Knowledge about emergency dental trauma management among school teachers in Colombia: A baseline study to develop an education strategy

Marcano-Caldera, Maytté; Cardona, José Arturo Delgado; Sánchez, José Hernán Parra; Espriella, Catalina Méndez de la; Morales, Eduardo Covo; Varón, Gustavo Sierra; Díaz, Martha Gómez; Mesa, Natalia Fortich; Villegas, Paola Escobar; Reyes, Patricia Bermúdez; Sánchez, Patricia Rodríguez; Fernández, Pedro Mejia; Gómez-Scarpetta, Ruth Ángela; Alfaro, Vanessa Bernal; Aguirre, Olga Lucía Cifuentes; Soto, Olga Patricia López; Sigurdsson, Asgeir

doi:10.1111/edt.12393

Cited by 26 publications

(97 citation statements)

References 29 publications

(69 reference statements)

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“…Upon examination of potential handling of a tooth, a large proportion of participants in this study (57.8%) chose to either not respond to the question or elected other damaging practices to clean the tooth. The large proportion of participants who did not answer or selected harmful handling methods supports the hypothesis that there is a lack of knowledge on avulsion management amongst school professionals currently, similar to other international cohorts …”

Section: Discussionsupporting

confidence: 53%

“…71.6% of the participants in this study would either attend to the patient immediately, or as soon as they made some attempt to contact the guardian, even if they couldn’t contact them. This degree of urgency assumed by Australian school professionals is comparatively higher than international cohorts, which report 38.5–41.9% attending to TDIs in an urgent manner …”

Section: Discussionmentioning

confidence: 87%

“…The prognosis of avulsion injuries is often dependent on the decisions and actions taken by attending first‐aiders and inevitably relies on their knowledge of factors such as urgency, manipulation, replantation and transportation. Despite their ideal positioning, school professionals have largely been shown to lack the knowledge and skills required to effectively handle such situations in international cohorts . A similar lack of knowledge in this regard has been found among parents, physical education graduates, fire‐fighters, emergency department physicians and nurses …”

Section: Introductionmentioning

confidence: 91%

“…Inadequate actions taken by first‐aiders following an avulsion injury can have serious implications for growth, function and phonetics for the affected child . This is shown to influence the child’s future psychosocial development, and may place a significant financial burden on caregivers .…”

Section: Introductionmentioning

confidence: 99%

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Knowledge of Australian primary education providers towards dental avulsion injuries: a cross‐sectional study

Khan

Goyal

Somaiya

et al. 2019

Australian Dental Journal

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Background/aim The aim of this study was to evaluate the knowledge of school professionals regarding the emergency management of dental avulsion. Methods This cross‐sectional study utilised a self‐administered, pilot‐tested questionnaire for school staff from primary schools. Descriptive statistics were used for the analysis – the prevalence and univariate associations between a categorical outcome and the variables under consideration, were evaluated using Pearson’s Chi‐squared test. Results This survey yielded a response rate of 43.5% (n = 313). Approximately 60% of participants held valid first‐aid certificates and 23% had received avulsion advice previously. Over 80% of participants expressed an unwillingness to replant an avulsed tooth, and over 90% believed that there should be greater awareness in this area. This unwillingness to replant was influenced by respondents’ age (x2 = 8.13 df = 3, P = 0.043) and receiving advice previously (x2 = 13.15, df = 1, P < 0.001). Under‐preparedness was related to years of experience (x2 = 15.03, df = 5, P = 0.010), first‐aid training (x2 = 6.41, df = 1, P = 0.011) and receiving advice previously (x2 = 43.47, df = 1, P < 0.001). It was also evident that first‐aid training positively influenced appropriate dental referral in the management pathway (x2 = 10.49, df = 1, P = 0.001). Conclusion This study suggests that there is an inadequate level of knowledge on the appropriate management of dental avulsion injuries amongst primary school professionals in Australia.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Knowledge of Australian primary education providers towards dental avulsion injuries: a cross‐sectional study

Khan

Goyal

Somaiya

et al. 2019

Australian Dental Journal

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“…Avulsion of permanent teeth is one of the most serious dental injuries, and 0.5%–3% of injuries to permanent teeth are avulsion . Immediate replantation is the best treatment for avulsed teeth, but parents, teachers and even general dentists lack knowledge regarding appropriate emergency treatment after tooth avulsion . This undoubtedly leads to delayed replantation and extensive desiccation of the tooth with subsequent necrosis of the periodontal ligament (PDL).…”

Section: Introductionmentioning

confidence: 99%

A retrospective study of survival of 196 replanted permanent teeth in children

Wang

Qin

2019

Dental Traumatology

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Background/Aim The extra‐alveolar period and storage medium are important for the survival of replanted teeth. The aim of this study was to evaluate factors affecting the survival of replanted teeth in children. Material and Methods Complete dental records of avulsed teeth including age, gender, extra‐alveolar time, storage type and period, stage of root development, crown fracture, gingival laceration, alveolar fracture, antibiotics, and splint type and period were obtained. Kaplan‐Meier, Cox regression and chi‐square tests were used to analyse the risk factors affecting survival (P < 0.05). Results The study included 196 replanted teeth with a mean follow‐up period of 4.0 years. Forty‐two (21.4%), 45 (23.0%), and 109 teeth (55.6%) showed functional healing, inflammatory resorption and replacement resorption. The root resorption incidence of teeth with extra‐alveolar time longer than 30 minutes was higher vs teeth with a time of less than 30 minutes (P = 0.010). Physiologically stored replanted teeth showed lower incidence of root resorption (19/31, 61.3%) than those stored in non‐physiologic media (94/114, 82.5%) (P = 0.025). Root resorption incidence of teeth stored non‐physiologically within 30 minutes and then transferred to physiologic media (25/33, 75.8%) was similar to that of teeth stored physiologically (P = 0.127). Teeth stored non‐physiologically for longer than 30 minutes had a significantly higher root resorption incidence (99/113, 87.6%) than teeth stored non‐physiologically within 30 minutes (55/83, 66.3%) (odds ratio = 1.726, P = 0.001). Pulp canal obliteration occurred in five of the 56 immature teeth (8.9%) but two of them were later extracted because of replacement resorption. The survival of mature teeth (111/140, 79.3%) was significantly higher than that of immature teeth (39/56, 69.6%) (P = 0.007). Conclusions This study suggested that non‐physiologic storage within 30 minutes was critical for the periodontal healing of replanted teeth. Replanted immature teeth had lower survival rates than mature teeth.

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First aid

Zideman¹,

Singletary

Borra

et al. 2021

Notfall Rettungsmed

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Zusammenfassung Diese Erste-Hilfe-Leitlinien beruhen auf dem internationalen, wissenschaftlichen Konsens 2020 zur kardiopulmonalen Wiederbelebung mit Behandlungsempfehlungen und wurden vom European Resuscitation Council erstellt. Die Themen umfassen das Erste-Hilfe-Management im Bereich Notfallmedizin und Traumata. Im Themenbereich medizinische Notfälle werden folgende Inhalte behandelt: Seitenlagerung, optimale Lagerung eines Betroffenen im Kreislaufschock, Gabe von Bronchodilatatoren bei Asthma, Erkennung eines Schlaganfalls, frühe Gabe von Acetylsalicylsäure bei Brustschmerzen, Zweitgabe von Adrenalin bei Anaphylaxie, Behandlung einer Unterzuckerung/Hypoglykämie, orale Gabe von Rehydrierungslösungen zur Behandlung eines erschöpfungsbedingten Flüssigkeitsmangels, Behandlung eines Hitzschlags durch Kühlung, Sauerstoffgabe bei akutem Schlaganfall und Benommenheit. Im Themenbereich Trauma werden folgende Themen behandelt: Stillung lebensbedrohlicher Blutungen, Behandlung offener Brustkorbverletzungen, Stabilisierung und Immobilisation der Halswirbelsäule, Erkennung von Gehirnerschütterungen, Kühlung von Verbrennungen, Zahnverlust, Kompressionsverband bei geschlossenen Gelenkverletzungen an Extremitäten, Reponierung von Frakturen mit Fehlstellung sowie Augenverletzungen durch chemische Stoffe.

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Knowledge about emergency dental trauma management among school teachers in Colombia: A baseline study to develop an education strategy

Abstract: The knowledge of school teachers in Colombia about emergency dental trauma management is inadequate. The findings strongly suggest a need for an education strategy with the involvement of the government, dentistry schools and private organizations.

Cited by 26 publications

References 29 publications

Knowledge of Australian primary education providers towards dental avulsion injuries: a cross‐sectional study

Knowledge of Australian primary education providers towards dental avulsion injuries: a cross‐sectional study

A retrospective study of survival of 196 replanted permanent teeth in children

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