The Long-Term Effects of Chemo Radiotherapy on Oral Health and Dental Development in Childhood Cancer: A Case Report

Abstract

The improvement in survival and local control measures in children with neoplasm in the
head and neck region may lead to increased iatrogenic adverse effects of treatment. The
aim of this study was to report a new case of the long-term effects of chemoradiotherapy
on oral health and dental development in a patient treated for Hodgkin's disease at an early
age. In this case report, a 26-year-old female is presented, who at the age of 5 years received
chemotherapy and radiotherapy for Hodgkin's disease in the neck region. The patient
consulted the Department of Oral Medicine because of dental changes and tooth loss
despite adequate dental care and oral hygiene. Clinical examination revealed loose teeth
and inflamed gingiva of the mandible, x-ray showed premature root resorption, V-shaped
and shortened roots and alveolar bone loss. After examination, the patient was referred for
extracting the mandibular teeth and then wassent to the prosthetics department. Therefore,
in order to decrease dental treatment sequelae in patients who have had cured malignant
disease, these cases should have life-long dental care and follow-up.