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      Aplicación de la guía de trauma dental de la asociación internacional de traumatología dental en un grupo de odontólogos paraguayos Translated title: Application of the dental trauma guide of the international association of dental traumatology in a group of paraguayan dentists

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          RESUMEN

          Objetivo:

          Evaluar la aplicación de la guía de trauma dental según la IADT en un grupo de odontólogos paraguayos entre los meses de enero y mayo del 2021. El estudio fue observacional descriptivo de corte transversal. Formaron parte del estudio un grupo de odontólogos paraguayos con acceso a internet que deseaban participar. El instrumento de medición utilizado fue un cuestionario cerrado de 20 preguntas basadas en la guía de la IADT, confeccionado en formularios de Google, distribuidos por mensajería instantánea entre los meses de enero y abril del 2021. Basado en la Guía para la Evaluación y Manejo de Lesiones Dentales Traumáticas de la Asociación Internacional de Traumatología Dental (IADT), el cuestionario cuenta con 20 preguntas sobre la evaluación de signos clínicos y radiográficos, determinación de variables de tratamiento, diferenciación del tipo de tratamiento, consecuencias biológicas del trauma, materiales y tiempo de entablillado, e indicaciones postoperatorias y medicación.

          Resultados:

          Participaron 230 odontólogos, con un promedio de 33 (DE = 6,4) años y el 70,43% fueron mujeres. El 30,87% fueron odontólogos generales y el 70,87% ejerció exclusivamente en consultorio privado. El 68,70% respondió que poseía experiencia acerca del manejo y tratamiento de traumatismos dentoalveolares. El 70,87% no ha escuchado hablar o leído acerca de la guía de trauma dental de la IADT. En cuanto al nivel de conocimiento, el 60% obtuvo medio.

          Conclusión:

          La mayoría de los odontólogos encuestados tuvo conocimiento medio, por lo que se recomienda promover el conocimiento de las guías internacionales de tratamiento de TDA.

          ABSTRACT

          Objective:

          To evaluate the application of the dental trauma guide according to the International Association of Dental Traumatology in a group of Paraguayan dentists from April to May 2021. The was a descriptive, cross-sectional, observational study. A group of Paraguayan dentists with internet access accepted to participate in the study. The measurement instrument was a closed questionnaire from Google Forms, distributed by instant messaging (WhatsApp) from January to April 2021. Based on the Guidelines for the Evaluation and Management of Traumatic Dental Injuries by the International Association of Dental Traumatology (IADT), the questionnaire includes 20 questions on the assessment of clinical and radiographic signs, determination of treatment variables, differentiation of the type of treatment, biological consequences of trauma, materials and splint time, and postoperative indications and medication.

          Results:

          230 dentists participated; the mean age was 33 (SD = 6.4) years, 70.43% were women, 30.87% were general dentists, and 70.87% were practicing exclusively in private practice. 68.70% responded that they were familiar with the management and treatment of dentoalveolar trauma, while 70.87% had not heard or read about the IADT dental trauma guide. Regarding the level of knowledge, 60.00% scored an average mark.

          Conclusion:

          Most of the dentists surveyed had moderate knowledge regarding the evaluation and management of traumatic dental injuries.

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          Most cited references30

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          Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12-14-year-old children.

          There are no data on the impacts on daily living of traumatic injuries to the permanent teeth. The aim of the present study was to assess the socio-dental impacts of untreated fractured anterior teeth in Brazilian schoolchildren. A population-based matched case-control study was used and a 2 : 1 control-to-case ratio was adopted. The cases were 68 children 12-14 years old, having non-restored teeth, with fracture involving dentine. The controls were 136 children without any traumatic dental injury. They were matched by age, sex and socio-economic status. The Oral Impact on Daily Performances (OIDP) index was used to measure the impacts. The response rate was 100%. Results of conditional logistic regression showed that children with fractured teeth were 20 times (95% CI = 2.2-45.6) more likely to report any impact on their daily living than children with no traumatic dental injury. These results remained statistically significant for the items of the OIDP separately, 'smiling' (P < 0.001), 'maintaining emotional state' (P < 0.001), 'eating' (P < 0.01), 'enjoying contact with people' (P < 0.01) and the overall OIDP (P < 0.001), after adjusting for confounding variables such as the Aesthetic Component of the Index of Orthodontic Treatment Need and DMFT index in a multiple conditional logistic regression. Children with untreated dental fracture of permanent teeth had more impacts on their daily living than children without any traumatic injury.
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            International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth.

            Avulsion of permanent teeth is one of the most serious dental injuries, and a prompt and correct emergency management is very important for the prognosis. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the task group. The guidelines represent the current best evidence and practice based on literature research and professionals' opinion. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care of avulsed permanent teeth. © 2012 John Wiley & Sons A/S.
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              International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth.

              Traumatic dental injuries (TDIs) of permanent teeth occur frequently in children and young adults. Crown fractures and luxations are the most commonly occurring of all dental injuries. Proper diagnosis, treatment planning and followup are important for improving a favorable outcome. Guidelines should assist dentists and patients in decision making and for providing the best care effectively and efficiently. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a review of the dental literature and group discussions. Experienced researchers and clinicians from various specialties were included in the group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion of the IADT board members. The guidelines represent the best current evidence based on literature search and professional opinion. The primary goal of these guidelines is to delineate an approach for the immediate or urgent care of TDIs. In this first article, the IADT Guidelines for management of fractures and luxations of permanent teeth will be presented. © 2012 John Wiley & Sons A/S.
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                Author and article information

                Contributors
                Role: Role:
                Role: Role:
                Role: Role:
                Role:
                Role:
                Role: Role:
                Journal
                Rev Cient Odontol (Lima)
                Rev Cient Odontol (Lima)
                odontologica
                Revista Científica Odontológica
                Universidad Científica del Sur
                2310-2594
                2523-2754
                09 December 2021
                Oct-Dec 2021
                : 9
                : 4
                : e083
                Affiliations
                [1 ] original Facultad de Odontología de la Universidad Nacional de Asunción. San Lorenzo, Paraguay. josemgamarra31@gmail.com, oagi5897@gmail.com, ceciolmedo@gmail.com, stelamary@hotmail.es, cdiazr@odo.una.py, vicentefretes@odo.una.py normalizedUniversidad Nacional de Asunción orgdiv1Facultad de Odontología orgnameUniversidad Nacional de Asunción San Lorenzo, Paraguay josemgamarra31@ 123456gmail.com oagi5897@ 123456gmail.com ceciolmedo@ 123456gmail.com stelamaryhotmail.es, cdiazr@ 123456odo.una.py vicentefretes@ 123456odo.una.py
                Author notes
                * Autor corresponsal: Clarisse Díaz-Reissner. cdiazr@ 123456odo.una.py

                Contribución de autoría: Osmar Gómez, Cecilia Olmedo y Vicente Fretes participaron en la concepción de la idea y la elaboración del manuscrito. José Gamarra participó en la concepción de la idea, la elaboración del manuscrito, la recopilación de información, el análisis y la interpretación de datos. Clarisse Díaz-Reissner y Stela Benítez participaron en la elaboración del manuscrito. Todos los autores dieron la aprobación a la versión final del artículo

                Potenciales conflictos de intereses: Articulo derivado de proyecto de investigación presentado como trabajo para obtener el título de odontólogo en la Facultad de Odontología de la Universidad Nacional de Asunción (Paraguay), el 10 de agosto del 2020. Los autores declaran no tener ningún conflicto de intereses

                Author information
                https://orcid.org/0000-0001-8125-3672
                https://orcid.org/0000-0002-6285-0962
                https://orcid.org/0000-0003-2868-8444
                https://orcid.org/0000-0002-7022-374X
                https://orcid.org/0000-0002-7312-1386
                https://orcid.org/0000-0003-3457-9017
                Article
                10.21142/2523-2754-0904-2021-083
                10919807
                1ecc9aad-e636-4b21-bd43-312d53b5c234

                Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons

                History
                : 17 August 2021
                : 24 November 2021
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 30, Pages: 0
                Categories
                Artículo Original

                traumatismos de los dientes,encuestas y cuestionarios,conocimiento,tooth injuries,surveys and questionnaires,knowledge

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