December 2013

Volume 30, Issue 4

Professional knowledge of accident and emergency doctors on the management of dental injuries

Authors: I.H. Nasr A. Papineni McIntosh S. Mustafa A. Cronin
doi: 10.1922/CDH_3184Nasr07


Background: Accident and emergency (A&E) doctors are often the first to assess dental and dento-alveolar injuries. Early diagnosis and appropriate management is essential for a good long-term prognosis of restored dental aesthetics and function. Objective: To evaluate A&E doctors’ knowledge of the management of dental injuries, and appropriate onward referral. Design and Setting: A cross-sectional survey using a questionnaire sent to A&E doctors of all grades at all nine A&E hospitals in South Wales over a consecutive five-month period. Method: Data relating to the level of knowledge of emergency management of dental trauma were analysed. The relationship between doctor’s level of experience and previous training received on the management of common dento-alveolar trauma was considered. Data were analysed for Pearson correlation coefficients. Results: The response rate to the questionnaire was 72% (n=118). There was a negligible correlation between the career grade of the doctors and their knowledge of the management of dental injuries (r=0.128, p<0.001). A strong positive linear correlation (r=0.928, p<0.001) was found between those with prior training and their knowledge of dental injury management. Conclusions: The findings from this study suggest that A&E doctors have only partial knowledge of the management of dental injuries, though appropriate training can significantly increase knowledge. Keywords: tooth injuries, tooth fracture, tooth avulsion, tooth luxation, maxillofacial injuries, emergency treatment


Other articles in this issue

Article Pages Access
Editorial - Need to put children’s oral health first in Israeli debate on water fluoridation 198-199 Download
Dental Public Health in Action - Stakeholder involvement in designing an oral care training package for care home staff 200-203 Download
Promoting oral health of children through schools – Results from a WHO global survey 2012 204-218 Download
A five-year evaluation of an NHS dental practice-based specialist minor oral surgery service 219-226 Download
Developing a policy guidance for financing dental care in Iran using the RAND Appropriateness Method 227-223 Download
Professional knowledge of accident and emergency doctors on the management of dental injuries 234-240 Download
A qualitative evaluation of a Local Professional Network programme “Baby Teeth DO Matter” 241-248 Download
Aesthetic perceptions regarding fluorosis by children from an area of endemic fluorosis in India 249-253 Download
Relationship between chewing ability and depressive symptoms 254-256 Download
Caries experience and related factors in 4-6 year-olds attending dental clinics in Kinshasa, DR of Congo 257-262 Download
Dentists’ training and willingness to treat adolescents with learning disabilities: the mediating role of social and clinical factors 263-268 Download


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