Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

Managing Short Root Anomalies in Pediatric Cancer Survivors: Utilizing Resin Wire Splints and Miniscrews for Skeletal Anchorage

  • Taegyoung Kim (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Namki Choi (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Seonmi Kim (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University)
  • Received : 2023.09.21
  • Accepted : 2023.11.02
  • Published : 2024.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

Patients with pediatric cancer often undergo multiple therapies, such as chemotherapy, radiation therapy, and stem cell transplantation. These treatments, while essential, can result in dental developmental issues, including hypodontia, microdontia, short roots, and delayed dental development. This report presents two cases of pediatric patients diagnosed with neuroblastoma who exhibited severe tooth mobility due to short roots as a complication of cancer treatment. Moreover, we investigated the conservative management of the patients' conditions using resin wire splints and orthodontic miniscrews for skeletal anchorage along with long-term follow-ups to evaluate their prognosis.

Keywords

References

  1. Siegel RL, Miller KD, Fuchs HE, Jemal A : Cancer statistics, 2022. CA Cancer J Clin, 72:7-33, 2022.  https://doi.org/10.3322/caac.21708
  2. Hong CH, daFonseca M : Considerations in the pediatric population with cancer. Dent Clin North Am, 52:155-181, 2008.  https://doi.org/10.1016/j.cden.2007.10.001
  3. Siegel RL, Miller KD, Wagle NS, Jemal A : Cancer statistics, 2023. CA Cancer J Clin, 73:17-48, 2023.  https://doi.org/10.3322/caac.21763
  4. Park JR, Eggert A, Caron H : Neuroblastoma: biology, prognosis, and treatment. Pediatr Clin North Am, 55:97-120, 2008.  https://doi.org/10.1016/j.pcl.2007.10.014
  5. Holtta P, Alaluusua S, Saarinen-Pihkala UM, Peltola J, Hovi L : Agenesis and microdontia of permanent teeth as late adverse effects after stem cell transplantation in young children. Cancer, 103:181-190, 2005.  https://doi.org/10.1002/cncr.20762
  6. Kaste SC, Hopkins KP, Bowman LC, Santana VM : Dental abnormalities in children treated for neuroblastoma. Med Pediatr Oncol, 30:22-27, 1998.  https://doi.org/10.1002/(SICI)1096-911X(199801)30:1<22::AID-MPO8>3.0.CO;2-2
  7. Kim MJ, Lee HS, Kim S, Jeong TS : Developmental dental complications after anticancer therapy in children. J Korean Acad Pediatr Dent, 36:607-612, 2009. 
  8. Nishimura S, Inada H, Sawa Y, Ishikawa H : Risk factors to cause tooth formation anomalies in chemotherapy of paediatric cancers. Eur J Cancer Care (Engl), 22:353-360, 2013.  https://doi.org/10.1111/ecc.12038
  9. Zwetchkenbaum SR, Oh WS : Prosthodontic management of abnormal tooth development secondary to chemoradiotherapy: a clinical report. J Prosthet Dent, 98:429-435, 2007.  https://doi.org/10.1016/S0022-3913(07)60141-3
  10. Choi B, Kim SH, Lee W : Valplast® flexible removable partial denture for a patient with medically compromised conditions : a clinical report. J Korean Acad Prosthodont, 47:295-300, 2009.  https://doi.org/10.4047/jkap.2009.47.3.295
  11. Hoehner JC, Gestblom C, Hedborg F, Sandstedt B, Olsen L, Pahlman S : A developmental model of neuroblastoma: differentiating stroma-poor tumors' progress along an extra-adrenal chromaffin lineage. Lab Invest, 75:659-675, 1996. 
  12. London WB, Castleberry RP, Matthay KK, Look AT, Seeger RC, Shimada H, Thorner P, Brodeur G, Maris JM, Reynolds CP, Cohn SL : Evidence for an age cutoff greater than 365 days for neuroblastoma risk group stratification in the Children's Oncology Group. J Clin Oncol, 23:6469-6465, 2005. 
  13. Schour I, Massler M : Studies In Tooth Development: The Growth Pattern Of Human Teeth Part II. J Am Dent Assoc, 27:1918-1931, 1940.  https://doi.org/10.14219/jada.archive.1940.0367
  14. Heo SK, Choi NK, Kim SM, Yang KH : Developmental disturbance of permanent teeth after radiotherapy for treatment of malignant tumor : Report of cases. J Korean Acad Pediatr Dent, 35:144-150, 2008. 
  15. Jaffe N, Toth BB, Hoar RE, Ried HL, Sullivan MP, McNeese MD : Dental and maxillofacial abnormalities in long-term survivors of childhood cancer: effects of treatment with chemotherapy and radiation to the head and neck. Pediatrics, 73:816-823, 1984.  https://doi.org/10.1542/peds.73.6.816
  16. Ruyssinck L, Toulouse K, Bordon Cueto de Braem V, Cauwels R, Dhooge C : Impact of Hematopoietic Stem Cell Transplantation on Dental Development. Biol Blood Marrow Transplant, 25:107-113, 2019.  https://doi.org/10.1016/j.bbmt.2018.08.027
  17. Cronin RJ Jr, Oesterle LJ : Implant use in growing patients. Treatment planning concerns. Dent Clin North Am, 42:1-34, 1998.  https://doi.org/10.1016/S0011-8532(22)00602-4
  18. Albert AM, Wright CL : The Progression of Craniofacial Growth and Development: An Anthropological Study Applicable to the Forensic and Identity Sciences. G J Anthropol Res, 3:16-21, 2016.  https://doi.org/10.15379/2410-2806.2016.03.01.03
  19. Qin M, Ge L, Bai R : Use of a removable splint in the treatment of subluxated, luxated and root fractured anterior permanent teeth in children. Dent Traumatol, 18:81-85, 2002.  https://doi.org/10.1034/j.1600-9657.2002.180207.x
  20. Leith R, O'Connell AC : Tips for splinting traumatised teeth. J Ir Dent Assoc, 63:260-262, 2017. 
  21. Manfrin TM, Boaventura RS, Poi WR, Panzarini SR, Sonoda CK, Massa Sundefeld ML : Analysis of procedures used in tooth avulsion by 100 dental surgeons. Dent Traumatol, 23:203-210, 2007.  https://doi.org/10.1111/j.1600-9657.2005.00432.x
  22. Mockers O, Deroze D, Camps J : Cytotoxicity of orthodontic bands, brackets and archwires in vitro. Dent Mater, 18:311-317, 2002.  https://doi.org/10.1016/S0109-5641(01)00055-0
  23. Huang HH : Variation in corrosion resistance of nickel-titanium wires from different manufacturers. Angle Orthod, 75:661-665, 2005. 
  24. Hamula DW, Hamula W, Sernetz F : Pure titanium orthodontic brackets. J Clin Orthod, 30:140-144, 1996. 
  25. Grossmann Y, Sadan A : The prosthodontic concept of crown-to-root ratio: A review of the literature. J Prosthet Dent, 93:559-562, 2005.  https://doi.org/10.1016/j.prosdent.2005.03.006
  26. Carano A, Velo S, Leone P, Siciliani G : Clinical applications of the Miniscrew Anchorage System. J Clin Orthod, 39:9-24, 2005. 
  27. Yu JH, Lin YS, Chang WJ, Chang YZ, Lin CL : Mechanical effects of micro-thread orthodontic mini-screw design on artificial cortical bone. J Med Biol Eng, 34:49-55, 2014.  https://doi.org/10.5405/jmbe.1132
  28. Brauner E, Valentini V, Romeo U, Cantore M, Laudoni F, Rajabtork Zadeh O, Formisano V, Cassoni A, Della Monaca M, Battisti A, Mezi S, Cirillo A, De Felice F, Botticelli A, Tombolini V, De Vincentiis M, Colizza A, Tenore G, Polimeni A, Di Carlo S : Dental Implant Failure Risk in Post Oncological Patients, a Retrospective Study and Sapienza Head and Neck Unit Decisional Protocol- 7 Years of Follow-Up. Diagnostics (Basel), 12:1863, 2022. 
  29. Ziebura T, Flieger S, Wiechmann D : Mini-implants in the palatal slope - a retrospective analysis of implant survival and tissue reaction. Head Face Med, 8:32, 2012. 
  30. Wawrzinek C, Sommer T, Fischer-Brandies H : Microdamage in cortical bone due to the overtightening of orthodontic microscrews. J Orofac Orthop, 69:121-134, 2008.  https://doi.org/10.1007/s00056-008-0742-5
  31. Lee NK, Baek SH : Effects of the diameter and shape of orthodontic mini-implants on microdamage to the cortical bone. Am J Orthod Dentofacial Orthop, 138:8. E1-8; discussion 8-9, 2010.  https://doi.org/10.1016/j.ajodo.2010.03.015
  32. Lim SM, Yang YM, Kim JG, Baik BJ, Lee YH, Shin JG : Orthodontic treatment with miniscrews in mixed dentition. J Korean Acad Pediatr Dent, 35:367-375, 2008. 
  33. Linde J, Berglundh T, Ericsson B, Liijenberg B, Marinello C : Experimental breakdown of peri-implant and periodontal tissues. A study in the dog. Clin Oral Implants Res, 3:9-16, 1992.  https://doi.org/10.1034/j.1600-0501.1992.030102.x
  34. Truong VM, Kim S, Kim J, Lee JW, Park YS : Revisiting the Complications of Orthodontic Miniscrew. Biomed Res Int, 2022:8720412, 2022.