Frujeri Maria de Lourdes Vieira, Costa Edson Dias
Department of Dentistry, School of Health Sciences, University of Brasília, Brasília, DF, Brazil.
Dent Traumatol. 2009 Jun;25(3):262-71. doi: 10.1111/j.1600-9657.2008.00760.x. Epub 2009 Feb 27.
Tooth avulsion is the complete displacement of a tooth from its socket due to intentional or non-intentional injuries. Treatment in these cases comprises tooth replantation. This accident is very critical as the success of tooth replantation is directly dependent on several factors, such as extra-alveolar period, storage of the tooth until replantation, type of retention employed, time of endodontic intervention, type of drug prescribed, oral hygiene status as well as general health. This trauma commonly occurs during sports practice, school, and leisure activities. The first measures are critical for the prognosis of the avulsed tooth. Several studies report lack of knowledge of the population, educators, sports professionals, and health professionals in the management of tooth avulsion. This study evaluated the influence of education on different groups of professionals, addressing the knowledge and prevention and emergency management of the avulsed tooth.
The study was conducted on five different groups of professionals (elementary school teachers, physical education professionals, bank employees, dental doctors, and pediatricians) from the city of Brasília, DF, Brazil. The professionals attended a lecture and were evaluated by a questionnaire applied twice, before and after the lecture.
The results of the 479 returned questionnaires were analyzed. The difference between questionnaires before and after the lecture was statistically analyzed by the Wilcoxon test. There was statistically significant change in the performance of professional groups after information was provided (P < 0.0001).
Education is extremely important to favor the knowledge on prevention and emergency management of an avulsed tooth, and may enhance the prognosis of tooth avulsion.
牙脱位是指牙齿因有意或无意的损伤而完全脱离牙槽窝。此类病例的治疗包括牙齿再植。这种意外情况非常关键,因为牙齿再植的成功直接取决于几个因素,如牙脱出时间、牙齿再植前的保存方式、固定方式、根管治疗干预时间、所开药物类型、口腔卫生状况以及全身健康状况。这种创伤常见于体育活动、学校活动和休闲活动期间。最初的措施对脱位牙的预后至关重要。多项研究报告指出,普通人群、教育工作者、体育专业人员和卫生专业人员在牙脱位处理方面缺乏相关知识。本研究评估了教育对不同专业人员群体的影响,涉及牙脱位的知识、预防及应急处理。
该研究针对巴西巴西利亚联邦区的五组不同专业人员(小学教师、体育专业人员、银行职员、牙医和儿科医生)展开。这些专业人员参加了一场讲座,并在讲座前后分别通过一份问卷进行评估。
对回收的479份问卷结果进行了分析。讲座前后问卷的差异通过Wilcoxon检验进行统计学分析。在提供信息后,专业人员群体的表现有统计学意义上的显著变化(P < 0.0001)。
教育对于增进牙脱位预防及应急处理方面的知识极为重要,并且可能改善牙脱位的预后。