Mesgarzadeh Ali Hossein, Shahamfar Mohamdreza, Hefzollesan Ali
Department of Oral and Maxillofacial Surgery, School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
Oral Health Prev Dent. 2009;7(3):297-308.
The aim of this survey was to evaluate the knowledge and attitudes of Iranian elementary school teachers with regard to emergency management of dental trauma, in a northwestern urban area.
A total of 160 teachers from 40 schools, all selected randomly, were included in the study. A three-part self-administered questionnaire surveying teachers' background, knowledge of the growth patterns of children's dentition, general dental trauma, fractured and avulsed teeth, as well as attitudes regarding dental trauma was used. Chi-square analysis was performed to examine the effect of educational background, gender, length of service and topics they teach on their knowledge and attitudes on the management of dental trauma.
A majority of the participants had received tertiary education. Regarding the management of tooth fracture, 52.4% provided appropriate answers. A similar proportion (50.6%) realised that they should replant a permanent avulsed tooth. However, they had little knowledge on the correct procedures; less than a fifth were acquainted with the urgent need for action. Only 38% knew about appropriate washing mediums and about a third were familiar with proper storage media. Health teachers and those with higher educational background (16 years of education) were significantly more knowledgeable regarding the disciplines of avulsion management. Teachers with a high level of experience (third decade) were also more knowledgeable in terms of prevalence of dental trauma accidents.
The current survey indicated a substantial lack of knowledge regarding dental trauma management among elementary school teachers. Educational campaigns to improve their knowledge and awareness seem crucial for this group of adults who are usually the first to respond in cases of dental trauma accidents in schools.
本次调查旨在评估伊朗西北部城市地区小学教师对牙外伤应急处理的知识和态度。
本研究共纳入40所学校随机选取的160名教师。采用一份三部分的自填式问卷调查教师的背景、对儿童牙列生长模式、一般牙外伤、牙齿折断和脱位的知识，以及对牙外伤的态度。采用卡方分析来检验教育背景、性别、教龄和所授课程对他们在牙外伤处理知识和态度方面的影响。
大多数参与者接受过高等教育。关于牙齿折断的处理，52.4%的人给出了正确答案。类似比例（50.6%）的人意识到应该将恒牙再植。然而，他们对正确的操作程序了解甚少；不到五分之一的人知道需要紧急行动。只有38%的人了解合适的冲洗介质，约三分之一的人熟悉正确的储存介质。健康课教师和教育背景较高（16年教育）的教师在牙齿脱位处理方面的知识明显更丰富。经验丰富（教龄三十年）的教师在牙外伤事故发生率方面的知识也更丰富。
本次调查表明小学教师在牙外伤处理方面存在大量知识欠缺。开展教育活动以提高他们的知识和意识，对于这群通常在学校牙外伤事故中最先做出反应的成年人来说似乎至关重要。
