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  • br Maciel JCC de Castro CG Brunetto AL Di

    2019-09-24


    21. Maciel JCC, de Castro CG, Brunetto AL, Di Leone LP, da Silveira HED. Oral health and
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    25. Dean JA, Jones JE WVL. McDonald and Avery’s Dentistry for the Child and Adolescent.
    29. Avşar A, Elli M, Darka Ö, Pinarli G. Long-term effects of chemotherapy on caries formation, dental development, and salivary factors in childhood cancer survivors. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2007;104(6):781-789.
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    37. Wasilewski-Masker K, Kaste SC, Hudson MM, Esiashvili N, Mattano LA, Meacham LR.
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    42. Dahllöf G, Näsman M, Borgström A, et al. Effect of chemotherapy on dental maturity in children with hematological malignancies. Pediatr Dent. 1989;11(4):303-306.
    43. Khojastepour L, Zareifar S, Ebrahimi M. Dental anomalies and dental age assessment in treated children with acute lymphoblastic leukemia. Iran J Pediatr Hematol Oncol. 2014;4(4):172-177. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4293517/pdf/ijpho-4-172.pdf.
    44. Brook AH. Multilevel complex interactions between genetic, epigenetic and environmental factors in the aetiology of anomalies of dental development. Arch Oral
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    FIGURE LEGENDS
    Fig. 1. Classification of dental root anomalies.
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    Fig. 2. Panoramic radiograph of 11-year-old child diagnosed with primitive pineoblastoma at age of 43 months submitted to chemotherapy and radiotherapy for 7 months, revealing dental root anomalies as described in the adapted Miho classification. The lower central incisors and lower right lateral incisor (V0), lower left lateral incisor (V1), lower canines and lower right first premolar (U1), lower first molars, second right lower premolar and first lower left premolar (V2).
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    Fig. 3. Panoramic radiograph of Methoxy-X04 13-year-old individual diagnosed with a primitive neuroectodermal tumor at the age of 22 months, submitted to chemotherapy for 4 months, reveling microdontia of the second upper premolars, and second upper and lower molars.
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    Fig. 4. Panoramic radiograph of a families 15-year-old individual diagnosed with a Rhabdomyosarcoma at the age of 28 months, submitted to chemotherapy for 15 months, revealing hypodontia of the second lower premolars, and microdontia of the first lower premolars.
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    Fig. 5. Panoramic radiograph of a 17-year-old individual diagnosed with a Non-hodking lynphoma at the age of 28 months, submitted to chemotherapy for 7 months, revealing hypodontia of the second lower premolars, and microdontia of the first lower premolars and third upper molars and an impacted canine.
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    Table I. Classification of dental anomalies of Alvares and Tavano identified by panoramic radiograph.
    CLASSIFICATION OF DENTAL ANOMALIES TYPES OF DENTAL ANOMALIES HYPOPLASTIC: ·Hypodontia Reduction of number or incomplete ·Microdontia development of teeth, with structural,
    morphological and/or functional alterations.
    HYPERPLASTIC: ·Supernumerary tooth Increase in number of teeth or increase of ·Supernumerary root tissue components, with structural,
    morphological and/or functional alterations.
    ·Fusion
    ·Concrescence
    ·Gemination
    ·Macrodontia
    ·Taurodontism HETEROTOPIC: ·Dilaceration Eruption and/or position of the teeth ·tooth torsion outside their usual place or by the ·tooth transposition displacement and development of dental
    tissues with loss of normal relation between
    them.
    ·tooth transmigration
    ·Invaginated tooth
    ·Impacted tooth
    Table II. Characteristics, distribution of type of treatment and type of neoplasms of the childhood cancer survivors.