Avulsed Teeth Research Articles

Knowledge of Dental Avulsion Among Emergency Physicians: A Survey Study

Knowledge of Dental Avulsion Among Emergency Physicians: A Survey Study

Educational Impact of Notebook Covers on the Knowledge of Sixth-Grade Primary Pupils About Tooth Avulsion and Replantation: A Randomized Trial.

Tooth avulsion is a common cause of tooth loss. However, there is a significant lack of knowledge about dental trauma and the appropriate emergency procedures to handle these cases. The aim of this study was to evaluate the educational effect of notebook covers illustrated with figures and informative texts about tooth avulsion and replantation in sixth-grade primary school pupils. Sixth-grade pupils of two public school participated in this study. An experimental group consisting of 134 pupils received notebook covers illustrated with figures and informative texts about tooth avulsion and replantation, while a control group of 108 pupils received notebooks with neutral covers. An assessment of the educational effects on pupils was performed after 9 months, with a standardized questionnaire normally used to evaluate dental trauma. Statistical analysis was conducted with SPSS 21.0 (α = .05) for group description and comparison using chi-square and Student t tests. Compared with the control group, the experimental group showed statistically significant improvements in correct meaning of dental trauma (38% vs. 58.2%); procedures to follow in the case of dental avulsion (2.8% vs. 70.9%); storing the avulsed tooth in milk (18.5% vs. 76.9%); general knowledge about dental anatomy (61.1% vs. 95.5%); and the ideal time for the tooth to remain outside the mouth prior to replantation (20.4% vs. 59.7%). The use of notebook covers illustrated with figures and informative texts about dental trauma led to a significant increase in the knowledge of schoolchildren about tooth avulsion, first aid, and replantation.

Modulated cementogenic genes upregulation in human buccal fat pad-derived stem cells by strontium-ranelate

Cementogenesis plays a pivotal role in some critical clinical complications including replantation of avulsed teeth. Strontium-ranelate has been shown to affect bone regeneration. Despite the resemblance of bone and dental cementum, there are a few studies regarding the impact of strontium-ranelate on cementogenic differentiation. Current study aimed to investigate the proliferation and cementoblastic differentiation of human buccal fat pad-derived stem cells (BFPSCs) while treated by strontium-ranelate in comparison to its osteogenic differentiation. To do this, BFPSCs were treated with different concentrations of strontium ranelate (0, 6, 12.5, 25, 50, 100 and 200 μM). MTT assay, Alizarin red staining, and real-time RT-PCR were performed to evaluate cementoblastic and osteoblastic markers. The highest expression of cementoblast markers including: cementum protein-1 and cementum attachment protein were observed at concentrations of 50 and 100 μM after 7 and 14 days of induction. The results demonstrated that strontium-ranelate could dose-dependently affect the proliferation and cementoblastic differentiation of BFPSCs. Taking together, strontium-ranelate could be used in combination with BFPSCs to improve root resorption following orthodontic therapy.

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.

Science, Medicine, and the Anesthesiologist

Science, Medicine, and the Anesthesiologist

An educational intervention for improving knowledge of Syrian school children about avulsion using the "save your tooth" poster

BackgroundThe prognosis of replantation of an avulsed tooth is affected by the first aid management in the first 15 min after traumatic incident. Knowledge of the optimal management is crucial to successful replantation. The objective of this study was to investigate the effectiveness of educational intervention using the Arabic version of the "save your tooth" poster designed by the International Association of Dental Traumatology IADT, in improving the knowledge of schoolchildren about first aid management of avulsion of permanent teeth.MethodsAn interventional educational study was undertaken. A total of 550 schoolchildren aged 9–12 years participated in this study. Thirteen public primary schools in Damascus city were selected. A questionnaire was developed to measure the knowledge of schoolchildren about avulsion of permanent teeth. The translated IADT education poster about avulsion management was adopted.The content of this poster was explained to the children. Two months later, the subjects were re-evaluated using the same questionnaire. Paired sample t-test was used to test the differences existed between the two assessments.ResultA total of 537 schoolchildren completed the questionnaires in which (n = 305) 57% were females and (n = 232) 43% were males. The findings demonstrated significant improvement in the participants’ responses after interventional education (P < 0.05). The mean score of knowledge increased significantly from 3.71 at the baseline to 4.03 after the intervention (P < 0.003).ConclusionThe findings of the present study showed that the level of knowledge of Syrian schoolchildren regarding first-aid management of avulsion of permanent teeth was limited at the baseline. The follow-up results showed that the educational intervention based on the “save your tooth” poster was significantly effective in improving the knowledge of schoolchildren. Further interventions to educate all Syrian schoolchildren about avulsion could be of great value to prevent its negative aesthetic, functional, psychological, economic impacts.

The role of polymorphism of the IL6 gene in tooth replantation.

The absence or presence of root resorption on the root surface of a replanted tooth indicates an immune-inflammatory reaction. Since interleukin-6 (IL-6) is considered an inflammatory marker in bone resorption, this study aimed to investigate the association between clinical variables and polymorphisms in IL6, with the outcome of replanted teeth at 1-year follow-up. Altogether, 127 avulsed teeth that were replanted and had their root canals treated were selected for this study. Periapical radiographs were taken after replantation and after 1year. Real-time PCR was used to genotype IL6 polymorphisms. Chi-square and 'Z' tests were performed to verify the association between genetic variables and the prognosis of replanted teeth (P<0.05). An association was observed between the rs2069843 polymorphism of IL6 and the outcome of replanted teeth (P<0.05). The rs2069843 polymorphism of IL6 may influence the outcome of avulsed and replanted teeth in the first year post-trauma.

Systematic Review on Relation Between Surface Treatment and Outcome of Delayed Replantation of Permanent Anterior Avulsed Teeth

Introduction: One of the most severe dental injury is Tooth Avulsion or exarticulation. Tooth avulsion is the complete displacement of tooth out of the socket. The common treatment employed for avulsed teeth is replantation, the prognosis of which depends on the handling of the tooth specimen and time lag between avulsion and replantation of the teeth. Surface treatment of root surface of avulsed teeth prior to delayed replantation is a common practice and a variety of agents and methods have been used for the same. The literature lacks evidence that establishes a definitive relation between surface treatment and prognosis of delayed replantation of avulsed teeth. Aim: To understand the effect of surface treatment and outcome after replantation of avulsed anterior permanent teeth with an extraoral dry time of more than 60 minutes. Materials and Methods: The protocol for systematic review was registered on PROSPERO, registration number was CRD42020222919. A search was performed on case reports and case series available on delayed replantation of avulsed anterior permanent teeth on databases like Medline/PubMed, Google Scholar, and Cochrane from the year 2000 to 2018.The MESH terms and keywords like tooth avulsion*, tooth fractures*, tooth injuries*, traumatology*, delayed replantation methods and delayed replantation standards with Boolean operators were used for data identification and screening. After applying inclusion and exclusion criteria, total five articles were included. Results: The duration of storage of the teeth were variable with cases reported from 24 hours to 72 hours of extraoral dry time. All five reports used different methods for surface treatments. No complications were reported after 12 months in three cases. No complication was reported after 24 months in one case. After 12 weeks, one article reported ankylosis and infraocclusion after replantation. Conclusion: As a result of data heterogenicity and a short follow-up period of the articles, a clear relation between surface treatment and delayed replantation of an avulsed teeth could not be established. However, it can be safely concluded that surface treatment of avulsed teeth prior to delayed replantation results in a better prognosis and predictable outcomes.

Population Knowledge and Attitude Toward Emergency Management of Avulsed Permanent Teeth

Objective: To evaluate the knowledge of patients treated in a public University concerning dental avulsion and its emergency first-aid management. Material and Methods: Three hundred patients were invited to answer a questionnaire about demographic characteristics, attitude and knowledge of first-aid management of dental avulsion. Chi-square test was used to assess the association between knowledge about dental replantation and education level. Results: Female gender (66.7%) aged from 31 to 40 years (31.3%) with high school education (50.3%) predominated among all the participants. It was not found a difference between education level and management of avulsed permanent teeth (p=0.076), and 66% of the respondents were not able to do the replantation. In relation to the management of avulsed tooth, 42.7% of the respondents would brush the tooth and if the replantation was not possible, most of them would choose inappropriate media for storage. The association between the storage medium and educational level showed to be statistically significant (p=0.043). Conclusion: It was possible to notice the lack of knowledge about this subject, and it could result in the worst prognosis. In avulsion cases, the subsequent root resorptions may lead to the loss of the child's tooth. It is important to implement educational campaigns to spread knowledge and improve success rates of permanent avulsed teeth

Knowledge of Avulsion of Permanent Teeth Emergency Management Among Undergraduate in Brazilian Health Care Students

Objective: To assess the knowledge of undergraduate health care students, about avulsion of permanent teeth. Material and Methods: It is a cross-sectional study. The sample consisted of Brazilian undergraduate students of the nursing, medicine, and dentistry degree programs. A structured questionnaire developed by the researchers, containing 18 objective questions about avulsion of permanent teeth was used as the data collection. Data analysis included Pearson's Chi-square and Fisher's Exact. Results: A total of 82.7% dental students, 22.9% nursing students, and 23% medical students had previously received some information about dental trauma. Students in the second half of the dentistry program had a higher percentage of correct answers in all questions (p<0.05). Being in the first or second half of the nursing program had no relation to the percentage of correct answers by students for any questions (p>0.05). Students in the first half of the medical program had a higher percentage of correct answers for six of these questions (p<0.05). Dentistry students had the highest percentage of correct answers in all the questions (p<0.001). Conclusion: Although students from the dentistry degree program report having information on avulsion of permanent teeth, their practical experience was considered low. Upon comparing students from the dentistry, nursing, and medical degree programs regarding their learning about avulsion of permanent teeth, dentistry students had greater knowledge on the subject.

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.

A study to assess the knowledge, attitude, and practice of dental injuries in children engaged in Sports

Background: Maintaining a physically active lifestyle is must for a healthy body and mind. Regular exercise is known to be associated with reduced mortality and reduced incidence of systemic diseases. It has been documented that children between the ages of 7 and 14 years are more prone to injuries, especially dental as they have not developed proper coordination and less aware of the prevention of injuries while playing. Dental injuries include lip lacerations, avulsion of teeth, fractures of teeth, and jaws. Prognosis of dental trauma is better if the first-line treatment received by the patient is done by person who is aware and knows all the possible treatment modalities. Aims and objectives: The main objective of the study was to take into consideration the knowledge the population has about the dental trauma and the various preventive measures for the same. Materials and Method: For the study, a sample size of 150 patients were included and divided into a group of 75 amles and 75 females respectively. The participants were selected on the basis of inclusion and exclusion criteria. Parents of children who were engaged in contact and non contact sports were included to complete the study. Results: The p-value was calculated for the study and was highly non significant as the knowledge about the dental trauma and preventive measures were found to be similar between the male and female participants. More than half of the population had no clue about re-plantation of the avulsed tooth from the oral cavity. Conclusion: Majority of the study population had knowledge about fractured tooth and lip laceration, on the other hand they had little or no knowledge regarding the preventive measures for the dental trauma. The studies for larger sample size and wide range of age groups in different areas in Maharashtra are recommended to overview the Knowledge and various preventive measures that an individual can take when injured while playing sports.

Awareness and Preferred Mode of Getting Information on First Aid Management of Avulsed Permanent Teeth: Survey of Nigerian Mothers

Objective: To determine the awareness and sources of information on first aid management of avulsed permanent teeth in a group of South-western Nigerian mothers. Material and Methods: An 18-item interviewer-administered questionnaire was used to survey 385 mothers attending the antenatal and immunization clinics on their perception towards dental avulsion, its management, sources, and preferred mode of receiving information on first aid. The effect of all significant factors was inferred at p<0.05. Results: Mothers who had previous information on the first aid management of dental avulsion had significantly higher knowledge (p=0.000). Majority (80.8%) of the mothers did not know that an avulsed permanent tooth could be replanted, though mothers whose children had not experienced dental trauma had significantly higher knowledge (p=0.003). The knowledge of first aid management of avulsed permanent tooth was low, regardless of age, education and employment status of the respondents. Conclusion: There was low knowledge among mothers regarding the first aid measures in the management of avulsed permanent teeth. Their main preference for receiving information was through social media and television. There is a need to increase oral health educational campaigns targeted towards mothers.

Emergency Management of Avulsed Permanent Incisors: Knowledge and Attitude of Primary School Teachers and Parents in Casablanca

Objective: Tooth avulsion is a real emergency in pediatric traumatology. The prognosis depends highly on the attitude adopted (notably by parents and teachers) at the time of the accident. Immediate reimplantation being the best treatment. The aim of this survey was to assess the knowledge of parents and primary school teachers regarding the management of permanent incisor avulsion, in the Wilaya of Grand Casablanca. Materials and Methods: 80 public and private schools were randomly selected among of the 8 delegations of Grand Casablanca, then, a self-administered questionnaire of 10 items was submitted to both teachers and parents. The collected data was analyzed using Epi info 6.0 software. Results: Among 640 teachers and 640 parents who took part in the survey, most were females (87.8% of teachers and 75% of parents). 8.3% of parents and 8.1% of teachers have reported having a previous experience with dental avulsion. 9.7% of parents and 3.9% of teachers will immediately replant the avulsed tooth, 68.8% of teachers and 48% of parents will see a dentist carrying the avulsed tooth. 11.7% of the parents and 19% of the teachers chose milk as a storage medium, the other part opted for a dry storage. There was a significant link between the parents’ education level and the attitude adopted to manage permanent incisor avulsion (p<0.05). As to teachers, years of teaching did not influence decision making. Conclusion: The state of knowledge of participant in this survey presents numerous shortcomings that must be corrected in order to improve the prognosis of permanent incisor avulsion among children in our country.

USO DE PROTETORES BUCAIS EM PACIENTES INTUBADOS NA UNIDADE DE TERAPIA INTENSIVA: UMA REVISÃO DE LITERATURA

Intubation is a medical technique that consists of placing a tube inside the trachea, orally or nasally, with the aim of maintaining definitive control of the airway. However, there may be complications such as laceration of the lips and gums, vocal fold avulsion, fracture and tooth avulsion. This literature review therefore aims to report the damage that is caused to dental structures, the factors that increase the risk of trauma in the intubation process and the methods that are used to prevent them. A literature review was performed through a search for articles in the Medline/PubMed database including 10 articles. Based on the analysis of the articles included, it can concluded that the use of mouthguards, whether they are 3M tape, wooden spatulas, or mouthguards molded by dentists, can significantly reduce the forces that act on the teeth, minimizing the risks of dental trauma. Thermoplastics have their effectiveness discussed in different studies, but the most recent one discusses that they are effective, in addition to being easy to handle and cost-effective, but it is not the most recommended method of protection.

Educational approaches for assessing knowledge about and actions of educators in response to dental avulsion.

Dental trauma affects especially schoolchildren and adolescents. Educators, the responsible for the first appointment, have a fundamental role in the prognosis of dental avulsion that occurred in this environment. To evaluate the educational approaches for assessing knowledge and actions in response to dental avulsion among educators. This cross-sectional and quanti-qualitative study included 197 teachers and 24 pedagogical coordinators (PCs), from the public schools of Pato Branco, Paraná, Brazil. A questionnaire was initially administered regarding the knowledge about avulsion to all participants. Teachers just read a manual and answered the questionnaire after 30 days. PCs were divided into (n = 12): G1 - manual + fictitious scenario of avulsion and G2 - active methodology + fictitious scenario. The questionnaire was re-administered to all. Quantitative data were analyzed statistically. For the qualitative stage, two questions were proposed and the Bardin's analysis was performed. For teachers, knowledge about avulsion increased after the intervention (P < 0.001), except as related to cleaning the tooth (P = 0.21). Activities involving G1 and G2 also led to an increase in knowledge, but no difference occurred in this increase between the approaches (P = 0.14). Qualitative analysis highlighted the need for calm and for performing actions that could favor a good prognosis in cases of avulsion. The level of knowledge increased after interventions, but no significant differences between the educational approaches were found.

Avulzija stalnih zuba kod dece i odraslih - terapijske mogućnosti za duži opstanak

Introduction: Permanent tooth avulsions (traumatic extraction; total luxation) are one ofthe most severe permanent tooth injuries and can occur as single injuries or associated with other dental injuries or injuries to the face and jaws region. They are defined as the luxation of teeth from the alveoli with complete rupture of periodontal fibres, or with one part attached to the rootcementum and the other to the alveolar bone, thus compromising the dental pulp, root cementum,and alveolar bone. The high prevalence and numerous negative consequences on the stomatognathic systems they have suggest permanent tooth avulsions should be regarded as an important public health problem. The aim: is to point out the therapeutic possibilities of permanent tooth avulsion that can ensure their longer survival in the oral cavity. Conclusion: The treatment strategy for avulsed permanent teeth is always based on limiting root canal infection and periradicular inflammation, shifting the balance from unfavourable (replacement resorption) to favourable (periodontal) healing. The success of therapy and periodontal healing depend on the duration and conditions of extraoral tooth preservation, the degree of damage to the periodontal ligament, and the condition of the pulp.

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

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

Knowledge, attitude, and practice of Chennai school teachers on traumatic dental injuries management - A cross-sectional study.

Aim:To assess the knowledge, attitude, and practice of traumatic dental injury (TDI) management among school teachers of Chennai.Materials and Methods:Forty-seven schools were selected from various parts of Chennai for the cross-sectional survey by simple random sampling. Four hundred school teachers who participated were from 26 regular schools and 21 special schools. Questionnaire with 32 close-ended questions assessing knowledge, attitude, and practice of TDI management was devised, face validated by experts, and pilot tested. Link to the online survey questions was provided after obtaining the informed consent. Responses were analyzed using Microsoft Excel.Results:Twenty-two percent reported to have undergone first aid training and among them, 4% were trained on TDIs management. 27% had a false sense of knowledge and practice of TDIs management. 12% were confident in replanting an avulsed tooth by themselves. Ten percent were aware of using milk as a storage media. 86% were willing to learn about TDIs management.Conclusions:Within the limitations of the present study, it can be concluded that despite the lack of knowledge and practice regarding TDI management, school teachers of Chennai had a good attitude towards TDI education. Emergency management training is by itself a necessity in schools and it should be inclusive of TDI management.

Knowledge of Emergency Management of Avulsed Teeth among Italian Dentists-Questionnaire Study and Next Future Perspectives.

(1) Background: In Italy, about one fourth of all schoolchildren experience a trauma to the permanent dentition. Management of avulsion trauma is challenging and requires adherence to clinical protocols. The aim of this study was to investigate the management knowledge of avulsed teeth among Italian dentists and to promote the guidelines’ dissemination through the use of new social media. (2) Methods: The survey was carried out during the COVID-19 lockdown in Italy (March–May 2020). The questionnaire was sent anonymously to a total of 600 dentists. The questionnaire consisted of two parts. Part A—demographic and professional data and Part B—management of traumatic avulsion. (3) Results: The response rate was 50.6% and the mean fraction of correct responses was 0.524. Issues related to the therapeutic management of avulsed teeth were shown to be not well understood by the respondents. Professionals with qualifications in dentistry and those who declared to know the guidelines responded better, while other demographic and professional factors were insignificant. (4) Conclusions: Italian dentists’ knowledge of the management of avulsion trauma should be improved. Educational programs and campaigns must be undertaken to improve their awareness and adherence to the Italian and international guidelines.