Maloney B, O'Connell A C, Leith R
Division of Public and Child Dental Health, Dublin Dental University Hospital, Dublin, Ireland.
Eur Arch Paediatr Dent. 2025 Apr;26(2):329-340. doi: 10.1007/s40368-024-00981-9. Epub 2024 Dec 8.
Traumatic Dental Injuries (TDIs) are a common oral health problem worldwide. Prompt and accurate diagnosis and treatment maximises the chances of favourable outcomes. This study aimed to evaluate the knowledge and attitudes of Irish Dentists regarding the management of TDIs based on different trauma scenarios.
Following ethical approval, a cross-sectional, 22-item self-administered questionnaire was distributed electronically to members of the Irish Dental Association between January and March 2024.
A total of 245 complete responses were obtained, representing a 17% response rate. The results demonstrated a correlation between self-reported knowledge and number of correct answers. Overall 80% of respondents chose the correct storage medium for avulsed teeth. The majority of dentists aged > 46 years were unaware of the updated IADT guidelines. A large proportion of dentists showed inadequate knowledge with regard to the management of intruded permanent teeth (65%) and the endodontic management of an immature avulsed permanent tooth (50%). Management of intruded teeth and knowledge of root fractures was not as good as other injury types. The majority of respondents (85%) correctly answered that a tooth with negative sensibility tests following subluxation does not require endodontic treatment immediately.
The survey had an acceptable response rate and demonstrated overall good knowledge in the management of TDIs. However, there was still confusion over management of certain scenarios which could have negative repercussions for patients entering an unnecessary restorative cycle. There is a need to improve practitioner confidence and experience in the management of certain TDIs and improve awareness of the IADT guideline as a resource, especially in dentists with more years of experience.
创伤性牙损伤（TDIs）是全球常见的口腔健康问题。及时准确的诊断和治疗可最大程度提高获得良好治疗效果的几率。本研究旨在评估爱尔兰牙医对基于不同创伤场景的TDIs管理的知识和态度。
在获得伦理批准后，于2024年1月至3月间以电子方式向爱尔兰牙科协会成员发放了一份包含22个条目的自填式问卷。
共获得245份完整回复，回复率为17%。结果表明自我报告的知识与正确答案数量之间存在相关性。总体而言，80%的受访者选择了正确的脱位牙储存介质。大多数年龄大于46岁的牙医不知道国际牙外伤协会（IADT）的更新指南。很大一部分牙医在嵌入恒牙的管理（65%）和未成熟脱位恒牙的牙髓管理（50%）方面知识不足。嵌入牙的管理和根折知识不如其他损伤类型。大多数受访者（85%）正确回答，半脱位后感觉测试为阴性的牙齿不需要立即进行牙髓治疗。
该调查有可接受的回复率，并且在TDIs管理方面总体知识良好。然而，在某些情况的管理上仍存在困惑，这可能会对患者进入不必要的修复周期产生负面影响。有必要提高从业者在某些TDIs管理方面的信心和经验，并提高对IADT指南作为一种资源的认识，特别是在经验更丰富的牙医中。
