Private Practice Limited to Endodontics, The Hague, The Netherlands.
Private Dental Practice, Athens, Greece.
Dent Traumatol. 2020 Feb;36(1):41-50. doi: 10.1111/edt.12503. Epub 2019 Sep 9.
BACKGROUND/AIM: School teachers can play an important role in improving the prognosis of traumatized teeth of school children through immediate onsite management or on time referral to healthcare providers. In Greece where the research in the field of dental traumatology is very limited, this issue is of utmost importance. The aim of this study was to evaluate the knowledge level of Greek primary school teachers and their attitude with regard to emergency first-aid management of traumatic dental injuries (TDI) occurring in schools.
A cross-sectional descriptive study among 276 school teachers was undertaken in Athens, Greece. This was done through a two-part questionnaire-based survey including demographic characteristics, attitude, and knowledge of first-aid management of TDI. Data were analyzed using non-parametric tests for differences. Log Poisson regression analysis was used to estimate relative risks of low or high knowledge of first-aid management.
The risk of lower knowledge score was almost double in teachers with <10 years of teaching experience and almost threefold higher in those reporting that they are not interested in being informed about dental trauma. In the case of luxation injury, 69.9% of the participants would not take any immediate action and would refer the child to a dentist. In case of permanent tooth avulsion, 52.2% knew that the tooth can be replanted in the socket, whereas only 17% believed that this should be performed within 30 minutes. Most of the participants would send the child to their own/family dentist, whereas only 4.7% would refer to an Endodontist.
The knowledge of primary school teachers in Greece about first-aid management of TDI is limited. However, a clear positive association was found between knowledge of first-aid management and teaching experience. Reliable information about dental trauma may result in improving the knowledge level of Greek primary school teachers.
背景/目的：学校教师可以通过现场管理或及时转介给医疗保健提供者，在改善学童创伤性牙齿的预后方面发挥重要作用。在希腊，牙科创伤学领域的研究非常有限，因此这个问题至关重要。本研究的目的是评估希腊小学教师的知识水平及其对发生在学校的创伤性牙外伤（TDI）的紧急急救管理的态度。
在希腊雅典进行了一项横断面描述性研究，共纳入 276 名学校教师。这是通过一项基于问卷调查的两部分调查完成的，包括人口统计学特征、态度和 TDI 急救管理知识。使用非参数检验分析数据差异。对数泊松回归分析用于估计急救管理知识水平低或高的相对风险。
教学经验不足 10 年的教师知识得分较低的风险几乎增加了一倍，而对牙科创伤不感兴趣的教师报告风险增加了近三倍。对于脱位伤，69.9%的参与者不会立即采取任何行动，而是将孩子转介给牙医。对于恒牙脱位，52.2%的人知道可以将牙齿再植到牙槽窝中，但只有 17%的人认为这应该在 30 分钟内进行。大多数参与者会将孩子送到自己/家人的牙医那里，而只有 4.7%的人会转介给牙髓病专家。
希腊小学教师对 TDI 急救管理的知识有限。然而，急救管理知识与教学经验之间存在明显的正相关关系。关于牙科创伤的可靠信息可能会提高希腊小学教师的知识水平。
