Knowledge about permanent tooth avulsion and its management among dentists in Riyadh, Saudi Arabia

Specialists' management of permanent dentition traumatic dental injuries in 7-16-year-olds: A qualitative study

BACKGROUND/AIM

Specialist paediatric dentists are integral to dental trauma care pathways. General dentists rely on specialist input, more so in complex cases. Little is known about specialists' role in these pathways or the perceived barriers they face. The aim is to explore specialists' role in managing traumatic dental injuries in the permanent dentition in children.

MATERIAL/METHODS

Face-to-face (remote video) online semi-structured interviews were undertaken. All UK specialists were invited by email. Purposeful sampling aimed to investigate representation from the devolved nations, presence/absence of working within a managed-clinical network and level of care provision. Interviews were audio-recorded and transcribed verbatim. Transcripts were thematically analysed.

RESULTS

Data saturation was reached after nine interviews. Three main themes established were: inconsistent access to care; the need to formalise traumatic dental injuries care pathways; educationally upskilling general dentists. Geographical variation in provision of specialist and out-of-hours/emergency department care meant patients risked not receiving care by the most appropriate individual. Formalizing care pathways by clearly defining the role of each stakeholder (specialist, dentist, medical professionals and parents) and developing a method to assess complexity was perceived to be essential to improving treatment outcomes. Upskilling general dentists in trauma management appeared essential. A potential lack of engagement was raised, with a suggestion that trauma management education should become core continuing-professional development.

CONCLUSIONS

Specialist input should be available in the management of traumatic dental injuries. Current access to specialist care is inequitable across the UK. Formalizing care pathways and upskilling general dentists could ease inconsistencies.

Assessing Knowledge, Perception, and Management Toward Traumatic Tooth Avulsion Among Dentists in Jeddah, Saudi Arabia: A Cross-Sectional Study

INTRODUCTION

The long-term prognosis of teeth that have experienced traumatic avulsion is highly dependent on appropriate and prompt emergency management taken immediately after the avulsion. The main goal in the treatment of traumatic permanent tooth avulsion is to replant as soon as possible in its correct anatomical position to maintain the viability of the periodontal ligament and neurovascular supply while restoring aesthetic and preserving the functional integrity of the tooth. General dentists can deal properly with emergency cases, such as tooth avulsion, and also should be aware of appropriate management to take care of avulsions and to determine the prognosis especially since such incidents often occur at times when dental professionals are least prepared to address them.

OBJECTIVE

The primary aim of this study was to evaluate the knowledge of dentists who are working in various hospitals, clinics, and dental schools in Jeddah, Saudi Arabia, with respect to traumatic permanent tooth avulsion and the appropriate methods for its management.

METHODS

The study design is a cross-sectional study with dentists working in various clinical settings in Jeddah, Saudi Arabia. The questionnaire used in the study consists of a total of 19 items: nine items about demographic data, including training background, and 10 multiple-choice questions regarding dental trauma and its management.

CONCLUSION

Higher dental education and post-graduate training gave the dentists better judgment in dealing with dental emergencies compared to general dentists. Thus, the recommendation of this study is to include the comprehensive treatment of avulsion emergencies in the dental school curriculums and increase the exposure of dental students to such cases.

Assessment of dentists' knowledge in rabat concerning the management of dental expulsion

INTRODUCTION

Dental avulsion is an emergency whose prognosis depends on the promptness of the treatment. Adequate management requires the acquisition of correct knowledge, attitude and practice, thus the prognosis of the avulsed tooth should be improved, both in the short and in the long term.

AIM

This study was carried out in order to assess the level of knowledge, attitude and practice of dentists working in the city of Rabat, Morocco regarding their management of avulsed teeth and the factors associated with this level.

METHODS

A 14-item questionnaire regarding dental avulsion and its management was administered to dentists working in private practice in Rabat using convenience-sampling methodology. The data obtained were entered into Statistical Package for the Social Sciences database (IBM, SPSS version 13.0, Chicago, USA) and analysed with a significance level established at p < 0.05. The knowledge, attitude and practice level was assessed using a scoring system. Chi2 and Fisher's Exact tests were used to compare the groups.

RESULTS

A total of 205 dentists, representing 37% of all dentists working in the private sector in Rabat, completed the questionnaires. The level of knowledge, attitudes and practices of the dentists in this study was moderate with an overall median score of 5 [4;6]. Most of the participants answered the knowledge based questions correctly, except for those concerning the extra-alveolar period, the timing of endodontic treatment, and the type and duration of retention.

CONCLUSION

Given the lack of other studies concerning Moroccan dentists, comparison with studies carried out in other countries is difficult, hence the need to carry out more Moroccan studies in order to improve this level.

Global status of knowledge for prevention and emergency management of traumatic dental injuries in dental professionals: Systematic review and meta-analysis

BACKGROUND

Dental professionals are the primary care providers for traumatic dental injuries (TDI). The dental traumatology literature has a number of studies evaluating the knowledge of dental professionals from different parts of the world but its global status is unknown. Hence, the aim of this systematic review was to assess the global status of knowledge for the prevention and emergency management of TDI in dental professionals and to provide recommendations for future research.

MATERIALS AND METHODS

The protocol was designed as per the PRISMA guidelines and registered in PROSPERO (CRD42020192381). A broad-based search using text words and MeSH terms was performed in established databases as per a pre-defined strategy without any distinction of language and year of publication. Studies without details of the questionnaire, knowledge score, validity and reliability were excluded. Data extraction was performed, risk of bias assessment was done using the Joanna Briggs Institute's critical appraisal tool, and a meta-analysis was performed.

RESULTS

Sixteen studies, which had been published between 2008 and 2020, were included for qualitative synthesis. Most of them were cross-sectional, used convenience sampling and evaluated knowledge for avulsion. Previous dental trauma training was undertaken by <50% of the participants of five studies, <50% knew about the correct approach in management of complicated crown fractures in three studies and ≤60% in four studies knew the critical time for replantation. There was insufficient level of knowledge in >50% of the included studies. High risk of bias was found in three studies.

CONCLUSION

The knowledge level in several areas of the world was unknown. The studies lacked uniformity in methods and well-designed questionnaires and they revealed insufficient levels of knowledge among dental professionals.

Clinical-based Scenario Questionnaire About Dentists’ Awareness of Tooth Avulsion Management in Riyadh City

Aim:

To evaluate the knowledge of general dentists in Riyadh city regarding tooth avulsion using a questionnaire that contained case-based questions.

Materials and Methods:

Case-based questionnaires were distributed amongst 128 dentists. The questionnaire contained 5 items on demographic data and 10 items on clinical cases. Participants selected the most appropriate answer on the basis of the American were analyzed using the Statistical Package for the Social Sciences (SPSS, version 22, IBM Corp., New York).

Results:

The survey was completed with 74 percent males and 26 percent females. Most participants had freshly graduated and had not experienced any accident involving tooth avulsion. The overall mean score was 5.13 (standard deviation = 1.73). There were no significant differences in scores among the demographic categories.

Conclusion:

Freshly graduated dentists in Riyadh city demonstrated a moderate level of knowledge on management of avulsed teeth. Close adherence to AAE guidelines for traumatic dental injuries could result in further improvement.

Knowledge of General Dental Practitioners and Specialists about Emergency Management of Traumatic Dental Injuries in Qassim, Saudi Arabia

Context. Studies about knowledge of emergency management of traumatic dental injuries (TDIs) which affect children by general dental practitioners (GDPs) and specialists in Saudi Arabia are lacking.

Assessment of schoolteachers' knowledge about management of traumatic dental injuries in Al-Madinah city, Saudi Arabia

Objective:

This study aimed to assess the knowledge of primary and intermediate schoolteachers about the management of TDIs in Al-Madinah city, Saudi Arabia.

Materials and Methods:

A previously validated, self-administered, anonymous, close-ended structured questionnaire was administered to schoolteachers in 13 different schools. It included two parts: basic demographic information (part one) and questions regarding the management of dental traumatic injuries (part two).

Results:

A total of 178 schoolteachers voluntarily completely filled in the questionnaire. Nearly 28.1% of the teachers acquired a first-aid training program and 6.2% only learned about dental injury management in first-aid training. Concerning the knowledge about the management of dental traumatic injuries, 55.1% of teachers realized the appropriate time for treatment of dental traumatic injuries. A few percentage of teachers selected correct answers for the suitable storage medium. The most commonly selected storage media were found to be cold milk, physiological saline, and patient's saliva at 14.6%, 6.7%, and 2.2%, respectively.

Conclusion:

The knowledge among primary and intermediate schoolteachers in the management of dental traumatic injuries is unsatisfactory.

Awareness about Management of Tooth Avulsion among Dentists in Jazan, Saudi Arabia

AIM

This study aimed to evaluate the awareness amongst dentists working in Jazan, a city in K.S.A., about their potential role in the treatment of traumatic tooth avulsion injuries.

MATERIAL AND METHODS

A cross-sectional study was performed and all dentists in Jazan, K.S.A. were invited to participate in this study. Data was collected through a self-administrated questionnaire. A total of 200 dental practitioners answered the questionnaire. The intern/general practitioners were 75%, and the specialists were 25%. The variables comprised socio-demographic information, professional characteristics and information regarding the awareness towards the management of tooth avulsion.

RESULTS

A total of 200 dental practitioners answered the questionnaire. The intern/general practitioners were 75%, and the specialists were 25%. (44.3%) were aware of the critical time for avulsed tooth replantation while 71.8% of females did not know about the critical time for avulsed tooth replantation. 50.0% of the specialists reported that less than 30 min was needed for avulsed tooth replantation, while 59.3% of interns/general dentists advised less than 60 minutes.

CONCLUSION

A statistically significant result was observed regarding the best storage medium, a critical time for avulsed tooth replantation and tooth management before replantation.