Abstract | BACKGROUND: Adverse long-term general and dental health effects of cancer and cancer therapy during childhood have been reported. AIM: To examine the association between chemotherapy before the age of 8 years and (1): microdontia; (2): hypodontia of premolars and permanent molars. MATERIAL AND METHODS: In The Danish Registry of Childhood Cancer (DBCR), we identified 203 children who met the following inclusion criteria: (1) age below 8 years at the start of treatment; (2) age between 12 to 18 years upon dental examination; (3) had received chemotherapy The exclusion criterion was radiotherapy to the head and neck. A total of 150 children fulfilled the inclusion criteria. As controls, a random sample of 193 age-matched unexposed children was included. RESULTS: Microdontia was found in a total of 88 teeth in 29 (19.3%) of the 150 children who had been exposed to chemotherapy, while none of the controls had microdontia of premolars or permanent molars (difference: 19.3%; 95% CL: 13.5%; 26.4%). The earlier the exposure, the more frequent was microdontia. We found a total of 27 missing premolars and permanent molars in 14 (9.3%) of the exposed children and a total of 18 missing premolars and permanent molars in 8 (4.1%) of the controls (difference: 5.2%; 95% CL: -0.1%; 11.3%). CONCLUSION: The present study confirms findings from previous studies that chemotherapy, especially in very young children, causes microdontia and hypodontia of premolars and permanent molars.
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Authors | Lisbeth Bønløkke Pedersen, Niels Clausen, Henrik Schrøder, Malene Schmidt, Sven Poulsen |
Journal | International journal of paediatric dentistry
(Int J Paediatr Dent)
Vol. 22
Issue 4
Pg. 239-43
(Jul 2012)
ISSN: 1365-263X [Electronic] England |
PMID | 22092748
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2011 The Authors. International Journal of Paediatric Dentistry © 2011 BSPD, IAPD and Blackwell Publishing Ltd. |
Topics |
- Adolescent
- Age Factors
- Anodontia
(chemically induced)
- Antineoplastic Combined Chemotherapy Protocols
(adverse effects)
- Autonomic Nervous System Diseases
(drug therapy)
- Bicuspid
(abnormalities)
- Case-Control Studies
- Child
- Denmark
- Humans
- Kidney Neoplasms
(drug therapy)
- Leukemia
(drug therapy)
- Liver Neoplasms
(drug therapy)
- Lymphoma
(drug therapy)
- Molar
(abnormalities)
- Neoplasms
(drug therapy)
- Nervous System Neoplasms
(drug therapy)
- Survivors
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