received chemotherapy and hematopoietic cell transplantation at age 3 years shows agenesis of his maxillary second premolars (red arrows), microdontia involving all 4 second permanent molars and mandibular second premolars (red ovals), and delayed development of the permanent dentition.
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    Figure 4. Panoramic radiograph of a 17-year-old shows dental crowding, malocclusion, pulp chamber obliteration, and severe shortening of the roots of all permanent teeth. The patient is a 15-year neuroblastoma survivor.

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    Table. World Health Organization Oral Toxicity Scale28
    Mucositis GradeFeatures
    1Soreness and/or erythema
    2Erythema, ulcers; patient is able to swallow food
    3Ulcers, extensive erythema; patient is unable to swallow food
    4Mucositis to the extent that alimentation is not possible
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Ochsner Journal: 18 (4)
Ochsner Journal
Vol. 18, Issue 4
Dec 2018
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Dental Care for Patients With Childhood Cancers
Priyanshi Ritwik
Ochsner Journal Dec 2018, 18 (4) 351-357; DOI: 10.31486/toj.18.0061

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Dental Care for Patients With Childhood Cancers
Priyanshi Ritwik
Ochsner Journal Dec 2018, 18 (4) 351-357; DOI: 10.31486/toj.18.0061
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  • Article
    • Abstract
    • INTRODUCTION
    • PRETREATMENT ORAL EXAMINATION
    • PREVENTIVE STRATEGIES
    • DENTAL TREATMENT
    • ORAL COMPLICATIONS RELATED TO CANCER TREATMENT
    • ORAL CONCERNS RELATED TO HEMATOPOIETIC CELL TRANSPLANTATION
    • UNIQUE ORAL CHALLENGES OF CANCER SURVIVORS
    • CONCLUSION
    • ACKNOWLEDGMENTS
    • REFERENCES
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Show more REVIEWS AND CONTEMPORARY UPDATES

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Keywords

  • Childhood cancer survivors
  • dental health services
  • pathology–oral
  • periodontal diseases
  • pediatric dentistry

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