Evaluation of the Hypothetical Constructs of Knowledge, Attitude, and Practices regarding Dengue in Selangor, Malaysia

Johnson

Mathur

et al. 2020

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

Section: Discussionmentioning

confidence: 69%

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

Johnson

Mathur

et al. 2020

“…The present review found 14 studies with moderate to high risks 11,12,15,16,17,20,21,22,24–30,33,34,35 . Future studies in this area must be designed to reduce these biases 19,53–55 …”

Section: Discussionmentioning

confidence: 90%

“…Hence, a protocol for the review was prepared as per PRISMA guidelines and the previous work of other medical specialties. 18,[53][54][55] In terms of geographical distribution, almost 2/3 of the studies regions. There is a need to assess the awareness status in these F I G U R E 4 A, Forest plot.…”

Section: Discussionmentioning

confidence: 99%

“…11,12,15,16,17,20,21,22,[24][25][26][27][28][29][30]33,34,35 Future studies in this area must be designed to reduce these biases. 19,[53][54][55] Since the included studies had a wide variety of questions, it was decided to categorize them as general information, self-belief, knowledge, attitude and practice. They were later sub-grouped in question stems or constructs.…”

Section: Discussionmentioning

confidence: 99%

“…It is always difficult to perform a systematic review of KAP studies due to the high level of variability in terms of questionnaires being used and study designs. Hence, a protocol for the review was prepared as per PRISMA guidelines and the previous work of other medical specialties 18,53–55 …”

Section: Discussionmentioning

confidence: 99%

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Global status of knowledge for prevention and emergency management of traumatic dental injuries among school teachers: A systematic review and meta‐analysis

Goel

Rahul

et al. 2020

Background/aim: The majority of traumatic dental injuries (TDI) in childhood and adolescence occur in schools. Since school teachers are often the first responders, their knowledge about the emergency management of TDI needs to be adequate. The aim of this systematic review was to assess and analyse the global status of this knowledge as reported in previous studies and to provide recommendations for future research. Methods: The protocol was designed as per PRISMA guidelines and registered in PROSPERO. A broad-based search using text-words and MeSH terms was performed in established databases as per a predefined strategy. Cohort-studies, crosssectional, case-control studies and randomized/non-randomized trials without any distinction of language and year of publication were included while those without details of sampling strategy, validity and reliability were excluded. Data extraction was performed, risk of bias assessment was done by the Joanna-Briggs-Institute's critical appraisal checklist and meta-analysis was performed for four question stems using a random effects model. Results: Twenty-three studies were included for qualitative analysis. Most of the studies had been conducted in Asia from 2009 to 2019. Ten studies used case-based questionnaires, mostly adapted from previous studies. Moderate to high risk of bias was observed in 14 studies. Less than 50% of teachers had witnessed a TDI in 8 studies and >75% desired to know more about TDI management in most studies. Less than 50% of teachers in 5 out of 6 studies knew about immediate replantation of avulsed permanent teeth, <25% knew about storage of an avulsed tooth in 16 studies and <50% knew about cleaning of a dirty avulsed tooth in 8 studies. Meta-analysis revealed I 2 values of >95% with 17% of teachers having previous dental-trauma firstaid training and 38% knowing about replantation within 30 minutes. Conclusion: The awareness level in several areas of the world is unknown. Studies lacked well-designed questionnaires and teachers exhibited low self-belief and knowledge level in the majority of studies. | 569 TEWARI ET Al. How to cite this article: Tewari N, Goel S, Rahul M, et al. Global status of knowledge for prevention and emergency management of traumatic dental injuries among school teachers: A systematic review and meta-analysis. Dent

Global status of knowledge for prevention and emergency management of traumatic dental injuries in dental professionals: Systematic review and meta‐analysis

Sultan

Mathur

et al. 2020

Background Dental professionals are the primary care providers for traumatic dental injuries (TDI). The dental traumatology literature has a number of studies evaluating the knowledge of dental professionals from different parts of the world but its global status is unknown. Hence, the aim of this systematic review was to assess the global status of knowledge for the prevention and emergency management of TDI in dental professionals and to provide recommendations for future research. Materials and Methods The protocol was designed as per the PRISMA guidelines and registered in PROSPERO (CRD42020192381). A broad‐based search using text words and MeSH terms was performed in established databases as per a pre‐defined strategy without any distinction of language and year of publication. Studies without details of the questionnaire, knowledge score, validity and reliability were excluded. Data extraction was performed, risk of bias assessment was done using the Joanna Briggs Institute's critical appraisal tool, and a meta‐analysis was performed. Results Sixteen studies, which had been published between 2008 and 2020, were included for qualitative synthesis. Most of them were cross‐sectional, used convenience sampling and evaluated knowledge for avulsion. Previous dental trauma training was undertaken by <50% of the participants of five studies, <50% knew about the correct approach in management of complicated crown fractures in three studies and ≤60% in four studies knew the critical time for replantation. There was insufficient level of knowledge in >50% of the included studies. High risk of bias was found in three studies. Conclusion The knowledge level in several areas of the world was unknown. The studies lacked uniformity in methods and well‐designed questionnaires and they revealed insufficient levels of knowledge among dental professionals.