Ethical and clinical aspects of tooth whitening in adolescents

Abstract

This study aimed to analyse the ethical aspects to be considered in the practice of tooth whitening in adolescents, with the aim of establishing a solid basis for clinical decision-making and ensuring the well-being of young patients. A systematic review of the scientific literature was carried out to identify relevant studies on tooth whitening in adolescents. Databases such as PubMed, Cochrane and LILACS were used, using MeSH terms and DeCS descriptors. The selected studies were evaluated based on predefined inclusion and exclusion criteria. Subsequently, the TOPSIS method was applied to analyse and rank the most important ethical aspects in clinical practice. The results of the review showed that, although tooth whitening in adolescents is technically possible, its use must be clinically justified and based on informed consent. Several key ethical aspects were identified, such as patient autonomy, protection of the minor's well-being and clinical justification. The TOPSIS analysis allowed these aspects to be prioritised and a hierarchy of importance to be established. The results of this study can serve as a guide for dental professionals, promoting ethical and safe clinical practice in the treatment of adolescents. Future research is recommended to further investigate the long-term impact of these treatments and develop specific clinical protocols for this population