title: Experience and expertise regarding orthodontic management of childhood and adolescent cancer survivors.
abstract: BACKGROUND
  Great strides in pediatric cancer treatment are allowing hundreds of thousands of children to survive into adulthood. However, these treatments can be responsible for long-term medical and dental complications. The treatments may alter the patients' dental health and require modifications to standard orthodontic care. The aim of this study was to examine knowledge and clinical experience regarding orthodontic management of childhood cancer survivors.
  
  
  METHODS
  A 12-question online survey consisting of 3 sections was sent to 2500 randomly selected members of the American Association of Orthodontists and all 2300 members of the Southern Association of Orthodontists. The first section consisted of questions about the respondents' practice characteristics, the second questioned how many survivor patients the respondent had treated, and the third included questions about specific (anonymous) patient experiences and treatment modifications.
  
  
  CONCLUSIONS
  There were 381 responses. The data from this study suggest a tendency for more experienced practitioners to have treated survivors of childhood cancer. Orthodontic education regarding the treatment of these patients is limited. Although most orthodontists reported having treated such patients, few had treated more than 10. There is a need for more information regarding dental complications of pediatric cancer treatment and for guidelines for the orthodontic treatment of these patients.
authors.affiliation: Formerly, postgraduate student, Department of Orthodontics, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tenn; private practice orthodontist, Greensboro, NC. Electronic address: Neillcc@gmail.com.
authors.forename: Carrie C
authors.initials: CC
authors.lastname: Neill
authors.affiliation: Department chair and professor, Department of Diagnostic Sciences and Oral Medicine, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tenn.
authors.forename: Cesar
authors.initials: C
authors.lastname: Migliorati
authors.affiliation: Department chair and program director, Department of Orthodontics, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tenn.
authors.forename: Terry
authors.initials: T
authors.lastname: Trojan
authors.affiliation: Full member, Departments of Diagnostic Imaging and Oncology, St Jude Children's Research Hospital, Memphis, Tenn; full professor, Department of Radiology, University of Tennessee Health Science Center, Memphis, Tenn.
authors.forename: Sue
authors.initials: S
authors.lastname: Kaste
authors.affiliation: Professor, Department of Periodontology, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tenn.
authors.forename: Anastasios
authors.initials: A
authors.lastname: Karydis
authors.affiliation: Chief, Division of Dentistry, Department of Surgery, St Jude Children's Research Hospital, Memphis, Tenn.
authors.forename: Christopher
authors.initials: C
authors.lastname: Rowland
authors.affiliation: Private practice orthodontist, Memphis, Tenn; part-time faculty, University of Tennessee Health Science Center, Memphis, Tenn.
authors.forename: William
authors.initials: W
authors.lastname: Parris
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000970:Antineoplastic Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D002983:Clinical Competence; D006801:Humans; D008487:Medical History Taking; D009369:Neoplasms / Q000150:complications / Q000532:radiotherapy / Q000628:therapy*; D009970:Orthodontics / Q000193:education*; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods; D011795:Surveys and Questionnaires; D017741:Survivors; D014070:Tooth / Q000528:radiation effects; D014076:Tooth Diseases / Q000209:etiology
chemical_list: D000970:Antineoplastic Agents