Evidence map›Paper›PMID 39941698›Full record

ReviewJournal of clinical medicine2025

Chemotherapy with Alkylating Agents and Dental Anomalies in Children: A Systematic Review.

Patrizia Gallenzi, Angela Malatesta, Edoardo Staderini, Federica Guglielmi

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Patrizia GallenziInstitute of Dental Clinic, A. Gemelli University Policlinic IRCCS, Catholic University of Sacred Heart, 00168 Rome, Italy.
Angela MalatestaInstitute of Dental Clinic, A. Gemelli University Policlinic IRCCS, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0009-0005-3159-3341
Edoardo StaderiniInstitute of Dental Clinic, A. Gemelli University Policlinic IRCCS, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0003-1339-9172
Federica GuglielmiInstitute of Dental Clinic, A. Gemelli University Policlinic IRCCS, Catholic University of Sacred Heart, 00168 Rome, Italy.ORCID 0000-0002-1812-0479

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the systematic review is to analyze the type and the prevalence of dental side effects among cancer survivors treated with alkylating agents (AAs) during pediatric age. Moreover, the study aimed to investigate the association between the development of dental anomalies and the drug used or the tumor type. Four databases MEDLINE-PubMed, Web of Science, Scopus, and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched from January 2024 to March 2024. All articles published up to March 2024 were evaluated. After removing duplicates, data extraction and risk of bias assessment using the Newcastle-Ottawa score were made. A summary of the overall strength of evidence available was performed using the "Grading of Recommendations Assessment, Development and Evaluation" (GRADE). Data were summarized using descriptive analysis as mean differences ± standard deviation or relative risks. Out of 2678 studies, the search identified five studies enrolled for the qualitative analysis of the data. Among 257 survivors, 155 (60.3%) reported: microdontia, agenesia, root shortening, enamel defects, and taurodontism. Microdontia occurred more frequently with other drugs compared to AAs. In conclusion, children treated with AAs showed microdontia (36.0%), root shortening (26.9%), and agenesis (23.5%). Secondly, the occurrence of dental anomalies was unaffected by drug treatment; thirdly, microdontia was the most frequent dental anomaly observed in both solid and lymphoproliferative tumors. This review was performed in accordance with the PRISMA guidelines. PROSPERO registration number CRD42023494560.

Indexed as

alkylating agentsdrug therapytooth abnormalities

Identifiers

PMID39941698
PMCPMC11818895

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Registered trials

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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.