ABSTRACT
General anaesthesia using endo-tracheal intubation, carried out to provide pain- free, surgical and medical procedures, sometimes results in Traumatic Dental Injuries [TDIs]. Among the rarely reported TDI complication is tooth avulsion. We present two cases of such complications, factors which can be responsible, management of such cases, and the need to educate medical and paramedical personnel on what to do if such complications arise before definitive management can be carried out by the dentist. Such awareness will go a long way in preventing unnecessary litigations which might likely occur from such routine procedures.
Subject(s)
Dental Occlusion, Traumatic , Surgery, Oral , Tooth Avulsion , Intubation, IntratrachealABSTRACT
Traumatic tooth avulsion presents a challenge with regards to its prompt intervention as the ultimate outcome of an avulsed tooth that occurred in any child is dependent on appropriate emergency interventions. The aim of this study is to evaluate the awareness, level of knowledge and attitude towards pre-hospital tooth avulsion care among primary school teachers in Benin City, Edo state, Nigeria. A descriptive cross-sectional questionnaire-based study. Self-administered questionnaires were distributed among the teachers to assess their level of awareness of tooth avulsion, knowledge and attitude towards pre-hospital care of avulsed tooth. The data generated were analyzed using the SPSS for windows 23.0 (SPSS Inc. Chicago, USA). The responses were tabulated and expressed as frequency and percentages. Multivariate analysis was used to correct confounding variables. The level of significance was set p< 0.05. Three hundred and twenty four (324) teachers returned their answered questionnaires. Majority of the teachers were females (64.2%) and were between the ages of 41 50 years. Most (90.7%) of the teachers were not conversant with the dental terminology "tooth avulsion". Approximately forty-four percent (43.8%) of the teachers had experienced at least a case of tooth avulsion during their service period. Two hundred and sixty-six (82.1%) of teachers had never received any instruction on how to manage avulsed tooth. only 13 (4.0%) of the respondents were aware of a storage/transport media and how to preserve an avulsed tooth. On the attitude of teachers on pre-hospital care of an avulsed tooth; when asked what will they do in a case of tooth avulsion involving their pupil, one hundred and ninety (58.6%) erroneously reported they will do nothing, 33(10.2%) respondents said they will call the child's parents, none seeing the need to contact the nearest dental clinic. Majority of primary school teachers in Benin City, Nigeria has very inadequate knowledge regarding emergency management of tooth avulsion. They have limited knowledge regarding the basic tenets of first aid management of tooth avulsion whenever it occurs. Seminars and practical workshop on dental emergency should be organized for teachers and first aid training added to their curriculum
Subject(s)
Humans , Awareness , Tooth Avulsion , Knowledge , School TeachersABSTRACT
L'ostéopériostite est un état inflammatoire aigu ou chronique du périoste et de l'os sous-jacent. Le but du traitement de l'adolescent est la dent causale d'avulser pour empêcher des complications septiques dentaires point de départ dentaire pour Staphylococcus aureus sensible à la méthicilline. Nous rapportons le cas d'une jeune fille de 10 ans anxieuse sans antécédents médicaux significatifs avec une ostéite de Garré évoluant depuis plusieurs mois. Le patient a été mis sous antibiotiques et examiné une semaine après la disparition des signes cliniques. Une technique, le type d'anesthésie Akinosi a été réalisée sous sédation consciente car l'anesthésie générale nécessite une préparation plus intense avant le traitement et une période de récupération plus longue après le traitement. Il a permis de pratiquer sans douleur à l'ouverture de pression de la chambre pulpaire de la première molaire mandibulaire gauche et de faciliter le drainage. L'avulsion de la dent causale se pratique alors en racine de séparation pour préserver le capital osseux
The osteoperiostitis is an acute or chronic inflammatory condition of the periosteum and the underlying bone. the goal of treatment of the teenager is avulsed causal tooth to prevent septic complications dental starting point for methicillin-sensitive staphylococcus aureus. we report the case of a young 10 year old girl anxious without significant medical history with osteitis of garré evolving for several months. The patient was put on antibiotics and review one week after resolution of clinical signs. one technique the type of anesthesia akinosi was performed under conscious sedition because general anesthesia requires a more intense preparation before treatment and a longer recovery period after treatment. it allowed to practice without pain to the pressure opening of the pulp chamber of the mandibular first molar left and facilitate drainage. the avulsion of the causal tooth is then practiced separation roots to preserve the bone capital.
Subject(s)
Case Reports , Child , Conscious Sedation , Disease Management , Methicillin-Resistant Staphylococcus aureus , Morocco , Periosteum , Tooth AvulsionABSTRACT
Dans cet article ; les auteurs nous definissent la reimplantation des incisives superieures apres traumatisme comme une techniquue chirurgicale de traitement conservateur qui consiste a remplacer une dent dans son alveole non encore comblee et dont elle a ete separee momentanement. Ils ont voulu rapporter; dans ce travail; leur experience portant sur 9 patients chez qui ils ont effectue des reimplantations des incisives centrales et laterales traitees . Ils ont enresgistre 13 succes et 4 echecs