ArticleEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2026
Examining the association between socioeconomic status, clinical assessment, and dental caries experience in oncology patients: a 5-year review of a tertiary-care hospital.
Article in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeDespite the known impact of dental caries on paediatric cancer treatment and quality of life, existing literature has predominantly focussed on post-treatment dental health. We examined the prevalence of dental caries in paediatric oncology patients at the onset of their cancer diagnosis at The Hospital for Sick Children (SickKids), focussing on socioeconomic influences.
methodsA retrospective chart review was conducted of children aged 0-18 years receiving a new cancer diagnosis at SickKids between June 2, 2018 and June 1, 2023. Patient data were derived from electronic health records using Epic and axiUm software. The Ontario Marginalization Index (ON-Marg) was used to gauge socioeconomic status. Logistic regression analyses were used to examine the association between dental caries and various demographic, clinical, and socioeconomic factors.
resultsA total of 1770 children were diagnosed with cancer during the study period. 617 patients received dental referrals, of which 541 had dental consultations, with radiographs possible in 125 cases. Dental caries were diagnosed in 183 patients. Patients receiving radiographs had greater odds of caries detection (OR = 4.22; 95% CI = 2.89, 6.18) than those without radiographs. None of the ON-Marg dimensions were significantly associated with experiencing dental caries, even after adjusting for age and sex.
conclusionFindings point to the importance of dental screenings as part of the early oncologic treatment plan, ideally with the utilisation of radiographs. Further investigation into the relationship between socioeconomic status and paediatric cancer patients' dental health is warranted, utilising other diverse measures of socioeconomic status.
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