Dental Staff Research Articles

Endodontic management during COVID- 19 pandemic: A literature review and clinical recommendations

The COVID-19 pandemic has turned to be a huge international challenge. Being the part of dental care, we hold responsibilities both to the dental staff and our patients so that the cross infection of virus can be avoided. Since dentists mainly have to work inside the oral cavity, the whole dental team, staff and the technician are at the highest risk of getting affected by the virus. Not only they are at risk of getting infected but at the same time they can potentially transmit the virus. According to latest studies, the presence of virus in salivary secretion of many symptomatic as well as asymptomatic patients, the dental professionals especially Endodontist are at the greatest life threatening situation if they do not follow proper guidelines such as sterilization at their workplace. Till today no medicine manufacturing companies have come up with the proper treatment or vaccines which can protect dentist from contracting with the virus. In this pandemic situation, the general practicing dentist and the Endodontist must provide only emergency treatments so as to relieve pressure and pain. As this COVID continues, it is the responsibility of health care workers to come up with more definitive treatment plans that to stick on to just palliative care. This article aims to bring latest updates on treatment considerations in clinical practice in general. However, the article also includes the guidelines to be followed by the endodontist so as to limit the cross infection but at the same time relieve patient from dental pain or any dental disease.

Quantitative and qualitative assessment of microbial aerosols in different indoor environments of a dental school clinic.

In the indoor environment of dental clinics, dental staff and patients are exposed to various types of infectious agents transported by aerosols and particles, generated during dental procedures, promoting an increased risk of cross-infection. The aim of this study was to determine the levels and diversity of microbial aerosol in relation to particle load in five different departments of a dental school clinic. The air samples were collected by an active single-stage Andersen sampler during the treatment procedure. The mean concentrations of airborne bacteria were in the range of 52–1030 and 8–844 CFU/m3 at the distances of 0.5 and 2 m, respectively. Bacterial aerosols in pediatric, endodontics, and restorative wards and fungal aerosols in all the sampling wards were significantly higher at the distances of 0.5 m. The dominant bacteria and fungi were identified as Micrococcus, Bacillus, Streptococcus, Staphylococcus, Penicillium, Cladosporium, Aspergillus, Rhizopus, and Alternaria. The positive associations were also obtained between bacteria and fungi levels and particulate matter (PM) concentrations.

Using Dental Health Care Personnel During a Crisis : COVID-19 Pandemic in the Bronx, New York.

The first few months of the coronavirus disease 2019 (COVID-19) pandemic challenged health care facilities worldwide in many ways. Inpatient and intensive care unit (ICU) beds were at a premium, and personnel shortages occurred during the initial peak of the pandemic. New York State was the hardest hit of all US states, with a high concentration of cases in New York City and, in particular, Bronx County. The governor of New York and leadership of hospitals in New York City called upon all available personnel to provide support and patient care during this health care crisis. This case study highlights the efforts of Jacobi Medical Center, located in the northeast Bronx, from March 1 through May 31, 2020, and its use of nontraditional health care personnel, including Department of Dentistry/OMFS (Oral and Maxillofacial Surgery) staff members, to provide a wide range of health care services. Dental staff members including ancillary personnel, residents, and attendings were redeployed and functioned throughout the facility. Dental anesthesiology residents provided medical services in support of their colleagues in a step-down COVID-19-dedicated ICU, providing intubation, ventilator management, and critical and palliative care. (Step-down units provide an intermediate level of care between ICUs and the general medical-surgical wards.) Clear communication of an acute need, a well-articulated mission, creative use of personnel, and dedicated staff members were evident during this challenging time. Although not routinely called upon to provide support in the medical and surgical inpatient areas, dental staff members may provide additional health care personnel during times of need.

Indoor Air Pollution with Fine Particles and Implications for Workers’ Health in Dental Offices: A Brief Review

(1) Background: Indoor air pollution can affect the well-being and health of humans. Sources of indoor pollution with particulate matter (PM) are outdoor particles and indoor causes, such as construction materials, the use of cleaning products, air fresheners, heating, cooking, and smoking activities. In 2017, according to the Global Burden of Disease study, 1.6 million people died prematurely because of indoor air pollution. The health effects of outdoor exposure to PM have been the subject of both research and regulatory action, and indoor exposure to fine particles is gaining more and more attention as a potential source of adverse health effects. Moreover, in critical situations such as the current pandemic crisis, to protect the health of the population, patients, and staff in all areas of society (particularly in indoor environments, where there are vulnerable groups, such as people who have pre-existing lung conditions, patients, elderly people, and healthcare professionals such as dental practitioners), there is an urgent need to improve long- and short-term health. Exposure to aerosols and splatter contaminated with bacteria, viruses, and blood produced during dental procedures performed on patients rarely leads to the transmission of infectious agents between patients and dental health care staff if infection prevention procedures are strictly followed. On the other hand, in the current circumstances of the pandemic crisis, dental practitioners could have an occupational risk of acquiring coronavirus disease as they may treat asymptomatic and minimally symptomatic patients. Consequently, an increased risk of SARS-CoV-2 infection could occur in dental offices, both for staff that provide dental healthcare and for other patients, considering that many dental procedures produce droplets and dental aerosols, which carry an infectious virus such as SARS-CoV-2. (2) Types of studies reviewed and applied methodology: The current work provides a critical review and evaluation, as well as perspectives concerning previous studies on health risks of indoor exposure to PM in dental offices. The authors reviewed representative dental medicine literature focused on sources of indoor PM10 and PM2.5 (particles for which the aerodynamic diameter size is respectively less than 10 and 2.5 μm) in indoor spaces (paying specific attention to dental offices) and their characteristics and toxicological effects in indoor microenvironments. The authors also reviewed representative studies on relations between the indoor air quality and harmful effects, as well as studies on possible indoor viral infections acquired through airborne and droplet transmission. The method employed for the research illustrated in the current paper involved a desk study of documents and records relating to occupational health problems among dental health care providers. In this way, it obtained background information on both the main potential hazards in dentistry and infection risks from aerosol transmission within dental offices. Reviewing this kind of information, especially that relating to bioaerosols, is critical for minimizing the risk to dental staff and patients, particularly when new recommendations for COVID-19 risk reduction for the dental health professional community and patients attending dental clinics are strongly needed. (3) Results: The investigated studies and reports obtained from the medical literature showed that, even if there are a wide number of studies on indoor human exposure to fine particles and health effects, more deep research and specific studies on indoor air pollution with fine particles and implications for workers’ health in dental offices are needed. As dental practices are at a higher risk for hazardous indoor air because of exposure to chemicals and microbes, the occupational exposures and diseases must be addressed, with special attention being paid to the dental staff. The literature also documents that exposure to fine particles in dental offices can be minimized by putting prevention into practice (personal protection barriers such as masks, gloves, and safety eyeglasses) and also keeping indoor air clean (e.g., high-volume evacuation, the use of an air-room-cleaning system with high-efficiency particulate filters, and regularly maintaining the air-conditioning and ventilation systems). These kinds of considerations are extremely important as the impact of indoor pollution on human health is no longer an individual issue, with its connections representing a future part of sustainability which is currently being redefined. These kinds of considerations are extremely important, and the authors believe that a better situation in dentistry needs to be developed, with researchers in materials and dental health trying to understand and explain the impact of indoor pollution on human health.

Academics' and students' experiences in a chilean dental school during the COVID-19 pandemic: A qualitative study.

The quick spread of COVID-19 has caused part of the world's population to adopt quarantine protocols that have limited professional activities, including dental training programmes. This study aimed to explore the experiences of students and personnel at a Chilean dental school during the COVID-19 pandemic. This phenomenological descriptive qualitative study reported staff and students' experiences during the pandemic through in-depth, semi-structured interviews. These were recorded on audio and video with a digital platform. Three researchers then transcribed and analyzed the recordings and codified the answers into categories to determine the emerging topics until a saturation point was reached. The core emerging themes among the staff group were (1) change in the personal/professional life balance, (2) online learning through digital platforms, (3) staff perceptions of students' learning experiences, and (4) concerns about the future. For students, the themes were (1) changes in the learning process, (2) online learning through digital platforms, (3) interpersonal relationships, and (4) concerns about the future. The COVID-19 pandemic has been a period of learning for our dental school staff and students. Even though online learning has been a useful tool for delivering didactic (theoretical) concepts, it has been unable to replace conventional education, including skills training. Students and teachers reported being overwhelmed at the beginning of the pandemic, but they have shown remarkable adaptability and resilience during this period.

Work-related musculoskeletal disorders among dental staff in Armed Force Hospital in Dhahran, Saudi Arabia

Background:Work-related musculoskeletal disorder (WMSD) is the most important public health challenge among dental staff. The objective of this study is to ascertain the prevalence and associated risk factors, which related to WMSD among dental staff in Dhahran, Saudi Arabia.Methods:It is a cross-sectional study and 130 dental staff were selected through simple random sampling from in Armed Forced Hospital with at least 1 year of working experience. The self-administered validated and structured Standardized Nordic questionnaire was used. Logistic regression analysis was done to determine the association of risk factors with WMSD.Results:The results of the present study revealed that there was a high incidence of MSDs in the neck, shoulder, and lower back pain among dental personnel (72.6%). The common risk factors that contributed to WMSD were more than 5 years of experience (AOR 1.19 (1.03–2.82)), Saudi nationality (AOR 4.88 (1.27–18.72)), working more than 12 h (AOR 3.115 (1.258–7.578)) and resident doctors (AOR 1.14 (1.02–1.94)).Conclusions:The study concludes that WMSDs were a common and high rate of incidence among dental staff. There is a need to make a policy that will reduce the burden of WMSD among dental staff.

Impact of Dental Services on Patients’ Perception at Private Dental Clinics in Riyadh, Saudi Arabia

This cross sectional descriptive study aims to evaluate the patients' perception of received services across private dental clinics in Riyadh, Saudi Arabia by measuring the satisfaction level toward patient–dental staff interaction, technical competency, system/administrative efficiency and clinic setup/environment. These dimensions assessed using self-administrated questionnaires distributed through several dental clinics. Results show that treatment's pre-explanation, privacy, and later advice gained the highest satisfaction, while the treatment incompleteness, side talking of the staff and the long waiting time before getting the treatment were the most discontent aspects. The mean score of satisfaction with patient–dental staff interaction was 63.8%, technical competency was 59.8%, system/administrative efficiency and clinic setup/environment was 54.9%. The overall satisfaction level was 59.5%. There is an essential need establish policies and guidelines to adjust the relationship between dental staff and their patients. Specialized bodies should develop and apply code of professional conduct to enhance the technical competency of dental staff. They are required to provide sufficient level of human, technological, administrative and financial resources to keep up with the growing steady demand on the dental care services and to assist in offering appropriate, fast and comprehensive treatment.

HEALTHCARE-ASSOCIATED INFECTIONS IN DENTISTRY

The oral cavity is an ecological niche that is a constant source of opportunistic and pathogenic microorganisms, which in turn pose a risk of cross-contamination and can cause systemic infections. The purpose of the study was to analyze the literature on the occurrence of various infectious diseases associated with the provision of dental care, and to assess the risks of their cross-transmission on the basis of data available in the modern literature. Materials and methods. Extensive collection and analysis of literature data was conducted. In addition, a survey was conducted involving 14 doctors of University Dental Clinic, LLC on the basis of the dental faculty of Uzhhorod National University, 4 doctors of the Transcarpathian Regional Dental Clinic after signing informed consent for personal data processing using a self-developed questionnaire. Research results and their discussion. It has been established that dentists, like all healthcare professionals, face an identified risk of occupational exposure to pathogenic microorganisms such as HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), various types of bacteria, so they must ensure proper procedure technique to combat cross-infections. However, despite the high level of awareness, it has been found that practical steps to prevent them are still insufficient. Conclusions. All viruses and bacteria, including hepatitis B virus that poses the greatest risk of infection, can be transmitted to a patient or dental staff. Dentists must be fully aware of the risk of the spread of infectious agents and ensure effective procedure technique to control cross-infections.

Role of sign language in oral health education: A review

Hearing and speech impaired patients are often illiterate; and communicate using Sign Language; which hinders dental care and causes increased levels of oral morbidity; followed by feeling of unfairness by the dental staff. It is very difficult for dentists to communicate and treat them. A dentist who has learned Sign Language can help understand and communicate with these patients and treat them effectively. This review aims to study the need of dentists to learn sign language to communicate with such patients for effective diagnosis, treatment, and even oral health education. If oral health education such as oral cancer and other oral diseases is given in sign language too, it will surely contribute in the prevention of various diseases.

Streamlining the dental care during COVID-19 pandemic: updated clinical recommendations and infection control management framework

Several guidelines for dental practice have been published by dental associations and regulatory boards since the beginning of the pandemic. Initially, all non-emergency dental treatment were suspended. Healthcare personnel around the world are gradually expanding back to elective procedures. International updated recommendations alert that professionals must maintain regular observation of local health department reports, ensure personal protective equipment, and screen all patients for COVID-19 signs and symptoms. Telehealth strategies, patient screening, rescheduling when presenting COVID-19 symptoms and/or history of contact with infected people and hand/environment hygiene practices are reinforced. Appropriate cleaning and surface disinfection are mandatory. The dental staff must be trained to use appropriate Personal Protective Equipment (PPE), following a risk assessment and standard precautions: gloves; fluid resistant disposable gown, eye protection (face shield or goggles) and a medical mask. A fit tested N95 or KN95 respirator (or higher) is recommended when aerosol generating procedures are performed. Only essential accompanying persons should attend to dental appointment with the patient and must wear a cloth face covering or facemask. Social distancing and mask wearing by all staff are necessary in all areas of the office. Dental health care providers should keep up to date to the current guidance of clinical practice during the pandemic.

Dental amalgam risks in dental staff: systematic review

Mercury is an essential constituent of dental amalgams, several studies have shown that dental personnel who work with dental amalgams are chronically exposed to mercury vapors. The World Health Organization considers that inhaling mercury vapors can have harmful effects on the nervous, immune, pulmonary and renal systems. The objective of this review was to collect and analyze data relating to the exposure of dental personnel to mercury and the possible harmful effects on human health. All biomonitoring studies published between 2002 and 2019 measuring mercury in hair, blood, urine and nails were included. Dentists reported higher levels of mercury in their biomarkers compared to control groups. These levels reflected occupational exposures to chronic low levels of elemental mercury in dental amalgam fillings. Some studies have shown a high prevalence of neurological symptoms and memory deficit in dental staff compared to controls. Studies based on genes involved in mercury metabolism have shown associations between sources of mercury exposure and single nucleotide polymorphisms in these genes. It is important that preventive measures are strengthened to reduce exposure to mercury and that a biomonitoring program for dental professionals exposed to mercury vapors is implemented.

A Pilot Study for the Aerosol Capture, One Center Test Results

Objective: In the present study, showing the efficiacy of aerosol capture systems used in dentistry was aimed. For this purpose, Aerosol Control System (ACS) (Nederman, Sweden) was used in capturing the aerosols during the dental treatments. Methods: Aerosol capture studies were conducted by Aerosol Control System (Nederman, Sweden). The measurements were divided to three groups. The first group is the reference group in which the Reference Value Readings were recorded. The RVR data were recorded in the treatment area where the dental staff and the patient were in the clinic, but no treatment protocol. The second group consist of the Aerosol Concentration Readings during the treatment, mentioned before, but the ACS was off. The third group had the Aerosol Concentration Readings during treatment when the ACS was on. Results: 16 records in 2986 samples were measured. For the reference group, particle concentration average was 47 (ng/m3), whereas for the second and for the third groups, they were 119(ng/m3) and 53,6 (ng/m3), respectively. Conclusion: It was observed that the aerosol concentration is increased dramatically during the operations when the system is off but came close to the reference records when the aerosol control system was turned on. When the system is off, the aerosols that accumulated on the glasses, masks and protective equipment of the dentists were examined. These also showed the effect of the spread of the aerosols during the treatment.

COVID-19, A new challenge in the dental practice.

BackgroundThis review was conducted in order to learn the latest information about how to prevent cross-infection of COVID-19 in dentistry. The aim of this study is offer a clinical protocol to reduce the risk of infection of COVID-19 in dental settings. Material and MethodsWe carried out a review based on the PRISMA guide (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). We used the following three databases: PubMed, Embase and Scopus. The search strategy was performed in the three databases applying the search terms “COVID-19 AND dental”, “COVID-19 AND dentistry”, selecting human studies published from November 2019 to May 2020. English publications regarding COVID-19 as the central topic of the research were eligible for inclusion, regardless of study design. There are very few published studies on the association between COVID-19 and dentistry, for that reason we also included the English abstract of two studies written in Chinese. The following exclusion criteria were established: animal studies and in vitro studies. ResultsThe search identified a total of 212 articles, of which 54 were preselected, and 23 were finally included in the review on the basis of the inclusion and exclusion criteria. We collected all the information about routes of general and oral infection, dental patient evaluation and cross-infection control in Dental Clinic in the selected studies. ConclusionsCross infection in the dental clinic involve a very important risk due to the return to dental settings after periods of social isolation of the population after the epidemic outbreak of SARS-CoV-2. Therefore, we must take adequate and sufficient security measures to protect the patients and the dental clinic staff. Key words:COVID-19, COVID-19 cross infection risk, COVID-19 prevention in Dentistry, COVID-19 in Dental Clinic.

Awareness Towards Personal Protective Equipment Among Dental Professionals In India During Covid-19 Outbreak- A Survey

A substantial number of healthcare workers are contracting COVID when dealing with infected individuals. Dentists and dental clinics are more prone to spreading the virus because of the close contact with the patient through blood, saliva, and aerosol. To reduce the risk of contamination, appropriate fluid resistance masks and protective equipment must be worn by dental professionals and clinical auxiliary staff. An online survey was conducted during the peak time of the Covid-19 spread in India

Cognitive Survey on Periodontitis and Cardiovascular Disease Among Medical Staffs and Cardiovascular Patients in Hainan

Objective: Periodontitis is linked to increased prevalence of cardiovascular disease and it is significant to have a comprehensive cognition on the mutual influence for combined treatment. The present investigation aimed to promote oral health instruction to patients with periodontitis and/or cardiovascular disease and the medical staffs from the department of cardiology and stomatology. Materials and Methods: A total of 120 Cardiologist and dentists and 120 patients with cardiovascular diseases were randomly investigated in Hainan public hospitals. The subjects' cognition of the correlation between cardiovascular disease and periodontitis were examined through questionnaires. Results: The public represented by patients with cardiovascular disease in Haikou City has a lack of cognition of the two-way relationship between periodontitis and cardiovascular disease. 32.1% of medical staff and 72.2% of patients did not know that "periodontitis is a cause of cardiovascular disease", and 83.5% of patients did not know that "periodontitis is a complication of cardiovascular disease". 96.3% of dental medical staff and 87.9% of cardiovascular medical staff expressed the willingness to popularize the correlation between the two diseases to patients. Conclusion: The public in Hainan has insufficient understanding of the correlation between periodontitis and cardiovascular diseases. Clinicians should strengthen the education on the bidirectional relationship between periodontitis and cardiovascular disease.

Using Computational Fluid Dynamics to Evaluate the Role of Air Purification in Reducing Fallow Time in Dentistry

In dentistry, fallow time is a period which allows for airborne pathogens to settle out of the air and mitigate the risk of airborne infection transmission to dental professionals and staff. The current recommendation is a one-hour period.

Factors that influence the retention and turnover of dental professionals: Suggestion for Pacific nations

Aim: The aim of this article was to identify factors that influence the retention and turnover of dental professionals and to provide a suggestion for Pacific nations. Materials and Methods: A literature survey was conducted for the full-text English articles which looked at factors that influence the retention and turnover of dental professionals, from January 1, 2000 to October 31, 2020. Results: In total, 328 papers were retrieved, which reduced to 282 following removal of duplicates. The abstracts were screened using the eligibility criteria; 36 were found to match the criteria. After screening the full-text articles, 24 were excluded, resulting in a total of 12 articles. The significant findings and conclusions were extracted and grouped under themes. Conclusion: Factors that have been found to motivate and retain staff in the workforce include good patient relationship and opportunities for further studies and career advancements. In contrast, work stress, musculoskeletal disease, and fragile patient–dentist relationship were found to demotivate dental professionals. Furthermore, the results of such a research could be used to implement workforce policies and strategies, which will aid in the retention of dental staff and prevent brain drain. Ultimately, this would ensure that oral health status of the Pacific is not compromised.

Biosafety in Dental Health Care During Covid-19 Pandemic: A Longitudinal Study

Background: The COVID-19 pandemic highly impacted dental healthcare assistance owing to concerns about the risk of transmission by contaminant fluids, droplet formation during dental practice, drastically reducing the number of dental procedures worldwide. This longitudinal study was conducted to monitor SARS-CoV-2 contamination in dental clinics during activities return of students at university.Methods: We evaluated the presence of SARS-CoV-2 RNA by RT-PCR in a dental school clinic environment, on professors, undergraduate dental students, dental assistants, and patients from January 11th to March 12th, 2021 (9 weeks). Serological testing was performed on dental healthcare personnel (DHCP) during the first and last weeks. Additionally, samples with low Ct values were sequenced to identify circulating SARS-CoV-2 variants and possible transmission clusters.Findings: A low number of dental staff (5·8%), patients (0·9%), and environmental sites (0·8%) tested positive for SARS-CoV-2. Most positive cases were asymptomatic to mildly symptomatic, and two asymptomatic DHCP tested positive in longitudinal follow-up RT-PCR test. Previous exposition to COVID-19 were found in 16·2% of the DHCP that showed IgM or IgG antibodies against SARS-CoV-2, and 1/3 of them had undetected antibodies in the last week. Variant Zeta (P.2) were detected. No cross-infection was observed among the participants.Interpretation: Our study suggests that dental practice can be executed safely when control measures and biosafety protocols are applied adequately. DHCP and patient testing, telemonitoring, proper use of personal protection equipment, and surface sanitisation are essential to avoid SARS-CoV-2 cross-infection in dental practice.Funding Information: UFMG/RTR/PRPq, FAPEMIG, CNPq, CAPES/MEC, FINEP, and Rede Corona-ômica BR MCTI/FINEP affiliated to RedeVírus/MCTI.Declaration of Interests: All authors declare to have no conflict of interests.Ethics Approval Statement: The present study was approved by the Ethics Committee of Universidade Federal de Minas Gerais (UFMG) (Protocol nº31041720.3.0000.5149) (https://plataformabrasil.saude.gov.br/login.jsf). All participants enrolled in this study were volunteers, and their samples and clinical data were collected only via signed consent forms.

Concerns with oral health care services for adults with cognitive and intellectual disabilities.

It is of interest to document data on oral health care services for adults with cognitive and intellectual disabilities. Hence, a study protocol was registered at the International Prospective Register of Systematic Reviews (PROSPERO) with registration number: CRD42020150759. We used PubMed, Science Direct, LILACS and SCIELO to collect data from known literature using keywords containing MESH (Medical Subject Headings) terms. The risk of bias rating for the collected data was calculated using the Newcastle-Ottawa assessment Scale. The AHRQ (Agency for Healthcare, Research and Quality) was used for classifying the level of evidence in the collected data. Analysis of available data shows that there is a lack of dentists with adequate skills to treat people with disabilities resulting in high cost for dental treatment. Thus, we conclude that inconvenient location of dental clinic, lack of dentists willing to treat people with disabilities and attitude of dental staff towards people with learning disabilities were considered as barriers and challenges faced for dental health service utilization in this context.

Management of Dental Avulsion Injuries: A Survey of Dental Support Staff in Cairns, Australia.

Background/Aim: The aim of this study was to assess the knowledge of dental support staff in providing appropriate first-aid advice regarding dental avulsion emergencies. Methods: This study was reported according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines for cross-sectional studies. Dental support staff (includes dental assistants, administrative staff and other non-clinical staff) were contacted and data were collected from 50 private dental clinics across the Greater Cairns Area, Queensland, Australia. These data were collected through an online survey throughout 2020. Descriptive statistics and Pearson’s Chi-squared test was used to analyze the data and any associations between categorical outcomes. Results: This survey yielded a response rate of 34.1% with a margin of error of 10.3%. More than four-tenths of participants (42%) reported that they had received some form of dental avulsion management training previously. All but five participants (92%) denoted that they would immediately replant an avulsed permanent tooth. More than half of all participants would choose to rinse a soiled avulsed tooth with fresh milk (55%) and transport that tooth in fresh milk (65%) should they not be able to replant the tooth at the site. Almost nine in every ten participants (85%) expressed willingness to further their training in this area. Knowledge in replanting avulsed permanent teeth was found to be significantly impacted by gender, age, years of experience and participation in formal avulsion training. Male participants were found to be significantly more likely (p = 0.025) to replant a permanent avulsed tooth than their female counterparts. Participants who were 40 years of age and above were found to be significantly more likely to choose fresh milk to transport avulsed teeth (p = 0.0478). Older participants (p = 0.0021), alongside those who had greater years of experience (p = 0.0112) and those who had undertaken formal avulsion training (p = 0.0106) were all significantly more likely to express greater confidence in their ability to manage dental avulsion injuries. Participants who had previously received some form of education regarding avulsion injury management were also most likely to warrant further education and training in this area (p < 0.0001). Conclusion: This study demonstrated that dental support staff in the Greater Cairns Area seem to have a fair grasp of first-aid knowledge regarding the management of dental avulsion injuries. This result indicates that this knowledge has been picked up through years of experience, rather than a formal education. Despite this, one would expect people who work in the dental industry to be able to provide accurate and appropriate assistance during dental emergencies, hence, further training is warranted to ensure optimum patient outcomes.