Assessment of dentists’ knowledge in rabat concerning the management of dental expulsion

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Published Mar 14, 2022
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Vol. 100 No. 3 (2022): Issue Mar 2022

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Laïla Azzahim
Nissrin Bassim
Sanaa Chala
Faïza Abdallaoui

Abstract

Background : Dental avulsion is an emergency whose prognosis depends on the promptness of the treatment. Adequate management requires the
acquisition of correct knowledge, attitude and practice, thus the prognosis of the avulsed tooth should be improved, both in the short and in the long term.

Aim : This study was carried out in order to assess the level of knowledge, attitude and practice of dentists working in the city of Rabat,
Morocco regarding their management of avulsed teeth and the factors associated with this level.

Methods : A 14-item questionnaire regarding dental avulsion and its management was administered to dentists working in private practice in
Rabat using convenience-sampling methodology. The data obtained were entered into Statistical Package for the Social Sciences database
(IBM, SPSS version 13.0, Chicago, USA) and analysed with a significance level established at p<0.05. The knowledge, attitude and practice
level was assessed using a scoring system. Chi2 and Fisher’s Exact tests were used to compare the groups.

Results : A total of 205 dentists, representing 37% of all dentists working in the private sector in Rabat, completed the questionnaires. The level of knowledge,
attitudes and practices of the dentists in this study was moderate with an overall median score of 5 [4;6]. Most of the participants answered the knowledgebased questions correctly, except for those concerning the extra-alveolar period, the timing of endodontic treatment, and the type and duration of retention.

Conclusion : Given the lack of other studies concerning Moroccan dentists, comparison with studies carried out in other countries is difficult,
hence the need to carry out more Moroccan studies in order to improve this level.

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References

  1. Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and Color Atlas of Traumatic Injuries to the Teeth. WileyBlackwell: John Wiley & Sons; 2013. p. 383-425.
  2. Andersson L. Epidemiology of traumatic dental injuries. J Endod 2013;39:S2-5.
  3. 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.
  4. Fouad AF, Abbott PV, Tsilingaridis G, 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. https://doi. org/10.1111/edt.12573
  5. Andersson L, Andreasen JO, Day P, Heithersay G, Trope M. Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth. Pediatr Dent. 2017; 39(6):412-419
  6. Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 1. Diagnosis of healing complications. Dent Traumatol. 1995;11(2):51-8.
  7. Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing. Endod Dent Traumatol 1995; 11:76–89.
  8. Andersson L, Bodin I. Avulsed human teeth replanted within 15 minutes – a long-term clinical follow-up study. Endod Dent Traumatol 1990; 6: 37–42.
  9. Andreasen JO. Effect of extra-alveolar period and storage media upon periodontal and pulpal healing after replantation of mature permanent incisors in monkeys. Int J Oral Surg.1981 ; 10 :43-53.
  10. Trope M. Avulsion of permanent teeth: Theory to practice. Dent Traumatol 2011;27:281-94.
  11. American Association of Endodontists. Recommended guidelines of the AAE for the treatment of traumatic dental injuries. 2013. http://www.aae.org/guidelines/.
  12. Cınar C, Atabek D, Alaçam A. Knowledge of dentists in the management of traumatic dental injuries in Ankara, Turkey. Oral Health Prev Dent 2013;11: 23-30.
  13. Re D, Augusti D, Paglia G, Augusti G, Cotti E. Treatment of traumatic dental injuries: evaluation of knowledge among Italian dentists. Eur J Paediatr Dent. 2014; 15: 23-8.
  14. Akhlaghi N, Nourbakhsh N, Khademi A, Karimi L. General dental practitioners’ knowledge about the emergency management of dental trauma. Iran Endod J 2014; 9: 251-6.
  15. AlJazairy YH, Halawany HS, AlMaflehi N, Alhussainan NS, Abraham NB, Jacob V. Knowledge about permanent tooth avulsion and its management among dentists in Riyadh, Saudi Arabia. BMC Oral Health. 2015; 15: 135.
  16. Al-Zubair NM. General dentists knowledge about the emergency management of dental avulsion in Yemen. Saudi J Oral Sci. 2015; 2: 25.
  17. Menezesa MC, Carvalhob RG, Accorsi-Mendonçab T, DeDeus G, Moreirad EJ, Silva EJ. Knowledge of dentists on the management of tooth avulsion injuries in Rio de Janeiro, Brazil. Oral Health Prev Dent. 2015; 13: 457-60.
  18. Abdullah D, Soo SY, Kanagasingam S. Knowledge of managing avulsed tooth among general dental practitioners in Malaysia. Singapore Dent J. 2016; 37: 21-6.
  19. Alaslami RA, Elshamy FMM, Maamar EM, Ghazwani YH. Awareness about Management of Tooth Avulsion among Dentists in Jazan, Saudi Arabia. Open Access Maced J Med Sci. 2018 ; 6(9):1712-1715.
  20. Zafar K, Ghafoor R, Khan FR , Hameed MH. Awareness of dentists regarding immediate management of dental avulsion: Knowledge, Attitude, and Practice study. J Pak Med Assoc 2019; 68(4) : 595-599.
  21. Kariya PB, Singh S, Bargale S, Shah S, Kulkarni N, Dave BH. Evaluation of knowledge regarding emergency management of avulsed traumatic dental injuries in children among general dental practitioners in India. Indian J Dent Res. 2019 ; 30 : 21-6
  22. Duruk G, Erel ZB. Assessment of Turkish dentists’ knowledge about managing avulsed teeth. Dent Traumatol. 2020 Jan 10. doi: 10.1111/edt.12543.
  23. Kenny KP, Day PF, Douglas GVA, Chadwick BL. Primary care dentists’ experience of treating avulsed permanent teeth. British Dental Journal 2015; 219: E4.
  24. 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(2):59-70.
  25. de Souza BD, Bortoluzzi EA, Reyes-Carmona J, Dos Santos LG, Simões CM, Felippe WT, Felippe MC. Effect of temperature and seven storage media on human periodontal ligament fibroblast viability. Dent Traumatol. 2017; 33(2):100-105.
  26. Chen F, Qi S, Lu L, Xu Y. Effect of storage temperature on the viability of human periodontal ligament fibroblasts. Dent Traumatol. 2015 ; 31(1):24-8.
  27. Andreasen JO, Andreasen FM. Essentials of traumatic injuries to the teeth, 1st edn. Copenhagen: Musksgaard; 1994. 113–31 pp.
  28. Blomlöf L, Otteskog P, Hammarström L. Effect of storage in media with different ion strengths and osmolalities on human periodontal ligament cells. Euro J Oral Sci. 1981; 89(2):180-187.
  29. Blomlöf L. Milk and saliva as possible storage media for traumatically exarticulated teeth prior to replantation. Swed Dent J Suppl 1981;8:1.
  30. Ben-Hassan MW, Andersson L, Lucas PW. Stiffness characteristics of splints for fixation of traumatized teeth. Dental Traumatology 2016 ; 32:140-145.