Knowledge Of Dental Trauma Research Articles

Assessment of Turkish dentists' knowledge about managing avulsed teeth.

The first intervention and clinical experience are important in the treatment of dental avulsions. The aim of this study was to evaluate general dentists' and specialists' knowledge about the management of avulsed teeth. A total of 400 participants were evaluated. The questionnaire consisted of three parts: The first part inquired about personal information. The second part evaluated dentists' knowledge of emergency and clinical management in case of tooth avulsion. The third part was about dentists' perspective on dental trauma education and self-evaluation on dental trauma knowledge. The survey data obtained were analyzed using the Kruskal-Wallis test, Chi-square test, and multiple regression analysis. The questionnaires were answered by 155 dental practitioners, 80 pediatric dentists, and 165 other specialists. Pediatric dentists who have seen more trauma cases during their education are more knowledgeable about the management of tooth avulsion (P < .01). More than half of the dentists who participated in this study (58%) had less than 5 years of experience, 21% had between 6 and 10 years, 6.3% had between 11 and 15 years, 6% had between 16 and 20 years, and 8.8% had more than 20 years of experience in clinical practice. Dentists with fewer years of experience were more knowledgeable than dentists with more years of experience (P < .01). The knowledge of dentists about the management of dental avulsion was acceptable but inadequate. While the knowledge of dentists was moderate, the knowledge of pediatric dentists was good.

Behavior of parents and educators following traumatic injury to young permanent teeth of children in Joinville, Santa Catarina

Traumatic dental injuries are a major public health problem, especially in the age range of 7 to 15 years, when young permanent teeth are established. Objective: To evaluate the behavior of parents of children who attend public or private school and their educators, in cases of traumatic injury to young permanent teeth and to evaluate whether they sought emergency guidance, in the city of Joinville, Santa Catarina, Brazil. Evaluation was carried out via a questionnaire for asking the parents and teachers about their knowledge of dental trauma. Material and methods: A total of 248 parents and 22 teachers participated in the study. Out of all the participants that completed the questionnaire with questions on previous trauma experience, avulsion behavior, avulsed tooth storage medium, and time elapsed from dental trauma until care, 49.6% of had higher education. The data were tabulated on a Microsoft Office Excel 365 worksheet, and the chi-square statistical test was applied. Results: The research showed that 91.8% of parents and 8.2% of educators from both public and private schools had minimal knowledge regarding dental trauma. Many of the participants (73.2%) were unaware of what dental reimplantation was and lacked knowledge regarding storage choices for a dental element. Instead, 68% preferred to take the child to a dental surgeon to receive emergency care. Conclusion: The knowledge parents and educators of public and private schools have about dental trauma is limited. Education on this subject needs to be promoted for enabling parents and educators to make informed decisions to ensure the best prognosis after traumatic dental injury.

Behavior of parents and educators following traumatic injury to young permanent teeth of children in Joinville, Santa Catarina

Introduction: Traumatic dental injuries are a major public health problem, especially in the age range of 7 to 15 years, when young permanent teeth are established. Objective: To evaluate the behavior of parents of children who attend public or private school and their educators, in cases of traumatic injury to young permanent teeth and to evaluate whether they sought emergency guidance, in the city of Joinville, Santa Catarina, Brazil. Evaluation was carriedout via a questionnaire for asking the parents and teachers about their knowledge of dental trauma. Material and methods: A total of 248 parents and 22 teachers participated in the study. Out of all the participants that completed the questionnaire with questions on previous trauma experience, avulsion behavior, avulsed tooth storage medium, and time elapsed from dental trauma until care, 49.6% of had higher education. The data were tabulated on a Microsoft Office Excel 365 worksheet, and the chi-square statistical test wasapplied. Results: The research showed that 91.8% of parents and8.2% of educators from both public and private schools had minimalknowledge regarding dental trauma. Many of the participants (73.2%) were unaware of what dental reimplantation was and lacked knowledge regarding storage choices for a dental element. Instead, 68% preferred to take the child to a dental surgeon to receive emergency care. Conclusion: The knowledge parents and educators of public and private schools have about dental trauma is limited. Education on this subject needs to be promoted for enabling parents andeducators to make informed decisions to ensure the best prognosis after traumatic dental injury.

Dentists' knowledge of dental trauma based on the International Association of Dental Traumatology guidelines: A survey in South Brazil.

Dental trauma is a public health issue with a high prevalence in children. The aim of this study was to evaluate the level of knowledge of dentists in Rio Grande do Sul, Brazil, of the management of traumatic dental injuries, using the International Association of Dental Traumatology (IADT) Guidelines as a reference. An electronic questionnaire investigating personal and professional characteristics and 12 questions about dento-alveolar trauma, was sent to all registered dentists of the Regional Council of Dentistry of Rio Grande do Sul (n=14753). The respondents were grouped according to the sociodemographic and professional profiles and the data were evaluated by the Student-T test or one-way ANOVA, with Tukey's post-hoc, with α=5%. A total of 1414 dentists responded to the survey (9.59% response rate). The overall mean self-reported knowledge of dental trauma was 5.87±1.57, of a maximum possible score of 12. Some factors associated with a higher knowledge of the IADT guidelines were: female gender, previous clinical experience, years from qualification, self-reported knowledge, and academic postgraduate degree. Dentists who are specialized in endodontics (6.58±1.63) and pediatric dentistry (6.05±1.44) achieved higher levels of knowledge on dental trauma. Analysis of the characteristics (gender, location, and proportion of specialists) of the respondents confirmed that they were representative of the target population. The overall level of knowledge of dentists from Rio Grande do Sul of the IADT guidelines is moderate. These results highlight the need for continuing education on dento-alveolar trauma in this population.

Use of a clinical decision support tool for the management of traumatic dental injuries in the primary dentition by novice and expert clinicians.

Studies reveal many dental students and general dentists have inadequate knowledge about treating children who sustain traumatic dental injuries. The aims of this study were to assess dental trauma knowledge among novice clinicians and expert pediatric dentists and determine the effectiveness of a clinical decision support tool (CDST) for the management of trauma scenarios. A secondary purpose was to compare the effects of a print and mobile app format of the CDST. A print and mobile app CDST was developed based upon current AAPD and IADT clinical guidelines. Baseline knowledge for dental students (n=84) and pediatric dentists (n=60) was assessed using a multiple-choice Pre-test. A Post-test was used to evaluate changes in the knowledge level following the random assignment of participants into 3 groups: Group A (control) had no CDST provided; Group B (print CDST) had access to the print paper pamphlet; and Group C (mobile app CDST) had access to the mobile app on a handheld device for use during the Post-test. Test scores and time required to complete each test were recorded. Pediatric dentists scored significantly higher and required less time on both the Pre-test (P<.001) and Post-test (P<.05) compared to dental students. Dental students and pediatric dentists who had access to the mobile app CDST scored significantly higher (P<.05) in the Post-test compared to the control and the print CDST groups. Post-test time for the dental students in the mobile app group was significantly longer (P<.001) compared to the control and print format. Expert pediatric dentists demonstrated greater knowledge of dental trauma compared to novice clinicians. The mobile app clinical decision support tool was a more effective means of improving the diagnosis and management of traumatic dental injuries by both dental students and pediatric dentists than the print CDST.

An investigation on parents􀆳 knowledge of dental trauma in primary school of chancheng district, Foshan City

An investigation on parents􀆳 knowledge of dental trauma in primary school of chancheng district, Foshan City

Knowledge of dental trauma in a group of Chilean primary school teachers.

Aim: To determine the knowledge and management of dentoalveolar trauma by primary school teachers in rural and urban schools in the city of Paillaco, Chile, in 2014. Methods: An observational study was conducted in 167 teachers in the city of Paillaco. A survey developed from the questionnaires proposed by McIntyre et al. and Yassen et al. was used. The survey, previously approved by 2 experts, was applied in person in the school facilities, after the application of a pilot test. Demographic characteristics of the participants and the frequency of correct responses by geographical location of the educational establishment (rural / urban) were analyzed. For the inferential analysis, the chi-square and t-tests (p <.05) were used. Results: 130 valid questionnaires (41.21 ± 0.95 years, 68.4% women) were obtained. Participating teachers achieved an 83.3% of correct diagnosis of dentoalveolar trauma and a 55.5% of correct answers regarding its management. There were with no statistically significant differences in relation to geographical location. Conclusion: Primary school teachers in the city of Paillaco have a high level of knowledge of dentoalveolar trauma, but not of its management.

Dental Avulsion: Are the Dentist Prepared to the Correct Management?

Purpose: This study evaluated the knowledge of dentists from the health units (HU) of Porto Alegre - Brazil, regarding the management of avulsion of permanent teeth. Methods: A questionnaire regarding treatment and preservation of avulsed teeth was utilized. Professional data were also collected. Results: The response rate was 56.41%. The mean performance rate of the dentists regarding the clinical questions was 69.3%, but 37.4% had poor performance (less than 70% correct). The greatest number of hits was where the patient comes with the already replanted teeth (89.2%); 87.3% agreed in situations where the injured child reaches two hours of trauma with the tooth in a liquid medium, however in cases that period of trauma was more than two hours and tooth was dehydrated, the professionals performance was reduced (64.9%). There was a lack of knowledge about the use of intracanal medication (error rate of 56.9%); 41% are mistaken about the period to start endodontics procedures; 32.8% did the wrong about contention of avulsed teeth and clinical and radiographs follow-up. Dentists with postgraduate performed better than those without (p = 0.011). Professionals with longer time elapsed since graduation had lower performance, as well as those who reported not being satisfied with their knowledge of dental trauma (p<0.05). Conclusions: A limited knowledge of dentists from HUs of Brazil regarding the management of avulsed teeth was found. The lack in knowledge suggests the need for implementation of continuing education programs and simulation programs on approaches to dental traumas to improve dental care offered for the population.

Effectiveness of educational poster on knowledge of emergency management of dental trauma--part 2: cluster randomised controlled trial for secondary school students.

ObjectiveTo investigate the effectiveness of educational poster on improving secondary school students' knowledge of emergency management of dental trauma.MethodsA cluster randomised controlled trial was conducted. 16 schools with total 671 secondary students who can read Chinese or English were randomised into intervention (poster, 8 schools, 364 students) and control groups (8 schools, 305 students) at the school level. Baseline knowledge of dental trauma was obtained by a questionnaire. Poster containing information of dental trauma management was displayed in a classroom for 2 weeks in each school in the intervention group whereas in the control group there was no display of such posters. Students of both groups completed the same questionnarie after 2 weeks.ResultsTwo-week display of posters improved the knowledge score by 1.25 (p-value = 0.0407) on average.ConclusionEducational poster on dental trauma management significantly improved the level of knowledge of secondary school students in Hong Kong.Trial Registration HKClinicalTrial.com HKCTR-1343 ClinicalTrials.gov NCT01809457

Knowledge and attitude of dental trauma among mothers in Iraq

To evaluate the knowledge and attitude of Iraqi mothers regarding dental trauma prevention and management. Mothers (n=231) that visited two professional dental centres in Mosul, Iraq, were interviewed and asked to answer a three-part questionnaire containing questions about demographic variables, attitudes and knowledge of dental trauma. The relationships of the demographic variables with the total knowledge score of the correct responses were analysed using two-sample t tests. The number of correct responses regarding management of avulsed teeth compared to that of fractured teeth was evaluated using a paired t test. A 5% level of statistical significance was applied for the analyses. The mean knowledge score was 5.2 (on a scale of 0-10). No significant differences were found in knowledge score with respect to mothers' age, educational level, working status, personal experience with dental trauma or first aid training (p>0.05). Mothers with either at least a high school education or previous experience with dental trauma were more likely to recommend that their children wear mouth guards during sports (p=0.02 and p=0.03, respectively). Mothers who were 35years of age and older were more likely to know how to correctly carry an avulsed tooth to a dentist. Mothers' knowledge regarding management of fractured teeth was significantly higher than that of avulsed teeth (p<0.0001). Mothers in Mosul, Iraq, did not have sufficient knowledge about the prevention and management of traumatic dental injuries. Intervention programmes should be considered to increase mothers' awareness regarding dental injuries.

Should Medical Students Be Educated About Dental Trauma Emergency Management? A Study of Physicians and Dentists in Kerman Province, Iran

Since physicians sometimes need to attend a case of dental trauma, it is necessary that they possess sufficient knowledge of management of traumatic dental emergencies. This study was conducted to assess the knowledge of dental trauma among dentists and physicians. A three-part questionnaire, including demographic data, knowledge, and self-assessment, was administered to 104 dentists and 151 physicians in Kerman Province, Iran. Data obtained from 255 completed questionnaires were statistically analyzed using t-test, Mann-Whitney U test, chi-square, and Pearson correlation coefficient. Among the physicians, only fourteen (9.3 percent) had received education regarding dental trauma. In contrast, seventy-seven dentists (74 percent) had received information on what to do if a tooth is traumatized. Regarding knowledge level, only 10.6 percent of the physicians had high knowledge, while 66.3 percent of the dentists demonstrated high knowledge. The differences of knowledge level between the two groups were statistically significant (p=0.0001). More than half of the dentists (58.3 percent) and nearly all the physicians (98.7 percent) were dissatisfied with their level of knowledge and suggested that further education on the topic should be offered.

Investigation of mothers’ knowledge of dental trauma management in United Arab Emirates

To assess, by means of a structured questionnaire, mothers' level of knowledge with regards to the immediate emergency management of dental trauma in the Emirate of Ajman, United Arab Emirates (UAE). A cross-sectional study using anonymous structured questionnaires was employed for mothers chosen at random from child care centres. The questionnaire surveyed mothers' background, knowledge and management of tooth fracture, avulsion, and also investigated mothers' self-assessed knowledge of the availability and priority of emergency services of trauma in UAE. The sample consisted of 676 mothers (response rate 96.6%) who attended mother and child care centres in Ajman over a period of two months (January-February 2011). More than half of the mothers participated in this study were in their twenties and 69.4% had university qualifications. Around 61.5% of the mothers had previous direct or indirect experience of dental trauma. Mother's knowledge of dental trauma seemed to be inadequate. Chi-square test indicated that there was no significant difference in the number of correct responses in relation to age, level of education, or number of observed trauma cases. Most mothers were unaware of the availability of after working hours emergency services. They were dissatisfied with their level of knowledge of dental trauma and the majority were interested in having further education on the topic. The level of knowledge of dental trauma management (especially tooth avulsion) among mothers in Ajman was inadequate and education campaigns are necessary to improve the emergency management of dental injuries. Therefore it is important to educate the public of the availability of after hours dental emergency services to overcome any delay in seeking professional help in cases of dental trauma.

Knowledge of dental trauma among mothers in Mangalore

The aim of this study was to assess the knowledge of Mangalore mothers regarding dental trauma. A questionnaire inquiring about mother's knowledge on dental trauma was distributed to 500 working and non-working mothers via their children attending two primary schools in the Mangalore city. Around 68.5% of the mothers were aware of the management of dental trauma. Of the working mothers, 72% were aware of the management of dental trauma while 65% of the non-working mothers were aware. When asked about saving the avulsed tooth, 36% of mothers said that the avulsed tooth can be saved. Regarding mouth guards, 54.5% of the mothers said that they aware of the use of mouth guards to prevent traumatic injuries to the teeth. Of the working mothers 72% knew that mouth guards are useful in the prevention of dental trauma while 37% of the non-working mothers have this knowledge; 68% of the mothers would take the child to the dentist following tooth injury whereas 17% of the mothers would use an emergency kit. Chi-square test and logistic regression analysis indicated a significant difference between the responses of working and the non-working mothers with regard to mouth guard knowledge and recommendation (P-value 0.001). Most of the mothers were graduates and were aware of the emergency management of dental trauma. The working mothers had better knowledge and awareness regarding mouth guards (72%) when compared with non-working mothers (37%).

Schoolteachers' knowledge of dental trauma

Schoolteachers' knowledge of dental trauma

Knowledge of the management of paediatric dental traumas by non‐dental professionals in emergency rooms in South Araucanía, Temuco, Chile

The objective of this study was to investigate the level of knowledge and attitudes regarding first aid for dental trauma in children (TDI) by non-dental professionals and paramedical technicians of hospital emergency rooms in the South Araucanía Health Service, Chile, which was attained through application of a survey. Samples were collected from people with occupations in the respective emergency rooms. The participants were 82 people that were interviewed using a questionnaire regarding management of dental trauma. Paramedic technicians, general and specialist doctors, and nurses were included in this survey. The appraisal covered diverse aspects: birth date, age, sex, years of experience in the emergency room, and questions regarding specific dental trauma topics, which focused on crown fractures, luxation injuries in permanent dentition, avulsion in primary and permanent teeth, and the respective emergency treatments. Of the participants, 78.1% reported to have been presented with a TDI patient. The majority (90.2%) had not received formal training on TDI. These results revealed a wide distribution of responses. The overall dental trauma knowledge among the participants was relatively poor. For crown fractures management 54.9% indicated that they would ask the affected child about the crown remnants. In regard to transport and storage medium of avulsed permanent teeth, only 9.8% of the participants answered correctly and 43.9% of respondents stated that they would not replant an avulsed permanent tooth, since that procedure is considered the responsibility of a dentist. The majority of the respondents were not knowledgeable regarding TDI or the management and benefits of timely care, particularly in cases of avulsed permanent teeth. Therefore, formal education and training on the topic is suggested during undergraduate studies.

German general dentists’ knowledge of dental trauma

The purpose of this study was to evaluate the knowledge of German general dentists on different scenarios in dental traumatology, as well as to analyse, whether there was any correlation between practitioners' perceptions of their knowledge and their actual expertise. A questionnaire containing questions on demographic data and knowledge was handed out to general dentists at the beginning of different lectures in dental traumatology given by the authors. A total number of 181 questionnaires were evaluated. Sixty-three per cent of the dentists considered their knowledge as being sufficient or comprehensive, while only 37% indicated to have fragmentary knowledge in dental traumatology. Irrespective of the self-assessment, 40% of the questions were answered correctly. Although not statistically significant, there was a trend towards slightly better knowledge for dentists whose graduation was more recent. On the basis of the findings of this study, it can be suggested that the level of knowledge among general dentists in Germany is rather poor on different scenarios regarding dental traumatology and their self-assessment is inaccurate.

Elementary school staff knowledge about dental injuries

Elementary school staff can play a crucial role in managing traumatic dental injuries (TDIs) because they are often in proximity to children and are frequently called upon to assist with children's accidents. International studies reveal that elementary school personnel have little knowledge about emergency dental care and management. The purpose of this study was to assess the knowledge, practice and experience regarding TDIs among a sample of elementary school personnel in the USA. Assessment was performed using a demographic questionnaire and a newly developed TDI survey instrument. Results revealed a wide distribution of responses. Overall, dental trauma knowledge among this group was poor. The majority of respondents were not well-versed regarding TDIs, their management, the benefits of timely care or treatment costs. However, staff reported a keen interest in receiving more TDI information and training. TDI education and management are needed among all elementary school staff members to improve the prognosis of these accidents when they occur.

Physical education undergraduates and dental trauma knowledge

The aim of the present study was to assess the level of knowledge of undergraduates from the College of Physical Education (Toledo, Araçatuba) concerning dental avulsion injuries. Data showed that 95% of the respondents did not know what dental avulsion is, 73.5% said they know how to define dental replantation, however, only 26% were able to do it correctly. When asked about first emergency measures after an avulsion, 50% of the respondents said they know what they should do, and the most cited measure was to seek a dentist. When asked about optimal storage media, 45.5% would keep it in a favorable one, and 28% did not know where to keep the tooth until treatment. Only 25.6% indicated a suitable extra-oral time for replantation; 90.3% of the respondents had received no advice about the emergency management of dental avulsion; 90% said they consider this an important and necessary subject. The results indicated that educational campaigns are necessary to improve the emergency management of dental injuries by those future P.E. professors for a better prognosis of dental replantation.

Dental trauma management knowledge among a group of teachers in two south European cities

The purpose of the present study is to assess the teachers' knowledge regarding dental trauma management in two south European cities. A three-part questionnaire comprised of questions on demographic data and knowledge was distributed to teachers in Porto and Istanbul. Seventy-eight teachers participated in the study; 23 had previously had formal dental trauma education. From the teachers interviewed, 58 of them admitted having no knowledge of dental trauma. Concerning knowledge, 29 teachers from Porto and 12 from Istanbul thought dental trauma emergency should be dealt with immediately. Knowledge of optimal storage media for avulsed permanent teeth was especially poor. In the present study, the majority of teachers did not know the importance of tetanus vaccine control in dental trauma. It is recommended that public education targeted at teachers should be carried out to increase dental trauma management knowledge.