Stokes A N, Anderson H K, Cowan T M
Department of Restorative Dentistry, University of Otago, Dunedin, New Zealand.
Endod Dent Traumatol. 1992 Aug;8(4):160-2. doi: 10.1111/j.1600-9657.1992.tb00236.x.
Proper treatment during the first 30 minutes offers the best prognosis for traumatically avulsed teeth. This study sought to determine both lay people's and dental professionals' knowledge of and attitude to emergency procedures. A 12-question survey was administered to 5 groups: (a) parents of learner swimmers and (b) coaches of college sports teams (lay); (c) State Dental Nurses, (d) dentists and (e) dental nurse/receptionists (professional). Respondents totalled 184 (a 32, b 86, c 24, d 18, e 24) i.e. 118 lay and 66 professional. Data revealed that group b had the greatest personal experience of avulsed teeth and groups c and e the least. Public hospital accident and emergency services (A & E) were perceived by all groups as most available. 18% of lay groups could not cite an emergency service. Lay people thought first of A & E for management whereas profession groups preferred the victim's own dentist. Most professional people would replant avulsed permanent teeth and about 1/3 would replant deciduous teeth: 1/2 lay people would replant permanent teeth and 1/8 deciduous teeth. Where treatment was not straightforward lay people would seek advice before acting. Half of the lay groups would transport an avulsed tooth dry. All the professionals had had advice on management of avulsed teeth but only 1/4 of the lay groups. This study highlighted the need for educational campaigns aimed at members of the lay public likely to be involved in the emergency management of traumatically avulsed teeth.
在最初30分钟内进行恰当治疗，对因外伤而脱位的牙齿预后最佳。本研究旨在确定普通民众和牙科专业人员对紧急处理程序的了解程度和态度。对5组人员进行了一项包含12个问题的调查：(a) 学游泳者的家长和(b) 大学运动队教练（普通民众）；(c) 州牙科护士、(d) 牙医以及(e) 牙科护士/接待员（专业人员）。受访者共有184人（a组32人，b组86人，c组24人，d组18人，e组24人），即118名普通民众和66名专业人员。数据显示，b组有过牙齿脱位的个人经历最多，而c组和e组最少。所有组都认为公立医院的事故与急救服务（A&E）最为便利。18%的普通民众组无法说出一项急救服务。普通民众在处理时首先想到A&E，而专业人员组更倾向于受害者自己的牙医。大多数专业人员会重新植入脱位的恒牙，约1/3会重新植入乳牙；1/2的普通民众会重新植入恒牙，1/8会重新植入乳牙。在处理不直接时，普通民众会先寻求建议再行动。一半的普通民众组会干运脱位的牙齿。所有专业人员都接受过牙齿脱位处理的建议，但只有1/4的普通民众组接受过。本研究强调了开展针对可能参与外伤性脱位牙齿紧急处理的普通民众的教育活动的必要性。
