儿童瘤治疗后的口腔和牙后果:系统性审查
Lidia Torrecillas-Quiles1, Inmaculada Gómez-Ríos1, Irene Jiménez-García2
1Department of Integrated Pediatric Dentistry, Faculty of Medicine, University of Murcia, 30100 Murcia, Spain.
Journal of clinical medicine
|August 14, 2025
概括
儿童癌症治疗会导致严重的口腔健康问题,包括牙缺陷和牙损伤. 这些长期影响会影响孩子.
科学领域:
- 儿科瘤学 儿科瘤学
- 口腔医学是指口腔医学.
- 癌症治疗方法 癌症治疗方法
背景情况:
- 儿童癌症是全球主要的健康问题.
- 瘤治疗已知有口服毒性影响,但发病率难以量化.
- 在儿科瘤学中改善的生存率增加了影响生活质量的长期不良影响的可能性.
研究的目的:
- 在接受抗瘤治疗的儿科患者中审查口服后果.
- 为了确定各种儿童癌症治疗导致的常见口腔健康问题.
主要方法:
- 从2024年11月5日至12月5日进行了系统的文献搜索.
- 获取了1266篇文章,根据PRISMA指南,选择了13篇高质量的研究进行审查.
- 包括的治疗包括化疗,放射治疗,手术和免疫治疗.
主要成果:
- 观察到的最常见的口腔后果是质变化,微牙,牙损伤,牙周病,牙炎,低化,口腔微生物组变化,下骨密度降低和缺陷.
- 具体的口腔病变因所使用的抗瘤治疗类型而异.
- 主要的研究设计包括队列和病例控制研究.
结论:
- 针对儿科癌症的抗瘤治疗导致各种口腔后果,包括小牙,牙损,牙质变化,唾液腺问题,粘膜炎和根部再吸收.
- 鉴于每种治疗对口腔组织的不同作用机制,确定最有害的治疗是复杂的.
- 需要进一步的研究,以充分了解不同瘤治疗对儿科口腔健康的比较影响.
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