Antunes Lívia Azeredo Alves, Rodrigues Amanda Silva, Martins Angela Maria do Couto, Cardoso Eduardo Seixas, Homsi Nicolas, Antunes Leonardo Santos
Department of Specific Formation, School of Dentistry, Fluminense Federal University, Nova Friburgo, Rio de Janeiro, Brazil.
Dent Traumatol. 2016 Aug;32(4):269-73. doi: 10.1111/edt.12249. Epub 2015 Dec 4.
BACKGROUND/AIM: School is a place with a high frequency of dental trauma, and several studies have shown that teachers' knowledge in how to act during acute dental emergencies is lacking. Therefore, this study aimed to assess the knowledge and actions of a group of Brazilian school teachers relative to dental trauma in permanent teeth.
A cross-sectional, observational study, from 27, schools randomized by lot was performed. All 205 teachers in the 27 schools answered a structured and self-administered questionnaire. The questionnaire contained questions about the participants' education level, work experience and first-aid training, as well as knowledge about and attitudes towards dental trauma in permanent teeth as well as their experience in dental emergency situations.
Of the 205 teachers, 91.2% reported having no knowledge about dental trauma and 16.6% of teachers had seen cases of acute dental trauma. Among the 205 teachers, 23.9% had received first-aid training and 4.1% had been educated in dental trauma. Regarding actions of acute injuries to permanent teeth, the teachers showed a significant error rate. No association was found between the level of education and first-aid training or experience with dental trauma. In relation to the experience of the teacher, association was found when managing trauma to soft tissue.
The knowledge and actions of Brazilian schoolteachers in relation to care of acute injuries in permanent teeth were inconsistent and based on unfounded concepts, beliefs and intuition, and lack of training. Continuing education of teachers in oral care due to a dental trauma should be a good plan of action.
背景/目的：学校是牙齿外伤高发场所，多项研究表明教师缺乏应对急性牙齿紧急情况的知识。因此，本研究旨在评估一组巴西学校教师关于恒牙牙齿外伤的知识及应对措施。
采用横断面观察性研究，从27所学校中随机抽签选取。27所学校的205名教师均回答了一份结构化的自填问卷。问卷包含有关参与者教育水平、工作经验和急救培训的问题，以及关于恒牙牙齿外伤的知识、态度及其在牙齿紧急情况中的经历。
在205名教师中，91.2%表示对牙齿外伤一无所知，16.6%的教师见过急性牙齿外伤病例。在205名教师中，23.9%接受过急救培训，4.1%接受过牙齿外伤方面的教育。关于恒牙急性损伤的应对措施，教师表现出显著的错误率。未发现教育水平与急救培训或牙齿外伤经验之间存在关联。就教师的经验而言，在处理软组织创伤时发现了关联。
巴西学校教师在恒牙急性损伤护理方面的知识和应对措施不一致，基于无根据的观念、信念和直觉，且缺乏培训。对教师进行因牙齿外伤导致的口腔护理继续教育应是一项不错的行动计划。
