School Environment and Dentoalveolar Trauma in Public Schools of Xaxim, Brazil

Objective: To assess the environment of elementary public schools of Xaxim, SC, Brazil, targeting the prevention of dental trauma. Material and Methods: All thirteen public schools in the city of Xaxim had their physical structure assessed concerning the conditions of floors, windows, stairs, capacity, type of surface of the schoolyard, number of supervisors during recess, and social inclusion. The social environment was assessed through the application of the Brazilian National School-Based Health Survey (PeNSE) to either school principals or educational coordinators. Regarding the social environment, areas for student physical activities, episodes of violence (swearing, physical and verbal aggression), and cases of robbery and theft in the school environment were assessed. Data were analyzed by descriptive statistics. Results: Situations considered of risk for the occurrence of accidents and dental trauma were identified. Most schools presented episodes of swearing and fights among students, as well as inadequate physical environment. Conclusion: Both social and physical environments were favorable to the occurrence of dental trauma; however, studies that establish this relationship in a deeper fashion are still necessary.

Avaliação do Conhecimento de Professores do Ensino Fundamental sobre o Tema Avulsão Dentária / Evaluation of an Elementary Teacher's Knowledge about the Topic Tooth Avulsion

Objetivo: Verificar o conhecimento de um grupo de professores da rede pública de ensino do município de Cascavel-PR, sobre o tema primeiros-socorros nos traumatismos dentários, enfocando a avulsão dentária (deslocamento total do dente para fora de seu alvéolo) em escola primária.Metodologia: As escolas participantes do projeto foram selecionadas de forma aleatória, por sorteio, envolvendo todas as áreas da cidade de Cascavel-PR, sendo a proposta aceita por 11 escolas. Foi aplicado um questionário composto por duas partes para 76 professores. A primeira parte continha 15 questões objetivas de ordem geral e referentes ao conhecimento sobre o tema, e a segunda parte, com 16 questões que abordaram noções de primeiros socorros frente a casos de traumatismos, mais especificamente de avulsão. Os dados foram tabulados em tabela Excel e as porcentagens foram calculadas.Resultados: A maioria dos entrevistados (84,21%) relatou não estar preparada para fazer o atendimento de uma criança que tenha sofrido avulsão. Dos entrevistados, 65,78% julgam importante localizar o dente e o pegaria pela coroa. Nesse caso, 25% não limpariam o dente, enquanto que 72,36% limpariam com água, pano, papel ou de outra forma, dentre as quais o leite foi o mais citado. Com relação ao tema avulsão dentária, 84,21% dos participantes não se sentem preparados para o cuidado imediato necessário. Os resultados revelaram também que a maioria não recolocaria o dente de volta ao alvéolo por não saber fazê-lo. Conclusão: O conhecimento dos professores sobre o atendimento emergencial de criança que sofre traumatismo dentário necessita ser melhor explorado, por meio de programas educativos que abordem o tema, especialmente ressaltando a importância do pronto atendimento

Objective: Evaluating the knowledge of a group of public school teachers from the city of Cascavel (PR) about the topic emergency management of dental trauma, focusing on tooth avulsion in elementary school. Methods: Schools participating in the project were selected randomly, by lottery, involving all areas of the city of Cascavel (PR), and 11 agreed to proposal. We administered questionnaire consisting of two shares for 76 teachers. The first part containing 15 objective questions and general knowledge regarding the subject, and the second part with 16 questions covering first aid, compared to cases of trauma, specifically avulsion. Data were tabulated in Excel table and percentages were calculated.Results: Most interviewees (84.21%) reported not being prepared to handle a child who has suffered avulsion. 65.78% of respondents consider important to find the tooth and would take the crown. In this case, 25% did not wash away the teeth, while 72.36% wipe with water, cloth, paper or otherwise, among which milk was the most cited. On the topic dental avulsion, 84.21% of participants do not feel prepared for the immediate care needed. The results also revealed that the majority did not restore it back to the tooth socket for not knowing how to do it.Conclusion: Based on the results we verified that the knowledge of teachers about emergency management when children suffer dental trauma needs to be better exploited through educational programs that address the topic, emphasizing the importance of immediate care