scholarly journals Appraisal of Awareness and Attitude of School Teachers towards Emergency Management of Dental Trauma and Tooth Avulsion Replantation

2020 ◽  
Vol 9 (40) ◽  
pp. 2951-2954
Author(s):  
Shivani Kharpate ◽  
Nilesh Rathi ◽  
Pooja Vilas Gomase ◽  
Sudhindra Baliga ◽  
Nilima Thosar

BACKGROUND Health education is an essential aspect for prevention of oral health problems in school children. Dental trauma can result in damaging the tooth, periodontal ligaments, and sometimes even alveolar bone and gingiva. These traumatic injuries to the anterior teeth in young children are tragic but are an ignored problem. They can result in aesthetic and functional problem with possible impact on child’s quality of life as anterior teeth are essential for phonetics, mastication, integrity of supporting tissue and also mental and psychological wellbeing of children. This dental emergency can be best handled by the school teachers and the staff members when it happens in a school. So, the study was conducted to assess the knowledge and attitude of the school teachers regarding the emergency management of dental trauma and sensitize them on the subject. METHODS This is a pre- and post-test study performed using self - designed questionnaire provided to the school-teachers of Wardha district. RESULTS Knowledge of 98 % teachers increased after the activity whereas knowledge of 2 % of school teachers was the same as earlier. CONCLUSIONS Sensitization of the school teachers improved their awareness and attitude to manage the dental trauma and avulsion injury of teeth in school. KEY WORDS Tooth Avulsion, Emergency Dental Traumatic Care, School Teachers

2021 ◽  
Vol 33 (2) ◽  
pp. 16-20
Author(s):  
Muna S Khalaf ◽  
Bayan S Khalaf ◽  
Shorouq M Abass

Background: An injury to both the primary and permanent teeth and the supporting structures is one of the most common dental problems seen in children. Splinting is usually difficult or impossible to perform in the primary dentition (due to diminutive room size and lack of patient cooperation). Healing must, therefore, occur despite mobility at the fracture line, usually resulting in interposition of connective tissue. In some instances, infection will occur in the coronal pulp. The present study reported a case of trauma to the anterior primary teeth and alveolar bone in a four year old child. The trauma has caused fracture to the crowns and roots of the primary anterior teeth. The following case was managed in a procedure that may provide primary teeth subjected to trauma a better chance than extraction with a better prognosis. Case presentation: a 4 and a half year old child was subjected to trauma in anterior segment of maxilla. Suturing of the torn soft tissue was the first step followed by pulpotomy for the left primary lateral incisor. Fixation of the right primary central and lateral incisors was done by acid etch wire fixation. Both clinical and radiographic follow up was carried out for 6.4 years. Results: healing of the soft tissue was observed after one week and completed after two months. Fixation of the teeth continued for ten months. The fracture lines in the roots remained in position. Clinically there was no sign of any pulpal inflammation or necrosis. Radiographically, no signs of infection to the surrounding tissues could be seen, no resorption in the alveolar bone, external or internal resorption of the root did not happen also. After ten months fixation ended and the wire was removed. At that time there was normal resorption of the roots of the primary incisors in relation with the normal development of the permanent incisors. After 3 years both permanent central incisors erupted in their normal position. After 6.4 years all four permanent incisors erupted into occlusion in their normal position. Conclusion: primary teeth with root fractures and severely mobile coronal fragments can be treated by a conservative approach. The severity of the sequels is directly related to the degree of permanent tooth formation (child’s age), type of dental trauma and extent of the impact. Key words: trauma, primary incisors, fractured crown and root


Author(s):  
Elisabeth Reichardt ◽  
Ralf Krug ◽  
Michael M. Bornstein ◽  
Jürgen Tomasch ◽  
Carlalberta Verna ◽  
...  

(1) Background: To assess orthodontic forced eruption (OFE) as a pre-restorative procedure for non-restorable permanent teeth with subgingival dental hard tissue defects after dental trauma. (2) Methods: A systematic electronic search of three databases, namely, MEDLINE, Cochrane Library, and EMBASE, revealed a total of 2757 eligible publications. Randomized controlled clinical trials (RCT), retro- and prospective clinical studies, or case series (with a minimum of three patients) were reviewed. (3) Results: Thirteen full-text papers were included: one RCT, one prospective clinical trial, two retrospective cohort studies, and nine case series. Within case series, statistical significance between age and cause of fracture (p < 0.03) was determined. The mean extrusion rate of OFE was 1.5 mm a week within a four to six weeks treatment period followed by retention. Three OFE protocols for maxillary single teeth are available: 1. OFE without migration of gingiva and alveolar bone, 2. OFE with gingival migration and slight alveolar bone migration, and 3. OFE with migration of both gingiva and alveolar bone. (4) Conclusions: The current state of the evidence suggests that OFE is a feasible pre-treatment option for non-restorable permanent teeth. OFE can promote the migration of tooth surrounding hard and soft tissues in the esthetic zone. Root resorption does not seem to be a relevant side effect of OFE.


2017 ◽  
Vol 7 (3) ◽  
pp. 165-169
Author(s):  
Md Abdul Hannan Sheikh

Accidental tooth avulsion is a grievous injury and common among the children. Management of avulsed tooth within alveolar socket by reimplantation becomes a challenge for the clinician due to extraoral time and media of transportation. Although the long-term prognosis of reimplantation is poor, the time during which the tooth remain within the arch will guide the development of alveolar bone completely. Moreover, reimplantation will maintain anatomical, functional and esthetic rehabilitation of the patient. In this case report, we present a case of accidental avulsion where teeth were gently rinsed of any debris and placed in normal saline during the examination and preparation of the reimplantation sockets. The teeth were then reimplanted, functionally splinted followed by endodontical treatment. After 12 months follow-up the periodontal space was healed perfectly without any resorption or ankylosis.J Enam Med Col 2017; 7(3): 165-169


2017 ◽  
Vol 4 (3) ◽  
pp. 77-82
Author(s):  
Megha Pradhan ◽  
Ujjwal Joshi ◽  
Umesh Raj Aryal ◽  
Sumita Upadhyay ◽  
Amrita Shrestha

Background: Injury to a young child’s teeth and face is a traumatic experience for the child and parents. Prompt and effective action on traumatized teeth significantly increases the likelihood of a positive treatment outcome. Adequate knowledge of school teachers in emergency situation arising during school hours can prove to be a boon for the child’soral health.Objectives: To assess the knowledge of school teachers of Bhaktapur about emergency management of dental trauma and also to measure the relationship between socio demographic characteristic of teachers and knowledge about dental emergencies.Methods: The cross sectional study was conducted among 424 schools teachers of Bhaktapur district from September 2014 to March 2015. Simple random sampling was done to select the schools. Questionnaire was distributed among the teachers after taking their informed written consent. Data was collected and sent for statistical evaluation. Frequenciesand percentage were calculated. Chi-square and Fisher’s Exact test were applied.Results: Nearly one third (32.2%) teachers who had information on dental trauma knew the proper management of displaced teeth (p=0.01). Statistically significant difference was found among those who had fi rst aid training and proper management of displaced teeth (p=0.04). Teachers who had experienced dental trauma in their students were only confident of managing displacement of traumatized teeth (p=0.02).Conclusion: Knowledge of the school teachers in Bhaktapur was seen to be inadequate for emergency management of fracture and avulsed tooth.


2019 ◽  
Vol 31 (3) ◽  
pp. 161
Author(s):  
Fadzlinda Baharin ◽  
Nor Fatimah Osman ◽  
Munirah Mohd Adnan

Introduction: Dental injuries could happen anywhere, including in the school compound. Correct management by the teachers in dental emergencies could prevent further damage to the traumatized tooth and improve the success rate of the treatment. Hence, the purpose of this study was to assess the knowledge and attitude towards dental trauma management among the primary school teachers in Kubang Kerian area. Methods: This descriptive study was conducted in three national primary schools in Kubang Kerian and multi-stages sampling was performed to select the subjects. One hundred and twenty teachers (n = 120) were randomly selected and responded to a set of a self-administered questionnaire. The questionnaire consisted of general characteristics, knowledge, and attitude towards dental trauma. Results: A total of 120 primary school teachers, predominantly female teachers (74.2%) participated in this study. More than half of the teachers (62.5%) have more than 15 years of teaching experience. One-third of the teachers (34.2%) have completed first aid training; however, dental trauma management subject was lacking (1.7%). About 31.7% of the respondent had experienced dental trauma case. Eighty-five percent of the teachers did not opt for tooth replantation in the case of avulsion and almost all the teachers (97.5%) did not choose fresh milk as the medium storage of the avulsed tooth. Conclusion: The level of knowledge and attitude on dental trauma management among school teachers is unsatisfactory. As a recommendation, first aid training given to the teachers should include basic knowledge of dental trauma management. The awareness can be improved by organizing talk or campaign on dental trauma management at the school level.Keywords: Children, dental trauma, school teachers.


2021 ◽  
Vol 32 (1) ◽  
pp. 51
Author(s):  
FarhinA Katge ◽  
DevendraP Patil ◽  
PoojaJ Khakhar ◽  
ManoharS Poojari ◽  
PaloniB Koticha

Sign in / Sign up

Export Citation Format

Share Document