Abstract
espanolDental avulsion is a serious traumatic injury characterized by the complete expulsion of the tooth out of its alveolar socket. The response of dental personal to dental avulsion is very important and protocols on traumatic injury management should be known. The objective of this study was to determine the degree of knowledge of the management of dental avulsion of a representative group of dentists in the city of Cuenca, Ecuador. 183 dentists participated in the cross-sectional survey. Results highlighted that 42% of the surveyed dentists said that they had received some, but minor, information on dental trauma management, and 74.8% of those surveyed are not familiar with the recommended IADT protocols on traumatic injury management. The majority of participating dentists have a poor understanding of dental avulsion management, in contrast to the dental specialists in the surveyed population; the latter are clearly better able to manage this injury. Therefore, it is recommended that dental trauma should be included in the academic program in university schools of dentistry in Ecuador. EnglishLa avulsion dental es una lesion traumatica grave caracterizada por la expulsion completa del diente fuera de su cavidad alveolar. La respuesta del personal dental a la avulsion dental es muy importante y se deben conocer los protocolos sobre el manejo de lesiones traumaticas. El objetivo de este estudio fue determinar el grado de conocimiento de la gestion de la avulsion dental de un grupo representativo de dentistas en la ciudad de Cuenca, Ecuador. 183 dentistas participaron en la encuesta transversal. Los resultados muestran que el 42% de los dentistas encuestados dijeron que habian recibido cierta informacion, aunque menor, sobre el manejo del trauma dental, y que el 74.8% de los encuestados no estan familiarizados con los protocolos recomendados de IADT sobre el manejo de lesiones traumaticas. La mayoria de los dentistas participantes tienen una mala comprension del manejo de la avulsion dental, en contraste con los especialistas dentales encuestados; los resultados indican que estos ultimos son mas capaces de manejar esta lesion. Por lo tanto, se recomienda que el trauma dental se incluya en el programa academico en las escuelas universitarias de odontologia del Ecuador.
Highlights
Dental avulsion is a serious traumatic injury characterized by the complete expulsion of the tooth out of the alveolar socket, the tooth’s supportive structure
Regarding the question of having received dental trauma management training, only 42.6% of the surveyed population responded affirmative, and regarding knowledge of IADT protocols for trauma management only 19% expressed to be acquainted with these protocols, indicating that familiarity with the IADT protocols is not a general phenomenon
When asked about the ideal storage medium 34.9% believe that placing the tooth in the mouth of the patient is the best mode of transport, 22.4% think that it is saline solution, 19.1% fresh milk and only 18% chose Hank’s Balanced Salt Solution (HBSS), which is the best option
Summary
Dental avulsion is a serious traumatic injury characterized by the complete expulsion of the tooth out of the alveolar socket, the tooth’s supportive structure. Dental avulsion represents between 1 to 11% of all dental injuries, and the teeth most affected are the upper central incisors (Trope, 2002; Tzigkounakis, Merglová, Hecová, & Netolický, 2008; Zhang & Gong, 2011). Studies indicate that the phenomenon is more common in men than women (Tzigkounakis et al, 2008; Zhang & Gong, 2011). It could happen at any age; there are incident reports for those up to 75 years old, it is more common during childhood, between the ages of 6 and 15, with the average being 9.8 years old (Kargul & Welbury, 2009; Trope, 2002). Dental avulsion has physical and psychological effects that can compromise the normal development of an individual
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