Evidence map›Paper›PMID 35403479›Full record

ArticleJDR clinical and translational research2023

Dental Caries Postradiotherapy in Head and Neck Cancer.

M T Brennan, N S Treister, T P Sollecito, B L Schmidt, L L Patton, A Lin, L S Elting, E S Helgeson, R V Lalla

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in JDR clinical and translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02057510 (Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 9% 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.

NCT02057510 completednot on this map

Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients

Typeobservational_patient_registrySponsorWake Forest University Health SciencesRan2014 to 2020Enrolled613ConditionsHead and Neck Cancer, Dental Disease, Xerostomia, Osteoradionecrosis
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Chronic Oral Complications of Oral Cancer Therapy.Dental clinics of North America · 2025
    Review
  7. A retrospective cohort study of the oral healthcare needs of cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. Observational
  9. Article
  10. Observational
  11. Observational
  12. Article
  13. Review
  14. Observational
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

9 authors at 9 institutions in 1 country.

M T BrennanDepartment of Oral Medicine/Oral & Maxillofacial Surgery, Atrium Health Carolinas Medical Center, Charlotte, NC, USA.ORCID 0000-0003-0638-4335
N S TreisterDivision of Oral Medicine and Dentistry, Brigham and Women's Hospital, Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA, USA.
T P SollecitoDepartment of Oral Medicine, University of Pennsylvania School of Dental Medicine, Division of Oral Medicine, University of Pennsylvania Health System, Philadelphia, PA, USA.
B L SchmidtDepartment of Oral & Maxillofacial Surgery and Bluestone Center for Clinical Research, New York University College of Dentistry, New York, NY, USA.
L L PattonDivision of Craniofacial and Surgical Care, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
A LinDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.
L S EltingDepartment of Health Services Research Unit 1444, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
E S HelgesonDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
R V LallaSection of Oral Medicine, University of Connecticut Health, Farmington, CT, USA.
Brigham and Women's Hospital · USCarolinas Medical Center · USCenter for Clinical Research (United States) · USThe University of Texas MD Anderson Cancer Center · USUConn Health · USUniversity of Minnesota · USUniversity of North Carolina at Chapel Hill · USUniversity of Pennsylvania · USUniversity of Pennsylvania Health System · US

Funding

Long-term Oral Complications of an Established Head and Neck Cancer Cohort- Clinical Registry of Dental Outcomes in Head and Neck Cancer Patients: OraRadU01DE022939 · NIDCR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BRENNAN, MICHAEL T, LALLA, RAJESH V. · 2012 to 2023
$16.8M
NIDCR NIH HHS U01 DE022939
6 · The paper itself

Abstract

backgroundTreatment for head and neck cancer (HNC) such as radiotherapy (RT) can lead to numerous acute and chronic head and neck sequelae, including dental caries. The goal of the present study was to measure 2-y changes in dental caries after radiotherapy in patients with HNC and test risk factors for caries increment.

methodsCancer and dental disease characteristics, demographics, and oral health practices were documented before and 6, 12, 18, and 24 mo after the start of RT for 572 adult patients with HNC. Patients were eligible if they were age 18 y or older, diagnosed with HNC, and planned to receive RT for treatment of HNC. Caries prevalence was measured as decayed, missing, and filled surfaces (DMFS). The association between change in DMFS and risk factors was evaluated using linear mixed models.

resultsOn average, DMFS increased from baseline to each follow-up visit: 6 mo, +1.11; 12 mo, +2.47; 18 mo, +3.43; and 24 mo, +4.29 (

conclusionIncreased caries is a complication soon after RT in HNC. Fluoride, oral hygiene, dental insurance, and education level had the strongest association with caries increment after radiotherapy to the head and neck region. Thus, intensive oral hygiene measures, including fluoride and greater accessibility of dental care, may contribute to reducing the caries burden after RT in HNC. KNOWLEDGE TRANSFER STATEMENT: The results of this study can be used by clinicians when deciding how to minimize oral complications related to cancer therapy for patients with head and neck cancer. Identification of modifiable factors (e.g., oral hygiene and prescription fluoride compliance) associated with increased caries risk can minimize radiation caries burden.

Indexed as

Dental CariesHead and Neck NeoplasmsAdolescentAdultFluoridesHumansOral HealthRisk FactorsFluoridescohort studydental cariesfluoridehead and neck neoplasmspatient compliancerisk factors

Identifiers

PMID35403479
PMCPMC10286183
OpenAlexW4223544810

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.