Management Of Dental Emergencies Research Articles

Penyuluhan Penanganan Kedaruratan Gigi dan Mulut Terhadap Anak Usia Sekolah pada Orang Tua dan Guru SDI Al-Ikhlas Cipete - Jakarta Selatan

Dental emergency is associated with immediate measures that are carried out with the aim to alleviate pain. Dental trauma is one of dental emergencies, which is injury to the teeth and or the supporting tissues of the teeth. Dental injuries are often experienced by school-aged children, in which the majority of traumatic dental injuries occur at home or school, hence it is hoped that parents and school teachers can provide appropriate treatment when dental emergencies occur in children. This community service counseling aims to increase knowledge and skills in the management of dental emergencies. Counseling was carried out by the Trisakti University Faculty of Dentistry Team to parents and teachers of Al-Ikhlas Islamic Elementary School, Cipete, Jakarta Selatan on March 11, 2023. Counseling includes learning materials regarding the management of dental emergencies and dental health education through powerpoint presentation, video, and live demonstration. Final questionnaire shows an increase in knowledge and understanding regarding the management of dental emergencies. Therefore, it can be concluded that after the counseling activity, there is an increase in the level of knowledge among parents and teachers of Al-Ikhlas Islamic Elementary School regarding the management of dental emergencies. Further training is needed to improve the ability to handle dental emergencies better.

Dental Emergency Management: An Emergency Medicine Workshop Curriculum

Dental Emergency Management: An Emergency Medicine Workshop Curriculum

An interprofessional education initiative: Introducing a local anesthesia dental course for nurse practitioner and physician assistant students.

To assess the impact of local anesthesia (LA) course for physician assistant (PA) and adult gerontology-acute care nurse practitioner (NP) program students on knowledge, attitudes, confidence, and intention to incorporate skills in clinical practice. The course was conducted by dental faculty for forty-eight PA and seven NP students and consisted of two lecture hours on anatomy of the oral cavity, anesthesia and pain management, 2 hours of preclinic lab where participants practiced injection technique on mannikins, and a clinical practicum conducted by dental school faculty and residents where students observed dental treatment including administration of LA, and discussed symptom triage by NPs and PAs for patients with dental problems including orofacial pain, initial management including LA, and patient referral to dentists. An online survey was administered to all students before and after the course to assess changes in knowledge, attitudes, confidence, and intention to incorporate LA administration skills into clinical practice and elicit students' perception of program quality. Pre- to post-changes were analyzed by two-tailed t-tests and analysis of variance (ANOVA) with significance at 0.05. The response rate for pre- and post-course assessment was 96.4% and 87.3% respectively. Students' overall scale score for self-assessment of dental knowledge increased significantly from pre- (2.34) to post-assessment (4.19). An increase was seen in students' attitudes regarding management of dental emergencies (t=2.181; p<0.05). Furthermore, overall confidence of students related to managing patients with dental problems increased significantly (2.00 to 3.85) after taking the course. The LA course was well received by PA and NP students and resulted in increased knowledge and confidence in recognizing common oral health conditions, understanding dental pain management including administration of LA, and making referrals to dentists to optimize patient care.

Role of Newly Introduced Teledentistry Service in the Management of Dental Emergencies During COVID-19 Pandemic in Qatar: A Cross-Sectional Analysis.

Introduction: The lockdown imposed by the COVID-19 pandemic rendered teledentistry (TD) necessary to maintain the continuity of oral health services and avoid missing emergency dental conditions, while minimizing face-to-face visits. Our objective was to evaluate the ability of a newly introduced triage-based TD service to deliver its goals, by evaluating its processes and outcomes and assessing the demand for TD. Methods: This cross-sectional report assessed the triage processes and outcomes (triage category, referral to emergency/dental facility undertaken, remote medications prescribed, and procedures performed at the point of referral); and evaluated the demand for the newly introduced TD service during 5 months of the first wave of the pandemic. Results: Of 850 calls, about 70.6% of the samples were managed remotely; 29.4% were categorized as emergency/urgent and referred to the emergency/dental facility. Compared with other complaints, orofacial dental pain was the most common reason for the calls (41.6%, p < 0.0001). About 14.71% of callers received prescription for medications remotely. The most demanded disciplines were general dentistry, orthodontics, and oral surgery, respectively (p < 0.0001). Of those referred to a dental facility, 31.84% required no clinical intervention, 28.7% received orthodontic appliance repair, and 14.3% and 11.2% had urgent dental extractions or root canal treatments. Demand on the service fluctuated through various distinct stages of the lockdown. Conclusions: There has been continuous demand for the newly introduced TD service throughout the period of the current report despite the fluctuations, with most complaints managed remotely. TD was effective and suitable for triage, service delivery, and care during the pandemic.

Evaluation of Perceived Competency of Dental Graduates of Saudi Arabia

Background. Dental professional’s competency comprises a comprehensive management of the oral health care of their patients, and an evaluation of competence level is an important step towards assessing the quality of the graduating dentists. This study assessed the level of self-rated competencies of dental graduates from Saudi dental colleges. Methods. A cross-sectional study was conducted online through a structured questionnaire that consisted of three domains of “Knowledge, Skills, and Values.” The study population was dental graduates who have studied the same curriculum and were working in Saudi dental settings. Dental graduates included interns, general practitioners, and specialists/consultants, both male and female, grouped into age groups (20-24, 25-29, and ≥30 years), Saudi/non-Saudi, with qualifications (Bachelor, Master, and Fellowship/Board), working in any region inside Saudi Arabia. Results. Complete responses received from 197 graduates were analyzed. ≥75% of the respondents felt that they were well prepared for 40% and half of the respondents felt that they were not well prepared in 50% competencies in the domain of “Knowledge.” ≥75% of the respondents felt that they were well prepared for 36% and 50% were not well prepared in 36% competencies in the domain of “Skills.” ≥75% of the respondents felt that they were well prepared for 67% competencies in the domain of “Values.” Statistically, mean values were significant ( p ≤ 0.001 ) for female genders and nonsignificant for qualification and rank categories. The overall mean scores for self-perceived competencies for the domains of “Knowledge,” “Skills,” and “Values” were 8.9 ± 3.1 , 12.8 ± 3.3 , and 5.5 ± 2.1 , respectively. Participants showed the highest level of “Knowledge” in medical problem diagnosis and least level in basic life support. The highest level of “Skills” was noted in the differential diagnosis and lowest in the dental emergency management. Most participants had shown a value for service to humanity. Conclusions. Dental graduates of this study sample perceived themselves well prepared for many aspects of dental practice and have highlighted areas that need improvement in their training at the undergraduate level.

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.

Management of dental emergencies amongst Australian general medical practitioners - A case-vignette study.

In Australia, because of inequity in dental service accessibility and affordability, patients can see general medical practitioners (GPs) for acute dental conditions. This cross-sectional study consisted of surveys distributed to the board registered GPs practising in Australia. The main outcome measures included statistical analysis of GPs managing different dental emergency scenarios and their confidence and expectations in managing dental emergencies. A total of 425 GPs participated in the study. The sample primarily consisted of GPs practising in metropolitan clinics (n = 315). Most participants reported that they would refer to the dentist for mobilized tooth (n = 402). There was a negative correlation between GPs with 5-29 years of experience and traumatized tooth management (P < 0.05). GPs aged between 40 and 49 years were more inclined to treat patients with mobilized teeth [Multivariate (MV): 0.42(0.09-0.74)]. However, GPs with 0-5 years of experience were less likely to manage patients with dental abscess [MV: -0.52(-0.80 to -0.24)]. Most GPs referred dental emergencies to dentists. GP management of dental emergencies were predominantly palliative. Therefore, opportunities for collaborative practice models amongst GPs and dentists may be needed to bridge the gap in the regional and remote locations.

Management of dental emergencies at tertiary dental care center, Rohtak during COVID-19 pandemic

Aim: To assess the pattern of emergency dental services provided at the tertiary dental care center, Rohtak during COVID-19 pandemic. Method: Retrospective data analysis was done from the Out-Patient Data registers of the Department treating emergency dental services during COVID-19 pandemic i.e. Department of Oral Medicine and Radiology, Oral and Maxillofacial Surgery, Pedodontics and Conservative and Endodontics from March 2020 till October 2020. Data was entered into Microsoft Excel. Results: It was retrieved that maximum patients during the study period seek treatment due to pulpal and periapical pain (43.53%), periodontal pain (7.5%), infected root stumps and mobile teeth (7.18%). Major emergency services were provided in form of extractions (29%), RCTs (21%), restorations (10%), and inter-maxillary fixations (4.2%). Conclusion: The study concludes that most patients in dental emergency were provided with adequate treatment in accordance with the COVID-19 guidelines. The actions now should aim towards assessing the barriers faced by people on account of not receiving dental care and for the consequences that may arise in the light of rapid increase of infection or subsequent wave of reinfection.

Pediatric dental emergency management and parental treatment preferences during COVID-19 pandemic as compared to 2019.

Pediatric dental emergency management were temporarily suspended during the COVID-19 pandemic, which worsened urgent dental needs. This retrospective study investigated the management of pediatric emergencies during COVID-19 lockdown and the trends in parental preferences from March to July in 2019 and 2020. Pediatric dental emergencies managed during pandemic was collated, procedures were categorized (emergency, restorative, preventive, elective) and trends in parental treatment preference was compared from March-July 2019/2020. Bivariate analysis was performed using fisher-exact test and statistical significance was set at 5%. Total 1081 children were treated during COVID-19 lockdown, and 1509 procedures were performed, of which 20.8% were emergency, 42% restorative, 24.4% preventive, 12.6% elective. In 2019, 7462 children were treated; and except for emergency (10.6%), other procedures were comparable to 2020. Extractions (267) predominated in 2020 followed by sealants (195); but in 2019, pulectomy (1268), scaling (1251) were predominant. None of the residents who performed aerosol procedures got infected with COVID-19 during the lockdown. Emergency dental needs among pediatric patients were very high during the COVID-19 pandemic in South India, and there was not much change in the trend in parental treatment preference in 2019 and 2020. Further, aerosol procedures did not increase the risk of COVID-19 during the pandemic provided proper universal precautions were followed.

Clinical analysis and countermeasures of 739 cases treated in the emergency department of stomatology in general hospital during COVID-19 epidemic

Purpose In this paper, based on the age, sex, disease type, and consultation time of dental emergency during COVID-19 epidemic, a comprehensive analysis of dental emergency management and prevention and control of COVID-19 was conducted. Methods A total of 739 emergency dental cases were collected from January 29 2020 to February 28 2020. They were divided into 3 groups，including adolescents (≤18 years), young adults (18 ~ 60 years), and elderly ( ≥60 years old). The data was analyzed using SPSS 21.0 software package. Results The ratio of male to female was 1.24∶1. There were 655 emergency cases during the day and 84 cases during the night. The types of diseases included pericoronitis (15.83%), apical periodontitis (14.21%), pulpitis (13.40%), periodontitis (12.31%), oral mucosal disease (12.18%), Oral and maxillofacial trauma (10.55%), oral and maxillofacial space infection (8.39%), dental disease in children (5.41%), oral and maxillofacial tumors (2.84%), temporomandibular joint dislocations and disorders (1.76%), and others (3.11%). Conclusions Under the epidemic situation of the new coronavirus, as one of the high-risk departments, it is of great significance to enhance the clinical emergency skills and ability of emergency treatment, improve patients' oral health awareness, address the diagnosis and treatment of essential diseases, for the improvement the quality of dental medical care and the prevention and control of COVID-19 epidemic.

Emergency Management in a Dental Clinic During the Coronavirus Disease 2019 (COVID-19) Epidemic in Beijing

BackgroundIn mid-March 2020, the World Health Organization declared that COVID-19 was to be characterised as a pandemic. The purpose of this article is to recommend emergency management procedures for dental clinics during this public health emergency.Materials and MethodsWe have implemented a series of emergency management measures to prevent cross-infection in our dental clinic during the COVID-19 pandemic, including personnel scheduling, division of the clinic into functional areas, limitation or delay of non-emergency patients, staff protection and infection controls, clinical environmental disinfection, and the use of online consultation services, among others.ResultsDue to public health policy and dental emergency management, the number of dental visitors to our clinic dropped sharply, and no COVID-19 suspected cases or high-risk patients received treatment. There have been no reports of infection of dental staff or patients during dental treatment in China to date.ConclusionThese public health policies and dental emergency management measures were effective in controlling cross-infection of COVID-19 in the dental clinic.Practical ImplicationsWe share control measures for COVID-19, and hope that they will be helpful for dental professionals worldwide to continue to provide dental care in a safe and orderly manner.

Dental emergencies presenting to maxillofacial units during the COVID-19 pandemic: a five-centre UK hospital study.

Introduction Coronavirus disease (COVID-19) represents an unprecedented challenge to healthcare. Provision of dental services was significantly affected, with limited provision for emergencies resulting in patients increasingly attending hospitals.Objectives and methods The aim of the study was to assess the provision of emergency dental services by the maxillofacial departments during the initial COVID-19 pandemic lockdown in the United Kingdom. At the outset of the first lockdown, we initiated a prospective study to monitor the presentation and management of dental emergencies at five hospital trusts. Data were collected onto an online live database until the lockdown relaxation.Results Of a total of 211 dental emergencies, 156 were infection-related, 42 were trauma-related and 12 were cases of post-operative complications. A proportion of patients (76%) could have been treated in primary care, with 52% of presentations having already been 'triaged' on several occasions by urgent dental hubs and given multiple antibiotic courses, rather than any direct treatment.Conclusion There is a need to restructure emergency dental service provision as well as planning for possible further COVID-19 spikes and future pandemics.

Knowledge, awareness and outlook on the COVID-19 disease among the dental professionals in Tamil Nadu

Aim: The aim of this study was to analyze the knowledge, level of awareness, and the attitude of the dental professionals towards the pandemic disease (COVID-19). Materials and Methods: This questionnaire-based survey was conducted among 295 dental professionals residing in Tamil Nadu through an online portal. The questionnaire consisted of four sections that addressed the demographic data, knowledge, awareness, and outlook of the COVID-19 disease by dental professionals. All the received responses were tabulated and the results were represented graphically. Result: The result of the study showed significant awareness among dental professionals towards COVID-19. The dental professionals needed more attention towards the precautions to be followed during this pandemic as personal protection and a safe environment are essential for a secure practice. Conclusion: This study emphasizes the role of oral health professionals in the prevention of the transmission of coronavirus among the public along with the management of dental emergencies with appropriate personal protective measures. This study also enforced the need to enrich the knowledge about infection, transmission, prevention, and control towards COVID-19. This may act as a source of information for the future pandemic crisis.

Clinical Dental Care Epidemiology, Prevalence, Symptoms and Routes of Transmission of Coronavirus Disease 19: A Systematic Review of Literature and Meta-Analysis

Objective: To evaluate the epidemiological evidence, symptoms, and transmission routes of Coronavirus Disease 19 for clinical dental care. Material and Methods: PubMed, Embase, ISI, Scopus, Medicine have been used to search for articles until October 2020. Therefore, EndNote X9 was used to manage electronic resources. A 95% confidence interval (CI) effect size, random effect model, and the REML method were evaluated. Forty-one articles were found. In the first step of selecting studies, 40 studies were selected to review the abstracts. Finally, six studies were selected. Results: The effect size of symptoms of COVID-19 was fever: 92% (ES = 0.92, 95% CI 0.79-1.06), cough: 73% (ES = 0.73, 95% CI 0.59-0.88), headache: 8% (ES = 0.8, 95% CI 0.06-0.22), myalgia 13% (ES = 0.13, 95% CI 0.01-0.27) and nasal congestion 22% (ES = 0.22, 95% CI 0.06-0.39). The following recommendations are appropriate during COVID-19 for dental emergency management: personal protective equipment and hand cleanliness practices, personal protective equipment (PPE), preprocedural mouth rinse, single-use (disposable), cone-beam computed tomography (CBCT) and periapical (PA) radiography, Rubber dam, sodium hypochlorite for root canal irrigation, disinfect inanimate surfaces, ultrasonic scaling instruments and airborne infection isolation. Conclusion: Fever should be used as the first sign in the diagnosis; dentists should measure the fever of all patients at the time of arrival and before any procedure and then ask about other symptoms.

Online Seminar on Dental Health Management in Early Childhood Education Students (2–6 Years Old)

Background: Dental injuries can affect children’s development both physically, psychologically and in social interactions, so it requires proper treatment. However, the lack of knowledge of parents and teachers about handling dental injuries in children is considered to worsen the condition of teeth and mouth after injury. Purpose: This activity aims to increase the knowledge of teachers in providing emergency dental management for children aged 2-6 years. Methods: This activity is in the form of online health education that involves early childhood, education teachers. Health education is carried out using the lecture method and discussion on emergency management and dental health in children. Increasing knowledge of activity participants was assessed using the google form provided before and after the activity was carried out. Results: This community empowerment activity shows an increase in the knowledge of teachers about health and dental emergencies in children after being given dental health education interventions (66.7%). This activity also found a decrease in the number of teachers with low levels of knowledge (33.3%). Conclusion: The increase in teachers’ knowledge in providing dental emergency management in children can be caused by the use of accessible media and easy-to-understand module forms.

Space and aeronautical dentistry: A review

Human beings are not just limited to moon today but are trying their level best to reach Mars and even beyond. Microgravity conditions can have various physiological implications on the astronaut’s general as well as dental health. Aeronautical dentistry is a newly recognized dental specialty concerning the application of dentistry to aeronautical environment. This article highlights the physiological changes in human body exposed to microgravity and radiation as well as prevention, diagnosis and management of dental emergencies which can arise during space mission. Keywords: Aeronautical, Barodontalgia, Dentistry, Microgravity.

Knowledge and Attitude of Female Teachers Towards Emergency Management of Traumatic Dental Injuries in Jeddah City: A Cross-Sectional Study

Teachers are the primary contact point, when an incident occurs in school. Traumatic dental injuries had been frequently reported among school children. The purpose of this study was to assess the attitudes and knowledge of female teachers in Jeddah City in the management of emergency traumatic dental injuries and the referrals of cases to dental clinics within a limited time. In this cross- sectional study, a questionnaire was used to collect information from 503 female teachers from schools that were randomly selected. The survey focused on the general demographic characteristics, attitudes, and knowledge among the school teachers, in addition to their preferred strategies for the management of dental emergencies. These findings revealed that 64% of the teachers had positive attitudes about dental emergency management in school, while only 37% of them had sufficient knowledge about these emergencies. There was no significant association between the attitudes of the participant their knowledge. Despite these positive attitudes displayed by the teachers, there is a significant lack of knowledge among them about the management of dental emergencies, in particular, about tooth avulsion.

Management of Dental Emergencies in Children and Adolescents

A unique, multidisciplinary manual for the treatment of pediatric dental emergencies for general practitioners and non-pediatric specialists. Management of Dental Emergencies in Children and Adolescents presents the diagnostic skills, treatment options, and management strategies necessary to provide effective and appropriate dental care for children and adolescents. This authoritative manual helps dental practitioners manage potentially stressful situations with children and adolescents while improving their competence in a wide range of urgent pediatric situations. An emphasis on managing the therapeutic demands of both younger patients and their parents enables readers to have greater confidence in handling demanding emergency situations in daily practice. An expert team of contributors explain how to manage tooth substance loss, endodontic problems in deciduous teeth, the long‐term consequences of early tooth loss, the dental issues related to oral health, and more. Guiding practitioners through the unique challenges of pediatric dental emergencies, this book: - Explains the differences in treating and managing dental emergencies in children compared to adults - Covers all types of pediatric dental emergencies including open pulp in permanent and deciduous teeth, missing teeth, and non-infective dental conditions - Offers clinical vignettes and photographs to highlight clinical relevance - Includes chapters by experts in multiple disciplines such as endodontics, restorative dentistry, pediatric dentistry, prosthodontics, and orthodontics The first textbook to focus exclusively on young patients in need of acute dental care, Management of Dental Emergencies in Children and Adolescents is a much-needed resource for general and specialist dentists as well as trainee and specialist pediatric dentists.

A new framework to identify dental emergencies in the COVID-19 era.

In order to reduce the spread of COVID-19 (Coronavirus Disease 2019), it is crucial to take extraordinary prevention and safety measures in dental offices, and to defer all elective and non-urgent procedures. Dental emergencies are defined through oral symptoms but, the systemic and psychological conditions of each patient should be considered. The present short communication proposes a multilevel evaluation (oral, systemic and psychological) and risk assessment score for the management of dental emergencies following the SARS-CoV-2 (severe acute respiratory syndrome coronavirus-2) outbreak. A comprehensive categorization and score scale assessment for dental emergencies allows a better identification of patient's treatment needs and avoids unnecessary contact between dental health care providers and patients during the SARS-CoV-2 pandemic.

Pharmacy and managing dental care during the COVID-19 pandemic

On 5 February 2020, I concluded a three-part learning series for the The Pharmaceutical Journal which discussed the management of dental emergencies in community pharmacy[1] ,[2] ,[3] . This was just before England’s chief dental officer released guidance, on 25 March 2020, to suspend all routine dental care as part of measures to slow the spread […]