Dentofacial traumatic injuries: A survey of knowledge and attitudes among emergency medicine physicians in Turkey

Yiğit, Yavuz; Helvacıoğlu-Yiğit, Dilek; Kan, Bahadır; Ilgen, Cansu; Yılmaz, Serkan

doi:10.1111/edt.12440

Cited by 32 publications

(92 citation statements)

References 25 publications

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“…In addition, medical doctors’ knowledge of dental anatomy was inadequate, as evidenced by a report of doctors’ not knowing that a fractured incisor tooth in 9‐year‐olds (a common injury) represents damage to a permanent tooth . Furthermore, doctors reported inadequate knowledge for managing a crown fracture …”

Section: Resultsmentioning

confidence: 99%

“…Injuries to the soft tissues : Injuries to the gingival and oral mucosa area normally present as a visible breach with varying degrees of bleeding. The review signalled that medical doctors felt they had adequate knowledge of suturing facial lacerations and managing oral mucosa lacerations .…”

Section: Resultsmentioning

confidence: 99%

“…Medical doctors’ knowledge of the assessment and management of TDIs is important but first doctors must identify any other medical issues that are more urgent than the presenting dental problems . For example, a TDI may also involve injuries to the head and neck, evident facial bone and condylar fractures, and aspiration of tooth/teeth fragments etc, as well as other traumatic injuries to the thorax, abdomen and limbs.…”

Section: Introductionmentioning

confidence: 99%

“…Medical doctors competent in managing emergency procedures can provide a higher standard of treatment care and the economic value of prolonging the survival rate of the tooth versus a dental prosthetic replacement can impact over the patient's lifetime . However, it has already been reported that the majority of medical doctors in private practice, or emergency doctors in hospital settings, have little or no formal training in clinical dentistry and many of these doctors may lack the knowledge to adequately manage victims of TDI but postgraduate workshops do occur and there is a reasonable chance that the proceedings of these workshops are not published.…”

Section: Introductionmentioning

confidence: 99%

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Medical doctors’ knowledge of dental trauma management: A review

Yeng

O’Sullivan

Shulruf

2019

Dental Traumatology

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Education in dental trauma is extremely important to promote knowledge on the assessment and management of a traumatized tooth. Medical doctors are normally only required to manage the emergency phase of traumatic dental injury (TDI) treatment before referring to a dentist, endodontist or oral and maxillofacial surgeon for continuing care. Medical doctors who possess sufficient theoretical knowledge and are competent enough clinically to handle TDI can provide a higher standard of treatment care and ultimately achieve a better patient outcome. The aim of this literature review was to assess the extent of medical doctors’ knowledge of dental trauma management for injuries in the following four areas: (a) tooth structure; (b) to the supporting bone; (c) to the periodontal tissues; and (d) to the soft tissues. Based on the findings from this literature review, an overall deficiency in knowledge and confidence in managing dental trauma has been identified. Knowledge and understanding to categorize TDI using the same classification of dental injuries commonly used amongst dentists would allow medical doctors to better manage and communicate with dental colleagues concerning referral for further care. If the medical education curriculum provided medical doctors with more information and skills for the management of dental trauma and an understanding of the importance of early management, then more favourable outcomes may prevail for dental trauma patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Medical doctors’ knowledge of dental trauma management: A review

Yeng

O’Sullivan

Shulruf

2019

Dental Traumatology

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“…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%

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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Knowledge and skills of emergency physicians in managing traumatic dental injuries

Wolfer¹,

Hahn²,

Sievers³

et al. 2021

Eur J Trauma Emerg Surg

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Purpose Emergency departments are frequently confronted with traumatic dental injuries (TDIs). The prognosis of the injured tooth is related to early dental trauma management. For this reason, physicians must be familiar with the appropriate management of TDI. This study aimed to investigate the knowledge and skills of German emergency physicians regarding TDI. Methods An electronic questionnaire was sent to 438 emergency departments throughout Germany. Four hundred and twenty seven questionnaires were evaluated and included in the analysis. The survey contained questions about physician characteristics and assessed their knowledge and skills of managing dental trauma. For statistical analysis, the Kruskal–Wallis, Mann–Whitney U test or ANOVA test was used as appropriate. Rank correlations were performed with the Spearman’s rank correlation. Results Out of 427 participants, 256 (59.95%) stated they had no or insufficient knowledge, and 266 (71.12%) stated they had no skills in dental trauma management. Almost 76% of the participants had no previous knowledge of dentistry. Only 7.28% knew the right procedure for replanting an avulsed tooth. Just 26.06% would choose the right medium for temporary tooth storage. Having a dentist in the family (p = 0.0074) or clinical exposure to patients with dental trauma (p = 0.0384) influenced the results of the knowledge score. Conclusion The knowledge and skills in dental trauma management among German emergency physicians are generally inadequate. Targeted training courses are necessary to ensure early and adequate TDI treatment to reduce the resulting medical and societal costs as much as possible.

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Dentofacial traumatic injuries: A survey of knowledge and attitudes among emergency medicine physicians in Turkey

Abstract: The majority of ED physicians had low knowledge regarding the diagnosis and treatment of dentofacial traumatic injuries. There is a need for education during and after medical training for ED physicians to provide appropriate primary management of dentofacial trauma.

Cited by 32 publications

References 25 publications

Medical doctors’ knowledge of dental trauma management: A review

Medical doctors’ knowledge of dental trauma management: A review

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

Knowledge and skills of emergency physicians in managing traumatic dental injuries

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