Emergency Management Of Dental Trauma Research Articles

Assessment of knowledge, attitude and practices regarding emergency management of dental trauma in children among school teachers: A cross-sectional questionnaire study

Background: Due to increased prevalence of dental trauma in school-going children, knowledge regarding its emergency management is vital to groups commonly supervising the children such as school teachers and parents. Objectives: To assess the knowledge, attitude and practices regarding emergency management of dental trauma in children among school teachers. Method: A cross-sectional survey was conducted comprising 160 participants. A 15-item validated questionnaire containing four domains of demographic data, knowledge, attitude and practices was distributed among the participants. Descriptive analysis was done using IBM SPSS software version 20.0 (Chicago IL, USA). Results: It was found that 56.9%, 57.5% and 70% of school teachers respectively had low levels of knowledge, practice and attitude When correlation between knowledge, attitude and practice was studied, positive correlation was seen between them which signified low knowledge correlated with less positive attitude owing to less referral practices. Conclusions: There was inadequate knowledge about emergency management of dental trauma in children among school teachers. Sri Lanka Journal of Child Health, 2023: 52(2): 161-168

Evaluation of the Effectiveness of an Educational Intervention Program on Knowledge, Attitude and Practice among School Teachers Regarding Management of Traumatic Dental Injuries in Mangaluru City

Background Traumatic dental injuries can have an adverse effect on a childrsquos psychological functional and aesthetic well-being.Aim To assess school teachers knowledge attitude and practice KAP with reference to emergency management of traumatic dental injuries before and after an educational intervention.Method The current study was a questionnaire-based interventional study conducted in three phases among 300 school teachers of government state and CBSE schools in Mangaluru. Total 20 self-structured questions were included in the survey which was given in both English and a regional language. Kannada. Following a baseline survey an informative lecture on dental trauma and its management was given in the second phase and a follow-up survey was conducted after six months to assess the outcome.Results During the preliminary phase teachers from all schools showed a dearth of KAP regarding dental trauma and its management. Significant growth in the mean knowledge p0.000 attitude p0.000 and practice p0.000 scores was observed after the intervention as compared to knowledge scores at baseline in all the schools.Conclusion There is a lack of knowledge among teachers with reference to emergency management of dental trauma and educational programs must be implemented to improve knowledge.

Knowledge and attitudes of Makkah government female school teachers regarding emergency management of dental trauma – A cross-sectional study

Knowledge and attitudes of Makkah government female school teachers regarding emergency management of dental trauma – A cross-sectional study

Management of dental trauma by school teachers of private and government schools in Lucknow City

Introduction: Smile reveals an individual’s self- confidence. It is also a means of socialization where teeth play a vital role in a pleasant smile. Dental trauma is described in the literature as a common problem among children and adolescents throughout the world where teacher plays a major role in managing dental trauma. Aim: The aim of this study was to evaluate school teacher’s knowledge regarding emergency management of dental trauma in Lucknow city. Materials and Methods: The present study was conducted among the teachers of both private and government schools of Lucknow city, Uttar Pradesh and they were selected using cluster random sampling method. A pretested or predesigned questionnaire was used in the study which was divided into four parts. Statistical analysis of the study was done using SPSS software version 17.0 and the data was analysed using descriptive statistics. Results: It was found that 100% of the respondents had received first aid component in their teacher training but none of the respondents had covered the management of traumatic dental injuries in their first aid course. 55.6% of the respondents had come across soft tissue injury in children while 44.4% had come across hard tissue injury.

Parental awareness of on-site management of traumatic dental injuries: An online survey.

Despite the high prevalence of traumatic dental injuries (TDIs), parents generally lack awareness about dental trauma emergency management. This preliminary study's goal was to assess parents'/guardians' awareness of the treatment of tooth fractures/avulsion. A preformed questionnaire in e-format was sent to parents of school-going children. Kolmogorov-Smirnov test and Shapiro-Wilks's test were employed to test the normality of data. In addition, a Chi-square test was performed for quantitative variables. P ≤ 0.05 was considered statistically significant. A response rate of 82.1% was achieved. Approximately 19.6% of parents reported dental injuries, with the majority (51.9%) occurring at home. In avulsion, 54.8% of parents believed that reinserting the tooth back into the socket was possible. For tooth fractures, 36.2% of parents believed that the fractured tooth could be glued. Tap water was preferred as a storage medium (43.3%). An insignificant association was observed with regard to storage media (P > 0.05). Inadequate understanding of the treatment of TDI by the primary caregiver leads to ineffective interventions at the scene of the accident and a poor prognosis for otherwise treatable cases.

Knowledge and Attitude about Emergency Management of Avulsed Tooth Amongst Paramedical Students of Visnagar, Gujarat: A Questionnaire-based Cross-sectional Study

Introduction: Dental trauma has emerged as a significant aspect of dental public health. Traumatized teeth require early and appropriate treatment, which frequently relies on the competence of the dentists, doctors, and nurses who provide the primary care. Aim: To assess the knowledge and attitude of paramedical students about the emergency management of avulsed tooth. Materials and Methods: A cross-sectional questionnaire survey consisting of 17 questions was designed and circulated among 365 paramedical students (nursing, pharmacy and physiotherapy) of Sankalchand Patel University, Visnagar, Gujarat, India, to assess their knowledge and attitude about the emergency management of avulsed tooth. Descriptive statistics were applied by Statistical Package for Social Sciences (SPSS) software version 20.0. Results: Total 260 (71.23%, mean age of 23 years) students responded, with 71 students from Physiotherapy, 106 from Nursing and 83 from Pharmacy. A total of. 178 (68.46%) students comprehend the meaning of avulsion. While 193 (74.23%) students had knowledge that tooth re-implantation is possible. Of all the respondents, 192 students (73.84%) were familiar about the benefit of mouth guards for prevention of sports injury and 125 students (48.07%) opined that it is very important to be acquainted with emergency management of dental trauma. Conclusion: Though the paramedical students had good understanding about tooth avulsion, they were unaware about the emergency management of the situation. This warrants the need of incorporating training programmes dedicated to the subject in their curriculum.

School teachers' knowledge and experience about emergency management of traumatic dental injuries: A questionnaire-based online cross-sectional survey.

Dental trauma is one of the critical oral health problems in childhood and adolescence that can affect an individual's quality of life. Teachers may witness a dental injury on many occasions, and they are likely to be involved at the site of an accident. Hence, they should be capable of managing prompt and correct emergency treatment at the accident site. The aim of this cross-sectional study was to assess the level of knowledge and experience of Croatian elementary and high school teachers concerning dental trauma. A questionnaire-based cross-sectional online survey was conducted to determine knowledge and experience about traumatic dental injuries among 803 full-time working elementary and high school teachers. The inclusion criteria were full-time employment at the time of data collection with at least 1year of teaching experience. Retirement (teachers aged ≥65years) and unwillingness to participate in the survey were the exclusion criteria. The Student t test or one-way ANOVA, with Tukey's post hoc was used to evaluate the obtained data. The level of significance was set at p≤.05. The overall mean level of teachers' knowledge regarding emergency management of dental trauma was 6.6±2.5 points, out of a maximum possible score of 14. There were no significant differences in knowledge among teachers from lower elementary, upper elementary, and high school education (6.9±2.5, 6.5±2.4 vs 6.4±2.6 points, respectively; p=.140). Teachers who had personally experienced dental trauma showed better knowledge (7.2±2.6 vs 6.4±2.5 points; p≤.001). The knowledge of emergency management of dental trauma among elementary and high school teachers in Croatia is low. Since most of the participants expressed willingness for future education regarding this subject, educational programs are recommended.

Knowledge and awareness of school teachers regarding emergency management of dental trauma in school children of Navi Mumbai.

Dental trauma is a serious oral health problem that can impair function and aesthetics, which affects the overall quality of life in children. The aim of the present study was to identify the level of knowledge and awareness of school teachers regarding emergency management of dental trauma in school children of Navi Mumbai. The second objective was to correlate it with demographic characteristics and evaluate the need for oral health education programs for teachers. The present study is a cross-sectional survey and involved the completion of a self-administered anonymous questionnaire by teachers. A total of 559 school teachers of primary and secondary sections completed the questionnaire comprising 19 questions. These included demographic data, knowledge regarding teeth most frequently affected by trauma, immediate action to be taken, awareness about storage media and the use of mouth guards. The questionnaire also assessed the willingness of teachers to participate in future training programs on dental trauma management. Data were statistically analysed using Chi-square test for any correlation. Among 559 school teachers who completed the questionnaire, 75.3% were females and 24.7% were males. Merely 6.6% of them agreed to have received prior training in dental trauma management. The majority of teachers (87.5%) were willing to attend training programs on dental trauma management. The knowledge and awareness of school teachers about dental trauma management and storage media for avulsed teeth is poor. Overall, they have a fair knowledge of dental trauma management in school children.

Effectiveness of school-based dental health education on knowledge and practices related to emergency management of dental trauma and tooth avulsion: An educational intervention study

Introduction: Trauma to teeth and jaws are considered major public health problems. The school environment is the most susceptible place for children, to encounter trauma to teeth.Materials and Methods: This interventional study was conducted to evaluate the effectiveness of school-based dental health education (DHE) on knowledge and practices related to emergency management of dental trauma and tooth avulsion among students and teachers of three government and three private schools each selected from two mandals (Mandal is a sub-district which comprises of a cluster of villages and village is the lowest level of administrative sub-division in rural areas of India) of Guntur district. Baseline information was collected from participants using a validated structured questionnaire. DHE on “Dental Trauma and Emergency Management of Tooth Avulsion” was offered using audiovisual aids (Flip charts, Slideshow) by a qualified Public Health Dentist. Subsequently, trained science teachers in each school were requested to undertake health education sessions at monthly interval for the next 3 months. Postintervention data were collected 1 week after initial DHE by public health dentist and 1 week after last reinforcement session by the teacher. Mean knowledge and practice scores were compared using independent sample t-test and Repeated Measures Analysis of Variance.Results: A total of 1180 children (570 males and 602 females, age range: 12–16 years) and 54 teachers (24 males and 30 females, age range: 20–56 years) were included. Mean scores for knowledge and practices increased among students and teachers following intervention with no difference between flipchart and slideshow method.Conclusion: Teachers (preferably science teachers) could be effectively used for DHE provided that they receive proper training and continued education on dental trauma.The following core competencies are addressed in this article: Medical knowledge, Practice-based learning and improvement, Systems-based practice.

English

BACKGROUND Health education is an essential aspect for prevention of oral health problems in school children. Dental trauma can result in damaging the tooth, periodontal ligaments, and sometimes even alveolar bone and gingiva. These traumatic injuries to the anterior teeth in young children are tragic but are an ignored problem. They can result in aesthetic and functional problem with possible impact on child’s quality of life as anterior teeth are essential for phonetics, mastication, integrity of supporting tissue and also mental and psychological wellbeing of children. This dental emergency can be best handled by the school teachers and the staff members when it happens in a school. So, the study was conducted to assess the knowledge and attitude of the school teachers regarding the emergency management of dental trauma and sensitize them on the subject. METHODS This is a pre- and post-test study performed using self - designed questionnaire provided to the school-teachers of Wardha district. RESULTS Knowledge of 98 % teachers increased after the activity whereas knowledge of 2 % of school teachers was the same as earlier. CONCLUSIONS Sensitization of the school teachers improved their awareness and attitude to manage the dental trauma and avulsion injury of teeth in school. KEY WORDS Tooth Avulsion, Emergency Dental Traumatic Care, School Teachers

Knowledge and Attitudes about Dental Trauma Among the Students of the University of Split.

ObjectivesDental trauma among children is a common problem, and everyone who works with them needs to possess appropriate knowledge and skills to provide proper care at the site of the accident. The aim was to evaluate the knowledge of emergency management of dental trauma among students who should be capable of managing such injuries in their future career.Materials and MethodsA cross-sectional survey regarding dental trauma emergency management was conducted on 679 students from five different studies using a questionnaire. The obtained data were analyzed by the Student t-test or one - way ANOVAusing the Tukey's post-hoc test and multiple linear regression analysis (p<0.05).ResultsThe total knowledge score regarding the emergency management of dental trauma among examined student was 4.32±2.25 (max 10). The positive association of the knowledge score was observed with the age of student (β=0.722, p≤0.001). A similar relation was observed depending on whether they received dental injuries training during their academic education (β=2.365, p≤0.001), as well as students’ assessment of the importance of knowledge regarding dental trauma emergency management (β=0.433, p≤0.001).ConclusionsIt can be concluded that the surveyed students have limited knowledge regarding dental injuries and their emergency management procedures. The obtained data emphasized the importance of additional education of all professions that may encounter dental trauma injuries to improve the outcomes of dental trauma treatment.

Knowledge of Iranian Parents of Elementary School Children about Traumatic Dental Injuries and its Management.

Statement of the Probelm: Traumatic dental injuries (TDIs) are frequent events during childhood, and emergency management of these injuries has positive outcomes.Purpose: The aim of this study was to evaluate the knowledge of parents of school-aged children about dental trauma and to identify the effect of demographic variables such as age, gender, and education on their responses.Materials and Method: 300 parents of elementary school children were selected through cluster sampling from July 2012 to January 2013 in Yazd, Iran. A questionnaire was designed to collect the data on parents’ knowledge about emergency management of dental trauma, and their demographic characteristics and previous experiences. Statistical analysis of data was performed by SPSS software version 11 using T-test and ANOVA. P-values less than 0.05 were considered significant.Results: 296 out of 300 participants returned their questionnaires (mean age 33.8± QUOTE ± 5). The parents’ knowledge about TDI managements was inadequate (average score = 7.03). According to T-test and ANOVA statistical tests, there was no significant relationship between knowledge and age (p= 0.155), gender of parents (p= 0.113), gender of children (p= 0.776), occupation (p= 0.112), and the information source (p= 0.160). The relationship between parents’ knowledge and parental educational level was statistically significant (p= 0.010), and least significant difference (LSD) test showed that knowledge score of parents with Bachelor’s degree or higher educational levels (7.83±4) was significantly more than other parents who were not educated (6.97±4), or had high school diploma (6.70±4).Conclusion: Majority of parents had little knowledge about TDI and emergency management of avulsed permanent teeth in children. Therefore, it seems that educational programs are necessary to improve parents’ knowledge.

An Assessment of the Knowledge of Dentists on the Emergency Management of Avulsed Teeth.

Objectiveto investigate the knowledge and attitudes of general dental practitioners (GDPs) on the emergency management of avulsed teeth.The management of the avulsed teeth is well outlined in the latest trauma guideline. However, little information is available about the level of knowledge of the management of avulsed teeth among young dentists in Turkey.Material and MethodsA cross-sectional questionnaire was completed to assess the knowledge of GDPs on the emergency management of avulsed teeth. The questionnaire asked questions to 142 dental practitioners about whether they have received information about the emergency management of dental trauma, whether they have intervened in cases of avulsed teeth following a dental trauma, and, finally, whether they have given treatment of avulsed teeth.ResultsThe majority of GDPs had received training to treat avulsed teeth. The findings of the study showed that only 35% of GDPs recalled the critical time for treatment. The number of GDPs who had incorrect knowledge on this topic was higher and statistically significant (p<0.001). The rates of the correct answers according to the relevant information fields were as follows: optimal storage medium (78%), type of splint (56%), splinting period (58.5%), and systemic medication after avulsion (32%).ConclusionThe results show that many GDPs had limited experience in treating avulsed teeth. However, in the study, it was stressed that the knowledge of GDPs related to the factors affecting the successful treatment of avulsion cases should be improved by using continuing education programs.

Emergency management of dental trauma: a survey of public knowledge, awareness, and attitudes in Al-Madinah Al-Munawwarah.

BackgroundDental trauma is one of the most commonly encountered dental emergencies. The prognosis is determined by the appropriate intervention and immediate management of the traumatized teeth. Thus, public awareness is a leading determinant of treatment success. The purpose of this study was to assess the knowledge, attitudes, and awareness of Al-Madinah Al-Munawwarah residents regarding the management of dental trauma.MethodsThis cross-sectional observational study was conducted between December 2016 and January 2018. A two-part self-administered questionnaire comprising 13 closed-ended questions was used. Part one contained questions to elicit demographic data that included information related to the participants’ sources of dental trauma. Part two assessed their knowledge and attitudes regarding the most common types of dental trauma. The data were analyzed with IBM SPSS Statistics for Windows, Version 22.0 software.ResultsA total of 598 participants were included in this study. The results indicated that 64% of the participants knew where to go to receive treatment for dental trauma, and 74% were aware of the differences in the management of the primary and permanent teeth after trauma. A majority (83%) did not have any information about these issues; however, 83% were interested in learning about the appropriate management of dental trauma.ConclusionThe study participants were found to have low levels of knowledge. A majority had never received information about the management of dental trauma or avulsed teeth. Education programs are necessary for promoting positive attitudes by increasing the knowledge about dental trauma management.

Knowledge and Attitude of Parents from Fujairah, UAE about Emergency Management of Dental Trauma- A Questionnaire based Study

Knowledge and Attitude of Parents from Fujairah, UAE about Emergency Management of Dental Trauma- A Questionnaire based Study

Knowledge, attitude, and awareness of mothers toward emergency management of dental trauma in high literacy population

Aims and Objectives: Most important oral health problem observed in childhood is dental trauma. This frequently occurs at home or during outdoor activities so emergency care is essential for good prognosis of the injury. For the better prognosis, parents have important role. Before planning educational promotion, it is essential to consider the understanding level of parents, where mothers play an important role. Evaluation of the knowledge, attitude as well as awareness in mothers toward immediate management in traumatic dental injuries. Materials and Methods: A 3-month survey was conducted among 120 mothers who visited the Department of Pedodontics and Preventive Dentistry for treatment. Fifteen closed-ended questions based on knowledge, attitude, and awareness were provided to the mothers, who were between 20 and 60 years of age. Results were statistically evaluated by using chi-square test, and the level of significance was set as P ˂ 0.05. The Statistical Package for the Social Sciences (SPSS) was used for the statistical analysis. Independent two sample t-test was applied for comparing the mean difference of numerical variables between groups. Results: Results indicated the low knowledge level of mothers about immediate management of traumatic dental injuries. Residential status as well as education of mothers did not affect their awareness toward dental trauma, mother’s experience also had no effect in the preservation of avulsed tooth. No statistical significance was observed in either of the cases. Conclusion: The assessment showed a want of awareness and knowledge in mothers toward emergency management of traumatic dental injuries. Knowledge of parents in this area needs to be improved by educational programs.

Assessment of knowledge and awareness among medical doctors towards emergency management of dental trauma

Assessment of knowledge and awareness among medical doctors towards emergency management of dental trauma

Dental trauma education intervention as a positive influence among undergraduate students

Objective:To investigate the effect of dental trauma educational intervention among undergraduate students of a Federal University in Brazil.Materials and Methods:Students (n = 125) enrolled in the dentistry (n = 70), nursing (n = 33), and speech therapy (n = 22) courses were invited to attend a dental trauma lecture and also to answer a questionnaire about their confidence in managing crown fracture and tooth avulsion, before (T0) and immediately after (T1) the lecture. McNemar's test (P < 0.05) with logistic regression compared the answers between the courses.Results:Female gender (78.4%) aged from 18 to 22 years (73.6%) predominated among all the participants. Dentistry students scored higher correct answers (54.3%) in T0 when compared to nursing (12%) and speech therapy (9%) students, concerning the storage medium for tooth fragment transportation. Likewise, few dentistry students (22.9%) and no nursing and speech therapy students knew about the ideal storage medium for an avulsed tooth when immediate replantation was unviable. After educational intervention, a significant improvement was found between T0 and T1 (P < 0.001) for all courses, mainly regarding tooth avulsion with almost 100% of correct answers. Furthermore, logistic regression demonstrated that dentistry students had three times more knowledge absorption than nursing and speech therapy ones.Conclusions:The educational intervention demonstrated a significant positive impact regarding the knowledge of dental trauma emergency management among health students. Accordingly, it is essential to spread this information among health professionals to save teeth, especially in cases of avulsion.

PERAN DOKTER KECIL DALAM PENANGANAN KEDARURATAN TRAUMA DENTAL DENGAN METODE SIMULASI

Data statistik dunia menunjukkan prevalensi trauma dental pada anak di berbagai Negara sebesar 25%. Dari kasus yang terjadi 97,55% tidakdirawat dan menyebabkan kecacatan. Lokasi terjadinya trauma dental kedua tertinggi adalah sekolah (41%). Dokter kecil sebagai kader kesehatan sekolah diharapkan dapat melakukan prosedur penanganan kedaruratan trauma dental sebelum dilakukan oleh tenaga medis profesional, sehingga diperlukan intervensi pendidikan dengan metode yang tepat. Untuk mengetahui peran dokter kecil dalam penanganan kedaruratan trauma dental dengan metode simulasi. Subjek penelitian adalah 60 dokter kecil yang dibagi menjadi 2 kelompok; 30 dokter kecil kelompok metode simulasi, dan 30 dokter kecil kelompok metode demonstrasi. Pengetahuan penanganan kedaruratan trauma dental sebelum dan setelah perlakuan masing-masing kelompok diukur menggunakan kuesioner berjumlah 17 soal. Analisis data yang digunakan dalam penelitian ini adalah uji T berpasangan. Metode simulasi meningkatkan rata-rata pengetahuan dokter kecil sebesar 55,6%, sedangkan kelompok metode demonstrasi sebesar 44,6%. Hasil uji T berpasangan pada perbandingan metode simulasi dan demonstrasi didapat kan nilai p=0,031 (p value&lt;0,05). Pendidikan penanganan kedaruratan trauma dental dengan metode simulasi lebih efektif dibandingkan metode demonstrasi dalam meningkatkan pengetahuan dokter kecil.

Factors Influencing Awareness of the Emergency Management of Dental Trauma in Children-A Comparison of Fathers and Mothers across Saudi Arabia

Factors Influencing Awareness of the Emergency Management of Dental Trauma in Children-A Comparison of Fathers and Mothers across Saudi Arabia