Prevalence, Severity, and Description of Dental Anomalies in Children Treated for Acute Lymphoblastic Leukemia.

Pediatric dentistry Pub Date : 2023-11-15
Cynthia Boutin, Nelly Huynh, Pierre Rompré, Caroline Laverdière, Marie-Ève Asselin
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Abstract

Purpose: To assess the prevalence and severity of and describe dental anomalies in children treated for acute lymphoblastic leukemia (ALL) under recent Dana-Farber Cancer Institute (DFCI) protocols. Methods: Patients aged between 14 and 25 years old having received a diag- nosis of ALL before the age of 11 years and after September 2000 received clinical and radiographic oral examinations. Results: Dental anomalies were observed in 26 (51.0 percent) of 51 subjects. Microdontia was the most prevalent dental defect (39.2 percent). Impacted permanent second molars were observed in five (9.8 percent) patients. Being age five years or younger at diagnosis significantly increased the prevalence and severity of dental anomalies (P<0.001). Conclusions: Recent DFCI protocols showed a decreased prevalence of dental disturbances. The anomalies observed may still alter the development of the dental arches and occlusion in pediatric ALL survivors. Further research is needed to confirm the association between ALL treatment and permanent second molar impaction.

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急性淋巴细胞白血病患儿牙齿畸形的患病率、严重程度和描述。
目的:评估根据丹娜法伯癌症研究所(DFCI)最新方案接受急性淋巴细胞白血病(ALL)治疗的儿童牙齿畸形的发生率和严重程度,并对其进行描述。方法:年龄在 14 到 25 岁之间、在 11 岁之前和 2000 年 9 月之后确诊为 ALL 的患者接受临床和放射学口腔检查。结果:51 名受试者中有 26 人(51.0%)出现牙齿异常。小牙畸形是最常见的牙齿缺陷(39.2%)。5名患者(9.8%)的第二恒磨牙被撞坏。确诊时年龄在五岁或五岁以下的患者牙齿异常的发生率和严重程度明显增加(PConclusions:最近的 DFCI 方案显示,牙齿畸形的发生率有所下降。观察到的异常仍可能会改变儿童 ALL 幸存者的牙弓和咬合发育。还需要进一步的研究来证实ALL治疗与永久性第二臼齿嵌塞之间的关系。
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