title: A systematic review of dental late effects in survivors of childhood cancer.
abstract: Survivors of childhood cancer are at risk for dental late effects. This systematic review summarizes associations between treatment exposures and dental late effects among survivors of childhood cancer. We included investigations with at least 20 study participants conducted for 2 or more years after completion of childhood, adolescent, or young adult cancer therapy. This review suggests both independent and additive effects of radiotherapy and chemotherapy on dental complications, and identifies vulnerable groups with specific host and treatment characteristics. This summary provides information that will assist clinicians to prevent, detect, and facilitate early intervention for dental late effects.
authors.affiliation: Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, Tennessee, 38105.
authors.forename: Prasad L
authors.initials: PL
authors.lastname: Gawade
authors.forename: Melissa M
authors.initials: MM
authors.lastname: Hudson
authors.forename: Sue C
authors.initials: SC
authors.lastname: Kaste
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Neglia
authors.forename: Louis S
authors.initials: LS
authors.lastname: Constine
authors.forename: Leslie L
authors.initials: LL
authors.lastname: Robison
authors.forename: Kirsten K
authors.initials: KK
authors.lastname: Ness
mesh_terms: D000970:Antineoplastic Agents / Q000009:adverse effects; D002648:Child; D003731:Dental Caries / Q000209:etiology*; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects; D006801:Humans; D009369:Neoplasms / Q000150:complications* / Q000401:mortality / Q000628:therapy; D011878:Radiotherapy / Q000009:adverse effects; D017741:Survivors; D014071:Tooth Abnormalities / Q000209:etiology*
chemical_list: D000970:Antineoplastic Agents
keywords: chemotherapy; pediatrics; radiotherapy; tooth abnormalities