Primary care dentists' experience of treating avulsed permanent teeth

Kenny, Kate; Day, Peter; Douglas, Gail; Chadwick, Barbara Lesley

doi:10.1038/sj.bdj.2015.673

Cited by 12 publications

(9 citation statements)

References 11 publications

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“…However, only half of these had a course of emergency treatment carried out in this setting 10 . Similar findings have been reported in both the UK 11,12 and internationally 13,14 . Despite this predominance of management being carried out in general dental practices, both in the UK and internationally, there is little evidence pertaining to the barriers and/or challenges that face GDPs when managing a TDI.…”

Section: Introductionmentioning

confidence: 54%

“…Developing an MCN could clarify the situation and ensure patients receive the care they need, from the correct personnel, in a timely manner. The MCN will act as a referral pathway between GDPs, satellite clinics and secondary care services, 9 allowing patients, where appropriate, with slightly more complex TDIs to be managed in the short and long term more locally with suitably trained staff 10,12,17 . Additionally, these satellite clinics are more likely to have all the necessary equipment required to manage a TDI, compared to a primary care practice, which addresses a major concern raised by GDPs.…”

Section: Discussionmentioning

confidence: 99%

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Primary Care Dentists’ management of permanent dentition traumatic dental injuries in 7‐ to 16‐year‐olds: A sequential mixed‐methods study

Sumner

Holmes

et al. 2021

Dental Traumatology

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Background/Aims Primary care dentists play a pivotal role in the management of traumatic dental injuries in children, despite little evidence on the barriers they face in providing care. The aim of this study was to explore and contextualize the knowledge and attitudes of general dental practitioners regarding their management of permanent dentition traumatic dental injuries in children aged 7–16 years old. Material and Methods A two‐phase sequential mixed‐methods study included a questionnaire that was disseminated to all 619 primary care dentists, identified via a triangulated sampling strategy, based across the north‐east of England (Phase I). Statistical analyses were performed using Mann–Whitney U‐ and Kruskal–Wallis tests, Spearman's correlation and chi‐square test. Multivariate factor analysis, with principal components extraction, was used to test between multiple ordinal variables. Respondents were invited to a face‐to‐face or telephone semi‐structured interview (Phase II). Interviews were transcribed verbatim and analysed using inductive thematic analysis. Results Primary care dentists were less confident in managing complex dental trauma. Inadequate financial remuneration was the main reason for not providing care, often prompting a referral to the local dental hospital. This was more apparent for those who qualified before 2000. More recently qualified dentists felt the long‐term costs, related to traumatic dental injuries, were insufficiently remunerated. Most still provided emergency management, irrespective of remuneration, as long as they had the requisite knowledge and skills. Four major themes arose: impact of traumatic dental injuries on patients, parents and primary care dentists; barriers to providing treatment; educational opportunities for primary care dentists; and interactions between primary and secondary care services. Conclusions There is high confidence in managing simple traumatic dental injuries but less for complex injuries. A lack of sufficient financial remuneration associated with the long‐term management of dental trauma was the main barrier for dentists to manage these cases.

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Section: Introductionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Primary Care Dentists’ management of permanent dentition traumatic dental injuries in 7‐ to 16‐year‐olds: A sequential mixed‐methods study

Sumner

Holmes

et al. 2021

Dental Traumatology

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“…As per the recommendations of the EM, PRISMA and best practices of SRs, every attempt was made to reduce the chances of bias in the present review 75,78–80 . The studies which did not test the validity and/or reliability of the questionnaires or lacked the details of questions and the knowledge scores were excluded from the review 6–58 . With the advent of electronic means of communication, there has been an over‐flooding of questionnaire‐based studies in the dental literature.…”

Section: Discussionmentioning

confidence: 99%

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

Tewari

Sultan

Mathur

et al. 2020

Dental Traumatology

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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.

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“…Kenny et al . ( 22 ) reported that 40% of the dentists in Yorkshire received postgraduate training in dental trauma. In this respect, most dentists who participated in the current study, 75% of them, stated that the source of their knowledge on the treatment of avulsion was the university education they received.…”

Section: Discussionmentioning

confidence: 99%

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

Sen-Yavuz¹,

Sadikoglu²,

Sezer³

et al. 2020

Acta Stomatol Croat

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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.

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Primary care dentists' experience of treating avulsed permanent teeth

Cited by 12 publications

References 11 publications

Primary Care Dentists’ management of permanent dentition traumatic dental injuries in 7‐ to 16‐year‐olds: A sequential mixed‐methods study

Primary Care Dentists’ management of permanent dentition traumatic dental injuries in 7‐ to 16‐year‐olds: A sequential mixed‐methods study

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

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

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