Article: Volume 45 Number 5 Page 439 - May 2018

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  Dent Update 2018; 45: 439-446

Restorative dentistry:  Child Cancers: Managing the Complications of Childhood Chemotherapy in the Adult Dentition

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Abstract: Young children who are unfortunate enough to suffer from a malignant disease are often treated with chemotherapy. This selectively toxic treatment keeps them alive but, in many cases, the effects on the developing dental structures can be very serious. Robust evidence is limited on how to manage the dental issues of the surviving patients later on in their lives. This article demonstrates some interesting malformations of teeth produced by the malignant disease or by the chemotherapy early in life. It offers some pragmatic ideas on solving some of these dental problems without destroying the already much reduced tooth tissue.

Clinical relevance: This article enables clinicians to appreciate the long-term effects of chemotherapy on the dental development of young cancer victims and outlines subsequent management using minimally destructive, pragmatic, bonded composite restorations.

Author notes: Naureen Rizvi, BDS, MFDS RCS(Ed), Clinical Teacher, King’s College Hospital, Martin G D Kelleher, BDS, MSc, FDS RCPS, FDS RCS, Consultant in Restorative Dentistry, King’s College Hospital and Milan Majithia, BDS, MJDF RCS(Eng), PgCert(Dent Educ), King's College Hospital, London SE5 9RS, UK.

Objective: To understand the long-term effects of chemotherapy and outline subsequent management using minimally destructive composite restorations. Enhanced CPD DO C