Patient-reported outcome measures for children and adolescents having dental bleaching in the UK

Abstract

PurposeDental bleaching in paediatric patients can be used to address discolouration of teeth due to trauma, endodontic treatment, or enamel and dentine defects. Despite being a minimally invasive and successful treatment, the use of bleaching products in children and young people remains controversial. This evaluation was designed to provide insight into the child’s perspective on dental bleaching and the influence that this treatment has upon their life.MethodA dental bleaching patient reported outcome measure (PROM) was developed and piloted in 2019. Data were collected from 3 UK units (January–March 2020). Children attending these units for bleaching reviews were invited to complete the PROM.ResultsTwenty seven PROM questionnaires were completed including 19 courses of external bleaching and 8 courses of internal/external bleaching. The average age was 14 years old (9–17 years). The common indications for bleaching were Amelogenesis Imperfecta, dental trauma and Molar Incisor Hypomineralisation. Patients reported improvements in their appearance (89%) and self-confidence (81%). Sensitivity was the most common side effect, reported in 63% of cases.ConclusionThis PROM supports the use of dental bleaching in children and young people when treating dental disease that causes discolouration. Bleaching not only improved the appearance of teeth, but also patients’ self-confidence. Sensitivity is a common side effect and clinicians should discuss this common risk and its management with patients and their families.