EVALUATION OF TEACHERS' KNOWLEDGE ABOUT DENTAL AVULSION IN PERMANENT TEETH
Abstract
The complete displacement of a tooth from its socket is a type of alveolodental trauma called dental avulsion. Due to the damage it can cause in children and adolescents, alveolodental trauma can be considered a public health problem. Teachers are the professionals who commonly encounter traumatic injuries, since the school environment is conducive to this type of occurrence. Therefore, knowing the correct procedure in cases of dental avulsion is extremely important for a good prognosis and successful outcome. The objective of this study was to evaluate, through an adapted questionnaire, teachers' knowledge about the appropriate course of action in a possible case of dental avulsion. For this research, 116 teachers answered a questionnaire with objective questions regarding dental avulsion. The majority of the sample consisted of specialists with 11 to 20 years of experience. Of the teachers interviewed, 30% had witnessed a case of dental avulsion, 72% reported being unaware of the procedures to be performed in such cases, and more than half of the professionals reported that they do not feel confident in performing immediate dental reimplantation. There is still a lack of knowledge on the part of teachers regarding the appropriate conduct in cases of dental avulsion. Thus, the results presented have implications for school health, observing a lack of knowledge among educators in cases of avulsion of permanent teeth, suggesting the need for continuing education for this professional class in order to improve the prognosis in these cases.
Author Biographies
Dentist.
Master's Degree in Dentistry – Uningá.
Ph.D. in Dentistry – Uningá.
Master's Degree in Dentistry – Uningá.
Master's Degree in Dentistry – HONPAR.
Ph.D. in Dentistry – Uningá.
Ph.D. in Dentistry – Uningá.
References
1. Mesquita GC, Soares PBF, Gomes CCM, Roscoe MG, Paiva SM, Soares CJ. A 12-year retrospective study of avulsion cases in a public Brazilian dental trauma service. Braz Dent J. 2017;28(6):749-756 DOI: https://doi.org/10.1590/0103-6440201701610 DOI: https://doi.org/10.1590/0103-6440201701610
2. Spinas E, Carboni L, Mallus T, Zerman N. Intrusive luxation injuries in deciduous teeth: literature review and treatment complications update. Eur J Paediatr Dent. 2024;25(1):77-80. Available from: https://pubmed.ncbi.nlm.nih.gov/38426297/
3. Associação Brasileira de Odontopediatria. Diretrizes para procedimentos clínicos em odontopediatria. Santos Editora; 2020.
4. Bou-Karroum L, El-Jardali F, Jabbour M, Harb A, Fadlallah R, Hemadi N, et al. Preventing unintentional injuries in school-aged children: a systematic review. Pediatrics. 2022;149(Suppl 6):e2021053852J DOI: https://doi.org/10.1542/peds.2021-053852J DOI: https://doi.org/10.1542/peds.2021-053852J
5. Aminu K, Kanmodi KK, Amzat J, Salami AA, Uwambaye P. School-based interventions on dental trauma: a scoping review of empirical evidence. Children (Basel). 2023;10(5):797 DOI: https://doi.org/10.3390/children10050797 DOI: https://doi.org/10.3390/children10050797
6. Vasanthakumari A, Selvabalaji A, Ekambareswaran K, Anagha C, Swetha RK, Ishwarya M. Knowledge, awareness, and practice regarding management of dental trauma in children among dental practitioners: a cross-sectional survey. J Contemp Dent Pract. 2022;23(10):1033-1038. DOI: https://doi.org/10.5005/jp-journals-10024-3402
7. Levin L, Day PF, Hicks L, O’Connell A, Fouad AF, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: general introduction. Dent Traumatol. 2020;36(4):309-313. DOI: https://doi.org/10.1111/edt.12574
8. Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen E, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2020;36(4):331-342 DOI: https://doi.org/10.1111/edt.12573 DOI: https://doi.org/10.1111/edt.12573
9. Kallel I, Douki N, Amaidi S, Ben Amor F. The incidence of complications of dental trauma and associated factors: a retrospective study. Int J Dent. 2020;2020:2968174. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7086444/ DOI: https://doi.org/10.1155/2020/2968174
10. Patidar D, Sogi S, Patidar DC, Malhotra A. Traumatic dental injuries in pediatric patients: a retrospective analysis. Int J Clin Pediatr Dent. 2021;14(4):506-511. DOI: https://doi.org/10.5005/jp-journals-10005-2004
11. Guedes-Pinto A, et al. Reabilitação bucal em odontopediatria: atendimento integral. 1999. Available from: https://repositorio.usp.br/item/001139558
12. Campos LA, Campos JADB, Marôco J, Peltomäki T. Aesthetic dental treatment, orofacial appearance, and life satisfaction of Finnish and Brazilian adults. PLoS One. 2023;18(6):e0287235. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0287235 DOI: https://doi.org/10.1371/journal.pone.0287235
13. Bourguignon C, Cohenca N, Lauridsen E, Flores MT, O’Connell AC, Day PF, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: Fractures and luxations. Dent Traumatol. 2020;36(4):314-330. Available from: https://pubmed.ncbi.nlm.nih.gov/32475015/ DOI: https://doi.org/10.1111/edt.12578
14. Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing. Dent Traumatol. 1995;11(2):76-89 DOI: https://doi.org/10.1111/j.1600-9657.1995.tb00464.x DOI: https://doi.org/10.1111/j.1600-9657.1995.tb00464.x
15. Tewari N, Goel S, Rahul M, Mathur VP, Ritwik P, Haldar P, et al. Global status of knowledge for prevention and emergency management of traumatic dental injuries among schoolteachers: a systematic review and meta-analysis. Dent Traumatol. 2020;36(6):568-583. Available from: https://pubmed.ncbi.nlm.nih.gov/32516464/ DOI: https://doi.org/10.1111/edt.12579
16. Khan SDAA, Assiry AA, Al Yami SMH, Al Makrami MHT, Al Milaq FHS, Al Hareth ISH, et al. Assessment of knowledge and attitudes of schoolteachers regarding emergency management of an avulsed permanent tooth of Southern Region of Saudi Arabia. Int J Clin Pediatr Dent. 2021;13(6):644-649. DOI: https://doi.org/10.5005/jp-journals-10005-1851
17. Kneitz FB, Scalioni FAR, Tavares LCD, Da Silva Campos MJ, Carrada CF, Machado FC. Elementary school teachers’ knowledge and attitudes toward emergency management of traumatic dental injuries. Braz Oral Res. 2023;37:e073. Available from: https://www.scielo.br/j/bor/a/3StkMMZFdzdMDggCqGFP9rb/ DOI: https://doi.org/10.1590/1807-3107bor-2023.vol37.0073
18. Neyişci N. Emergency response competencies strengthened by sustainable education: first aid training program for teachers. Sustainability. 2024;16(18):8166. Available from: https://www.mdpi.com/2071-1050/16/18/8166/htm DOI: https://doi.org/10.3390/su16188166
19. Comert H, Ozdemir M, Baran EK. Preschool and primary school teachers’ knowledge of emergency management of traumatic dental injuries: a cross-sectional study. J Oral Sci. 2026;68(2) DOI: https://doi.org/10.2334/josnusd.25-0425 DOI: https://doi.org/10.2334/josnusd.25-0425
20. Curylofo PA, Lorencetti KT, Silva SRC. Avaliação do conhecimento de professores sobre avulsão dentária. Arq Odontol. 2012;48(3). Available from: https://periodicos.ufmg.br/index.php/arquivosemodontologia/article/view/3608 DOI: https://doi.org/10.7308/aodontol/2012.48.3.08
21. Abraham Y, Christy R, Gomez-Kunicki A, Cheng T, Eskarous S, Samaan V, et al. Management of dental avulsion injuries: a survey of dental support staff in Cairns, Australia. Dent J (Basel). 2021;9(1):4. Available from: https://www.mdpi.com/2304-6767/9/1/4/htm DOI: https://doi.org/10.3390/dj9010004
22. Resende KKM, Faria GP, Longo DL, Martins LJO, Costa CRR. In vitro evaluation of plants as storage media for avulsed teeth: a systematic review. Dent Traumatol. 2020;36(1):3-18. Available from: https://pubmed.ncbi.nlm.nih.gov/31328384/ DOI: https://doi.org/10.1111/edt.12501
23. Roskamp L, Perin CP, de Castro JP, de Mattos NHR, de Campos MCBP, Gabardo MCL, et al. Retrospective analysis of survival of avulsed and replanted permanent teeth according to 2012 or 2020 IADT Guidelines. Braz Dent J. 2023;34(2):122-128. Available from: https://pubmed.ncbi.nlm.nih.gov/37194850/ DOI: https://doi.org/10.1590/0103-6440202305255
24. Çalışkan S, Delikan E, Kızılaslan S, Özbek Ö. Knowledge of dental avulsion among emergency physicians: a survey study. J Pediatr Res. 2021;8(1):62-68. DOI: https://doi.org/10.4274/jpr.galenos.2020.98705
25. Gomes ICT, Amorim JJ, Guimarães P, Matos DS. Avaliação do conhecimento de profissionais de educação física frente à avulsão e fratura dental decorrente da prática esportiva. Res Soc Dev. 2021;10(14): e439101422119. Available from: https://rsdjournal.org/index.php/rsd/article/view/22119 DOI: https://doi.org/10.33448/rsd-v10i14.22119
26. Samreen S, Rituraj K, Shreya L, Ankita U, Pratik S, Nikita P. Storage media for avulsed tooth: a review. Res J Pharm Technol. 2024;17(7). Available from: https://www.rjptonline.org DOI: https://doi.org/10.52711/0974-360X.2024.00551
27. Gul A, Lauridsen E, Gerds TA, Andersson L. Risk of ankylosis of avulsed teeth immediately replanted or stored under favorable storage conditions before replantation: a long-term clinical study. Dent Traumatol. 2024;40(2):137-143. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/edt.12898 DOI: https://doi.org/10.1111/edt.12898
28. De Brier N, O D, Borra V, Singletary EM, Zideman DA, De Buck E, et al. Storage of an avulsed tooth prior to replantation: a systematic review and meta-analysis. Dent Traumatol. 2020;36(5):453-476 DOI: https://doi.org/10.1111/edt.12564 DOI: https://doi.org/10.1111/edt.12564
29. Zhang N, Cheng Y, Li F, Kang Q. Network meta-analysis of 10 storage mediums for preserving avulsed teeth. Front Med. 2021; 8:749278. Available from: https://www.frontiersin.org DOI: https://doi.org/10.3389/fmed.2021.749278
30. Sivaramakrishnan G, Abawi D, Shoaib FM, Bucheery F, Salman AA, Kadhem MJ, et al. Can parents prevent tooth loss related to dental avulsion? An assessment of knowledge related to permanent teeth. J Trauma Inj. 2022;36(1):15-21. Available from: http://www.jtraumainj.org/journal/view.php?number=1202 DOI: https://doi.org/10.20408/jti.2021.0094
31. Kurnaz S, Bayraktar C. School teachers’ knowledge and attitudes about the emergency management of traumatic dental injuries in Turkey. Community Dent Health. 2021;38(3):215-219. Available from: https://pubmed.ncbi.nlm.nih.gov/34029019/
32. Fochi TC, Tuchtenhagen S, Taufer JC, Ortiz FR. Educational strategies on tooth avulsion for teachers: an intervention study. Braz Oral Res. 2025;39:e031 DOI: https://doi.org/10.1590/1807-3107bor-2025.vol39.031 DOI: https://doi.org/10.1590/1807-3107bor-2025.vol39.031
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