Research Article
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Evaluation of Parents' Knowledge Levels and Awareness Regarding Emergency Management of Tooth Avulsion: An Institutional Cross-Sectional Study

Year 2025, Volume: 28 Issue: 2, 192 - 198, 30.06.2025
https://doi.org/10.7126/cumudj.1618225

Abstract

Objectives: The purpose of this study was to evaluate parental awareness and knowledge regarding the management of tooth avulsion.
Materials and Methods: This study was designed as a cross-sectional survey. 250 parents who had applied to the Department of Pediatric Dentistry at Sivas Cumhuriyet University Faculty of Dentistry were included. A self-administered survey consisting of 19 items in 3 section was used to assess the awareness and knowledge level of parents regarding emergency management of tooth avulsion. Non-parametric data were analyzed using the Mann-Whitney U and Kruskal-Wallis tests.
Results: Of the parents who participated in the study, 52% were in their thirties, 59.6% were female and 28.8% were university graduates. 91.6% of the parents had received no training on dental injuries. While 84% of the parents stated that they would not be able to reimplant the avulsed tooth, 10.4% stated that they would store the avulsed tooth in milk. Only 37.2% of parents were aware of the proper treatment of an avulsed primary tooth. There was no statistically significant difference between parents’ knowledge level regarding tooth avulsion and age and gender (p=0.189, p=0.553), while a significant difference was found between educational level (p<0.001). The mean total score of the correct responses regarding emergency management of avulsed teeth was 4.54±1.97 and the percentage of correct responses was 45.4%.
Conclusions: This study revealed that parents do not have sufficient knowledge about the emergency management of tooth avulsion and that university graduates have higher knowledge than primary and high school graduates. Therefore, educational programs should be organized in accordance with the educational level of parents on emergency treatment management of tooth avulsion.

Ethical Statement

2024/05-01

Supporting Institution

none

References

  • 1. Azami-Aghdash S, Ebadifard Azar F, Pournaghi Azar F, et al. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis. Med J Islam Repub Iran. 2015;29(4):234.
  • 2. Ciftci V, Serin B. Dentists’ Knowledge about Management of Traumatic Dental Injuries in Turkey: A Cross-Sectional Study. Cumhuriyet Dental Journal 2021; 24(1):76–87.
  • 3. Chappuis V, von Arx T. Replantation of 45 avulsed permanent teeth: a 1-year follow-up study. Dent Traumatol. 2005;21(6):289-296.
  • 4. Saroglu I, Sonmez H. The prevalence of traumatic injuries treated in the pedodontic clinic of Ankara University, Turkey, during 18 months. Dent Traumatol. 2002;18(6):299-303.
  • 5. Petrovic B, Markovic D, Peric T, Blagojevic D. Factors related to treatment and outcomes of avulsed teeth. Dent Traumatol. 2010;26(1):52-59.
  • 6. Ozer S, et al. Parental knowledge and attitudes regarding the emergency treatment of avulsed permanent teeth. Eur J Dent. 2012;6(4):370-375.
  • 7. Traebert J, Almeida IC, Garghetti C, Marcenes W. Prevalence, treatment needs, and predisposing factors for traumatic injuries to permanent dentition in 11-13-year-old schoolchildren. Cad Saude Publica. 2004;20(2):403-410.
  • 8. Kapdan A, Buldur B, Kapdan A, Ünal M, Kuştarcı A. Knowledge of first-aid measures of avulsion and replantation of teeth in schoolchildren with sports education. Cumhuriyet Dent J. 2011;14(3):191-203.
  • 9. Al-Jundi SH, Al-Waeili H, Khairalah K. Knowledge and attitude of Jordanian school health teachers with regards to emergency management of dental trauma. Dent Traumatol. 2005;21(4):183-187.
  • 10. Andreasen JO, Andreasen FM. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th ed. Oxford: Blackwell Publishing; 2007:444-480.
  • 11. Santos ME, Habecost AP, Gomes FV, Weber JB, de Oliveira MG. Parent and caretaker knowledge about avulsion of permanent teeth. Dent Traumatol. 2009;25(2):203-208.
  • 12. Rajakeerthi R, Nivedhitha MS. Natural product as the storage medium for an avulsed tooth-a systematic review. Cumhuriyet Dent J. 2019; 22(2): 249–256.
  • 13. Kinoshita S, Kojima R, Taguchi Y, Noda T. Tooth replantation after traumatic avulsion: a report of 10 cases. Dent Traumatol. 2002;18(3):153-156.
  • 14. Anggono J, Budiardjo SB, Fauziah E. Relationship between Gender, Teaching Experience, Subject Taught, and Teacher’s Attitude and Knowledge toward Dental Trauma in Children. Cumhuriyet Dental Journal 2020; 23(2):88–95.
  • 15. Delikan E, Koçak N. Evaluation of the effect of educational leaflet about traumatic dental injuries on parental knowledge and attitude. Selcuk Dent J. 2019;6:23-29.
  • 16. Gümüş S, Bakır EP, Bakır Ş, Ünal S, Ertuğrul MO. Evaluation of knowledge levels about dental avulsion and treatment of families who have applied to Dicle University. Ejons Int J. 2020;4(16):808-816.
  • 17. Tozoğlu U, Şahin H. Determination of The Parents Knowledge About Dental Avulsions And Its Treatments. Current Research in Dental Sciences. 2006;16:19-22.
  • 18. Soğukpınar Önsüren A, Mutluay M, Mutluay AT. Evaluation of Parental Knowledge Level and Attitude Toward Primary and Permanent Tooth Injuries in Children. Int Arch Dent Sci. 2022;43(1):1-9.
  • 19. Guler C, Kara NB, Turken D. Evaluation of knowledge level and awareness of parents about avulsion and crown fracture. Mid Blac Sea J Health Sci. 2021;7(3):382-389.
  • 20. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-349.
  • 21. Al-Jundi SH. Dental emergencies presenting to a dental teaching hospital due to complications from traumatic dental injuries. Dent Traumatol. 2002;18(4):181-185.
  • 22. Al-Sehaibany FS, Alajlan R, Almubarak D, et al. Knowledge on management of traumatic dental injuries among Saudi mothers. Clin Cosmet Investig Dent. 2018;10:123-128.
  • 23. Al-Jame Q, Andersson L, Al-Asfour A. Kuwaiti parents' knowledge of first-aid measures of avulsion and replantation of teeth. Med Princ Pract. 2007;16(4):274-279.
  • 24. Alharbi R, Aboalshamat K, Alrabghi K, et al. Assessment of parents’ knowledge and attitudes on emergency management of permanent avulsed teeth in Western Saudi Arabia. Open Dent J. 2020;14:396-402.
  • 25. Kaul R, Jain P, Angrish P, et al. Knowledge, awareness and attitude towards emergency management of dental trauma among the parents of Kolkata—an institutional study. J Clin Diagn Res. 2016;10(7):95-101.
  • 26. Hashim R. Investigation of mothers' knowledge of dental trauma management in United Arab Emirates. Eur Arch Paediatr Dent. 2012;13(2):83-86.
  • 27. American Academy of Pediatric Dentistry Council on Clinical Affairs. Guideline on management of acute dental trauma. AAPD Ref Manual. 2010;32(6):202-212.
  • 28. Doğusal G, Akyıldız MB, Sönmez I. Assessment of Parental Knowledge and Attitudes in Aydın City Regarding the Dentoalveolar Injuries. Int Arch Dent Sci. 2015;36(2):86-92.
  • 29. Khinda V, Kaur G, Brar GS, Kallar S, Khurana H. Clinical and practical implications of storage media used for tooth avulsion. Int J Clin Pediatr Dent. 2017;10(2):158-165.
  • 30. Alyahya L, Alkandari SA, Alajmi S, Alyahya A. Knowledge and sociodemographic determinants of emergency management of dental avulsion among parents in Kuwait: A cross-sectional study. Med Princ Pract. 2018;27(1):55-60.
  • 31. Andreasen JO, Hjorting-Hansen E. Replantation of teeth. II. Histological study of 22 replanted anterior teeth in humans. Acta Odontol Scand. 1966;24(3):287-306.

Ebeveynlerin Diş Avülsiyonunun Acil Tedavisine İlişkin Bilgi Düzeylerinin ve Farkındalıklarının Değerlendirilmesi: Kurumsal Bir Kesitsel Çalışma

Year 2025, Volume: 28 Issue: 2, 192 - 198, 30.06.2025
https://doi.org/10.7126/cumudj.1618225

Abstract

Amaç: Bu çalışmanın amacı diş avülsiyonunun yönetimine ilişkin ebeveyn farkındalığını ve bilgisini değerlendirmektir.
Gereç ve Yöntemler: Bu çalışma kesitsel bir anket olarak tasarlanmıştır. Sivas Cumhuriyet Üniversitesi Diş Hekimliği Fakültesi Çocuk Diş Hekimliği Anabilim Dalı'na başvuran 250 ebeveyn çalışmaya dahil edilmiştir. Ebeveynlerin diş avülsiyonun acil yönetimi ile ilgili farkındalık ve bilgi düzeyini değerlendirmek için 19 soru ve 3 bölümden oluşan kendi kendine uygulanan bir anket kullanılmıştır. Parametrik olmayan veriler Mann-Whitney U ve Kruskal-Wallis testleri kullanılarak analiz edilmiştir.
Bulgular: Çalışmaya katılan ebeveynlerin %52'si otuzlu yaşlardaydı, %59,6'sı kadındı ve %28,8'i üniversite mezunuydu. Ebeveynlerin %91,6'sı diş yaralanmaları konusunda herhangi bir eğitim almamıştı. Ebeveynlerin %84'ü avülse dişi tekrar implante edemeyeceklerini belirtirken, %10,4'ü avülse dişi süt içinde taşıyacaklarını belirtmiştir. Ebeveynlerin sadece %37,2'si avülse süt dişinin uygun tedavisi hakkında bilgi sahibiydi. Ebeveynlerin diş avülsiyonu hakkındaki bilgi düzeyi ile yaş ve cinsiyet arasında istatistiksel olarak anlamlı bir fark bulunmazken (p=0,189, p=0,553), eğitim durumu ile arasında anlamlı bir fark bulunmuştur (p<0,001). Avülse dişlerin acil yönetimine ilişkin doğru cevapların toplam puan ortalaması 4,54±1,97 ve doğru cevap yüzdesi %45,4’idi.
Sonuç: Bu çalışma, ebeveynlerin diş avülsiyonun acil yönetimi hakkında yeterli bilgiye sahip olmadıklarını ve üniversite mezunlarının ilköğretim ve lise mezunlarına göre daha yüksek bilgiye sahip olduklarını ortaya koymuştur. Bu nedenle, diş avülsiyonunun acil tedavi yönetimi konusunda ebeveynlerin eğitim düzeyine uygun eğitim programları düzenlenmelidir.

References

  • 1. Azami-Aghdash S, Ebadifard Azar F, Pournaghi Azar F, et al. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis. Med J Islam Repub Iran. 2015;29(4):234.
  • 2. Ciftci V, Serin B. Dentists’ Knowledge about Management of Traumatic Dental Injuries in Turkey: A Cross-Sectional Study. Cumhuriyet Dental Journal 2021; 24(1):76–87.
  • 3. Chappuis V, von Arx T. Replantation of 45 avulsed permanent teeth: a 1-year follow-up study. Dent Traumatol. 2005;21(6):289-296.
  • 4. Saroglu I, Sonmez H. The prevalence of traumatic injuries treated in the pedodontic clinic of Ankara University, Turkey, during 18 months. Dent Traumatol. 2002;18(6):299-303.
  • 5. Petrovic B, Markovic D, Peric T, Blagojevic D. Factors related to treatment and outcomes of avulsed teeth. Dent Traumatol. 2010;26(1):52-59.
  • 6. Ozer S, et al. Parental knowledge and attitudes regarding the emergency treatment of avulsed permanent teeth. Eur J Dent. 2012;6(4):370-375.
  • 7. Traebert J, Almeida IC, Garghetti C, Marcenes W. Prevalence, treatment needs, and predisposing factors for traumatic injuries to permanent dentition in 11-13-year-old schoolchildren. Cad Saude Publica. 2004;20(2):403-410.
  • 8. Kapdan A, Buldur B, Kapdan A, Ünal M, Kuştarcı A. Knowledge of first-aid measures of avulsion and replantation of teeth in schoolchildren with sports education. Cumhuriyet Dent J. 2011;14(3):191-203.
  • 9. Al-Jundi SH, Al-Waeili H, Khairalah K. Knowledge and attitude of Jordanian school health teachers with regards to emergency management of dental trauma. Dent Traumatol. 2005;21(4):183-187.
  • 10. Andreasen JO, Andreasen FM. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th ed. Oxford: Blackwell Publishing; 2007:444-480.
  • 11. Santos ME, Habecost AP, Gomes FV, Weber JB, de Oliveira MG. Parent and caretaker knowledge about avulsion of permanent teeth. Dent Traumatol. 2009;25(2):203-208.
  • 12. Rajakeerthi R, Nivedhitha MS. Natural product as the storage medium for an avulsed tooth-a systematic review. Cumhuriyet Dent J. 2019; 22(2): 249–256.
  • 13. Kinoshita S, Kojima R, Taguchi Y, Noda T. Tooth replantation after traumatic avulsion: a report of 10 cases. Dent Traumatol. 2002;18(3):153-156.
  • 14. Anggono J, Budiardjo SB, Fauziah E. Relationship between Gender, Teaching Experience, Subject Taught, and Teacher’s Attitude and Knowledge toward Dental Trauma in Children. Cumhuriyet Dental Journal 2020; 23(2):88–95.
  • 15. Delikan E, Koçak N. Evaluation of the effect of educational leaflet about traumatic dental injuries on parental knowledge and attitude. Selcuk Dent J. 2019;6:23-29.
  • 16. Gümüş S, Bakır EP, Bakır Ş, Ünal S, Ertuğrul MO. Evaluation of knowledge levels about dental avulsion and treatment of families who have applied to Dicle University. Ejons Int J. 2020;4(16):808-816.
  • 17. Tozoğlu U, Şahin H. Determination of The Parents Knowledge About Dental Avulsions And Its Treatments. Current Research in Dental Sciences. 2006;16:19-22.
  • 18. Soğukpınar Önsüren A, Mutluay M, Mutluay AT. Evaluation of Parental Knowledge Level and Attitude Toward Primary and Permanent Tooth Injuries in Children. Int Arch Dent Sci. 2022;43(1):1-9.
  • 19. Guler C, Kara NB, Turken D. Evaluation of knowledge level and awareness of parents about avulsion and crown fracture. Mid Blac Sea J Health Sci. 2021;7(3):382-389.
  • 20. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-349.
  • 21. Al-Jundi SH. Dental emergencies presenting to a dental teaching hospital due to complications from traumatic dental injuries. Dent Traumatol. 2002;18(4):181-185.
  • 22. Al-Sehaibany FS, Alajlan R, Almubarak D, et al. Knowledge on management of traumatic dental injuries among Saudi mothers. Clin Cosmet Investig Dent. 2018;10:123-128.
  • 23. Al-Jame Q, Andersson L, Al-Asfour A. Kuwaiti parents' knowledge of first-aid measures of avulsion and replantation of teeth. Med Princ Pract. 2007;16(4):274-279.
  • 24. Alharbi R, Aboalshamat K, Alrabghi K, et al. Assessment of parents’ knowledge and attitudes on emergency management of permanent avulsed teeth in Western Saudi Arabia. Open Dent J. 2020;14:396-402.
  • 25. Kaul R, Jain P, Angrish P, et al. Knowledge, awareness and attitude towards emergency management of dental trauma among the parents of Kolkata—an institutional study. J Clin Diagn Res. 2016;10(7):95-101.
  • 26. Hashim R. Investigation of mothers' knowledge of dental trauma management in United Arab Emirates. Eur Arch Paediatr Dent. 2012;13(2):83-86.
  • 27. American Academy of Pediatric Dentistry Council on Clinical Affairs. Guideline on management of acute dental trauma. AAPD Ref Manual. 2010;32(6):202-212.
  • 28. Doğusal G, Akyıldız MB, Sönmez I. Assessment of Parental Knowledge and Attitudes in Aydın City Regarding the Dentoalveolar Injuries. Int Arch Dent Sci. 2015;36(2):86-92.
  • 29. Khinda V, Kaur G, Brar GS, Kallar S, Khurana H. Clinical and practical implications of storage media used for tooth avulsion. Int J Clin Pediatr Dent. 2017;10(2):158-165.
  • 30. Alyahya L, Alkandari SA, Alajmi S, Alyahya A. Knowledge and sociodemographic determinants of emergency management of dental avulsion among parents in Kuwait: A cross-sectional study. Med Princ Pract. 2018;27(1):55-60.
  • 31. Andreasen JO, Hjorting-Hansen E. Replantation of teeth. II. Histological study of 22 replanted anterior teeth in humans. Acta Odontol Scand. 1966;24(3):287-306.
There are 31 citations in total.

Details

Primary Language English
Subjects Paedodontics
Journal Section Original Research Articles
Authors

Arzu Koçkanat 0009-0006-8177-9096

Publication Date June 30, 2025
Submission Date January 12, 2025
Acceptance Date April 14, 2025
Published in Issue Year 2025Volume: 28 Issue: 2

Cite

EndNote Koçkanat A (June 1, 2025) Evaluation of Parents’ Knowledge Levels and Awareness Regarding Emergency Management of Tooth Avulsion: An Institutional Cross-Sectional Study. Cumhuriyet Dental Journal 28 2 192–198.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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