Aren Acar, Erdem Arzu Pınar, Aren Gamze, Şahin Zeynep Deniz, Güney Tolgay Ceren, Çayırcı Merve, Sepet Elif, Güloğlu Recep, Yanar Hakan, Sarıbeyoğlu Kaya
Department of General Surgery, İstanbul Training and Research Hospital, İstanbul-Turkey.
Ulus Travma Acil Cerrahi Derg. 2018 Mar;24(2):136-144. doi: 10.5505/tjtes.2017.57384.
Hospital emergency departments (EDs) are confronted with managing dental emergencies of both traumatic and non-traumatic origin. However, the literature suggests inadequate knowledge of the management of traumatic dental injuries (TDIs) among medical professionals. The aim of this study was to investigate the knowledge and attitudes regarding management of TDIs among Istanbul ED physicians.
Surveys were distributed to emergency departments (ED) directors and their physicians. The survey contained questions about their characteristics and tested their knowledge of managing dental trauma.
A total of 126 surveys (13 ED directors and 113 physicians) were returned and included in the analysis. ED physician's knowledge of the appropriate management of crown fractures and avulsion was generally good (p=0.221), but poor for luxation injuries (p=0.0001). Physicians were more likely to have a better knowledge about permanent teeth than about primary teeth (p=0.027).
Education, monitoring, improved availability of resources, and disciplinary measures in cases of poor compliance are necessary to improve TDI management in hospitals, especially among physicians.
医院急诊科面临着处理创伤性和非创伤性牙科急症的任务。然而，文献表明医学专业人员对创伤性牙损伤（TDIs）的处理知识不足。本研究的目的是调查伊斯坦布尔急诊科医生对TDIs处理的知识和态度。
向急诊科主任及其医生发放调查问卷。该问卷包含有关他们特征的问题，并测试他们对牙外伤处理的知识。
共收回126份调查问卷（13名急诊科主任和113名医生）并纳入分析。急诊科医生对冠折和牙脱位的适当处理知识总体良好（p = 0.221），但对牙松动损伤的知识较差（p = 0.0001）。医生对恒牙的了解比对乳牙的了解更有可能更好（p = 0.027）。
为改善医院中TDIs的处理，尤其是医生的处理，进行教育、监测、提高资源可用性以及对依从性差的情况采取纪律措施是必要的。
