Department of Pediatric Dentistry, Universidade Luterana do Brasil, Porto Alegre, Brazil.
Dent Traumatol. 2010 Apr;26(2):158-63. doi: 10.1111/j.1600-9657.2009.00863.x. Epub 2010 Jan 19.
Traumatic dental injuries frequently occur at school environment. However, teachers are not prepared to provide the adequate emergency management.
The objectives of this study were to identify the factors associated with teachers' knowledge about dental trauma and to describe school managers' perception of possible strategies to change the scenario.
Our sample comprised 405 teachers from 17 public schools in Canoas, state of Rio Grande do Sul, Brazil, whose data were collected regarding demographic variables, training and professional experience information. The outcome was completely inadequate knowledge regarding trauma measured based on the answers to a structured questionnaire about dental fractures and tooth avulsion. The sample also included 14 school managers who answered a semi-structured questionnaire about the causes of teachers' inadequate knowledge and possible strategies to change the scenario.
The multivariate analysis demonstrated that the probability of completely inadequate knowledge was higher among male teachers, with less professional experience, who had not achieved a graduate degree, who had not witnessed at least one dental trauma case at school and who had not been trained in first-aid. School managers identified the following causes of inadequate knowledge: the fact that the topic is not approached during the teachers' training and continual education and lack of experience involving dental trauma at school. In addition, they suggested that lectures and courses including written and visual communication should be offered, as well as training workshops.
Strategies to improve the teachers' knowledge about dental trauma must take into consideration the results of the present study and optimize the inclusion of this topic in the teachers' curricular training and pedagogical education in a continuous manner.
创伤性牙外伤经常发生在学校环境中。然而，教师没有准备好提供适当的紧急管理。
本研究的目的是确定与教师对牙外伤知识相关的因素，并描述学校管理人员对可能改变这种情况的策略的看法。
我们的样本包括来自巴西南里奥格兰德州 Canoas 的 17 所公立学校的 405 名教师，收集了他们的人口统计学变量、培训和专业经验信息。根据对牙齿骨折和牙齿脱位的结构化问卷的回答，将完全不了解创伤的结果作为衡量标准。样本中还包括 14 名学校管理人员，他们回答了一个半结构化的问卷，内容是关于教师知识不足的原因以及可能改变这种情况的策略。
多变量分析表明，男性教师、专业经验较少、未获得研究生学位、在学校未见过至少一例牙外伤、未接受急救培训的教师，完全不了解创伤的可能性更高。学校管理人员确定了知识不足的以下原因：在教师培训和继续教育中没有涉及这个主题，以及在学校缺乏涉及牙外伤的经验。此外，他们建议提供讲座和课程，包括书面和视觉交流，并举办培训研讨会。
为了提高教师对牙外伤的知识，必须考虑到本研究的结果，并优化将该主题纳入教师课程培训和教学教育的连续性。
