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Review
. 2014 Jun;69(6):433-7.
doi: 10.6061/clinics/2014(06)11.

Dental anomalies in children submitted to antineoplastic therapy

Camila Merida Carrillo  1 , Fernanda Nahás Pires Corrêa  2 , Nilza Nelly Fontana Lopes  3 , Marcelo Fava  1 , Vicente Odone Filho  4
Affiliations
Review

Dental anomalies in children submitted to antineoplastic therapy

Camila Merida Carrillo et al. Clinics (Sao Paulo). 2014 Jun.

Abstract

Cancer is the third most frequent cause of death in children in Brazil. Early diagnosis and medical advances have significantly improved treatment outcomes, which has resulted in higher survival rates and the management of late side effects has become increasingly important in caring for these patients. Dental abnormalities are commonly observed as late effects of antineoplastic therapy in the oral cavity. The incidence and severity of the dental abnormalities depend on the child's age at diagnosis and the type of chemotherapeutic agent used, as well as the irradiation dose and area. The treatment duration and aggressivity should also be considered. Disturbances in dental development are characterized by changes in shape, number and root development. Enamel anomalies, such as discoloration, opacities and hypoplasia are also observed in these patients. When severe, these abnormalities can cause functional and esthetic sequelae that have an impact on the children's and adolescents' quality of life. General dentists and pediatric dentists should understand these dental abnormalities and how to identify them aiming for early diagnosis and appropriate treatment.

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Conflict of interest statement

No potential conflict of interest was reported.

Figures

Figure 1
Figure 1
Panoramic radiograph of a 2-year-old patient at diagnosis who was submitted to chemotherapy and 1,800 cGy irradiation. Note microdontia of the lower left premolars and second permanent molar.
Figure 2
Figure 2
Panoramic radiograph of a 7-year-old patient at diagnosis who was submitted to chemotherapy and 2,100 cGy irradiation. Note agenesi of the lower right second premolar, taurodontism of the first permanent molars and microdontia of the upper and lower left premolars.
Figure 3
Figure 3
Panoramic radiograph of a 6-year-old patient at diagnosis who was submitted to chemotherapy and 6,750 cGy irradiation. Note blunted and shortened V-shaped roots of the upper and lower premolars and second molars.
See this image and copyright information in PMC

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