The DMFS160: A new index for measuring post-radiation caries.

DMFS indexes Head and neck cancer Oral cancer Radiation caries Radiation therapy

Journal

Oral oncology
ISSN: 1879-0593
Titre abrégé: Oral Oncol
Pays: England
ID NLM: 9709118

Informations de publication

Date de publication:
09 2020
Historique:
received: 31 03 2020
revised: 17 05 2020
accepted: 24 05 2020
pubmed: 11 6 2020
medline: 29 6 2021
entrez: 11 6 2020
Statut: ppublish

Résumé

The current systems used to measure post-radiation caries underestimate the severity of the disease by failing to account for the unique spread of post-radiation caries, including incisal-edge and cusp tip decay, enamel delamination and crown amputation. A novel and clinically applicable index to measure post-radiation caries is proposed. The DMFS160 index counts 5 surfaces per tooth, accounting for incisal-edge caries, and is broken down into missing surfaces and decayed/filled surfaces. A staging and grading system is used to capture enamel delamination and crown amputation. The staging and grading provides a clinically-relevant measure at the whole-mouth level and is paired with evidence-based treatment strategies. In this paper the DMFS160 index is applied to three cases and compared to the DMFS index, demonstrating the improved accuracy of the DMFS160 index in measuring the extent of post-radiation caries.

Identifiants

pubmed: 32521312
pii: S1368-8375(20)30259-1
doi: 10.1016/j.oraloncology.2020.104823
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

104823

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Erin Watson (E)

Princess Margaret Cancer Centre, 610 University Avenue, Room 2-933, Toronto, Ontario M5G2M9, Canada. Electronic address: erin.watson@uhn.ca.

Brady Eason (B)

Princess Margaret Cancer Centre, 610 University Avenue, Room 2-933, Toronto, Ontario M5G2M9, Canada. Electronic address: brady.eason@uhn.ca.

Matthew Kreher (M)

Princess Margaret Cancer Centre, 610 University Avenue, Room 2-933, Toronto, Ontario M5G2M9, Canada. Electronic address: matthew.kreher@uhn.ca.

Michael Glogauer (M)

Princess Margaret Cancer Centre, 610 University Avenue, Room 2-933, Toronto, Ontario M5G2M9, Canada; University of Toronto, Faculty of Dentistry, 101 Elm Street, Toronto, Ontario M5G2L3, Canada. Electronic address: Michael.glogauer@uhn.ca.

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