Knowledge of general dentists in the current guidelines for emergency treatment of avulsed teeth and dental trauma prevention

Vasconcellos, Luis Gustavo Oliveira de; Brentel, Aline Scalone; Vanderlei, Aleska Dias; Vasconcellos, Luana Marotta Reis de; Valera, Márcia Carneiro; Araújo, Maria Amélia Máximo de

doi:10.1111/j.1600-9657.2009.00820.x

Cited by 40 publications

(68 citation statements)

References 25 publications

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“…Some studies have shown a negative association between time elapsed since graduation and knowledge on dental trauma [1,12,18]. The present study, in which 67% of the dentists had more than 10 years of professional experience, showed a negative correlation between time since graduation and performance in the questions on hypothetical clinical cases of avulsed teeth.…”

Section: Resultssupporting

confidence: 50%

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Dental Avulsion: Are the Dentist Prepared to the Correct Management?

Pizzatto¹,

Werle²,

Rodrigues³

et al. 2015

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate the knowledge of dentists from the health units (HU) of Porto Alegre -Brazil, regarding the management of avulsion of permanent teeth. Material and Methods: All dentists (n = 117) from HU were invited to answer a self-applied questionnaire regarding the treatment and preservation of avulsed permanent teeth in different clinical scenarios, based on the guidelines of the International Association of Dental Trauma (IADT). The professional data were also collected. The correlation between the performance of each professional and professional data was performed, (Student's t test, Pearson's and Spearman's correlations), assuming 5% significance. Results: The response rate was 56.41%. The mean performance rate of the dentists regarding the clinical questions was 69.3%, but 37.4% had poor performance (less than 70% correct). The greatest number of hits was where the patient comes with the already replanted teeth (89.2%); 87.3% agreed in situations where the injured child reaches two hours of trauma with the tooth in a liquid medium, however in cases that period of trauma was more than two hours and tooth was dehydrated, the professionals performance was reduced (64.9%). There was a lack of knowledge about the use of intracanal medication (error rate of 56.9%); 41% are mistaken about the period to start endodontics procedures; 32.8% did the wrong about contention of avulsed teeth and clinical and radiographs follow-up. Dentists with postgraduate performed better than those without (p = 0.011). Professionals with longer time elapsed since graduation had lower performance, as well as those who reported not being satisfied with their knowledge of dental trauma (p<0.05). Conclusion: A limited knowledge of dentists from HUs of Brazil regarding the management of avulsed teeth was found. The lack in knowledge suggests the need for implementation of continuing education programs and simulation programs on approaches to dental traumas to improve dental care offered for the population.

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Section: Resultssupporting

confidence: 50%

“…The dental avulsion management have been evaluated among dental students [10], dentists [11][12][13], accident and emergency doctors [14] and schoolteachers [15] in several countries. All levels of professional exhibited insufficient knowledge for correct decision making.…”

Section: Resultsmentioning

confidence: 99%

Dental Avulsion: Are the Dentist Prepared to the Correct Management?

Pizzatto¹,

Werle²,

Rodrigues³

et al. 2015

Pesqui. bras. odontopediatria clín. integr.

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show abstract

“…[1][2][3][4][5][6][7][8][9][10] Orofacial and dental trauma can result from falls, assaults, motor vehicle accidents and sporting accidents. 11 Injuries consist of simple tooth concussion, fracture, luxation and avulsion, laceration of the gingiva, and jaw fractures.…”

Section: Introductionmentioning

confidence: 99%

“…11 Injuries consist of simple tooth concussion, fracture, luxation and avulsion, laceration of the gingiva, and jaw fractures. [1][2][3]12 Orofacial and dental injuries commonly occur during sports participation, with as many as 31% of orofacial injuries reported to result from trauma while playing sports. 4,[12][13][14] Of 9543 patients treated over 10 years by a maxillofacial surgery department in an Australian hospital, sports injuries (31%) came only second to activities of daily life (38%) as the reason of presentation.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of dental trauma and use of mouthguards in rugby union players

Ilia¹,

Metcalfe

Heffernan

2014

Aust Dent J

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Background: There is a high prevalence of orofacial trauma in rugby union players. Mouthguards reduce complications following dental injuries, should dental injuries occur. The aim of this study was to investigate the prevalence of oral trauma and the significance of mouthguard use in adult amateur rugby union players in New South Wales, Australia. Methods: Questionnaires were distributed to players in rugby union clubs. It questioned players about their mouthguard use and orofacial trauma experience; the type of injury, complications, if a mouthguard was worn, where treatment was sought and outcome. Results: The prevalence of orofacial trauma in rugby union players is 64.9%. The most common injury was laceration to intraoral and extraoral soft tissues at 44.5%. Of all orofacial injuries reported, 41.9% were to the dentition. Following dental injury, loss of the tooth was the most common complication (34.7%). 76.9% of players wore mouthguards. By wearing a mouthguard, the risk reduction for ongoing complications following dental injuries was 18.5% (p-value = 0.009). Of these, 10.4% (p-value = 0.45) represented loss of the tooth. Conclusions: Rates of orofacial trauma and complications in amateur rugby union players are high in Australia. Use of mouthguards results in significant risk reduction for complications following dental injuries, including loss of tooth.

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“…In most cases, immediate and proper treatment can minimize the emotional distress experienced by patients and improve case prognosis. 1 However, dentists must be familiar with the different types of injuries involving teeth and supporting tissues, and must know how to handle trauma cases, from emergency care to the most suitable clinical protocol for each type of injury. An ill-advised first treatment may have esthetic and functional implications that will worsen the discomfort and cause greater inconveniences to the patient, possibly even increasing treatment costs if more complex procedures are required.…”

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confidence: 99%

Dentists' level of knowledge of the treatment plans for periodontal ligament injuries after dentoalveolar trauma

et al. 2011

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This study investigated the level of knowledge held by dentists about the possible treatment plan procedures for periodontal ligament injuries after dentoalveolar trauma. A 5-item self-applied questionnaire was prepared with questions referring to the professional profile of the interviewees and to the treatment plan they would propose for periodontal ligament injuries secondary to dentoalveolar trauma. The questionnaires were filled out by 693 dentists attending the 23 rd Annual Meeting of the Brazilian Society for Dental Research, and the data obtained were subjected to descriptive analysis. Either the chi-square test or Fisher's exact test was applied to assess associations among variables, at a 5% level of significance. The results revealed that dentists experienced difficulty in establishing a treatment plan for subluxation, and for extrusive, lateral and intrusive luxations. In general, holding a dental specialty degree had no influence on the knowledge about treatment plan procedures for the most severe injuries. It could be concluded that the dentists participating in this study, whether specialists or not, did not have sufficient knowledge to treat most of the periodontal ligament injuries resulting from dentoalveolar trauma adequately.

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Knowledge of general dentists in the current guidelines for emergency treatment of avulsed teeth and dental trauma prevention

Cited by 40 publications

References 25 publications

Dental Avulsion: Are the Dentist Prepared to the Correct Management?

Dental Avulsion: Are the Dentist Prepared to the Correct Management?

Prevalence of dental trauma and use of mouthguards in rugby union players

Dentists' level of knowledge of the treatment plans for periodontal ligament injuries after dentoalveolar trauma

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