An Educational Initiative for Dubai School Nurses and Physical Education Teachers on the Management of Traumatic Dental Injuries.

The aim of this study was to assess the knowledge of school nurses and physical education teachers (SN and PE teachers) about the emergency management of traumatic dental injuries (TDIs) in schools and to measure the impact of education on their knowledge. A longitudinal prospective study based on a questionnaire survey completed by 68 SN and PE teachers at three time periods (prior to, immediately after, and 3 months-post-educational intervention). Pre- and post t-test and repeated measures (analysis of variance) were used to compare the three group means for the same participants (p < .05 was considered significant). Significant improvement in the knowledge score among participants was observed between the initial survey to immediately after the educational session and to 3 months after (p = .047). Significant improvement in the choice of immediately seeking attention after tooth avulsion was observed (p = .001). The initial knowledge deficiency about the emergency management of TDIs among SN and PE teachers was improved and sustained.

Timely management of knocked out teeth - are the nurses aware?

AIMS AND OBJECTIVES: To assess working and trainee nurses' knowledge and awareness regarding the emergency handling of traumatic injuries to the teeth. The research was conducted in four different parts of Karnataka, a state in India. BACKGROUND: Traumatic injuries to teeth and the facial region are common among children and young adults. Most traumatic dental injuries can be avoided, or would be less serious, if an extensive knowledge and awareness of these injuries existed, especially among people who frequently come across them. DESIGN: The study is a cross-sectional, questionnaire-based survey conducted among nurses of Karnataka. METHODS: The questionnaire was given to nurses in different parts of Karnataka, India. Six hundred and two nurses completed a 15-item questionnaire, assessing their knowledge and practices in the management of traumatic injuries to the teeth. RESULTS: Most of the nurses knew that an avulsed tooth can be replaced in the socket and approximately 70% knew mouthguards and other protective measures are available. The nurses' knowledge was, however, inadequate given their exposure to emergency cases and this was borne out by the fact that the study subjects reported that they require still more adequate training in emergency handling of dental injuries. CONCLUSION: This study reveals that nurses in the current study have less knowledge than expected. Sufficient training should be provided, not only to doctors and dentists in emergency departments, but also to paramedical technicians and nurses to ensure proper care and appropriate advice is available to parents of children experiencing dental trauma. Hence, this study recommends an extensive health education programme in this field. RELEVANCE TO CLINICAL PRACTICE: As nurses play a vital role in the emergency dental services provided to patients, the importance of dental injury and its emergency management must be included in their curriculum.

Knowledge and awareness of dental trauma among Indian nurses.

AIM: The aim of the study was to assess the knowledge and awareness regarding the emergency management of dental traumatic injuries among the present and prospective nurses of KLE Institute of Nursing Sciences and Hospital, Belgaum, India. METHODOLOGY: A 15-item questionnaire regarding the clinical situation of tooth avulsion inquiring nurses' knowledge was administered to 308 nursing professionals, includes nursing interns and staff nurses. RESULTS: Out of 300 respondents, only 2.2% knew about the storage medium used for storing avulsed tooth. Majority of the participants accepted that they had no knowledge regarding the emergency management of dental traumatic injuries and also that no training had been given to them about this. CONCLUSION: As nurses stand on the front lines of responding to emergency, it is essential that they also possess adequate knowledge about dental traumatic injuries and its emergency management. As the findings of our study revealed poor knowledge about emergency management of dental trauma, it is concluded that there is a need for mass educational campaign to broaden the nurses' knowledge about this.

First-aid algorithms in dental avulsion.

Almost one fourth of traumatic dental injuries occur at schools or in their surroundings. Prevalence of tooth avulsion varies from 0.5% to 16% of all cases of dental trauma. Children with dental avulsion may seek help from school nurses so they should be able to provide first-aid treatment. However, many studies showed that the general level of knowledge of medical staff concerning tooth avulsion is unsatisfactory and that it could be improved by educational activities. This article attempts to give short algorithms of first-aid management of avulsed tooth.

Knowledge of nurses working at schools in Bialystok, Poland, of tooth avulsion and its management.

AIM: The purpose of this study was to evaluate the knowledge of first aid in tooth avulsion among nurses working at schools in Bialystok, Poland. A part of this population attended a lecture on the management of dental trauma 2 years before. METHODS: The survey was conducted in September 2010 and covered 50 (96.15%) school nurses from Bialystok. Thirty-eight of them attended the dental trauma lecture conducted 2 years before the survey. They were asked to fill in an anonymous questionnaire consisting of 20 closed questions referring to demographic data, previous dental trauma experience, and training. Seven questions referred directly to the knowledge of management of dental avulsion and on that basis, the level of nurses' knowledge was evaluated. The data were analyzed statistically using the Mann-Withney U-test with P < 0.05 to find factors influencing the level of knowledge. RESULTS: The study showed that nurses' knowledge about tooth avulsion was at an appropriate level. 86% of the participants chose the correct definition of the term of replantation, 92% understood that the time is crucial for the result of a replantation, 94% knew that an avulsed tooth should be held by the crown, and 96% pointed the proper transport medium. A half of the surveyed nurses declared that they would provide tooth replantation and another 16% would consult the procedures by calling a dentist. One statistically significant correlation between the level of knowledge and previous dental trauma training was revealed (P < 0.01). CONCLUSIONS: The lay knowledge of tooth avulsion in the population of nurses working at schools in Bialystok, Poland, was at an appropriate level. There was a strong correlation between this level and the participation in the lecture on the management of dental trauma conducted 2 years before.

Conhecimento das enfermeiras da Pós-Graduação em Saúde da Família sobre avulsão dentária / Nurses’ knowledge of the Postgraduate Program in Family’s Health on dental avulsion

Objetivos: investigar o conhecimento, as atitudes e práticas das enfermeiras alunas da especialização em Saúde daFamília do Instituto de Educação Continuada da PUC de Sete Lagoas sobre a avulsão dentária. Método: foi realizado umestudo transversal e descritivo. A população estudada constituiu-se de 17 enfermeiras, alunas do curso de Especializaçãoem Saúde da Família, que se voluntariaram a participar do estudo. Como instrumento para coleta de dados foi utilizadoum questionário adaptado, com perguntas acerca da temática avulsão dentária. Os dados obtidos foram submetidos aanálises quantitativas, através de métodos estatísticos descritivos. Resultados: a maioria das enfermeiras (71%) nuncaouviu falar de avulsão dentária. Cinco enfermeiras (29%) não saberiam quais as providências necessárias em caso deavulsão dentária, seis (35%) armazenariam o dente e encaminhariam a pessoa ao dentista, três (18%) apenasencaminhariam a pessoa ao dentista, uma enfermeira (6%) encaminharia a pessoa para fazer a restauração, uma aluna(6%) armazenaria o dente em leite e entregaria o dente ao socorrista, e apenas uma (6%) delas faria imediatamente oreimplante. Conclusões: pode-se afirmar que as enfermeiras analisadas não apresentaram conhecimentos sólidos quandoquestionadas acerca de diferentes aspectos de procedimentos em casos de tratamento de urgência por avulsão dentáriaocasional.

Tooth avulsion in the school setting.

Tooth avulsions occur when a tooth is displaced from its socket. Tooth avulsions are common dental injuries that may occur before, during, or after school. Therefore, it is essential that school nurses be well prepared to intervene when such a dental emergency arises. It is also imperative that school nurses and school personnel are fully equipped to manage a tooth avulsion. Time is of the essence when attempting to save an avulsed tooth. The goal is to successfully reinsert the avulsed tooth and to preserve the periodontal ligament. The school nurse is responsible for implementing the appropriate actions needed to save the avulsed tooth.

Spirituality through centering prayer in school nursing.

The experience of intuition in a school setting contributes to a positive outcome for a young girl who suffers a playground injury. Intuition and spirituality are linked. Through the development of one's spirituality, intuitive thoughts are experienced. Centering prayer is presented as a technique to develop an awareness of the spiritual dimension. Three variations of centering prayer are described to help individuals develop their spirituality. Developing an awareness of the spiritual dimension opens the way for intuitive thoughts to enhance clinical nursing competence and all other aspects of living.

Nurse-aid management of oral and maxillofacial emergencies.

Oral and maxillofacial emergencies can be very alarming and distressing to patients. This article introduces nurse aiders to the oral and maxillofacial specialty and explains the management of some oral and maxillofacial emergencies.

Management of tooth avulsion in the school setting.

Tooth avulsion is a widespread problem for school nurses and school health care personnel. Over two million teeth are avulsed every year in the United States, often during school activities. Almost all avulsed teeth can be saved if stored properly and then replanted by a dentist. All of the known methods and devices for the storage, preservation, and transportation of avulsed teeth are reviewed in this article. Based on this review, specific recommendations are made to the school nurse for saving avulsed teeth.

Avulsed teeth. Management during anesthesia induction, surgery.

It is not known how often teeth are inadvertently knocked out in the operating room during intubation or surgery. When it occurs, it can be very disturbing to the operating room personnel and the patient when he or she recovers from the surgery. Research has shown that most avulsed teeth can be saved by replanting them within 15 to 30 minutes, aligning and splinting them into proper position, and instituting appropriate follow-up care. Because a dentist cannot easily be found in this time period, a system designed specifically to preserve the teeth can be used to provide optimum care in these situations. By using such a system, the physician can proceed with the surgery knowing that all the appropriate measures have been taken to save the knocked-out tooth.

The treatment of avulsed teeth.

More than 2 million teeth are accidentally avulsed each year in the United States. Most of the victims are children. Almost all of these teeth can be saved if the proper treatment is instituted. Regardless of the frequency with which it occurs, every pediatric health care provider must be prepared for patients who have avulsed teeth. By instituting the proper treatment, the provider may help to save a victim's tooth, thus saving the family and child the expense of dental treatment and the possible psychologic problems associated with false teeth. Each health care provider should take the following steps: 1. Inform all health care personnel that avulsed teeth can and should be saved. 2. Teach all health care personnel what action should be taken if a tooth is avulsed. 3. Fabricate or purchase tooth-preserving devices such as the Emergency Tooth Preserving System, which can safely store, preserve, and transport avulsed teeth. 4. Place these tooth-preserving devices at strategic locations such as in emergency kits or at nurses' stations.

Treatment of tooth avulsion by nurses.

More than 90% of the 2 million teeth avulsed each year in the United States can be saved if the proper treatment is instituted. Storage in a tooth-preserving medium can sustain the life of the tooth for 12 hours. An avulsed tooth that has dried out should be soaked in Hank's solution before replantation to reconstitute degenerated cells.