An Assessment of the Knowledge of Dentists on the Emergency Management of Avulsed Teeth

Betul Sen Yavuz 1, Sezgi Sadikoglu 2, Berkant Sezer 2, Jack Toumba 3, Betul Kargul 4

Affiliations

01 January 2020

-

doi: 10.15644/asc54/2/3

Abstract

Objective: to investigate the knowledge and attitudes of general dental practitioners (GDPs) on the emergency management of avulsed teeth.The management of the avulsed teeth is well outlined in the latest trauma guideline. However, little information is available about the level of knowledge of the management of avulsed teeth among young dentists in Turkey.

Material and methods: A cross-sectional questionnaire was completed to assess the knowledge of GDPs on the emergency management of avulsed teeth. The questionnaire asked questions to 142 dental practitioners about whether they have received information about the emergency management of dental trauma, whether they have intervened in cases of avulsed teeth following a dental trauma, and, finally, whether they have given treatment of avulsed teeth.

Results: The majority of GDPs had received training to treat avulsed teeth. The findings of the study showed that only 35% of GDPs recalled the critical time for treatment. The number of GDPs who had incorrect knowledge on this topic was higher and statistically significant (p<0.001). The rates of the correct answers according to the relevant information fields were as follows: optimal storage medium (78%), type of splint (56%), splinting period (58.5%), and systemic medication after avulsion (32%).

Conclusion: The results show that many GDPs had limited experience in treating avulsed teeth. However, in the study, it was stressed that the knowledge of GDPs related to the factors affecting the successful treatment of avulsion cases should be improved by using continuing education programs.

Keywords: Dental Trauma; Dentist’s Practice Patterns; Emergency Treatment; Health Knowledge Attitudes Practice; Tooth Avulsion; Tooth Replantation.

Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest to declare.

Similar articles

Evaluation of knowledge regarding emergency management of avulsed traumatic dental injuries in children among general dental practitioners in India.

Kariya PB, Singh S, Bargale S, Shah S, Kulkarni N, Dave BH.Indian J Dent Res. 2019 Jan-Feb;30(1):21-26. doi: 10.4103/ijdr.IJDR_807_16.PMID: 30900651

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

De Vasconcellos LGO, Brentel AS, Vanderlei AD, De Vasconcellos LMR, Valera MC, De Araújo MAM.Dent Traumatol. 2009 Dec;25(6):578-583. doi: 10.1111/j.1600-9657.2009.00820.x. Epub 2009 Sep 24.PMID: 19788428

Knowledge of emergency management of avulsed teeth: a survey of dentists in Beijing, China.

Zhao Y, Gong Y.Dent Traumatol. 2010 Jun;26(3):281-4. doi: 10.1111/j.1600-9657.2010.00877.x.PMID: 20572844

Knowledge and Attitude of Primary School Teachers toward Tooth Avulsion and Dental First Aid in Davangere City: A Cross-sectional Survey.

Prasanna S, Giriraju A, Narayan NL.Int J Clin Pediatr Dent. 2011 Sep-Dec;4(3):203-6. doi: 10.5005/jp-journals-10005-1110. Epub 2011 Apr 15.PMID: 27678227 Free PMC article. Review.

An evidence-based appraisal of splinting luxated, avulsed and root-fractured teeth.

Kahler B, Heithersay GS.Dent Traumatol. 2008 Feb;24(1):2-10. doi: 10.1111/j.1600-9657.2006.00480.x.PMID: 18173657 Review.

Cited by

Retrospective Study of Oral and Maxillofacial Trauma in Portuguese Population.

Palmela Pereira CM, Dos Santos AR, Gonçalves CR, Nushi V, Coutinho F, Salvado E Silva FJ, de Sousa Santos RFV.Acta Stomatol Croat. 2023 Mar;57(1):43-51. doi: 10.15644/asc57/1/5.PMID: 37288157 Free PMC article.

Evaluation of Knowledge and Practice of Resident Dentists in Iasi, Romania in the Management of Traumatic Dental Injuries: A Cross-Sectional Study.

Murariu A, Baciu ER, Bobu L, Stoleriu S, Vasluianu RI, Tatarciuc MS, Diaconu-Popa D, Huțanu P, Gelețu GL.Healthcare (Basel). 2023 May 8;11(9):1348. doi: 10.3390/healthcare11091348.PMID: 37174891 Free PMC article.

Primary School Teachers' Knowledge on Tooth Avulsion.

Salarić I, Tikvica Medojević D, Baždarić K, Kern J, Miličević A, Đanić P, Biočić J, Macan D.Acta Stomatol Croat. 2021 Mar;55(1):28-36. doi: 10.15644/asc55/1/4.PMID: 33867535 Free PMC article.

Knowledge and Attitudes about Dental Trauma Among the Students of the University of Split.

Ivkošić I, Gavić L, Jerković D, Macan D, Vladislavić NZ, Galić N, Tadin A.Acta Stomatol Croat. 2020 Sep;54(3):302-313. doi: 10.15644/asc54/3/8.PMID: 33132393 Free PMC article.

KMEL References

https://pubmed.ncbi.nlm.nih.gov/

References

  1.  
    1. Toprak ME, Tuna EB, Seymen F, Gençay KA. Traumatic dental injuries in Turkish children, Istanbul. Dent Traumatol. 2014. August;30(4):280–4. 10.1111/edt.12092 - DOI - PubMed
  2.  
    1. Ferrés -Amat E, Diaz-Martinez C, Herrera-Martinez S, Maura-Solivellas I, Ferres-Padro E. Unusual transalveolar and transmuco-gingival root avulsion of a fractured primary central incisor: a case with an 8-year follow-up. Case Rep Dent. 2015;2015:914846. 10.1155/2015/914846 - DOI - PMC - PubMed
  3.  
    1. Andersson L, Adreasen JO, Day P, Heithersay G, Trope M, Daingelis AJ, et al. International association of dental traumatology guidelines for the management of traumatic dental injuries: 2. avulsion of permanent teeth. Dent Traumatol. 2012. April;28(2):88–96. 10.1111/j.1600-9657.2012.01125.x - DOI - PubMed
  4.  
    1. Panzarini SR, Trevisan CL, Brandini DA, Poi WR, Sonoda CK, Luvizuto ER, et al. Intracanal dressing and root canal filling materials in tooth replantation: a literature review. Dent Traumatol. 2012. February;28(1):42–8. 10.1111/j.1600-9657.2011.01023.x - DOI - PubMed
  5.  
    1. Trope M, Moshonov J, Nissan R, Buxt P, Yesilsoy C. Short vs. Long-term calcium hydroxide treatment of established inflammatory root resorption in replanted dog teeth. Endod Dent Traumatol. 1995. June;11(3):124–8. 10.1111/j.1600-9657.1995.tb00473.x - DOI - PubMed
  6.  
    1. Dominguez Reyes A, Muñoz Muñoz L, Aznar Martín T. Study of calcium hydroxide apexification in 26 young permanent incisors. Dent Traumatol. 2005. June;21(3):141–5. 10.1111/j.1600-9657.2005.00289.x - DOI - PubMed
  7.  
    1. Abu-Dawoud M, Al-Enezi B, Andersson L. Knowledge of emergency management of avulsed teeth among young physicians and dentists. Dent Traumatol. 2007. December;23(6):348–55. 10.1111/j.1600-9657.2006.00477.x - DOI - PubMed
  8.  
    1. Lima TFR, Silva EJNLD, Gomes BPFA, Almeida JFA, Zaia AA, Soares AJ. Relationship between initial attendance after dental trauma and development of external inflammatory root resorption. Braz Dent J. 2017;28(2):201–5. 10.1590/0103-6440201701299 - DOI - PubMed
  9.  
    1. Friedlander LT, Chandler NP, Drummond BK. Avulsion and replantation of a primary incisor tooth. Dent Traumatol. 2013. December;29(6):494–7. 10.1111/j.1600-9657.2012.01168.x - DOI - PubMed
  10.  
    1. Kariya PB, Singh S, Bargale S, Shah S, Kulkarni N, Dave BH. Evaluation of knowledge regarding emergency management of avulsed traumatic dental injuries in children among general dental practitioners in India. Indian J Dent Res. 2019;30(1):21–6. - PubMed
  11.  
    1. Limbu S, Dikshit P, Bhagat T, Mehata S. Knowledge of dental interns towards emergency management of avulsed tooth in dental colleges in Nepal. J Nepal Health Res Counc. 2014. January;12(26):1–7. - PubMed
  12.  
    1. Al-Zubair NM. General dentists’ knowledge about the emergency management of dental avulsion in Yemen. S J Oral Sci. 2015;57(1):25–30. 10.4103/1658-6816.150588 - DOI - PubMed
  13.  
    1. Karapinar- Kazandag M Tanalp J, Ayhan T, Kaptan RF, Ersev H. Evaluation of retention of dental students’ trauma knowledge following a reminder lecture. Biomed Res (Aligarh). 2018;29(9):1756–63.
  14.  
    1. MeSH Browser [database on the Internet]. Diş Hekimliği Dekanları Konseyi. Mezuniyet Öncesi Diş Hekimliği Eğitimi Ulusal Çekirdek Eğitim Programı. 2016. Available online: http://ddk.org.tr/wp-content/uploads/2018/03/ddk2016ducep2016.pdf. (accessed on 4 April 2020).
  15.  
    1. Buldur B, Kapdan A. Factors associated with knowledge and attitude of management of traumatic dental injuries: a cross-sectional study among Turkish dentists. Pesq bras odontoped Clin Integr. 2018;18(1):e3948.
  16.  
    1. Duruk G, Erel ZB. Assessment of Turkish dentists’ knowledge about managing avulsed teeth. Dent Traumatol. 2020. January 10 10.1111/edt.12543 - DOI - PubMed
  17.  
    1. Zhao Y, Gong Y. Knowledge of emergency management of avulsed teeth: a survey of dentists in Beijing, China. Dent Traumatol. 2010. June;26(3):281–4. 10.1111/j.1600-9657.2010.00877.x - DOI - PubMed
  18.  
    1. Upadhyay S, Rokaya D, Upadhyaya C. Knowledge of emergency management of avulsed teeth among general dentists in Kathmandu. Kathmandu Univ Med J (KUMJ). 2012. April-June;10(38):37–40. [KUMJ] - PubMed
  19.  
    1. Holan G, Shmueli Y. Knowledge of physicians in hospital emergency rooms in Israel on their role in cases of avulsion of permanent incisors. Int J Paediatr Dent. 2003. January;13(1):13–9. 10.1046/j.1365-263X.2003.00414.x - DOI - PubMed
  20.  
    1. de Vasconcellos LG, Brentel AS, Vanderlei AD, De Vasconcellos LM, Valera MC, De Araujo MA. Knowledge of general dentists in the current guidelines for emergency treatment of avulsed teeth and dental trauma prevention. Dent Traumatol. 2009. December;25(6):578–83. 10.1111/j.1600-9657.2009.00820.x - DOI - PubMed
  21.  
    1. Cınar C, Atabek D, Alacam A. Knowledge of dentists in the management of traumatic dental injuries in Ankara, Turkey. Oral Health Prev Dent. 2013;11(1):23–30. - PubMed
  22.  
    1. Kenny KP, Day PF, Douglas GVA, Chadwick BL. Primary care dentists’ experience of treating avulsed permanent teeth. Br Dent J. 2015. September 11;219(5):E4. 10.1038/sj.bdj.2015.673 - DOI - PubMed
  23.  
    1. Al-Haj Ali SN, Algarawi SA, Alrubaian AM. Alasgah Al. Knowledge of general dental practitioners and specialists about emergency management of traumatic dental injuries in Qassim, Saudi Arabia. Int J Pediatr. 2020. February 19;2020:6059346. 10.1155/2020/6059346 - DOI - PMC - PubMed
  24.  
    1. Fujita Y, Shiono Y, Maki K. Knowledge of emergency management of avulsed tooth among Japanese dental students. BMC Oral Health. 2014. April 8;14:34. 10.1186/1472-6831-14-34 - DOI - PMC - PubMed
  25.  
    1. Panzarini SR, Trevisan CL, Brandini DA, Poi WR, Sonoda CK, Luvizuto ER, et al. Intracanal dressing and root canal filling materials in tooth replantation: a literature review. Dent Traumatol. 2012. February;28(1):42–8. 10.1111/j.1600-9657.2011.01023.x - DOI - PubMed

Page Navigation