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      Primary School Teachers' Knowledge on Tooth Avulsion

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          Abstract

          Objective

          Permanent teeth trauma is most frequent in children aged 7-9 years, and the primary school teachers (PSTs) are often the first to notice it. The aim of this study was to evaluate the competence in tooth avulsion clinical issues and knowledge on dental trauma of PSTs, as they can occasionally take on the role of school nurses.

          Material and Methods

          Questionnaires were handed to 312 PSTs from 24 randomly selected primary schools in Zagreb, Croatia. An algorithm was designed for PST competence assessment.

          Results

          Response rate amounted to 81.37% (N=255). Only 3.14% (N=8) of the PSTs would replant the permanent tooth properly and only 43.92% of them (N=112) would immediately take the child to a doctor of dental medicine. Dry tissue, as a transport medium for an avulsed tooth, was chosen by 50.20% (N=128) of the respondents. Altogether, 4.71% (N=12) of PSTs were graded as competent in case of child’s tooth avulsion.

          Conclusion

          These results provided significant implications for school health, showed the educators' serious lack of knowledge in cases of dental trauma and stressed a need for continuous education of PSTs on the topic.

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          Most cited references29

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          Epidemiology of traumatic dental injuries--a 12 year review of the literature.

          A traumatic dental injury (TDI) is a public dental health problem because of its frequency, occurrence at a young age, costs and that treatment may continue for the rest of the patient's life. The aim of this paper is to present a12-year, international review of the prevalence and incidence of TDIs including some background factors and a quick, easy method in registering TDIs to receive a primary understanding of the extent and severity of dental trauma. The databases of Medline, Cochrane, SSCI, SCI and CINAHL from 1995 to the present were used. The results indicate a high prevalence of TDIs in primary and permanent teeth and that TDIs exists throughout the world. The prevalence show that one third of all preschool children have suffered a TDI involving the primary dentition, one fourth of all school children and almost one third of adults have suffered a trauma to the permanent dentition, but variations exist both between and within countries. Activities of a person and the environment are probably more determining factors of TDIs than gender and age. A risk profile why some patients sustain multiple dental trauma episodes (MDTE) is necessary to present. All dental clinics should have a prospective ongoing registration of TDIs. The NUC method (N = no TDI, U = uncomplicated TDI, C = complicated TDI) presents if there has been any TDI and the severity of that trauma. The trend of TDIs seems to be stable on a high level with variations largely reflecting local differences. Because of the complexity of TDIs, every dental clinic should have a prospective ongoing registration of number and severity of TDIs.
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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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              Which is the most recommended medium for the storage and transport of avulsed teeth? A systematic review

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                Author and article information

                Journal
                Acta Stomatol Croat
                Acta Stomatol Croat
                ASC
                Acta Stomatologica Croatica
                University of Zagreb School of Dental Medicine, and Croatian Dental Society - Croatian Medical Association
                0001-7019
                1846-0410
                March 2021
                March 2021
                : 55
                : 1
                : 28-36
                Affiliations
                [1 ]deptDepartment of Oral Surgery , University of Zagreb School of Dental Medicine , Zagreb, Croatia
                [2 ]deptDepartment of Oral and Maxillofacial Surgery , University Hospital Dubrava , Zagreb, Croatia
                [3 ]Private dental practice, Zagreb, Croatia
                [4 ]deptDepartment of Medical Informatics , University of Rijeka Faculty of Medicine , Rijeka, Croatia
                [5 ]deptDepartment of Medical Statistics, Epidemiology and Medical Informatics, University of Zagreb School of Medicine , Andrija Štampar School of Public Health , Zagreb, Croatia
                Author notes
                Address for correspondence: Professor Darko Macan, PhD, University of Zagreb School of Dental Medicine, Department of Oral and Maxillofacial Surgery, University Hospital Dubrava, Av. Gojka Suska 6, 10000 Zagreb, Croatia, Phone: 00385 91 466 4075, Fax: 00385 1 4684 441, darkom@ 123456kbd.hr

                Author’s contribution

                I.S., D.M. - research, data collection, formal analysis, interpretation, visualization, writing - original draft, approval of the final version of the article for publication ; K.B., J.K. - concept and design, formal analysis, statistical analysis, interpretation, writing - critical review and editing, approval of the final version of the article for publication; A.M., P.Đ. - concept and design, supervision, interpretation, writing - critical review and editing, approval of the final version of the article for publication; J.B. - interpretation, formal analysis, critical review and editing, approval of the final version of the article for publication; D.M. - supervision, resources, concept and design, writing - critical review and editing, approval of the final version of the article for publication

                Article
                ASC_55(1)_28-36
                10.15644/asc55/1/4
                8033624
                33867535
                a43afade-c43f-465d-b1e5-9f7dfecc6d4f
                Copyright @ 2021

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License.

                History
                : 30 November 2020
                : 17 February 2021
                Categories
                Original Scientific Papers

                mesh terms: tooth avulsion,school teachers,health knowledge attitudes practice,dental health education,author keywords: educational measurement,attitude,health education, dental,knowledge,questionnaires,tooth avulsion

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