Planning of orthodontic treatment in patients with a history of neoplastic disease – case reports
Journal Title: Forum Ortodontyczne - Year 2013, Vol 9, Issue 4
Abstract
Leukemias, lymphomas and CNS tumors are the most common childhood cancers. Currently, more than 70% of patients diagnosed with cancer are long-term survivors. The application of anticancer therapy contributes to the successful outcome but may cause a number of complications. Early diagnosis of abnormalities, both systemic and local, allows planning of proper orthodontic treatment in oncological patients. [b]Aim.[/b] Discussion of planning of orthodontic treatment in children with a history of neoplastic disease. [b]Case reports[/b]. The first patient had a brain tumor diagnosed in childhood and underwent surgery, chemotherapy and radiotherap due to the sequelae of treatment, growth hormone therapy was instituted. The second patient, suffering from neuroblastoma, underwent chemotherapy, radiotherapy and autologous hematopoietic cell transplantation. The third patient, diagnosed with acute lymphoblastic leukemia was also subjected to chemotherapy, radiotherapy and bone marrow transplantation. In all the three cases, systemic complications were observed, as well as growth disorders in the facial skeleton, and occlusal and dental abnormalities. Orthodontic treatment was planned with regard for the patients’ health status and risk factors of complications. [b]Conclusions[/b]. Orthodontic treatment should be delayed by at least 24 months following anticancer therapy. When making a treatment plan for an oncological patient, potential risk factors of complications have to be assessed. Functional treatment should take into account growth hormone (GH) therapy administration. Radej I, Bugała-Musiatowicz B, Szarmach I. Grodzka I. Planning of orthodontic treatment in patients with a history of neoplastic disease – case reports. Orthod Forum 2013; 9: 267-83). Received 6.09.2013 Accepted 4.12.2013
Authors and Affiliations
Iwona Radej, Beata Bugała-Musiatowicz, Izabela J. Szarmach, Irena Grodzka
Keywords
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