Evidence map›Paper›PMID 29020731›Full record

ArticleCancer research and treatment2018

Clinical Risk Factors Influencing Dental Developmental Disturbances in Childhood Cancer Survivors.

Chung-Min Kang, Seung Min Hahn, Hyo Sun Kim, Chuhl Joo Lyu, Jae-Ho Lee, Jinae Lee, Jung Woo Han

Open access · diamondAbstract read
In one paragraph

Article in Cancer research and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Best clinical practise guidance for oral health care management of long-term childhood cancer survivors (CCS): an EAPD policy document.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Guideline
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  10. Dental caries and dental developmental defects as adverse effects of antineoplastic treatment in childhood cancer survivors.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2023
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  11. Oral and dental late effects in long-term survivors of childhood embryonal brain tumors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  13. Systemic Anticancer Therapy Details and Dental Adverse Effects in Children.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Chung-Min KangDepartment of Pediatric Dentistry, Yonsei University College of Dentistry, Seoul, Korea.
Seung Min HahnDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Hyo Sun KimDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Chuhl Joo LyuDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Jae-Ho LeeDepartment of Pediatric Dentistry, Yonsei University College of Dentistry, Seoul, Korea.
Jinae LeeBiostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Korea.
Jung Woo HanDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Yonsei University College of DentistryYonsei University · KRYonsei University Health System · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough studies regarding dental developmental disturbances after childhood cancer treatment have increased, they have many limitations. Studies analyzing the significance of independent clinical risk factors with regard to the dental health status are also rare. We aimed to investigate the risk factors for dental developmental disturbances, particularly severe disturbances, in childhood cancer survivors (CCS). MATERIALS AND

methodsOral examinations and retrospective reviews of medical and panoramic radiographs were performed for 196 CCS (mean age, 15.6 years). Cancer type, age at diagnosis, treatment modality, type and accumulated dose of administered drugs, and dose and site of radiation were recorded. Dental developmental disturbances were diagnosed using panoramic radiographs and graded for severity according to the Modified Dental Defect Index (MDDI). Descriptive statistics and multivariate analyseswere performed to determine the association between dental abnormalities and clinical factors.

resultsIn total, 109 CCS (55.6%) exhibited at least one dental anomaly, and the median value of MDDI was 2.5. Microdontia (30.6%) was the most prevalent anomaly, followed by tooth agenesis (20.4%), V-shaped roots (14.8%), and taurodontism (10.2%). Multivariate analysis revealed that a young age at diagnosis (≤ 3 years), a history of hematopoietic stem cell transplantation, the use of multiple classes of chemotherapeutic agents (≥ 4 classes), and the use of heavy metal agents were significant risk factors for severe dental disturbances.

conclusionCCS with any of the above risk factors for severe developmental disturbances should be comprehensively followed up to minimize adverse consequences to their dental development and preserve their future dental health.

Indexed as

Cancer SurvivorsAdolescentAntineoplastic AgentsChildChild, PreschoolFemaleHumansInfantMaleMetals, HeavyNeoplasmsRadiography, PanoramicRetrospective StudiesRisk FactorsStem Cell TransplantationTooth DiseasesAntineoplastic AgentsMetals, HeavyAdverse effectsNeoplasmsOdontogenesisSurvivorsTooth abnormalities

Identifiers

PMID29020731
PMCPMC6056986
OpenAlexW2762431211

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.