Knowledge and Awareness of Avulsion Injuries Among Family Medicine Resident Physicians in Turkey: A Cross-Sectional Survey-Based Study

İdil Özden; İrem Şenoymak; Mustafa Enes Özden; Hesna Sazak Öveçoğlu

doi:10.7126/cumudj.1799508

EN

Knowledge and Awareness of Avulsion Injuries Among Family Medicine Resident Physicians in Turkey: A Cross-Sectional Survey-Based Study

Abstract

Objectives: This study aimed to assess the knowledge and awareness of family medicine resident in Turkey regarding avulsion injuries, a severe form of dental trauma. Materials and Methods: A cross-sectional, survey-based study was conducted in November 2023, involving 138 family medicine resident physicians from various universities and training hospitals across Turkey. Data were collected via an online questionnaire designed to evaluate participants' demographic information, educational background, and knowledge of dental avulsion management. Results: Of the 138 participants, 68.8% were female and 31.2% were male, with an average age of 30 years and an average professional experience of 5 years. A significant portion (91.3%) had not received any training related to dental trauma, and 64.5% expressed a desire for such training. Only 7.2% of the resident physicians knew that an avulsed permanent tooth should be immediately reimplanted, while 85.5% preferred to refer the patient to a dentist without reimplanting the tooth due to infection risks. Furthermore, 73.9% of participants indicated insufficient knowledge about dental avulsion, and 54.3% acknowledged the importance of cleaning the avulsed tooth, with 31.2% preferring saline solution. Conclusions: Family medicine resident physicians demonstrated inadequate knowledge about avulsion injuries and their management. It is recommended that emergency dental treatment and management courses, provided by dentists, be incorporated into the training programs for medical branches frequently encountering dental trauma patients. Enhancing resident physician awareness and knowledge is crucial for improving the prognosis of dental trauma patients through proper initial intervention.

Keywords

Ethical Statement

The study was conducted in accordance with the ethical standards of the 2008 Declaration of Helsinki and approved by the Ethics Committee for Non-Interventional Research at the Faculty of Health Sciences, Marmara University (Approval No: 26102023/102).

References

1. Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis-one billion living people have had traumatic dental injuries. Dent Traumatol 2018;34:71-86.
2. Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J 2016;61(Suppl 1):4-20.
3. Holan G, Shmueli Y. Knowledge of physicians in hospital emergency rooms in Israel on their role in cases of avulsion of permanent incisors. Int J Paediatr Dent 2003;13:13-19.
4. Addo M, Parekh S, Moles D, Roberts G. Knowledge of dental trauma first aid (DTFA): the example of avulsed incisors in casualty departments and schools in London. Br Dent J 2007;202:E27.
5. Abu-Dawoud M, Al-Enezi B, Andersson L. Knowledge of emergency management of avulsed teeth among young physicians and dentists. Dent Traumatol 2007;23:348-355.
6. Council O. Guideline on management of acute dental trauma. Dent Traumatol 2011;1:3.
7. Nirwan M, Syed AA, Chaturvedi S, Goenka P, Sharma S. Awareness in primary school teachers regarding traumatic dental injuries in children and their emergency management: a survey in South Jaipur. Int J Clin Pediatr Dent 2016;9:62-66.
8. Bhat M, Li SH. Consumer product-related tooth injuries treated in hospital emergency rooms: United States, 1979-87. Community Dent Oral Epidemiol 1990;18:133-138.

9. Trope M. Clinical management of the avulsed tooth: present strategies and future directions. Dent Traumatol 2002;18:1-11.
10. Longo DL, Fumes AC, Küchler EC, Paula-Silva FWG, Nelson-Filho P, Silva LAB. Efficiency of different storage media for avulsed teeth in animal models: a systematic review. Dent Traumatol 2018;34:12-19.
11. Yigit Y, Helvacioglu-Yigit D, Kan B, Ilgen C, Yilmaz S. Dentofacial traumatic injuries: a survey of knowledge and attitudes among emergency medicine physicians in Turkey. Dent Traumatol 2019;35:20-26.
12. Jarman MP, Curriero FC, Haut ER, Pollack Porter K, Castillo RC. Associations of distance to trauma care, community income, and neighborhood median age with rates of injury mortality. JAMA Surg 2018;153:535-543.
13. Aydınoğlu S, Arslan İ, Demirez Z. Rize ilinde görev yapmakta olan diş hekimlerinin dental travma yönetimi konusunda bilgi, tutum ve davranışlarının değerlendirilmesi. 7Tepe Klin Derg 2020;16:154-161.
14. Lin S, Levin L, Emodi O, Fuss Z, Peled M. Physician and emergency medical technicians’ knowledge and experience regarding dental trauma. Dent Traumatol 2006;22:124-126.
15. Chanchala H, Shanbhog R, Ravi M, Raju V. Pediatricians’ perspectives on dental trauma management: a cross-sectional survey. J Indian Assoc Public Health Dent 2016;14:419-423.
16. Sabbagh HJ, El-Kateb M, Al Nowaiser A, Hanno AG, Alamoudi NH. Assessment of pediatricians’ dental knowledge, attitude and behavior in Jeddah, Saudi Arabia. J Clin Pediatr Dent 2011;35:371-376.
17. Ulusoy AT, Onder H, Cetin B, Kaya S. Knowledge of medical hospital emergency physicians about the first-aid management of traumatic tooth avulsion. Int J Paediatr Dent 2012;22:211-216.
18. Subhashraj K. Awareness of management of dental trauma among medical professionals in Pondicherry, India. Dent Traumatol 2009;25:92-94.
19. Pujita C, Nuvvula S, Shilpa G, Nirmala S, Yamini V. Informative promotional outcome on school teachers’ knowledge about emergency management of dental trauma. J Conserv Dent 2013;16:21-27.
20. Al-Jundi SH. Knowledge of Jordanian mothers with regards to emergency management of dental trauma. Dent Traumatol 2006;22:291-295.
21. Chan AW, Wong TK, Cheung GS. Lay knowledge of physical education teachers about the emergency management of dental trauma in Hong Kong. Dent Traumatol 2001;17:77-85.
22. Gök A, Ataş O, Gök T. Traumatic dental injuries: a survey of knowledge and attitudes among family physicians in Türkiye. Firat Univ Saglik Bilim Tip Derg 2023;37:3.
23. 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.
24. Kuru R, Duruk G. Evaluation of Turkish emergency medicine physicians’ knowledge on emergency management of tooth avulsion. Eur Oral Res 2023;57:49-59.
25. Koçkanat A. Evaluation of parents’ knowledge levels and awareness regarding emergency management of tooth avulsion: an institutional cross-sectional study. Cumhur Dent J 2025;28:192-198.
26. Bahammam LA. Knowledge and attitude of emergency physician about the emergency management of tooth avulsion. BMC Oral Health 2018;18:1-9.
27. Díaz J, Bustos L, Herrera S, Sepulveda J. Knowledge of the management of paediatric dental traumas by non-dental professionals in emergency rooms in South Araucanía, Temuco, Chile. Dent Traumatol 2009;25:611-619.
28. Trivedy C, Kodate N, Ross A, Al-Rawi H, Jaiganesh T, Harris T, et al. The attitudes and awareness of emergency department physicians towards the management of common dentofacial emergencies. Dent Traumatol 2012;28:121-126.
29. Nikolić H, Ivančić Jokić N, Bakarčić D, Hrvatin S, Jakljević N. Knowledge about emergency procedure in case of dental trauma among paediatricians in Croatia. Eur J Paediatr Dent 2018;19:277-281.
30. Hashim R. Physicians’ knowledge and experience regarding the management of avulsed teeth in United Arab Emirates. J Int Dent Med Res 2012;5:91-95.
31. 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;36:331-342.
32. Raoof M, Vakilian A, Kakoei S, Manochehrifar H, Mohammadalizadeh S. Should medical students be educated about dental trauma emergency management? A study of physicians and dentists in Kerman Province, Iran. J Dent Educ 2013;77:494-501.
33. Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2012;28:88-96.
34. Andreasen J, Andreasen F, Skeie A, Hjørting-Hansen E, Schwartz O. Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries: a review article. Dent Traumatol 2002;18:116-128.
35. Boyd D, Kinirons M, Gregg T. A prospective study of factors affecting survival of replanted permanent incisors in children. Int J Paediatr Dent 2000;10:200-205.
36. Adnan S, Lone MM, Khan FR, Hussain SM, Nagi SE. Which is the most recommended medium for the storage and transport of avulsed teeth? A systematic review. Dent Traumatol 2018;34:59-70.

Details

Primary Language

English

Subjects

Endodontics

Journal Section

Research Article

Authors

İdil Özden ^*
0000-0003-0838-4355
Türkiye

İrem Şenoymak
0000-0002-1137-2542
Türkiye

Mustafa Enes Özden
0000-0001-5635-9969
Türkiye

Hesna Sazak Öveçoğlu
0000-0003-4709-422X
Türkiye

Publication Date

March 27, 2026

Submission Date

October 8, 2025

Acceptance Date

February 3, 2026

Published in Issue

Year 2026 Volume: 29 Number: 1

DOI

https://doi.org/10.7126/cumudj.1799508

IZ

https://izlik.org/JA95WK64SF

Cite

RIS / Bibtex

EndNote

Özden İ, Şenoymak İ, Özden ME, Sazak Öveçoğlu H (March 1, 2026) Knowledge and Awareness of Avulsion Injuries Among Family Medicine Resident Physicians in Turkey: A Cross-Sectional Survey-Based Study. Cumhuriyet Dental Journal 29 1 122–128.