Lyne, A;
Parekh, S;
Patel, N;
Lafferty, F;
Brown, C;
Rodd, H;
Monteiro, J;
(2021)
Patient-reported outcome measure for children and young people with amelogenesis imperfecta.
British Dental Journal
10.1038/s41415-021-3329-9.
(In press).
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Text (Article)
Parekh_AI PROM manuscript for BDJ revised_names.pdf - Accepted Version Download (310kB) | Preview |
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Parekh_Figure 1. Phenotypes of AI.pdf - Accepted Version Download (410kB) | Preview |
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Parekh_Figure 2. AI PROM institutes removed.pdf - Accepted Version Download (146kB) | Preview |
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Parekh_Figure 3. Bar chart showing PROM responses from 60 children and young people with AI.pdf - Accepted Version Download (42kB) | Preview |
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Parekh_Table 1. Potential treatment options for children with AI.pdf - Accepted Version Download (108kB) | Preview |
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Parekh_Table 2. Feedback and changes made following pilot.pdf - Accepted Version Download (100kB) | Preview |
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Parekh_Table 3. Sample characteristics.pdf - Accepted Version Download (97kB) | Preview |
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Parekh_Table 4. Additional comments.pdf - Accepted Version Download (88kB) | Preview |
Abstract
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.
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