Application of International Caries Detection and Assessment System (ICDAS) and Caries Management by Risk Assessment (CAMBRA) systems in child cancer patients: a clinical case report

• Published in: European archives of paediatric dentistry Vol. 18; no. 3; pp. 219 - 224
• Main Authors: Hernández Fernández, A., Oñate Sánchez, R. E., Fernández Miñano, E., Iniesta López-Matencio, P., Ortiz Ruiz, A. J.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-06-2017; Springer Nature B.V
• Subjects: Adolescent; Beverages; Cancer; Case Report; Chemotherapy; Composite materials; Decision making; Dental caries; Dental Caries - diagnosis; Dental Caries - diagnostic imaging; Dental Caries - etiology; Dental Caries - therapy; Dental enamel; Dentistry; Diet; Female; Fluorides; Health risk assessment; Humans; Infections; Leukemia; Leukemia, Myeloid, Acute - complications; Medicine; Mucositis; Nutrition; Oral hygiene; Parenteral nutrition; Patients; Pediatrics; Radiography, Panoramic; Risk Assessment; Teeth; Toothpaste; Transplants & implants; High caries risk; Children; Leukaemia; Cancer
• ISSN: 1818-6300; 1996-9805
• DOI: 10.1007/s40368-017-0290-z

Background
Leukaemia represents 30–40% of all paediatric malignant tumours and is the main cause of death in patients aged <15 years. One of the main complications in these patients is infection, which may often occur in the oral cavity. Chemotherapy-related oral health problems may be reduced by oral healthcare strategies based on the International Caries Detection and Assessment System (ICDAS) and Caries Management by Risk Assessment (CABRA).
Case report
A case is reported of a 14-year-old girl treated for leukaemia who presented with established dental caries lesions which were classified and treated according to ICDAS and CABRA protocols. After three, no new caries was observed.
Follow-up and conclusion
ICDAS and CAMBRA provide useful and effective guidance for the avoidance of dental and systemic problems. Their introduction into standard practice could reduce the legal difficulties derived from dental treatment in these patients.