Dental avulsion management by emergency professionals and efficacy of education

Authors

DOI:

https://doi.org/10.33448/rsd-v10i4.14393

Keywords:

Tooth injuries; First aid; Tooth avulsion; Health education.

Abstract

This intervention study evaluated knowledge of first responders regarding the emergency clinical protocol in cases of dental avulsions and impact of an informative campaign. A questionnaire was applied to evaluate effect of provided information on knowledge among emergency service professionals regarding the management of avulsion of teeth: before campaign (T0) and after campaign (T1). Participants were invited to attend the dental trauma awareness campaign that was carried out by the researchers. The campaign addressed main doubts and difficulties regarding emergency dental trauma care. Data were statistically analyzed (p <0.05). There was significant increasing in the knowledge of professionals regarding the possibility (from 74% to 88%) and ability (5% to 32%) of first responders perform tooth replantation; about the ideal time to perform the replantation (from 30% to 59%); about the correct handling (from 52% to 85%) and the need for cleaning (from 60% to 79%) of an avulsed tooth for replantation. It can be concluded there is a lack of knowledge of emergency service professionals about tooth avulsion management. The strong message is the importance not only of identifying the lack of knowledge of the professionals about tooth injuries, but also perform the education that can significantly improve the professional knowledge.

References

Ain, T. S., Lingesha Telgi, R., Sultan, S., Tangade, P., Ravishankar Telgi, C., Tirth, A., Kumar Pal, S., Gowhar, O., & Tandon, V. (2016). Prevalence of Traumatic Dental Injuries to Anterior Teeth of 12-Year-Old School Children in Kashmir, India. Archives of trauma research, 5(1), e24596. https://doi.org/10.5812/atr.24596

Andersson, L., Andreasen, J. O., Day, P., Heithersay, G., Trope, M., Diangelis, A. J., Kenny, D. J., Sigurdsson, A., Bourguignon, C., Flores, M. T., Hicks, M. L., Lenzi, A. R., Malmgren, B., Moule, A. J., Tsukiboshi, M., & International Association of Dental Traumatology (2012). International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dental traumatology: official publication of International Association for Dental Traumatology, 28(2), 88–96. https://doi.org/10.1111/j.1600-9657.2012.01125.x

Andersson, L., & Bodin, I. (1990). Avulsed human teeth replanted within 15 minutes--a long-term clinical follow-up study. Endodontics & dental traumatology, 6(1), 37–42. https://doi.org/10.1111/j.1600-9657.1990.tb00385.x

Arikan, V., & Sönmez, H. (2012). Knowledge level of primary school teachers regarding traumatic dental injuries and their emergency management before and after receiving an informative leaflet. Dental traumatology: official publication of International Association for Dental Traumatology, 28(2), 101–107. https://doi.org/10.1111/j.1600-9657.2011.01042.x

Azami-Aghdash, S., Ebadifard Azar, F., Pournaghi Azar, F., Rezapour, A., Moradi-Joo, M., Moosavi, A., & Ghertasi Oskouei, S. (2015). Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis. Medical journal of the Islamic Republic of Iran, 29(4), 234.

Baginska, J., Rodakowska, E., Milewski, R., Wilczynska‐Borawska, M., & Kierklo, A. (2016). Polish school nurses' knowledge of the first‐aid in tooth avulsion of permanent teeth. BMC Oral Health, 16:30.

Blomlöf, L., Lindskog, S., Andersson, L., Hedström, K. G., & Ham¬marström, L. (1983). Storage of experimentally avulsed teeth in milk prior to replantation. J Dent Res, 62:912–6.

Cruz-da-Silva, B. R., Perazzo, M., Neves, É. T., Firmino, R. T., & Granville-Garcia, A. F. (2016). Effect of an Educational Programme on the Knowledge Level Among an Emergency Service Medical Team Regarding Tooth Avulsion. Oral health & preventive dentistry, 14(3), 259–266. https://doi.org/10.3290/j.ohpd.a35615

de Oliveira, D. L., Ribeiro-Junior, P. D., Sbroggio, A. C., Dos Santos, P. G., & Mori, G. G. (2017). Evaluation of Knowledge of Physical Education Students on Dental Trauma. Annals of maxillofacial surgery, 7(2), 217–221. https://doi.org/10.4103/ams.ams_115_17

Flores, M. T., Andersson, L., Andreasen, J. O., Bakland, L. K., Malmgren, B., Barnett, F., Bourguignon, C., DiAngelis, A., Hicks, L., Sigurdsson, A., Trope, M., Tsukiboshi, M., von Arx, T., & International Association of Dental Traumatology (2007). Guidelines for the management of traumatic dental injuries. II. Avulsion of permanent teeth. Dental traumatology: official publication of International Association for Dental Traumatology, 23(3), 130–136. https://doi.org/10.1111/j.1600-9657.2007.00605.x

Gonçalves, B. M., Dias, L. F., Pereira, C., Ponte, M. X., Filho, Konrath, A. C., Bolan, M., & Cardoso, M. (2017). Impact of dental trauma and esthetic impairment on the quality of life of preschool children. Revista paulista de pediatria: órgão oficial da Sociedade de Pediatria de Sao Paulo, 35(4), 448–455. https://doi.org/10.1590/1984-0462/;2017;35;4;00011

Goyal, N., Singh, S., Mathur, A., Makkar, D. K., Aggarwal, V. P., Sharma, A., & Kaur, P. (2017). Traumatic Dental Injuries Prevalence and their Impact on Self-esteem among Adolescents in India: A Comparative Study. Journal of clinical and diagnostic research: JCDR, 11(8), ZC106–ZC110. https://doi.org/10.7860/JCDR/2017/27496.10510

Jetro, V., Morais, H. H. A., Dias, T. G. S., Barbalho, J. C. M., & Lucena, E. E. S. (2013). Traumatismo dentoalveolar: nível de conhecimento e conduta de urgência dos bombeiros do município de Caicó-RN. Rev Cir TraumatolBuco-Maxilo-Fac, 13(2):101-8.

Lin, S., Levin, L., Emodi, O., Fuss, Z., & Peled, M. (2006). Physician and emergency medical technicians' knowledge and experience regarding dental trauma. Dental traumatology: official publication of International Association for Dental Traumatology, 22(3), 124–126. https://doi.org/10.1111/j.1600-9657.2006.00358.x

Matias, M., Fernandes, L. S., & Araujo, M. M. (2014). Evaluation of the emergency procedure in cases of dental avulsion among different professionals in the city of São José dos Campos-SP. Braz dent sci, 17(2):35-41.

Mori, G. G., de Mendonça Janjácomo, D. M., Castilho, L. R., & Poi, W. R. (2009). Evaluating the knowledge of sports participants regarding dental emergency procedures. Dental traumatology: official publication of International Association for Dental Traumatology, 25(3), 305–308. https://doi.org/10.1111/j.1600-9657.2009.00786.x

Mori, G. G., Nunes, D. C., Castilho, L. R., de Moraes, I. G., & Poi, W. R. (2010). Propolis as storage media for avulsed teeth: microscopic and morphometric analysis in rats. Dental traumatology: official publication of International Association for Dental Traumatology, 26(1), 80–85. https://doi.org/10.1111/j.1600-9657.2009.00856.x

Mori, G. G., Castilho, L. R., Nunes, D. C., Turcio, K. H. L., & Molina, R. O. (2007). Avulsion of permanent teeth: analysis of the efficacy of na informative campaign for professionals from elementary schools. Journal of Applied Oral Science, 15(6), 534-538. https://dx.doi.org/10.1590/S1678-77572007000600015

Mori, G. G., Turcio, K. H., Borro, V. P., & Mariusso, A. M. (2007). Evaluation of the knowledge of tooth avulsion of school professionals from Adamantina, São Paulo, Brazil. Dental traumatology: official publication of International Association for Dental Traumatology, 23(1), 2–5. https://doi.org/10.1111/j.1600-9657.2005.00391.x

Needleman, H. L., Stucenski, K., Forbes, P. W., Chen, Q., & Stack, A. M. (2013). Massachusetts emergency departments' resources and physicians' knowledge of management of traumatic dental injuries. Dental traumatology: official publication of International Association for Dental Traumatology, 29(4), 272–279. https://doi.org/10.1111/j.1600-9657.2012.01170.x

Pearson, R. M., Liewehr, F. R., West, L. A., Patton, W. R., McPherson, J. C., 3rd, & Runner, R. R. (2003). Human periodontal ligament cell viability in milk and milk substitutes. Journal of endodontics, 29(3), 184–186. https://doi.org/10.1097/00004770-200303000-00005

Petti, S., Glendor, U., & Andersson, L. (2018). World traumatic dental injury prevalence and incidence, a meta-analysis-One billion living people have had traumatic dental injuries. Dental traumatology: official publication of International Association for Dental Traumatology, 34(2), 71–86. https://doi.org/10.1111/edt.12389

Petrović, M., Kühl, S., Šlaj, M., Connert, T., & Filippi, A. (2016). Dental and General Trauma in Team Handball. Swiss dental journal, 126(7-8), 682–686.

Taranath, M., Senaikarasi, R. M., & Manchanda, K. (2017). Assessment of knowledge and attitude before and after a health education program in East Madurai primary school teachers with regard to emergency management of avulsed teeth. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 35(1), 63–67. https://doi.org/10.4103/0970-4388.199218

Traebert, J., Traiano, M. L., Armênio, R., Barbieri, D. B., de Lacerda, J. T., & Marcenes, W. (2009). Knowledge of lay people and dentists in emergency management of dental trauma. Dental traumatology: official publication of International Association for Dental Traumatology, 25(3), 277–283. https://doi.org/10.1111/j.1600-9657.2009.00779.x

Trivedy, C., Kodate, N., Ross, A., Al-Rawi, H., Jaiganesh, T., Harris, T., & Anderson, J. E. (2012). The attitudes and awareness of emergency department (ED) physicians towards the management of common dentofacial emergencies. Dental traumatology: official publication of International Association for Dental Traumatology, 28(2), 121–126. https://doi.org/10.1111/j.1600-9657.2011.01050.x

Ulusoy, A. T., Onder, H., Cetin, B., & Kaya, S. (2012). Knowledge of medical hospital emergency physicians about the first-aid management of traumatic tooth avulsion. Int J Paediatr Dent, 22(3):211-6.

Yigit, Y., Helvacioglu-Yigit, D., Kan, B., Ilgen, C., & Yilmaz, S. (2019). Dentofacial traumatic injuries: A survey of knowledge and attitudes among emergency medicine physicians in Turkey. Dental traumatology: official publication of International Association for Dental Traumatology, 35(1), 20–26. https://doi.org/10.1111/edt.12440.

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Published

16/04/2021

How to Cite

SANTINONI, C. dos S. .; GONÇALVES, G. S. Y. .; SANTOS, B. A. dos .; JOÃO, S. A. R. O. .; MARSICANO, J. A. .; PRADO, R. L. do .; MORI, G. G. . Dental avulsion management by emergency professionals and efficacy of education. Research, Society and Development, [S. l.], v. 10, n. 4, p. e42210414393, 2021. DOI: 10.33448/rsd-v10i4.14393. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14393. Acesso em: 18 apr. 2024.

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Section

Health Sciences