Management Of Traumatic Dental Injuries Research Articles

Effectiveness of the ToothSOS App as a training tool for the emergency management of traumatic dental injuries among non-dentists.

Traumatic dental injuries (TDIs) are a major and urgent problem in oral health. Therefore, non-dentists need to be conscious of the emergency management of TDIs. The aim of this study was to assess the effectiveness of the ToothSOS App on the level of knowledge about emergency management of TDIs among people who are not dental professionals. One hundred and five non-dentists, aged 22-57years, participated in this study and were given training on TDIs. The ToothSOS App launched by the IADT was used as a training tool. A 25-question survey was conducted three times; before the ToothSOS App was downloaded and reviewed (T0 ), immediately after (T1 ), and one month later (T2 ). There was a statistically significant difference among the three time periods (p<.001) in terms of the knowledge about the management of TDIs, and the knowledge increased significantly (p<.001) at both T1 and T2 after reviewing the ToothSOS App. On a scale from 0 to 10, the mean correct scores increased from 2.85±2.15 (median [min-max]: 2[0-10]) to 8.23±2.21 (median [min-max]: 9 [1-10]) (effect size: 2.5) at T1 and to 7.40±2.34 (median [min-max]: 8 [1-10]) (effect size: 2.1) at T2 . The ToothSOS App as a training tool was effective to increase the knowledge level of individuals about the emergency management of TDIs.

Knowledge of Emergency Physicians about the Management of Traumatic Dental Injuries: A Cross-sectional Study in Northern Iran.

Dental trauma is a common dental public health problem among the children and adults. As the emergency departments are usually the first contact point for patients after a trauma, this study aimed to evaluate the level of knowledge of emergency medicine specialists or residents and general practitioners (GPs) working in the emergency departments about the management of traumatic dental injuries. In this descriptive cross-sectional study, all emergency medicine specialists or residents and GPs working in the emergency department of hospitals affiliated to Mazandaran University of Medical Sciences were evaluated. Data were collected using a questionnaire comprising questions on demographic information and physicians' knowledge of how to deal and manage different dental injuries. The information was analyzed using t-test and chi-square statistical test. The level of knowledge was good in 71.5% of emergency medicine specialists and average in 75% of the residents and 93.4% of GPs. None of the participants had low level of knowledge about management of traumatic dental injuries. There was a statistically significant association between physicians' knowledge and their job position (P<0.001). Moreover, there were no statistically significant differences between gender and the history of participating in dental trauma courses with the level of physicians' knowledge (P>0.05). The results of present study highlights the need for training programs to raise the knowledge of emergency medicine residents and GPs about how to effectively manage the traumatic dental injuries in patients presenting to the emergency department.

Application of the dental trauma guide of the international association of dental traumatology in a group of paraguayan dentists

To evaluate the application of the dental trauma guide according to the International Association of Dental Traumatology in a group of Paraguayan dentists from April to May 2021. The was a descriptive, cross-sectional, observational study. A group of Paraguayan dentists with internet access accepted to participate in the study. The measurement instrument was a closed questionnaire from Google Forms, distributed by instant messaging (WhatsApp) from January to April 2021. Based on the Guidelines for the Evaluation and Management of Traumatic Dental Injuries by the International Association of Dental Traumatology (IADT), the questionnaire includes 20 questions on the assessment of clinical and radiographic signs, determination of treatment variables, differentiation of the type of treatment, biological consequences of trauma, materials and splint time, and postoperative indications and medication. 230 dentists participated; the mean age was 33 (SD = 6.4) years, 70.43% were women, 30.87% were general dentists, and 70.87% were practicing exclusively in private practice. 68.70% responded that they were familiar with the management and treatment of dentoalveolar trauma, while 70.87% had not heard or read about the IADT dental trauma guide. Regarding the level of knowledge, 60.00% scored an average mark. Most of the dentists surveyed had moderate knowledge regarding the evaluation and management of traumatic dental injuries.

Knowledge, Attitude, and Practices (Kap) Survey on the Management of Traumatic Dental Injuries (Tdis) among Dental Students in Prince Sattam Bin Abdulaziz University (Psau), Alkharj.

Background:Traumatic dental injury (TDI) is described as a lesion of variable extension, intensity, and severity caused by forces acting on teeth due to falls, fights, traffic accidents, collisions against objects or people, and para-function and/or as a result of an assault. Appropriate treatments of TDIs can improve the outcome chance and reduce stress and anxiety for both patients and the dental team. Despite the importance of this topic, there remains a paucity of evidence on the current situation of TDI management among dental students in Prince Sattam bin Abdulaziz University.Objectives:To assess the knowledge, attitude, and practice (KAP) of dental students about the management of TDIs and compare the knowledge according to the year of study.Methodology:A KAP survey was conducted on undergraduate dental students at Prince Sattam bin Abdulaziz University dentistry college. All clinical dental students (4th–5th year) and interns enrolled during the 2019–2020 academic year were invited to participate in the study (n = 92). Participants filled out a questionnaire containing 16 items related to KAPs toward the management of TDIs.Results:The majority of fifth-year students (78.8%) and interns (70.8%) perceived that TDIs have the priority to be seen as an urgent case, compared to only 45.7% of fourth-year students (P = 0.013). Also, more than half of study participants reported not following any protocol for TDIs with no significant differences between study years. Furthermore, 69.7% of fifth-year students and 66.7% of interns considered the Hanks-balanced solution as the best medium for storing an avulsed permanent tooth.Conclusion:The current results demonstrated a significant shortage in the KAP toward TDI management among dental students in Prince Sattam bin Abdulaziz University. Almost half of the students (45.7%) did not know any guidelines for the treatment of TDIs. The majority of study participants had no exposure to any previous workshops, symposiums, or conferences about managing TDIs, which makes it more difficult for them to understand and manage dental traumatic injuries. Hence, there is a need to assess the reasons behind this issue and develop solutions to improve the current situation.

Educational Dental Program and Its Impact on Emergency Management of Traumatic Dental Injuries in Children

Educational Dental Program and Its Impact on Emergency Management of Traumatic Dental Injuries in Children

Knowledge and attitude of elementary school health-care providers with regard to emergency management of traumatic dental injuries in Kashan city

Knowledge and attitude of elementary school health-care providers with regard to emergency management of traumatic dental injuries in Kashan city

Parental awareness of on-site management of traumatic dental injuries: An online survey.

Despite the high prevalence of traumatic dental injuries (TDIs), parents generally lack awareness about dental trauma emergency management. This preliminary study's goal was to assess parents'/guardians' awareness of the treatment of tooth fractures/avulsion. A preformed questionnaire in e-format was sent to parents of school-going children. Kolmogorov-Smirnov test and Shapiro-Wilks's test were employed to test the normality of data. In addition, a Chi-square test was performed for quantitative variables. P ≤ 0.05 was considered statistically significant. A response rate of 82.1% was achieved. Approximately 19.6% of parents reported dental injuries, with the majority (51.9%) occurring at home. In avulsion, 54.8% of parents believed that reinserting the tooth back into the socket was possible. For tooth fractures, 36.2% of parents believed that the fractured tooth could be glued. Tap water was preferred as a storage medium (43.3%). An insignificant association was observed with regard to storage media (P > 0.05). Inadequate understanding of the treatment of TDI by the primary caregiver leads to ineffective interventions at the scene of the accident and a poor prognosis for otherwise treatable cases.

Management of Oblique Root Fracture Using Mineral Trioxide Aggregate: A Case Report

Management of Oblique Root Fracture Using Mineral Trioxide Aggregate: A Case Report

IADT 2020 Guidelines: What should the dental professional know?

Traumatic dental injuries are a common occurrence among children. Effective acute and long-term management of traumatic dental injuries can improve patient outcomes, especially in the paediatric patient. It is important that all dental professionals follow up-to-date, evidence-based guidance when treating patients. This article aims to highlight the main changes in the 2020 International Association of Dental Traumatology (IADT) Guidelines for Evaluation and Management of Traumatic Dental Injuries, to ensure that all dental professionals are fully aware of current guidelines and are managing patients appropriately.

Sports Cult in Hyderabad: Role of a Pedodontist in Protecting Winning Smile.

ABSTRACTAim and objectiveTo assess dental trauma, level of knowledge of participants about the preventive measures, and management of traumatic dental injuries during sports in children aged 6–15 years in private sports academies in Hyderabad.Materials and methodsA cross-sectional study was carried out among 317 children aged 6–15 years and 25 coaches by a structured questionnaire to assess the prevalence of dental trauma during sports followed by an awareness program on prevention. Data obtained were analyzed.ResultsTwenty-two percent (76) of children reported an incidence of dental injuries. Thirty-five percent (111) of children were aware that reimplantation was possible. Forty-three percent (139) of children knew that mouthguards can prevent orofacial injuries, but none are using them. Seventy-six percent (19) coaches would refer the child to a general physician in cases of reported trauma.ConclusionIn our study, most of the children and coaches lack awareness about sports-related dental injuries, their prevention, and initial management. None of the children were using mouthguards. Pediatric dentists should conduct programs at schools/sports academies to spread knowledge and awareness about sports-related dental injuries. Further studies are required in this aspect with a larger sample size.How to cite this articlePranitha V, Mounika PBN, Dwijendra SK, et al. Sports Cult in Hyderabad: Role of a Pedodontist in Protecting Winning Smile. Int J Clin Pediatr Dent 2021;14(5):652–656.

Knowledge and self-reported practice of primary schools' health care teachers on emergency management of traumatic dental injuries in Karaj in 2020

Introduction: Dental injuries are very common event in childhood and have the negative impacts on their life. Proper emergency management is depended on the knowledge of non-professionals, such as health care teachers’ who are present at the scene. The aim of this study was to assess the knowledge and self-reported practice of primary school health care teachers on the emergency management of traumatic dental injuries in Karaj in 2020.&#x0D; Methods: In this cross-sectional analytic study, an anonymous online questionnaire containing questions related to demographic information, history of previous exposure to traumatic dental injuries and caregivers' practice in dealing with traumatic dental injuries was placed in health care teachers’ virtual groups. Health care teachers were given one week to complete the questionnaires. Descriptive statistics and linear regression were performed to analyze the data via SPSS software version16.&#x0D; Results: A total of 189 questionnaires were completed (response rate of 80.77%). The mean score of their knowledge out of 10 achievable scores was 5.63 ± 1.98 and their mean score of practice was 4.48 ± 1.86 out of 7 scores. The results of unadjusted linear regression analysis showed that only the previous information of caregivers had an effect on their level of knowledge (p&lt;0.001) and by adjusting the effect of demographic variables, the results of this test showed that the work experience of health care teachers had an effect on their knowledge score (p=0.009). However, the self-reported practice score of health care teachers was not affected by any of the demographic variables.&#x0D; Conclusion: This study revealed that insufficient knowledge and self-reported practice exists among primary school teachers on emergency management of traumatic dental injuries.

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.

An investigation of transitional care pathways for young people following traumatic dental injuries.

Introduction Traumatic dental injuries (TDIs) can cause severe and complex dento-alveolar problems. Management of TDIs frequently extends into adulthood; therefore, a clear transitional care pathway (TCP) is important. Failure of this can prevent engagement in adult dental services and negatively influence treatment outcomes.Aims To assess the availability of TCPs from paediatric and adult specialist care for young people with TDIs.Materials and methods An anonymous, postal survey was designed and administered to all UK specialists in paediatric dentistry registered with the General Dental Council. Quantitative and qualitative data were gathered.Results The response rate was 58% (n = 130). Fifty-five percent (n = 72) stated that there was a dental trauma clinic for children within their locality, while only 22% (n = 29) stated that there was a dental trauma clinic for adults. Sixty-nine percent (n = 90) stated that there was no clear TCP within their locality and 41% (n = 37) of these highlighted a need for a TCP. Thematic analysis of opinions with regards to need for a TCP identified three main themes: pathway availability, access to resources and clinician experience. Following a course of treatment for a patient aged 12 years or above, 24% (n = 31) refer to specialist adult services, with 43% (n = 95) continuing to provide follow-up within paediatric dentistry.Conclusion Follow-up arrangements for young people with TDIs differ across the UK, with inconsistent availability of TCPs. Informal pathways involving referral to multidisciplinary teams may be utilised for follow-up care. Development of a TCP may aid in developing a consistent approach to long-term management of TDIs.

Infraposition or infraocclusion– Is it time to rename?

AbstractDental infraposition and dental infraocclusion, hereinafter referred to as infraposition and infraocclusion respectively, are terms that are often used interchangeably. This can be noted in the International Association of Dental Traumatology guidelines for the management of traumatic dental injuries, where infraocclusion is listed as an injury‐specific outcome following avulsion of permanent teeth. Infraposition and infraocclusion are terms that have been used in the dental literature to describe teeth that interfere with the normal eruption and development of the permanent dentition. While teeth described in this manner share certain clinical characteristics that give rise to these terms being used interchangeably within the dental traumatology field, this may not necessarily be correct and may be confusing. The aim of this short communication is to start a discussion in the dental trauma community regarding the need for a more adequate term, particularly in relation to replanted teeth.

Interpretation of the International Association of Dental Traumatology guidelines for the management of traumatic dental injuries (2020)

An update version of the International Association of Dental Traumatology (IADT) guidelines for the management of traumatic dental injuries has been released in June 2020 (http://www.dentaltraumaguide.org). In this current revision, IADT has put forward a "core outcome set" (COS) for the diagnosis and treatment of dental trauma both in children and adults. The COS was developed and underpinned by a systematic review of the outcomes in the literature of dental trauma treatment. An outcome that was relevant to all traumatic dental injuries (TDI) was identified as "generic outcome" and those related only to one or more particular TDI were then included as "injury-specific outcomes". The aims of the present article are to help the dental clinicians in learning the latest version of the guideline so that they may quickly and accurately grasp the essence of the updated content and to assist them to choose the optimized treatment plan after judging and evaluating the specific clinical circumstances so as to maximize the chance of a favorable outcome.

School Teachers' Knowledge and Attitudes about the Emergency Management of Traumatic Dental Injuries in Turkey.

The emergency management of traumatized teeth is critical to their long-term outcomes. In school-aged children, most traumatic dental injuries (TDI) occur at school and teachers are often required to manage dental trauma (DT) emergencies. Therefore, the aim of this study was to determine teachers' knowledge and attitudes about TDI. Survey in 147 randomly selected schools in 53 cities in Turkey. A questionnaire enquiring about demographic data, knowledge of DT, and knowledge of first aid related to DT was distributed to primary school teachers. 1,634 completed questionnaires were returned (65% response rate). 92.5% of the teachers were not satisfied with their DT knowledge, and almost all (97.8%) had never received DT training, although 28.1% had witnessed at least one case of DT. In the case of tooth avulsion, 26.4% believed that an avulsed tooth would be permanently lost, whereas 28.9% knew that a permanent tooth could be replanted. Knowledge of emergency management of TDI among schoolteachers in Turkey is inadequate, and training on their emergency management should be provided.

Evaluation of Knowledge- Attitude- Practice (KAP) of Intern Dentists in Emergency Management of Traumatic Dental Injuries in Primary Anterior teeth: A Cross-sectional Study

Evaluation of Knowledge- Attitude- Practice (KAP) of Intern Dentists in Emergency Management of Traumatic Dental Injuries in Primary Anterior teeth: A Cross-sectional Study

Evaluation of Knowledge- Attitude- Practice (KAP) of Intern Dentists in Emergency Management of Traumatic Dental Injuries in Primary Anterior teeth: A Cross-sectional Study

Evaluation of Knowledge- Attitude- Practice (KAP) of Intern Dentists in Emergency Management of Traumatic Dental Injuries in Primary Anterior teeth: A Cross-sectional Study

Primary Care Dentists' management of permanent dentition traumatic dental injuries in 7- to 16-year-olds: A sequential mixed-methods study.

Primary care dentists play a pivotal role in the management of traumatic dental injuries in children, despite little evidence on the barriers they face in providing care. The aim of this study was to explore and contextualize the knowledge and attitudes of general dental practitioners regarding their management of permanent dentition traumatic dental injuries in children aged 7-16years old. A two-phase sequential mixed-methods study included a questionnaire that was disseminated to all 619 primary care dentists, identified via a triangulated sampling strategy, based across the north-east of England (Phase I). Statistical analyses were performed using Mann-Whitney U- and Kruskal-Wallis tests, Spearman's correlation and chi-square test. Multivariate factor analysis, with principal components extraction, was used to test between multiple ordinal variables. Respondents were invited to a face-to-face or telephone semi-structured interview (Phase II). Interviews were transcribed verbatim and analysed using inductive thematic analysis. Primary care dentists were less confident in managing complex dental trauma. Inadequate financial remuneration was the main reason for not providing care, often prompting a referral to the local dental hospital. This was more apparent for those who qualified before 2000. More recently qualified dentists felt the long-term costs, related to traumatic dental injuries, were insufficiently remunerated. Most still provided emergency management, irrespective of remuneration, as long as they had the requisite knowledge and skills. Four major themes arose: impact of traumatic dental injuries on patients, parents and primary care dentists; barriers to providing treatment; educational opportunities for primary care dentists; and interactions between primary and secondary care services. There is high confidence in managing simple traumatic dental injuries but less for complex injuries. A lack of sufficient financial remuneration associated with the long-term management of dental trauma was the main barrier for dentists to manage these cases.