Patient-reported outcome measure for children and young people with amelogenesis imperfecta

Autor: Alexandra Lyne, Susan Parekh, Fiona Lafferty, Catriona J. Brown, Helen D. Rodd, Joana Monteiro, Nikita Patel
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: British Dental Journal
ISSN: 1476-5373
0007-0610
Popis: Background Amelogenesis imperfecta (AI) is a genetic enamel defect that can affect both the primary and permanent dentition. It has a range of clinical phenotypes, and children and young people often present with challenging oral health needs. Patient-reported outcome measures (PROMs) can identify key patient concerns. Methods This was a multi-centre service evaluation across several specialist paediatric dentistry services in the UK. A PROM questionnaire was created with clinician and patient input, through peer review with the national AI Clinical Excellence Network, as well as piloting the PROM with ten children and young people with AI. The final PROM questionnaire was distributed to all patients with AI attending each unit between January and March 2020. Results Sixty children and young people (aged 5-17 years) across four specialist units participated, with 72% reporting that they 'often' or 'sometimes' experienced pain or sensitivity and 76% reporting that they 'often' or 'sometimes' felt unhappy with the way their teeth look. Of the patients who were post-treatment, 81% indicated that they were happy with their teeth, compared to just 41% of patients who were mid-treatment and 33% of patients who were pre-treatment. Conclusion Children and young people with AI experience a range of issues related to their function and psychosocial wellbeing. This simple PROM demonstrates the range of issues this group of patients face, and could be used to monitor an individual's progress to ensure that treatment is planned to address the patient's individual concerns and needs.
Key points Amelogenesis imperfecta (AI) presents in many different ways in children and young people in the primary, mixed and permanent dentition.These children experience a range of different issues and concerns regarding their teeth, and patients need an individualised approach to management.This paper shows that a simple patient-reported outcome measure can help clinicians identify the individual concerns a patient with AI might have, and assess whether interventions and procedures have addressed these issues.
Databáze: OpenAIRE
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