An examination of the dental utilization practices of adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study.
OBJECTIVE
This study characterized the self-reported dental utilization practice of long-term survivors of childhood cancer, a group at increased risk for treatment-induced dental abnormalities.


METHODS
9,434 survivors and a comparison group of 3,858 siblings completed a 289-item survey that included a question on when their last dental visit occurred.


RESULTS
Within the last year 60.4 percent of survivors reported a dental visit. The groups less likely to report a recent dental visit include minority subjects, subjects with low levels of educational attainment, subjects with annual household incomes < dollar 20,000, and those without health insurance. No significant differences between survivors and siblings were seen. Male survivors exposed to cranial radiation were slightly more likely than other male survivors to report a recent dental visit (OR = 1.27, 95% CI = 1.12, 1.44).


CONCLUSIONS
The dental utilization practices among survivors of childhood cancer are below recommended levels, even among those at highest risk for dental abnormalities.
Yeazel
Mark W
MW
University of Minnesota Medical School, Department of Family Practice and Community Health, Mayo Medical Code 381, 420 Delaware Street, SE, Minneapolis, MN 55455, USA. yeazel@umn.edu
Gurney
James G
JG
Oeffinger
Kevin C
KC
Mitby
Pauline A
PA
Mertens
Ann C
AC
Hudson
Melissa M
MM
Robison
Leslie L
LL
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D016001:Confidence Intervals; D016371:Cranial Irradiation / Q000706:statistics & numerical data; D003729:Dental Care / Q000706:statistics & numerical data*; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D007348:Insurance, Health / Q000706:statistics & numerical data; D008297:Male; D008913:Minority Groups / Q000706:statistics & numerical data; D009369:Neoplasms; D016017:Odds Ratio; D012307:Risk Factors; D012737:Sex Factors; D017741:Survivors / Q000706:statistics & numerical data; D014481:United States