Management Of Dental Trauma Research Articles

RETRACTED: Pediatricians' Knowledge of Children's Oral Health: A National Survey

A high percentage of dental caries (∼70%) was reported amongst 4- and 5-year-old Kuwaiti kindergarten children. Parents contact paediatricians several times during the child's early life. Paediatricians can play an important role in improving the oral health of their patients. The objective of the study is to evaluate the knowledge level and awareness of paediatricians and paediatric residents regarding children's oral health in Kuwait. A national cross-sectional survey was distributed to paediatricians and paediatric residents practicing in Kuwait. Data concerning demographic variables, knowledge on dental caries preventive measures, current anticipatory guidance, and experience with dental problems and oral care were collected using online and paper-based surveys. A total of 230 participants completed the survey, with a response rate of 50.1%. Most respondents (81%) had frequently noticed dental caries in children in their practice. Two-thirds of respondents felt confident in detecting dental caries. However, more than two-thirds were unfamiliar with preventive dental practices and the management of dental trauma. Only 16.5% of the respondents got a satisfactory knowledge score on the preventive measure questions, and nearly 51% had satisfactory knowledge on the recent anticipatory guidance questions. No significant correlations were found between gender or years of practice and knowledge scores. Respondents' confidence in detecting caries was significantly associated with the knowledge score of the anticipatory guidance (P=.003). Fewer than half of the respondents considered prescribing sugar-free syrup (47.4%) and counselled patients regarding the use of mouthguards during sports for schoolchildren (39%). The majority of paediatricians have adequate knowledge of the current anticipatory guidance of oral health issues, but they have insufficient knowledge of oral preventative measures and dental trauma. Adequate education and training in oral health are highly recommended.

Top tips for the immediate management of dental trauma

Top tips for the immediate management of dental trauma

Creating a dental trauma care pathway in a district general hospital

INTRODUCTION Traumatic dental injuries occur frequently in children and adults. Many of these present to the hospital emergency department for acute management by maxillofacial dental core trainees. METHODS A quality improvement project was carried out at East Kent Hospitals University NHS Foundation Trust to introduce a defined multidisciplinary care pathway for the management of dental trauma patients to improve the quality of care and patient related outcome measures. This consisted of four main components including staff and patient education, departmental facilities and a four-cycle audit. RESULTS The recorded history of ‘when, where and what’ generally improved over the four audit cycles, as did documentation relating to medical history, medications, allergies and tetanus. By the fourth cycle, all areas had 100% compliance. CONCLUSIONS There has been an improvement in the acute management of dental trauma in the trust. This quality improvement project has highlighted the benefit of a multidisciplinary approach with appropriate long-term patient follow-up. In addition, it has been successful in implementing a dental trauma care pathway.

Do clinical decision support tools have a role to play in dealing with paediatric dental trauma?

Design Randomised controlled trial.Case selection In order to assess baseline knowledge of dental trauma, paediatric dentists and medical students were administered a pre-test, subsequent to which a random assignment was carried out to one of three learning groups: mobile app clinical decision support tools (CDST), print CDST and no CDST, for the purposes of a post-test.Data analysis The correct answers for the pre-test and post-test, time to completion and answers to the demographic survey were subjected to descriptive statistical analyses using IBM SPSS v25.0 for Windows (SPSS, IBM Corp, Armonk, NY). In order to compare the pre- and post-tests for each group, a paired-sample t test was conducted. An independent-sample t test and Pearson χ2 test were utilised to assess for significant differences between paediatric dentists and medical students. Least significant post-hoc and one-way analysis of variance (ANOVA) tests were conducted among the three groups. The level of significance was set at p <0.05.Results Paediatric dentists obtained significantly higher scores on both the pre- and post-tests when compared to medical students (8.57 ± 0.96 vs 4.20 ± 1.58; p <0.001 and 8.37 ± 1.09 vs 4.96 ± 1.99; p <0.001, respectively).No significant difference was noted pertaining to the time taken to complete the tests among both the groups. In both the groups, the highest scores were obtained by those who used the mobile app version of the CDST; these subjects, however, recorded the longest time to complete the post-test (p <0.001).Conclusions When compared to the absence of an aid, both the mobile app and print versions of the CDST improved the diagnosis and management of injuries to the primary dentition. With medical students demonstrating significant improvement in primary dental trauma management with CDST usage, these tools are recommended to enhance the diagnosis and treatment for such patients.

Autotransplantation of conoid maxillary third molar in upper incisive site: A reliable aesthetic solution

In the management of anterior dental trauma, the maintenance of the traumatized elements has to be preferred, but sometimes this results impracticable. Among different options, autotransplantation provides an adequate therapeutic solution, particularly in crowded arches, in presence of supernumerary elements or when third molars with a root anatomy compatible with the recipient site are available.: This paper presents a case of autotransplantation of a conoid upper third molar (1.8) inside the alveolus of a central incisor undergone at root resorption, after a long time maintenance of the traumatized element 2.1 and different treatments. Furthermore, a comparison of the therapeutic alternatives is proposed. : Due to their root anatomy, premolars and supernumerary monoradiculated teeth are adequate to be transplanted in incisors’ sockets. In the presented case, the presence of a conoid third molar consented the transplantation of the latter, which represented a more conservative treatment than transplanting a premolar. The use of a 3D-printed replica made through a CBCT scan permitted the substantial reduction of the extra alveolar time, avoiding the periodontal ligament contamination and guaranteeing a higher success rate. Due to the complete formation of the donor tooth, root canal treatment was carried out. Autotransplantation represents a valid and biological alternative in the management of traumas of the anterior dental trauma.

Oral Health Knowledge and Experience of Pediatricians and Pediatric Residents in Kuwait: A Nationwide Cross-Sectional Survey Study.

Objective To evaluate the knowledge level and practice of pediatricians and pediatric residents regarding children's oral health in Kuwait. Subjects and Methods. A nationwide cross-sectional survey was distributed to pediatricians and pediatric residents practicing in Kuwait. Data concerning demographic variables, knowledge on dental caries preventive measures, current anticipatory guidance, and experience with dental problems and oral care were collected using online and paper-based surveys. Results A total of 230 completed the survey with a response rate of 50.1%. Most respondents (81%) had noticed dental caries in children more frequently. Two-thirds of respondents felt confident in detecting dental caries. However, more than two-thirds were unfamiliar with preventive dental practices and the management of dental trauma. Only 16.5% of the respondents got satisfactory knowledge score on the preventive measures questions, and nearly 51% got satisfactory knowledge on the recent anticipatory guidance questions. No significant correlations were found between gender or years of practice and knowledge scores. Respondents' confidence in detecting caries was significantly associated with the knowledge score of the anticipatory guidance (p=0.003). Conclusion Dental caries is an oral problem commonly encountered by many pediatricians and pediatric residents in Kuwait. The majority has adequate knowledge of the current anticipatory guidance of oral health issues, but they have insufficient knowledge levels on oral preventative measures. Adequate education and training in oral health are highly recommended.

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.

How far have we come? A historic scoping review of dental traumatology literature

The status of the protocols used for the management of dental trauma (DT) in the eighteenth and early nineteenth-century is largely unknown. The end of World War II saw a tremendous resurgence of high quality research and the development of codes of ethics and publishing. The aim of this scoping review was to analyse articles related to aspects of DT published before 1945 in the English language. An expert group discussion was done to create an a priori protocol based on the PRISMA-2020-guidelines' extension for scoping reviews. A systematic search strategy based upon the Population (P), Exposure (E), Comparator (C), Outcome (O) and Time (T) was performed in five databases on 10 February 2022. Filters were used to identify the literature until 1945, and duplicates were removed. The scrutiny of the titles and abstracts and later the full texts was performed as per the pre-defined eligibility criteria. The grey literature and archives of the English language dentistry literature were searched, and a reference search was also performed. A total of 13 studies were selected from the databases and 20 from the reference searching. The first reported article was from the year 1872. Two other case reports had been published by 1899 and three more before World War I (1914). The majority of the studies originated from the United States of America. Nineteen were case reports, five were original research articles, two were classifications and guidelines papers, and one was a review. During the period before 1945, 33 articles were published regarding DT. The articles were mostly related to the description of cases, although there were a few original research papers. A significant observation, contrary to popular belief, was the presence of articles related to conservative management of injuries to tooth roots and the dental pulp. A progression in terms of the quality of protocols over time was also observed.

Effect of dental trauma management resources on dental practitioners' confidence and knowledge: A pilot cross-sectional study.

The knowledge of standardized care guidelines is critical to the confidence of practitioners in managing dental trauma. Therefore, the aim of this study was to assess the awareness, use and impact of the International Association of Dental Traumatology guidelines, and the online Dental Trauma Guide on general dental practitioners' self-reported confidence and knowledge in managing traumatic dental injuries in the primary and permanent dentitions. A cross-sectional, pre-piloted, 27-item self-administered questionnaire survey was distributed electronically to general dental practitioners' working within five member states of the Gulf Cooperation Council countries (Kingdom of Bahrain, Kingdom of Saudi Arabia, Kuwait, Oman, and Qatar) between September and December 2020. Data were collected and analysed using descriptive statistics and Wilcoxon Signed Rank test analysis for relevant comparisons. A total of 294 respondents completed the survey, with the majority being from the Kingdom of Saudi Arabia (47.4%) and Qatar (27.3%). A lack of evidence-based knowledge in managing traumatic dental injuries was evident among more than half of the respondents. Respondents who were cognizant of the recent International Association of Dental Traumatology guidelines (2020) and those who use the Dental Trauma Guide routinely demonstrated a higher self-reported confidence level in managing both simple and complex primary dentition trauma, as well as simple traumatic dental injuries in the permanent dentition (p< .05). This survey highlights critical deficiencies in the knowledge of a large number of the respondents in the management of dental trauma which is likely to cause irreversible long-term patient effects.

Knowledge, Attitude, and Practice of Management of Dental Trauma among Medical Professionals of Hassan City, South India

Knowledge, Attitude, and Practice of Management of Dental Trauma among Medical Professionals of Hassan City, South India

Knowledge and influence of primary management of dental trauma in school children, among Hubli- Dharwad school teachers by using two different educating tools

Traumatic injuries to the teeth and teeth supporting structures are one of the few areas of dentistry that should be considered as an emergency situation. The present study was conducted to assess the teachers’ knowledge as well as providing knowledge about the dental emergencies and also to know which the best educating tool to provide education is. 120 teachers were categorized into two groups that is group 1 lecture group and group 2 that is smart phone group. A detailed standardized questionnaire consisting of multiple-choice questions. Lecture presentation, was one of the study instrument for group 1. As this is an interventional study between two educating tools that is one being the lecture presentation and the other being the smartphone app. The lecture presentation was for group one where the teachers were given only a lecture about how to manage the emergency dental trauma situation. Smart phone app (Tooth Emergency) was another educating tool in this interventional study. This smartphone was used for the group 2. In group 1, 26 (43.3%) school teachers experienced teeth trauma cases in children and 34 (56.7%) school teachers did not.

Parental and training coaches' knowledge and attitude towards dental trauma management of children.

The aim of this study was to evaluate parental and training coaches' knowledge and attitude towards traumatic dental injuries (TDIs) among children. A 31-item questionnaire was distributed to the parents and training coaches attending local sporting clubs in Brisbane region, Australia. The questionnaire consisted of five parts (i) demographic and professional information; (ii) TDIs in the primary dentition; (iii) fractures and subluxation of permanent teeth (iv) avulsion of permanent teeth, and (v) information and knowledge related to the management of traumatized teeth. The jamovi (Version 1.6.3) and GraphPad Prism were used for data analysis. A total of 233 participants were surveyed, 211 parents and 22 coaches. Of all types of injuries, parental knowledge of managing avulsion to permanent teeth was poorest (9.5%), followed by management of injuries of primary teeth (17.5%) and management of fractures or subluxation of permanent teeth (29.4%). Parents in health care occupations had higher satisfaction on self-knowledge in managing TDIs however there was no significant difference in knowledge levels between health care personnel and other professions (P = 0.128). There was a discrepancy between the lack of knowledge and willingness to further self-educate with online platforms being the preferred medium. The study showed a gap in parents' and training coaches' knowledge regarding the management of TDIs among children.

Understanding the building blocks of the paediatric dentistry curriculum for undergraduate students in an Australian University

PurposeTo investigate the attitude of final-year dental students towards their paediatric dentistry training and their confidence in treating child patients.MethodsA 55-item questionnaire was distributed online and physically to the final-year BDSc (Hons) students at The University of Queensland (Australia). The questionnaire consisted of four parts including theoretical knowledge, clinical observational experience, preclinical training and clinical training in paediatric dentistry. Self-reported confidence was recorded using five-point Likert scale questions ranging from ‘not confident at all’ to ‘completely confident’, which were allocated the numbers 1–5, respectively. Jamovi and GraphPad Prism were used for data analysis and creation of graphs.ResultsA total of 47 students completed the questionnaire giving a response rate of 77%. Approximately two-thirds of participants had previous experience working with children and 70% had observed a practitioner providing paediatric dental treatment. The students reported the lowest level of clinical confidence for pulp therapy (M = 2.32; SD = 1.08). The clinical confidence in dental trauma management was also reported to be low (M = 2.50; SD = 1.15). The clinical administration of local anaesthetic (LA) had the highest level of confidence (M = 3.95; SD = 1.03). The students reported that they were highly confident in the theoretical knowledge of behaviour guidance techniques (M = 3.64; SD = 0.97) and preclinical training involving examination, treatment planning and preventative procedures (M = 4.33, SD = 0.67).ConclusionThis study showed that students reported low levels of confidence in pulp therapies and trauma management in children as compared to other aspects of paediatric dentistry. Students indicated the need for more preclinical and clinical training sessions, as well as more opportunities to perform a wider variety of treatments on paediatric patients.Supplementary InformationThe online version contains supplementary material available at 10.1007/s40368-021-00688-1.

Knowledge of Dental Trauma and Avulsion Management among Senior Year University Students

Knowledge of Dental Trauma and Avulsion Management among Senior Year University Students

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.

Short- and Long-Term Management of Dental Trauma by General Dentists

Short- and Long-Term Management of Dental Trauma by General Dentists

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.

Dental Trauma Management; Knowledge and Attitude of School Teachers in Rural Areas of Punjab

Objective: The purpose of study was to explore the level of knowledge and attitude in handling dental trauma among primary school teachers working in rural areas of Punjab, Pakistan. Method: This descriptive crossectional study was conducted in 47 primary government schools of different rural areas of district Narowal, Punjab, Pakistan. Collected sample size was 215 primary school teachers with minimum qualification of Bachelors in Arts. Data was collected using convenient sampling technique. SPSS version 25.0 was used for analysis and further results formation. Frequencies and Percentages were calculated for gender and qualification whereas mean and standard deviation was calculated for age. Results: Majority of participants reported that their knowledge about dealing with dental emergencies is not adequate 175(81.40%). Majority of participants were interested in having workshops on dealing with dental emergencies in school 160(74.42%). Conclusion: The knowledge and attitude of teachers towards management of dental trauma is lacking and a dire need of awareness programs and teacher training workshops has been felt after conducting this study as management of dental trauma is an important part of student safety management. Keywords: Dental Trauma, Teachers, Tooth Replantation, Tooth Avulsion

Critical appraisal of the information available on traumatic dental injuries found in applications.

Traumatic dental injuries (TDI) are a public health problem and the search for information becomes essential to help in their management. The aim of this study was to search existing TDI applications (Apps) to critically describe the characteristics and main information found in them regarding TDI. Searches were performed in the Play Store (Android) and App Store (iOS), using MeSH terms, synonyms and terms related to dental emergencies and TDI, in English, Spanish and Portuguese. Apps with information on the management of post-TDI emergencies or TDI prevention were included. The type of operating system (Android/iOS), cost (free/paid), target audience (dentist/patient), age of classification (free/>17years old), language, star rating (1★ to 5★), number of downloads and post-download ratings, type of dentition (primary/permanent), reference used for classification according to TDI type and management (International Association for Dental Traumatology/Andreasen/others/not reported), and available content (prevention/emergency management/preservation/illustrations) were evaluated. Among 486 apps, 13 were eligible: 11 for Android and 2 for iOS. Most were free (92.3%), for patients (38.4%) and had a free age classification (90.9%). The main language was English (53.8%), and most of the Apps either had no information on star ratings (46.1%) or received 4★ (23.1%). The number of downloads was not reported (23.1%) or was fewer than 100 (23.1%). Most of the Apps were for permanent teeth (61.5%) and had explanations about dental management for TDI emergencies (92.3%) and multiple TDIs (61.5%). Most Apps addressed the importance of monitoring TDIs (76.9%) and contained illustrative images (76.9%). However, many did not report the TDI classification (46.1%), and 38.5% reported TDI prevention. Information on dental trauma management according to dental injury, inclusion of images, target audience, type of TDI and their prevention varied in the available Apps. However, most were focused on permanent teeth and addressed several TDI in English language only.

Knowledge and skills of emergency physicians in managing traumatic dental injuries

PurposeEmergency departments are frequently confronted with traumatic dental injuries (TDIs). The prognosis of the injured tooth is related to early dental trauma management. For this reason, physicians must be familiar with the appropriate management of TDI. This study aimed to investigate the knowledge and skills of German emergency physicians regarding TDI.MethodsAn electronic questionnaire was sent to 438 emergency departments throughout Germany. Four hundred and twenty seven questionnaires were evaluated and included in the analysis. The survey contained questions about physician characteristics and assessed their knowledge and skills of managing dental trauma. For statistical analysis, the Kruskal–Wallis, Mann–Whitney U test or ANOVA test was used as appropriate. Rank correlations were performed with the Spearman’s rank correlation.ResultsOut of 427 participants, 256 (59.95%) stated they had no or insufficient knowledge, and 266 (71.12%) stated they had no skills in dental trauma management. Almost 76% of the participants had no previous knowledge of dentistry. Only 7.28% knew the right procedure for replanting an avulsed tooth. Just 26.06% would choose the right medium for temporary tooth storage. Having a dentist in the family (p = 0.0074) or clinical exposure to patients with dental trauma (p = 0.0384) influenced the results of the knowledge score.ConclusionThe knowledge and skills in dental trauma management among German emergency physicians are generally inadequate. Targeted training courses are necessary to ensure early and adequate TDI treatment to reduce the resulting medical and societal costs as much as possible.