Evaluation of Turkish emergency medicine physicians' knowledge on emergency management of tooth avulsion.

Purpose: Tooth avulsion is a type of trauma that requires emergency intervention, and a significant number of patients apply to the emergency. The aim of this study is to evaluate the level of knowledge and the awareness about tooth avulsion among emergency medicine physicians throughout Turkiye. Materials and methods: The study was conducted with 545 physicians, working in emergency departments. An online questionnaire about tooth avulsion was applied to the participants. The questionnaire consisted of 3-section which evaluated personal information, the level of knowledge of avulsion cases in primary and permanent dentition, and the level of training on this subject. Results: Of the physicians, 61.3% had not previously received education on dentoalveolar traumas, 58.7% would replant an avulsed permanent tooth, 28.3% would prefer replantation to be performed "immediately", and 28% would prefer milk as the ideal storage medium. The mean±SD and median(min-max) values of the correct answer scores on a scale of 0 to 35 were 16.42±7.08 and 17(0-32), respectively. 45.6% of the physicians' level of knowledge was below the median score. Conclusion: The level of knowledge about tooth avulsion among Turkish emergency medicine physicians is not sufficient and there is a need to improve the knowledge level of physicians with comprehensive educational programs. This study indicates that the training of the physicians about the subject will reflect positively on the treatment of dental trauma patients.

Abstracts of randomized controlled trials in the field of dentofacial trauma: Reporting quality and spin.

BACKGROUND/AIM: Abstracts of randomized controlled trials (RCTs) provide a summary of the entire trial report. Their transparent, detailed, and accurate reporting is essential for clinical decision-making and evidence-based dental practice. The aim of this study was to assess the reporting quality and prevalence of spin in abstracts of RCTs in the field of dentofacial trauma. MATERIALS AND METHODS: The PubMed database was searched to identify RCT reports published between 2017 and 2021 in the field of dentofacial trauma. The reporting quality of abstracts was assessed according to the 16-item CONSORT for Abstracts checklist and measured with an overall quality score (OQS, range: 0-16). Linear regression analyses were used to identify factors associated with reporting quality. Among the included RCTs, parallel-group RCTs with non-significant primary outcomes were selected for spin assessment using predefined spin strategies. RESULTS: One hundred and twelve eligible abstracts were identified and included. The mean OQS was 4.51 (SD, 1.35; 95% CI, 4.26-4.76). Abstracts with more than 250 words (p = .004) and a structured format (p = .032) had significantly better reporting quality. Of the 30 abstracts that were eligible for spin assessment, spin was identified in 23 (76.7%). Among these, spin was observed in the Conclusions sections of 22 abstracts (73.3%) and the Results sections of 9 abstracts (30.0%). CONCLUSIONS: Among RCT abstracts in the field of dentofacial trauma, the reporting quality was sub-optimal and the prevalence of spin was relatively high. Strict adherence to the CONSORT for Abstracts guidelines is needed to ensure complete and transparent reporting. Relevant stakeholders need to make concerted efforts to avoid spin.

Knowledge and attitudes of emergency medicine physicians and nurses regarding emergency management of dentofacial trauma in pediatric patients.

OBJECTIVES: Considering that the first visit for dentofacial trauma is generally in emergency departments, the awareness and knowledge of the emergency medicine staff regarding the treatment of dentofacial injuries is very important for the prognosis. The aim of this study was to investigate the knowledge, education, and self-confidence levels of emergency medicine physicians and nurses concerning the diagnosis and treatment of dentofacial traumatic injuries in pediatric patients. METHODS: This questionnaire-based, cross-sectional study included emergency medicine physicians and emergency medicine nurses. The survey contained questions and three sections on participants' general data, attitudes, basic knowledge, and confidence levels in managing dentofacial trauma. RESULTS: A total of 407 participants (250 emergency medicine physicians and 157 emergency medicine nurses) were included in this study. There was a significant difference between the groups regarding the correct answers to the questions about trauma management and emergency management of crown fractures and avulsed permanent teeth (p <0.05). CONCLUSION: Our findings show that there is a lack of information on dentofacial trauma for emergency medicine physicians and nurses. In order to increase knowledge in this area and to improve the diagnosis and management of dentofacial trauma, interdisciplinary seminars, case discussions, and continuing education programs should be held for emergency medicine staff.

Dentofacial traumatic injuries: A survey of knowledge and attitudes among emergency medicine physicians in Turkey.

BACKGROUND/AIM: Emergency department (ED) visits for dental issues are mostly related to traumatic injuries. The knowledge of ED physicians about the diagnosis and treatment of dentofacial injuries is crucial for prognosis. The aim of this study was to evaluate the attitude and knowledge as well as education and self-confidence levels of emergency medicine physicians in ED regarding the diagnosis and treatment of dentofacial traumatic injuries. MATERIAL AND METHODS: A total of 109 emergency medicine physicians participated in the study. Participants were residents and specialists who attended a national emergency medicine symposium held in Turkey. A questionnaire was distributed during the symposium relating to general data about physicians, their attitudes, basic knowledge, and confidence levels which were believed to be indicative of their capabilities in managing of traumatic dental and maxillofacial injuries. RESULTS: The questionnaire was answered by 109 physicians who were general practitioners (11%), emergency medicine residents (56.8%), and emergency medicine specialists (32.2%). The most experienced group of physicians were emergency medicine specialists. Regardless of the physicians' titles, dentofacial trauma knowledge levels of ED physicians were found to be insufficient. Having a dentist in the family (P < 0.01), the duration of emergency service experience (P = 0.04), and the age of the physicians (P < 0.001) were significantly related to the knowledge level. CONCLUSIONS: The majority of ED physicians had low knowledge regarding the diagnosis and treatment of dentofacial traumatic injuries. There is a need for education during and after medical training for ED physicians to provide appropriate primary management of dentofacial trauma.

Dental Fragment Embedded in the Upper Lip after Dentofacial Trauma / 대한피부과학회지

No abstract available.

Perfil epidemiológico do trauma dentário e facial em Curitiba / Epidemiological profile of dental and facial trauma in Curitiba

Introdução: Trauma é uma lesão produzida por ação violenta, em geral de natureza física externa ao organismo.O atendimento é de urgência e alta complexidade. O trauma, além de sequelas físicas, traz também sequelas psicológicas graves. Os traumas faciais e dentários causam grandes conflitos psicológicos em virtude do comprometimento da estética. Objetivos: Analisar o perfil epidemiológico do trauma dentofacial nos pacientes atendidos no ano de 2009, no Pronto-Socorro Geral e Odontológico do Hospital Universitário Cajuru, na cidade de Curitiba (PR). Materiais e métodos: O estudo foi realizado por meio da análise retrospectiva de 1.380 prontuários de pacientes vítimas de trauma dentofacial atendidos no Hospital Universitário Cajuru no ano de 2009. Resultados: O sexo masculino compreendeu 66,37% dos pacientes traumatizados.A faixa etária de zero aos 10 anos foi a mais afetada, com 38,47%. As quedas foram o principal motivo dos traumas (53,92%). Os domingos (17,39%) e o período noturno (35,90%) foram os momentos mais frequentes dos traumatismos. O trauma dentário mais frequente foi a fratura coronária (30,25%) e os dentes mais acometidos foram os incisivos centrais (45,64%) Conclusão: As crianças foram as principais vítimas.O sexo masculino foi o mais acometido. Os traumas ocorrem, em sua maioria, durante a noite, sendo que no domingo a ocorrência desse tipo de trauma foi maior. A etiologia da maioria dos traumas são as quedas.O trauma dentário mais frequente foi a fratura coronária sendo que os dentes incisivos centrais são os mais frequentemente afetados. A maioria dos pacientes não sofreu fraturas ósseas associadas.

Introduction: Trauma is a lesion produced by a violent action, usually from outside the body. The service isurgent and of high complexity. The facial trauma brings high physiological conflict due to the impairment ofaesthetics. Objectives: The aim of the study was to analyze the epidemiological profile of dentofacial traumaof patients treated during the year 2009 in the Dental Emergency Service of the Cajuru Hospital, located inthe city of Curitiba (PR, Brazil). Materials and methods: The study was carried out through the retrospectiveanalysis of 1,380 medical records of patients victims of dentofacial trauma taken care in CajuruHospital duringthe year of 2009. Results: It was observed that 66,37% from the affected patients were men. Children (0 to 10years old) were the most affected age group, with 38,47%. The falls were the main cause of traumas (53,92%).Sundays (17,39%) and the nighttime (35,90%) were the most frequentperiod of time that traumas occurred.The most frequent type of trauma was the coronary fracture (30,25%) and the most affected teeth were centralincisors (45,64%). Conclusions: The children were the main victims of dentofacial trauma. The male sex wasthe most affected. It was noticed that traumas occur mostly during the night and on Sundays. The most frequentlyreported etiology of trauma was fall. The coronal fracture was the most frequent type of fracture andthe central incisor was the most affected tooth. Most of the patients did notreport associated bone fractures.