Research Article

Knowledge and Attitude of Guardians in Management of Avulsion of Primary and Permanent Teeth of Children: A Questionnaire-Based Study

Hira Abbasi
Altamash Institute of Dental Medicine, Pakistan
Abhishek Lal
Altamash Institute of Dental Medicine, Pakistan
* Corresponding author
Ammara Shamim Jaffrani
Altamash Institute of Dental Medicine, Pakistan
DOI icon 10.24018/ejdent.2021.2.5.99

Read Counter
171

Downloads
157

Citations

Share

Article Sidebar

Submitted 2021-09-22
Published 2021-10-31

Read counter = 171 times

Table of Contents

Article Main Content

Aims: This study aims to assess knowledge and attitude of guardians in management of dental avulsion of the children.

Materials and Methods: This cross-sectional study was carried out at Altamash Institute of Dental Medicine, Pakistan, from April to May 2021. A total of 400 parents were recruited. An online self-administered questionnaire was circulated to the parents after taking the informed consent. 17 questions regarding demographics, knowledge and attitude were included. Chi-square test was used for association between demographics and responses of the participants.

Results: Of the 400 participants, there were 140 (35%) males and 260 (65%) females. Most of the 180 (45%) participants belonged to 18-30 years age bracket. About 63% of the children did not have past dental trauma history. Predominantly, 80% chose dentists being most appropriate of emergency treatment. 33% believed to visit the dentist within 30minutes for treatment. About 50% participants agreed avulsed teeth can be placed back into its original position. More than half knew different transport mediums, with milk (21%) and Hanks Balanced Salt Solution (19%) being commonly selected. Younger age group and females were more knowledgeable regarding emergency management.

Conclusion: Dental avulsion is a common finding in childhood, which mandates proper knowledge for the guardians. There is still a gap present in adequate knowledge for management of such emergencies which mandates organizations of education and awareness programs for both children and adults.

Keywords: Attitude, Avulsed Teeth, Dental Trauma, Emergency, Knowledge

References

  1. A. Topaloglu, D.O. Ozdas, S. Zorlu, P.K. Karataban, "Dental Traumatology in Pediatric Dentistry. In: Trauma in Dentistry" [Internet]. IntechOpen; 2019. Available from: https://www.intechopen.com/books/trauma-in-dentistry/dental-traumatology-in-pediatric-dentistry.
     Google Scholar
  2. S. Alotaibi, A. Haftel, N.D. Wagner, "Avulsed Tooth" [Internet]. StatPearls. 2021.
     Google Scholar
  3. S. Petti, G .Tarsitani, "Traumatic injuries to anterior teeth in Italian schoolchildren: prevalence and risk factors". Dentla Traumatology [Internet]. 1996 Dec 12(6):294–7. Available from: http://doi.wiley.com/10.1111/j.1600-9657.1996.tb00530.x.
     Google Scholar
  4. T.R.C. Soares, L.A. Jural, I. Sant’Ana, R.R. Luiz, L.A.A. Antunes, P.de.A. Risso, et al. "Risk Factors for Different Types of Traumatic Injuries in Primary Teeth," Pesqui Bras Odontopediatria Clin Integr, [Internet]. 2020;20.
     Google Scholar
  5. B.I. Aslan, N. Üçüncü. "Clinical Consideration and Management of Impacted Maxillary Canine Teeth. In: Emerging Trends in Oral Health Sciences and Dentistry [Internet]," InTech; 2015. Available from: http://www.intechopen.com/books/emerging-trends-in-oral-health-sciences-and-dentistry/clinical-consideration-and-management-of-impacted-maxillary-canine-teeth/.
     Google Scholar
  6. M.P. Araujo, S. Uribe, M.D. Robertson, F.M. Mendes, D.P. Raggio, N.P.T. Innes, "The Hall Technique and exfoliation of primary teeth: a retrospective cohort study," Br Dent J [Internet]. 2020 Feb 14;228(3):213–7.
     Google Scholar
  7. V.I. Khinda, G.S. Brar, S. Kallar, H. Khurana, "Clinical and Practical Implications of Storage Media used for Tooth Avulsion," Int J Clin Pediatr Dent, [Internet]. 2017 Jun 10(2):158–65. Available from: https://www.ijcpd.com/doi/10.5005/jp-journals-10005-1427/.
     Google Scholar
  8. G. Wang, C. Wang, M. Qin, "A retrospective study of survival of 196 replanted permanent teeth in children," Dent Traumatol, [Internet]. 2019 Oct, vol. 29; 35(4–5):251–8. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/edt.12475.
     Google Scholar
  9. D.D. Müller, R. Bissinger, M. Reymus, K. Bücher, R. Hickel, J .Kühnisch, "Survival and complication analyses of avulsed and replanted permanent teeth," Sci Rep, [Internet]. 2020 Dec 18;10(1):2841.
     Google Scholar
  10. N.M. AlGhamdi, S. Alothman, A. Assiri, M.A. Bijle, R. Togoo, "Knowledge of Saudi parents toward the emergency management of avulsed permanent teeth: A cross-sectional survey," J Dent Res Rev [Internet]. 2016;3(3):85.
     Google Scholar
  11. A. Jain, P. Kulkarni, S. Kumar, M. Jain, "Knowledge and Attitude of Parents towards Avulsed Permanent Tooth of their Children and its Emergency Management in Bhopal City," J Clin Diagn Res [Internet]. 2017 May;11(5):ZC40–4.
     Google Scholar
  12. S. Shamarao, S. Tikare, S. Ajagannanavar, R. Haridas, J. Jain, A. Kalappa, "Knowledge and attitude regarding management of tooth avulsion injuries among school teachers in rural India," J Int Soc Prev Community Dent [Internet]. 2014;4(4):44. Available from: http://www.jispcd.org/text.asp?2014/4/4/44/144599.
     Google Scholar
  13. M.E.S.M. Santos, A.P.Z. Habecost, F.V. Gomes, J.B.B. Weber, M.G. de Oliveira, "Parent and caretaker knowledge about avulsion of permanent teeth," Dent Traumatol [Internet]. 2009 Apr;25(2):203–8.
     Google Scholar
  14. M. Unal, F. Oznurhan, A. Kapdan, S. Aksoy, A. Dürer, "Traumatic dental injuries in children. Experience of a hospital in the central Anatolia region of Turkey," Eur J Paediatr Dent [Internet]. 2014 Mar;15(1):17–22.
     Google Scholar
  15. A. Hamid, A. Carter, "Tooth avulsion: does the milk matter?," Br Dent J [Internet]. 2021 Mar 26;230(6):326–326. Available from: http://www.nature.com/articles/s41415-021-2859-5.
     Google Scholar
  16. L.M. Côvre, E.A. Caliente, C.K. Sonoda, D.A. Brandini, W.R. Poi, "The effect of soy and whole milk as a means to store avulsed teeth: A histometric study," Dent Traumatol [Internet]. 2021 Feb 24;37(1):81–9.
     Google Scholar
  17. L.A. Bahammam, "Knowledge and attitude of emergency physician about the emergency management of tooth avulsion," BMC Oral Health [Internet]. 2018 Dec 2;18(1):57. Available from: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-018-0515-5.
     Google Scholar
  18. S. Adnan, M.M. Lone, F.R. Khan, S.M. Hussain, S.E. Nagi, "Which is the most recommended medium for the storage and transport of avulsed teeth? A systematic review," Dent Traumatol [Internet]. 2018 Apr;34(2):59–70.
     Google Scholar
  19. N.C.F. Fagundes, L.O. Bittencourt, M.B. Magno, M.M. Marques, L.C. Maia, R.R. Lima, "Efficacy of Hank’s balanced salt solution compared to other solutions in the preservation of the periodontal ligament. A systematic review and meta-analysis," Topcuoglu N, editor. PLoS One [Internet]. 2018 Jul 13;13(7):e0200467. Available from: https://dx.plos.org/10.1371/journal.pone.0200467.
     Google Scholar
  20. Z. Uzarevic, Z. Ivanisevic, M. Karl, M. Tukara, D. Karl, M. Matijevic, "Knowledge on Pre-Hospital Emergency Management of Tooth Avulsion among Croatian Students of the Faculty of Education," Int J Environ Res Public Health [Internet]. 2020 Sep 30;17(19):7159. Available from: https://www.mdpi.com/1660-4601/17/19/7159.
     Google Scholar
  21. A.P. Nikam, M.D. Kathariya, K. Chopra, A. Gupta, R. Kathariya, "Knowledge and Attitude of Parents/Caretakers toward Management of Avulsed Tooth in Maharashtrian Population: A Questionnaire Method," J Int oral Heal JIOH [Internet]. 2014 Sep;6(5):1–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25395784.
     Google Scholar
  22. L. Andersson, J.O. Andreasen, P. Day, G. Heithersay, M. Trope, A.J. DiAngelis, et al, "International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth," Dent Traumatol [Internet]. 2012 Apr;28(2):88–96.
     Google Scholar
  23. H. Abbasi, M. Saqib, R. Jouhar, A. Lal, N. Ahmed, M.A. Ahmed, M.K. Alam, "The Efficacy of Little Lovely Dentist, Dental Song, and Tell-Show-Do Techniques in Alleviating Dental Anxiety in Paediatric Patients: A Clinical Trial," Biomed Research International, 2021 May 23;2021:1–7.
     Google Scholar