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J Clin Pediatr Dent. 2008 Winter;32(2):155-8.

Caries experience of leukemic children during intensive course of chemotherapy.

Author information

1
Pediatric Dental Care Unit, Uluda University, Medical Faculty, Bursa, Turkey. dcelbek@yahoo.com

Abstract

OBJECTIVE:

To determine the incidence of dental caries in 64 leukemic children who received dental treatment before the initiation of chemotherapy and had intensive oral care during the course.

DESIGN:

Caries experience (deft/DMFT), white-spot lesions (enamel demineralization), premature primary molar extractions and carious first permanent molars were investigated before and after intensive therapy.

SETTING:

Pediatric Dental Care Unit and Department of Pediatric Hematology, Faculty of Medicine, Uludağ University.

RESULTS:

The dental caries level was insignificantly higher following chemotherapy compared to the initial caries level. However the prevalence of white-spot lesions was significantly increased during the course. Caries level in 30 subjects (47%) remained stable.

CONCLUSION:

Caries level in leukemic children, who were not caries-free before chemotherapy, could be stabilized by caries prevention methods such as frequent topical fluoride applications and fissure sealants, intensive oral care and improved self-care practices.

PMID:
18389683
[Indexed for MEDLINE]

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