Oral manifestations in pediatric patients receiving chemotherapy for leukemia
Journal Title: Stomatos - Year 2016, Vol 22, Issue 43
Abstract
Cross-sectional study of 36 children with acute lymphoblastic leukemia (ALL) or acute myeloid leukemia (AML). Intraoral examination and oral hygiene assessment were performed in all patients. Information was also obtained from interviews of patients’ mothers and a review of medical records. Results: The sample was largely composed of boys (58.3%), ages 5–9 years. The most commonly used chemotherapy regimen was the BFM-95 protocol. Most children (83.3%) had a record of some oral manifestation during treatment. On intraoral examination, 17 children (50%) were found to have at least one oral manifestation. The most frequent manifestation was also mucositis (26.5%), followed by gingival bleeding (23.4%). Lower maternal educational level was associated with increased frequency of mucositis, as were induction chemotherapy and maintenance chemotherapy after relapse. Conclusions: Oral abnormalities were common in children receiving chemotherapy and mucositis was the most prevalent manifestation. Oral lesions were associated with the induction phase of chemotherapy. Mucositis was not associated with oral health status.
Authors and Affiliations
Milene Castilhos de Oliveira, Tássia Silvana Borges, Sergio Augusto Quevedo Miguens Jr. , Humberto Thomazi Gassen, Vania Regina Camargo Fontanella
Keywords
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