Aminu Kafayat, Kanmodi Kehinde Kazeem, Amzat Jimoh, Salami Afeez Abolarinwa, Uwambaye Peace
Center for Child and Adolescent Mental Health, University College Hospital, Ibadan 200211, Nigeria.
School of Health and Life Sciences, Teesside University, Middlesbrough TS1 3BX, UK.
Children (Basel). 2023 Apr 28;10(5):797. doi: 10.3390/children10050797.
Accidents involving sports or leisure activities, falls, blows from objects, acts of interpersonal violence, and accidents can all result in dental trauma (also known as traumatic dental injuries [TDIs]). School children are one of the population groups that are highly vulnerable to TDIs. Multiple school-based interventions have been conducted around the world on the prevention and management of TDIs; however, no known scoping review has been conducted to map the evidence. Hence, this study aimed to conduct a scoping review of existing school-based interventions on TDIs.
This scoping review adopted the research design presented by Arksey and O'Malley. Eight research databases-PubMed, SCOPUS, APA PsycINFO, CINAHL Ultimate, AMED (The Allied and Complementary Medicine Database), Child Development & Adolescent Studies, Psychology and Behavioral Sciences Collection, and SPORTDiscuss-were searched to retrieve literature relevant to the scoping review question. Some of the retrieved literature existed in duplicate and was deduplicated using Rayyan software. Twenty papers that fulfilled the inclusion criteria were selected and reviewed.
A total of 526 publications were retrieved from the eight databases searched in this scoping review. Ninety-seven publications were duplicates and were removed. After the two-stage screening of the deduplicated copies, only 20 peer-reviewed journal articles were relevant and included in the review. The selected studies sampled a total of 7152 participants whose ages ranged between 9 and 62 years (mean = 10.56 to 46.5; standard deviation = ±0.97 to ±8.1). The findings obtained from the reviewed journal articles revealed that pupils are at high risk of dental trauma and they are more likely to sustain these injuries during school activities. In addition, inadequate understanding, poor attitudes, and low experiential knowledge of dental trauma were found among educators, parents, and even school pupils. The evidence of long-term knowledge retention and a high knowledge score in the experimental groups buttresses the need for continuous first-aid education on dental trauma.
The application of multiple educational approaches or modalities in schools will reinforce and promote good first-aid skills and management practices that are essential for preserving traumatized teeth.
涉及体育或休闲活动的事故、跌倒、物体撞击、人际暴力行为以及意外事故都可能导致牙齿外伤（也称为创伤性牙损伤[TDIs]）。学龄儿童是极易遭受牙齿外伤的人群之一。世界各地围绕牙齿外伤的预防和管理开展了多项基于学校的干预措施；然而，尚无已知的范围综述来梳理相关证据。因此，本研究旨在对现有的基于学校的牙齿外伤干预措施进行范围综述。
本范围综述采用了阿克西和奥马利提出的研究设计。检索了八个研究数据库——PubMed、SCOPUS、美国心理学会心理学文摘数据库（APA PsycINFO）、护理学与健康领域数据库（CINAHL Ultimate）、联合与补充医学数据库（AMED）、儿童发展与青少年研究数据库、心理学与行为科学文集数据库以及体育与运动医学数据库（SPORTDiscuss），以检索与范围综述问题相关的文献。部分检索到的文献存在重复，使用Rayyan软件进行了去重。筛选出20篇符合纳入标准的论文并进行了综述。
在本范围综述检索的八个数据库中，共检索到526篇出版物。97篇出版物为重复文献，已被剔除。在对去重后的文献进行两阶段筛选后，仅有20篇经过同行评审的期刊文章相关并被纳入综述。所选研究共对7152名参与者进行了抽样，他们的年龄在9岁至62岁之间（平均年龄为10.56岁至46.5岁；标准差为±0.97至±8.1）。从综述的期刊文章中获得的研究结果表明，学生面临牙齿外伤的风险很高，并且他们在学校活动期间更容易遭受此类损伤。此外，在教育工作者、家长甚至学生中，发现对牙齿外伤的理解不足、态度不佳以及经验知识匮乏。实验组长期知识保留和高知识得分的证据支持了持续开展牙齿外伤急救教育的必要性。
在学校应用多种教育方法或模式将加强并推广良好的急救技能和管理实践，这些对于保存受创伤的牙齿至关重要。
