Management Of Avulsed Teeth Research Articles

Replantation of an Avulsed-Tooth by Using Trepanation: A Case Report

Tooth avulsion is one of the common types of orofacial and dental trauma that frequently occurs in sports and requires prompt management and a good treatment plan to achieve satisfactory outcomes. The aim of this case report is to present an overview of the tooth replantation using a trepanation procedure that has not been previously discussed in any formal publication. A clinical case concerning the management of tooth avulsion applying trepanation principles is narratively described along with a follow-up on the periodontal tissue condition after 2 years of treatment. The findings revealed the absence of inflammatory resorption, the most severe form of resorption typically seen within the initial 2 years following the replantation of an avulsed tooth. Nonetheless, caution should still be exercised regarding signs of surface root resorption, which although more favorable than inflammatory resorption and replacement resorption, should not be overlooked. Trepanation has demonstrated its ability to prevent inflammatory resorption for a minimum of 2 years post-replantation with no indication of ankylosis observed. Further investigation into trepanation is warranted to delve into the potential advantages of this procedure.

Traumatic Dental Injuries: Prevalence, First Aid, and Mouthguard Use in a Sample of Italian Kickboxing Athletes.

Traumatic dental injuries (TDIs) are a common complication in sports, with an overall prevalence ranging from 0.71% to 60%. Kickboxing is a high-risk combat sport for trauma to the facial region. A total of 142 5-to-65-year-old amateur athletes participated in the survey with a questionnaire that was released during their regular practice days. The questionnaire was structured into three parts: (1) questions about age, gender, type, and time of sports practice; (2) questions about dental injuries, personal experience, and awareness of emergency management, particularly about tooth avulsion; (3) questions about wearing a mouthguard for TDI prevention. A total of 13 percent of athletes suffered a TDI while training or fighting. Regarding first aid, 61% of the participants in this survey are aware of the possibility of replanting a tooth after its avulsion; 10% believe that the tooth should be replanted within 15 min, and 37% of athletes believe that it should be kept wet. The mouthguard is known to the majority of athletes (94%), and 66% were informed by the coach; 68% of the athletes use it. Seventy-four percent of the mouthguards were purchased in a sports shop. A relatively low prevalence of TDIs was observed in players in the sample. A lack of information about the emergency management of tooth avulsion and about the type of mouthguard to wear emphasizes the importance of educational training by dentists to athletes and coaches.

Parents' knowledge of emergency management of avulsed permanent teeth in children and adolescents in the State of Qatar: a questionnaire cross-sectional study.

To elucidate the level of parental knowledge in Qatar regarding the management of avulsed teeth. A self-administered questionnaire was completed by 400 parents attending their children's routine dental appointments. The questionnaire comprised of items on sociodemographics, parents' prior knowledge on management of avulsion, parents' willingness to replantavulsed teeth at the site of injury, and parents' opinion as to the best format for future parental education on the management of dental trauma. Univariate and multivariate logistic regressions were employed to assess the association between sociodemographic status and knowledge in the management of avulsion. The overall mean score of parents' knowledge was (23%). Only 23.3% (n = 93) of parents thought that it was possible to reinsert an avulsed permanent tooth. Out of those, only 12.9% (n = 12) indicated willingness to reinsert the tooth back into its socket, while 48.4% (n = 49) indicated that an avulsed tooth should be stored using physiological media. Less than one third (27.8%) indicated that they would seek professional help within 30min. Males were less likely to give favourable answers when compared to females (OR = 0.43, 95% CI = 0.22-0.84). Age groups "31-40" years and "41-50" years were more likely to give favourable answers when compared to 20-30years age group (OR = 2.8, 95% CI = 1.05-8.0and OR = 3.8, 95% CI = 1.3-11.48; respectively). This study highlights critical deficiencies in parental knowledge on the management of tooth avulsion and the need to improve parents' knowledge by developing easily accessible onsite emergency management tools.

ASSESSMENT OF KNOWLEDGE AND PRACTICE ABOUT MANAGEMENT OF AVULSED TEETH WITH SPLINTING AMONGST DENTISTS IN CENTRAL INDIA

Aim- To assess the knowledge and practice about management of avulsed teeth with splinting among dentists in central India. Materials And Methods- A self administered web based close ended questionnaire was conducted among the dentists in central India. The participants comprised of total 219 Dental Health Care Professionals (DHCPs) including General Dental Practitioners (GDPs), Post Graduate Students (PGs), and Specialists. The data were statistically analyzed by Chi Square test. In this survey, among all the participants (61.5%) of GDPs, (87.9%) of ResultsPGs and (95.5%) of Specialists have knowledge about IADT guidelines regarding management of avulsed teeth. PGs and Specialists have signicantly (p<0.001) better practice for management of avulsed teeth with splinting than GDPs as they have more traumatic injury cases in practice. The knowledge level on the management of avulsed teeth with spli Conclusions- nting among general dental practitioners in central India needs to be improved. Utilization of International Association of Dental Traumatology guidelines for the management of dental traumatic injury should be recommended to increase the knowledge level and to ensure good treatment outcome

Evaluation of Turkish emergency medicine physicians' knowledge on emergency management of tooth avulsion.

Tooth avulsion is a type of trauma that requires emergency intervention, and a significant number of patients apply to the emergency. The aim of this study is to evaluate the level of knowledge and the awareness about tooth avulsion among emergency medicine physicians throughout Turkiye. The study was conducted with 545 physicians, working in emergency departments. An online questionnaire about tooth avulsion was applied to the participants. The questionnaire consisted of 3-section which evaluated personal information, the level of knowledge of avulsion cases in primary and permanent dentition, and the level of training on this subject. Of the physicians, 61.3% had not previously received education on dentoalveolar traumas, 58.7% would replant an avulsed permanent tooth, 28.3% would prefer replantation to be performed "immediately", and 28% would prefer milk as the ideal storage medium. The mean±SD and median(min-max) values of the correct answer scores on a scale of 0 to 35 were 16.42±7.08 and 17(0-32), respectively. 45.6% of the physicians' level of knowledge was below the median score. The level of knowledge about tooth avulsion among Turkish emergency medicine physicians is not sufficient and there is a need to improve the knowledge level of physicians with comprehensive educational programs. This study indicates that the training of the physicians about the subject will reflect positively on the treatment of dental trauma patients.

“A Study To Assess The Level Of Knowledge And Attitude Related To Tooth Avulsion Management Among School Teachers Working In Selected Schools At Mangalore."

Smile reveals an individual 's self-confidence.it is also a means of socialization where teeth play a vital role in a pleasant smile and also contributes to each individual's well-being and quality by positivity affecting physical and mental well -being ,appearance and interpersonal relationship children especially school children,face particular health challenges including all health problems related to the stages of their physical and mental development,which makes them especially vulnerable to traumatic dental injuries including the tooth avulsion. Aim of the study: The study aim to assess the level of knowledge and attitude related to tooth avulsion management among school teachers in selected schools at managlore". Material and Method: descriptive research design and quantitative research approach was used for the study among 70 school teachers selected by simple random sampling technique. The data was collected by usingassessing the knowledge and attitude related to tooth avulsion management and demographic Performa. Result: The result shows that majority 49(70.0%) of them had excellent knowledge,15(21.4%) of them had good knowledge, 4(5.7%)had average knowledge,2(2.9%) of them had poor knowledge regarding tooth avulsion.Majority 66(94.3%) were shown positive attitude and only 4(5.7%) of them have shown neutral attitude towards tooth avulsion.There was a significant association between level of knowledge and selected demographic variables like age, qualification ,experience and source of information.There was no significant association between level of attitude and selected demographic variables Interpretation and conclusion: The study proved that majority of school teachers have excellent knowledge and had positive attitude towards tooth avulsion

Gambaran tingkat pengetahuan dokter gigi terhadap tata laksana kasus avulsi gigi permanen di wilayah dki jakarta (Laporan Penelitian)

Background: Avulsion of permanent teeth is one of the most serious dentoalveolar injuries. Appropriate emergency management and a treatment plan are important for a good prognosis. Therefore general dental practitioners (GDPs) must have adequate knowledge regarding the management of permanent avulsed teeth. Objective: Evaluate the knowledge base and preferred methods of general dental practitioners regarding the management of avulsed teeth. Methods: Observativational descriptive with cross-sectional was employed for sample selection. A pre-tested 13-item online questionnaire was distributed to 98 Jakarta GDPs. The data obtained were then categorized into 3 levels which are high (≥76%), moderate (56-75%), and low (≤55%). Results: This study revealed that the majority of GDPs' knowledge is moderate. 21,4% of participants showed good knowledge, while 53,1% are moderate, and the other 24,5% lack the knowledge needed to manage avulsions. Mann-Whitney U test results showed that there was no statistically significant difference between males and females (p = 0.296) nor between the length of practice 0-10 years and >10 years (p = 0.134). Conclusions: The study findings showed that the Jakarta GDPs need to improve their knowledge about the management of permanent avulsed teeth.

An update on management of avulsed teeth

Introduction: Avulsion of permanent teeth is one of the most serious dental injuries, prompt and correct emergency management is essential to achieve the best outcome after this injury.Objective: To analyze the literature on avulsed teeth, particularly its prevalence, storage media, consequences and treatment.Methodology: In order to carry out this literature review, an electronic search was necessary using PubMed and Google Scholar with the words avulsed tooth, and prevalence, storage media, treatment.Results: The prevalence of traumatic dental injuries is greater in male patients of school age. The most common treatment is reimplantation. The main adverse events are dental ankylosis and resorption. When immediate reimplantation is not possible, the most practical means of preservation is cow's milk, currently anti-reabsorption therapy is used to improve the prognosis in addition to the use of a semi-flexible stabilizer.Conclusion: The treatment of choice for dental avulsion will always be reimplantation, whether immediate or delayed, regardless of how long the tooth is kept out of the mouth. Although there is no predictable prognosis, it does not mean that reimplantation should not be attempted, since the tooth will be of great importance in contributing to the mandibular and facial development of the child.

Knowledge and Awareness of School Teachers Regarding Emergency Management of Tooth Avulsion in the Kingdom of Saudi Arabia: A Cross-Sectional Study

Aim: This study aimed to assess the general knowledge and awareness of school teachers regarding the first aid emergency dental management of tooth avulsion in the kingdom of Saudi Arabia. Materials and Methods: A self-administered, anonymous, close-ended structured questionnaire was given to school teachers in Saudi Arabia. It included information regarding gender, knowledge, and awareness [three parts: basic demographic characteristics focusing on the gender (part one), questions regarding knowledge of school teachers toward emergency management of tooth avulsion (part two), and questions regarding awareness of school teachers toward emergency management of tooth avulsion (part three)]. Results: A total of 615 school teachers (58% males and 42% females) completed the questionnaire. Approximately 54.3% of the school teachers preferred to immediately refer the child to the dentist if trauma affects permanent teeth (p < 0.05), and only 2.1% opined regarding reposition of the tooth in a normal position. Another 22.9% responded that they would scrub the tooth to clean the dirt and rinse with water, while 19.7% reported that they would keep the tooth in a wet handkerchief until they reach the dentist. Conclusion: The knowledge and awareness of schoolteachers regarding the management of avulsed teeth are insufficient; thus, education programs on traumatic dental injuries are essential.

Awareness of Dental Trauma Management among School Teachers in Dammam, Saudi Arabia

Background:Children and young adolescents commonly suffer traumatic dental injuries. Teachers are frequently first responders and responsible for the initial management of the injury; the prognosis of a traumatized tooth is dependent on the initial management.Aim:To evaluate intermediate school teachers’ level of knowledge and attitudes toward dental trauma.Materials and Methods:This is a questionnaire-based cross-sectional study where all teachers from eight non-probability selected intermediate schools in Dammam, Saudi Arabia, were invited for participation. The questionnaire elicited data regarding demographics, teaching experience, knowledge and attitudes regarding dental trauma and its management.Results:A total 398 of 433 invited teachers responded (92%). The male-to-female ratio was 2:1. Only 30% of the respondents had previously participated in first aid training; only 11% specifically also focused on dental traumas. Health-care providers represented the main source of knowledge regarding dental trauma. Bivariate analysis revealed that in terms of attitudes toward dental trauma, urgency of care for luxation injuries was significantly associated with teaching experience (P = 0.042), while the urgency of care for avulsed teeth was significantly associated with dental trauma experience (P = 0.007). The only significant association between teaching experience and knowledge about management of avulsed teeth was regarding which tooth should be replanted (P = 0.041).Conclusions:School teachers in Dammam, Saudi Arabia, lack proper knowledge in dental emergency management. Educational training programs are needed to ensure that teaching staff have adequate knowledge to effectively manage dental traumas.

Knowledge and practice of health workers to tooth avulsion in a teaching hospital in Lagos, Nigeria


 
 
 
 Objective: The health care workers (HCW) may be the first contact of a tooth avulsion case. This study aimed to assess their knowledge and practice of emergency management of tooth avulsion.
 Methods: The cross-sectional study was carried out among health care workers in a teaching hospital, using a self-administered questionnaires containing closed and open-ended questions, on their knowledge and practice of management of tooth avulsion. Data collected was analyzed using EPI info version 7 statistical software.
 Results: A total of 362 questionnaires were administered with a response rate of 90.4%. The health care workers were 331 between the ages of 18 years to 64years. There were 200 (60.4%) females and 131(39.6%) males (ratio 3:2). Less than half (41.7%) of the respondents rated their knowledge on avulsion as fair. About half of the respondents 156 (47.1%) reported that primary tooth should be replaced into the socket. The knowledge of how to hold avulsed tooth among 217 (65.6%) of the respondents was incorrect. More than half 185 (55.9%) answered that avulsed teeth, will be stored in a dry medium. Less than half, 146 (44.1%) knew the appropriate storage media to be used. Only a third 122 (36.9%) were confident in their knowledge to replant an avulsed tooth. About a third 114 (34.4%) of HCW had encountered an avulsion case, most were dentists and nurses. More than a quarter 92 (27.7%) referred the avulsion while (16.1%) did nothing to the avulsed tooth.
 Conclusion: There is a need to increase the knowledge and practice of HCW, so that immediate replantation can be practiced thereby improving the prognosis for replanted teeth.
 
 
 

Assessment of the Knowledge Regarding the Management of Avulsed Teeth before and after Oral Health Education in High School Children (14–16 Years) in Central India

Abstract Background: Tooth avulsion is one of the common dental problems seen in children. Informing that avulsed tooth can be reimplanted and method to store the tooth, the importance of immediate replantation without time loss, etc., can save many avulsed teeth, preventing psychological trauma and cost of prosthetic rehabilitation. The study aims to assess knowledge and create awareness regarding the management of avulsed teeth among school-going children (14–16 years). Methodology: The study was conducted among 1231 schoolchildren of age group 14–16 years of different urban schools of Nagpur to assess the knowledge regarding the management of avulsed teeth before and after an informative lecture. The mean knowledge score pre- and postpresentation was statistically analyzed using SPSS 23.0. Results: Students lacked knowledge about the management of avulsed teeth. However, their mean knowledge score increased to 3.15 from 1.98 after oral health presentations focusing on the management of avulsed teeth. Conclusion: Knowledge regarding avulsed tooth and its management among schoolchildren is barely adequate and requires the right method of education via seminars and dental health programmers.

Dental avulsion management by emergency professionals and efficacy of education

This intervention study evaluated knowledge of first responders regarding the emergency clinical protocol in cases of dental avulsions and impact of an informative campaign. A questionnaire was applied to evaluate effect of provided information on knowledge among emergency service professionals regarding the management of avulsion of teeth: before campaign (T0) and after campaign (T1). Participants were invited to attend the dental trauma awareness campaign that was carried out by the researchers. The campaign addressed main doubts and difficulties regarding emergency dental trauma care. Data were statistically analyzed (p <0.05). There was significant increasing in the knowledge of professionals regarding the possibility (from 74% to 88%) and ability (5% to 32%) of first responders perform tooth replantation; about the ideal time to perform the replantation (from 30% to 59%); about the correct handling (from 52% to 85%) and the need for cleaning (from 60% to 79%) of an avulsed tooth for replantation. It can be concluded there is a lack of knowledge of emergency service professionals about tooth avulsion management. The strong message is the importance not only of identifying the lack of knowledge of the professionals about tooth injuries, but also perform the education that can significantly improve the professional knowledge.

Comparison of knowledge and attitude among medical postgraduates and general medical practitioner in management of tooth avulsion

Traumatic dental injuries are one of the commonly experienced dental emergencies. Missing anterior tooth in children due to any injury can be a source of considerable physical and psychological discomfort for the child. To evaluate by means of self administered questionnaire the level of knowledge of medical graduates and medical postgraduates in emergency management of tooth avulsion.Questionnaire‑based survey design was utilized to assess the knowledge. A survey was conducted among 50 medical graduates and medicalpostgraduates. A questionnaire was formulated to assess the knowledge and attitude among medical graduates and medical postgraduates regarding the management of avulsed tooth. A total of 50 medical graduates and 50 medical postgraduates consented to participate in the survey. 28% 0f medical graduates and 18% of medical postgraduates prefer to wash with sterile saline and the rest prefer to do nothing. 34% of medical graduates and 20% of medical postgraduates prefer to take the broken tooth to the dentist whereas 16% of medical graduates and 32% of medical postgraduates do not know what to do. 45%0f medical graduates and 36% of medical postgraduates prefer to keep the tooth in correct medium whereas rest were wrong. 48% of medical graduates and medical postgraduates know that avulsed primary tooth should not be replanted. The study conclude that there is need for an educational lecture to widen the knowledge of the medical graduates and medical postgraduates about the emergency management of tooth avulsion which can be achieved by adding leaflets, posters about basic first aid treatment.

Effectiveness of school-based dental health education on knowledge and practices related to emergency management of dental trauma and tooth avulsion

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.

Global status of knowledge for prevention and emergency management of traumatic dental injuries in sports persons and coaches: A systematic review.

Sports-related dental injuries can cause pain, disfigurement, and broken teeth which may affect the athlete's well-being and psychological status. Such injuries may also lead to the fear of re-injury and other problems. Since a delay in adequate emergency treatment can have adverse effects, it is imperative that athletes and coaches have sufficient awareness of emergency treatment options. Hence, the aim of this systematic review was to evaluate the global status of knowledge among athletes and coaches regarding the prevention and emergency management of traumatic dental injuries. The protocol was designed using the PRISMA guidelines and registered in PROSPERO (CRD42020184956). A broad-based search using text words and MeSH terms was performed in established databases according to a predefined strategy without any distinction of language and year of publication. Studies without details of the questionnaire, knowledge score, validity, and reliability were excluded. Data extraction was performed and risk-of-bias assessment was done by means of the Joanna Briggs Institute's critical appraisal tool. Nine studies published between 2005 and 2020 were included for qualitative synthesis. They were primarily from Asia with none from North America and Australia. Most of them were cross-sectional, used convenience sampling, and were interview-based. Less than 10% of the participants in two studies had adequate knowledge of the immediate emergency management of tooth avulsion, while only 2.4% of basketball players and coaches knew that it was necessary to collect the avulsed tooth or broken tooth fragments. The overall level of knowledge was reported as poor or insufficient in all studies, with moderate or high risk-of-bias in six studies. The knowledge regarding emergency management of TDI was found to be low globally. Along with the choice of the sport, there was a high level of variability in the study design and sampling characteristics.

Knowledge and Attitude of Dental Interns about Management of Tooth Avulsion: A Comparative Cross - Sectional Study

Knowledge and Attitude of Dental Interns about Management of Tooth Avulsion: A Comparative Cross - Sectional Study

Knowledge on Pre-Hospital Emergency Management of Tooth Avulsion among Croatian Students of the Faculty of Education.

The purpose of this study was to evaluate the knowledge regarding tooth avulsion and dental first aid response among Croatian students of the Faculty of Education. A cross-sectional study was conducted among students. Participants (N = 235) were female with an average age of 21.9 ± 2.7 years. The questionnaire contained 10 close-ended questions with two to eleven possible answers. Every participant chose one correct answer. Statistical significance was determined using a Chi-square test. Majority of participants had never received any kind of information on management of a knocked-out tooth. Questions in the nature of tooth injuries, a knocked-out tooth, tooth replantation and whether the knocked-out tooth should be placed back were answered confirmatively by 40.43%, 83.40%, 57.02% and 62.55% of participants, respectively. The questionnaire showed that 18.78% of participants were aware that replantation should be performed within 30 min. The appropriate cleaning and transport medium was chosen by 40.85% and 35.31% of participants, respectively. A nearby dentist would be visited by 66.38% of students. Only 8.08% of participants provided a correct answer to all of the knowledge-based questions. The “I do not know” answer was chosen by 18.30% of participants whenever it was offered. This indicates that the majority (89.78%) were not aware of the fact that the procedure they chose would be inappropriate. The current study confirmed that future primary school teachers have a lack of knowledge for immediate response to tooth avulsion, leaving small chances for a successful prognosis of tooth replantation.

Treatment of avulsed immature permanent teeth in Beijing China: A retrospective comparison between 2008 and 2015.

The diagnosis and treatment of dental trauma are developing rapidly in China. Therapeutic methods used to treat immature avulsed teeth remain a unique challenge in the clinical setting. The aim of this study was to compare the differences in the survival rate and management of avulsed teeth over two distinct periods. Forty immature permanent avulsed teeth of 34 patients (28 boys, 6 girls) were included in this study between 1 July 2008 and 30 June 2009 (group 1, 17 teeth), and 1 January 2015 and 31 December 2015 (group 2, 23 teeth). The patients' mean age was 8.8 (range 7-11) years. The follow-up period ranged from 1.5 to 10years (group 1/group 2, 1.5-10/1.5-3years). Variables such as extra-alveolar time and storage media, stage of root development, splinting type, splinting duration, endodontic treatment and management of complications were studied. The variables were analysed in relation to post-operative pulp outcomes and periodontal healing. Pulp extirpation was performed in 36 teeth within 0-14weeks (mean: 1.6+2.0). The incidence of ankylosis-related (replacement) resorption was 30.5% and that of infection-related (inflammatory) resorption was 22.5%. Pulp survival rate curves differed significantly between the two periods, indicating improvement (P<.05). Splinting type had changed between the study periods to more flexible splints. The use of storage media prior to replantation had also improved. Multivariate Cox proportional hazard regression showed a cumulative survival rate of 82.5% at 3years and 29.4% at 10years. A significant improvement was observed in the management and prognosis of avulsed teeth between 2008 and 2015.

Clinical-based Scenario Questionnaire About Dentists’ Awareness of Tooth Avulsion Management in Riyadh City

Aim: To evaluate the knowledge of general dentists in Riyadh city regarding tooth avulsion using a questionnaire that contained case-based questions. Materials and Methods: Case-based questionnaires were distributed amongst 128 dentists. The questionnaire contained 5 items on demographic data and 10 items on clinical cases. Participants selected the most appropriate answer on the basis of the American were analyzed using the Statistical Package for the Social Sciences (SPSS, version 22, IBM Corp., New York). Results: The survey was completed with 74 percent males and 26 percent females. Most participants had freshly graduated and had not experienced any accident involving tooth avulsion. The overall mean score was 5.13 (standard deviation = 1.73). There were no significant differences in scores among the demographic categories. Conclusion: Freshly graduated dentists in Riyadh city demonstrated a moderate level of knowledge on management of avulsed teeth. Close adherence to AAE guidelines for traumatic dental injuries could result in further improvement.