Immediate management of avulsion injuries in children

Abstract

Avulsion is the complete displacement of a tooth from the socket and is considered a dental emergency. The pulp is severed from the neurovascular supply apically and the periodontal ligament is ruptured or torn. Expedient management of avulsion injuries is required, including appropriate telephone advice and emergency management. In the majority of cases, re-implantation and splinting is indicated. The ultimate aim of treatment is for an avulsed tooth to achieve periodontal healing. However, unfavourable healing can lead to pulpal necrosis, inflammatory resorption and replacement resorption of the tooth, leading to premature tooth loss. CPD/Clinical Relevance: Avulsion of a tooth is a dental emergency that requires prompt re-implantation and splinting of the tooth. It is imperative that all dentists are able to provide initial telephone advice and emergency management, including re-implantation and splinting.

<p><strong>Pengetahuan guru terkait manajemen kedaruratan gigi avulsi pada siswa sekolah dasar</strong></p><p><strong><em>Teachers’ knowledge regarding emergency management of tooth avulsion in elementary school students</em></strong></p>

“…Penelitian menunjukkan bahwa hanya 10% anak-anak di Inggris yang menerima perawatan darurat yang memadai setelah mengalami kejadian gigi avulsi, dan sebagian besar kasus tersebut terjadi di sekolah. 11 Penelitian menunjukkan bahwa 64,5% kasus avulsi gigi tidak ditangani dengan baik. Hal ini dapat terjadi karena kurangnya kesadaran dan pengetahuan anak dan orang-orang di sekitarnya.…”

Effect of First Aid Management of Dental Avulsion Posters on Primary School Teachers’ Knowledge

“…One of the most common treatments for avulsion is replantation [12]. However, the prognosis of replantation depends upon the first aid received during the event, so people in the environment around the affected children, such as teachers, must have a good knowledge regarding emergency management of dental trauma to increase the chances of success [3,11,[14][15][16][17]. Therefore, these individuals need education to improve their knowledge.…”