Knowledge of Avulsion of Permanent Teeth Emergency Management Among Undergraduate in Brazilian Health Care Students

Rodrigues, Olívia Farage e; Landim, Karen Lorraine Gomes; Alves, Renata Tolêdo; Machado, Fernanda Campos; Carrada, Camila Faria

doi:10.1590/pboci.2021.015

Olívia Farage e Rodrigues

Department of Paediatric Dentistry, School of Dentistry, Faculty of Medical Sciences and Health of Juiz de Fora, Juiz de Fora, MG, Brazil.

https://orcid.org/0000-0003-0773-2936

Karen Lorraine Gomes Landim

Department of Paediatric Dentistry, School of Dentistry, Faculty of Medical Sciences and Health of Juiz de Fora, Juiz de Fora, MG, Brazil.

https://orcid.org/0000-0002-7680-3278

Renata Tolêdo Alves

Department of Paediatric Dentistry, School of Dentistry, Faculty of Medical Sciences and Health of Juiz de Fora, Juiz de Fora, MG, Brazil.

https://orcid.org/0000-0003-3531-1186

Fernanda Campos Machado

Department of Social and Paediatric Dentistry, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil.

https://orcid.org/0000-0002-7138-2670

Camila Faria Carrada Correspondence: Camila Faria Carrada, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Avenida Antônio Carlos 6627, Pampulha, Belo Horizonte, MG, Brazil. 31270-901. E-mail:camilacarrada_89@hotmail.com

Department of Paediatric Dentistry, School of Dentistry, Faculty of Medical Sciences and Health of Juiz de Fora, Juiz de Fora, MG, Brazil.

Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.

https://orcid.org/0000-0002-3173-2904

Correspondence: Camila Faria Carrada, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Avenida Antônio Carlos 6627, Pampulha, Belo Horizonte, MG, Brazil. 31270-901. E-mail:camilacarrada_89@hotmail.com

Academic Editor: Burak Buldur

Authors’ Contributions

OFR Conceptualization, Methodology, Investigation, Formal Analysis, Data Curation and Writing – Original Draft Preparation.

KLGL Conceptualization, Investigation, Formal Analysis, Data Curation, Writing – Original Draft Preparation and Project Administration.

RTA Conceptualization, Methodology and Writing – Review And Editing.

FCM Conceptualization, Methodology and Writing – Review And Editing.

CFC Methodology, Data Curation, Writing – Review and Editing, Supervision and Project Administration.

All authors declare that they contributed to critical review of intellectual content and approval of the final version to be published.

Conflict of Interest

The authors declare no conflicts of interest.

		Semester Level		Sex
Degree Program	Sample	1st Half	2nd Half	Female	Male	Mean Age (SD)
	N (%)	N (%)	N (%)	N (%)	N (%)
Dentistry	231 (38.1)	106 (17.5)	125 (20.6)	179 (29.5)	52 (8.6)	21.4 (±3.2)
Nursing	70 (50.3)	40 (6.6)	30 (5.0)	68 (11.2)	2 (0.3)	22.5 (±5.9)
Medicine	305 (11.6)	193 (31.8)	112 (18.5)	212 (35.0)	93 (15.3)	22.1 (±3.3)
Total	606(100)	339 (55.9)	267(44.1)	459 (75.7)	147 (24.3)	21.8 (±3.7)

Questions	Dentistry	Nursing	Medicine
	N (%)	N (%)	N (%)
Q5 - Have you previously received any information about dental trauma?
Yes	191 (82.7)	16 (22.9)	70 (23.0)
No	40 (17.3)	53 (75.7)	235 (77.0)
Q6 - If yes, where?
At Home	14 (6.1)	3 (4.3)	26 (8.6)
In Classes at the University	122 (52.8)	3 (4.3)	4 (1.3)
In a Training Program	1 (0.4)	0 (0.0)	1 (0.3)
In Some Book or Journal	17 (7.4)	6 (8.6)	22 (7.2)
With my Dentist or Other Healthcare Professional	3 (1.3)	1 (1.4)	3 (1.0)
Radio, TV, or Internet	0 (0.0)	0 (0.0)	1 (0.3)
Other	0 (0.0)	0 (0.0)	0 (0.0)
Q7 - Have you or did you have any experience with dental trauma?
Yes	73 (31.6)	10 (14.3)	64 (21.0)
No	158 (68.4)	59 (84.3)	241 (79.0)
Q8 - If yes, how?
Occurred with a Family Member	26 (11.3)	8 (11.4)	22 (39.3)
In an Internship and/or Patient Care in College	23 (10.0)	0 (0.0)	0 (0.0)
Engaging in Sports and/or Recreation	0 (0.0)	0 (0.0)	29 (9.5)
Other	0 (0.0)	2 (2.9)	3 (1.0)
Q9 - How do you consider your knowledge about dental trauma?
I Don't Know	21 (12.0)	44 (55.4)	181 (61.5)
I Know Little	145 (62.8)	25 (35.7)	122 (40.0)
I Know Enough	58 (25.1)	0 (0.0)	1 (0.3)

	Dentistry			Nursing			Medicine
Questions and Correct Answers	1^st Half	2^nd Half	p-value	1^st Half	2^nd Half	p-value	1^st Half	2^nd Half	p-value
	N (%)	N (%)		N (%)	N (%)		N (%)	N (%)
Q10 - How would you define tooth avulsion? Complete displacement of the tooth from its alveolus	64 (60.4)	115 (92.0)	0.01^* * Pearson's chi-square test; °Fisher's exact test.	20 (50.0)	18 (60.0)	0.40	141 (73.1)	54 (48.2)	0.01^* * Pearson's chi-square test; °Fisher's exact test.
Q11 - What is the immediate emergency action you would take in a case of tooth avulsion? Find the tooth, wash it, and put it back in its place / Store the tooth in a suitable liquid and seek a professional who will help	38 (35.8)	102 (81.6)	0.01^* * Pearson's chi-square test; °Fisher's exact test.	7 (17.5)	9 (30.0)	0.21	108 (56.0)	36 (32.1)	0.01^* * Pearson's chi-square test; °Fisher's exact test.
Q12 - Do you think it is important to store the avulsed tooth? Yes	92 (86.8)	212 (96.8)	0.01^* * Pearson's chi-square test; °Fisher's exact test.	33 (82.5)	24 (80.0)	0.79	175 (90.7)	85 (75.9)	0.01^* * Pearson's chi-square test; °Fisher's exact test.
Q13 - If yes, what would you use to store the avulsed tooth: A container with milk / A container with saline / I would put it in the child's mouth	52 (49.1)	104 (83.2)	0.01^* * Pearson's chi-square test; °Fisher's exact test.	12 (30.0)	14 (46.7)	0.15	125 (64.8)	47 (42.0)	0.01^* * Pearson's chi-square test; °Fisher's exact test.
Q14 - Did you know that it is possible to replant an avulsed tooth? Yes	64 (60.4)	113 (90.4)	0.01^* * Pearson's chi-square test; °Fisher's exact test.	19 (47.5)	17 (56.7)	0.44	140 (72.5)	55 (49.1)	0.01^* * Pearson's chi-square test; °Fisher's exact test.
Q15 - Give the correct definition for replantation: Placement of the same teeth that were avulsed in the dental alveolus	69 (65.1)	115 (92.0)	0.01^* * Pearson's chi-square test; °Fisher's exact test.	22 (55.0)	20 (66.7)	0.32	147 (76.2)	65 (58.0)	0.01^* * Pearson's chi-square test; °Fisher's exact test.
Q16 - Who is the right person to perform the replantation? Anyone who helped the patient at the time of the tooth avulsion and if they think they are able to do this	0 (0.0)	8 (6.4)	0.01°	0 (0.0)	0 (0.0)		1 (0.5)	8 (7.1)	0.01^* * Pearson's chi-square test; °Fisher's exact test.
Q17 - How long do you think the tooth can stay out of the alveolus without damaging treatment? The least time possible	50 (47.2)	83 (66.4)	0.01^* * Pearson's chi-square test; °Fisher's exact test.	21 (52.5)	11 (36.7)	0.18	105 (54.4)	53 (47.3)	0.22
Q18 - Do you think it is necessary to have the patient monitored by a dentist after replantation? It is necessary	90 (84.9)	123 (98.4)	0.01^* * Pearson's chi-square test; °Fisher's exact test.	33 (82.5)	26 (86.7)	0.63	175 (90.7)	97 (86.6)	0.27

Questions	Dentistry	Nursing	Medicine	p-value
	N (%)	N (%)	N (%)
Q10	179 (77.5)	15 (21.4)	183 (60.0)	<0.001^* * Pearson's chi-square test.
Q11	140 (60.6)	4 (5.7)	62 (20.3)	<0.001^* * Pearson's chi-square test.
Q12	213 (92.2)	44 (62.9)	255 (83.6)	<0.001^* * Pearson's chi-square test.
Q13	156 (67.5)	15 (21.4)	94 (30.8)	<0.001^* * Pearson's chi-square test.
Q14	177 (76.6)	16 (22.9)	162 (53.1)	<0.001^* * Pearson's chi-square test.
Q15	184 (79.7)	27 (38.6)	191 (62.6)	<0.001^* * Pearson's chi-square test.
Q16	8 (3.5)	1 (1.4)	2 (0.7)	0.053
Q17	133 (57.6)	23 (32.9)	144 (47.2)	<0.001^* * Pearson's chi-square test.
Q18	213 (92.2)	56 (80.0)	253 (83.0)	0.003^* * Pearson's chi-square test.

[1] Correspondence: Camila Faria Carrada, Faculdade de Odontologia, Universidade Federal de Minas Gerais, Avenida Antônio Carlos 6627, Pampulha, Belo Horizonte, MG, Brazil. 31270-901. E-mail:camilacarrada_89@hotmail.com

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Knowledge of Avulsion of Permanent Teeth Emergency Management Among Undergraduate in Brazilian Health Care Students

ABSTRACT

Objective:

Material and Methods:

Results:

Conclusion: