Traumatic dental injuries: Knowledge assessment of dentists in the Norwegian Public Dental Service of Vestland

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Dental Traumatology Pub Date : 2024-03-08 DOI:10.1111/edt.12945

Andjelka Cvijic, Anne Åstrøm, Monika Kvernenes, Georgios Tsilingaridis, Athanasia Bletsa

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Abstract

Background/Aim

Most children and adolescents in Norway attend the Public Dental Service (PDS) where they are treated free-of-charge until the age of 19 years. Thus, general dentists employed in the PDS are the primary care providers for traumatic dental injuries (TDI) in young patients. This cross-sectional study assessed the knowledge of PDS general dentists on the acute management and follow-up of TDI and its socio-demographic and attitudinal covariates.

Materials and Methods

All general dentists employed in the Vestland County PDS, Western Norway, (N = 170) received an online questionnaire. Socio-demographic and professional profiles of respondents as well as attitudinal indicators were queried. Clinical case scenarios on emergency treatment and further follow-ups of TDI were used to calculate a dental trauma knowledge score (DTKS; range: 0–21). Mann–Whitney U tests and Kruskal–Wallis tests determined differences between the demographic subgroups. Logistic regressions determined the potential of single factors in explaining the variability in dental trauma knowledge.

Results

The response rate was 46%. Most participants (60.5%) had not participated in a TDI course after graduation but would like such a course (84.2%). Mean DTKS was 13.82 (±2.6). Knowledge scores differed significantly between age groups (p = .014) and years since graduation (p = .0018). Younger dentists and recently graduated dentists scored highest. Dentists under the age of 30 years scored higher than 30–39- and 40–49-year-old dentists in these areas: emergency treatment of crown fractures with pulp exposure, identification of complications after avulsion, and management of severe intrusive luxation injury.

Conclusion

Younger dentists had a higher theoretical knowledge of TDI. Continuing professional development among dentists in the Norwegian PDS is needed for emergency treatment and complication management after TDI.

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牙科外伤：挪威维斯特兰公共牙科服务机构牙医的知识评估。

背景/目的：挪威的大多数儿童和青少年都在公共牙科服务机构（PDS）接受免费治疗，直至 19 岁。因此，受雇于公共牙科服务机构的普通牙医是年轻患者牙外伤（TDI）的主要治疗提供者。这项横断面研究评估了PDS普通牙医对TDI急性处理和随访的知识及其社会人口和态度协变量：挪威西部韦斯特兰县公共牙科诊所的所有普通牙医（N = 170）都收到了一份在线问卷。问卷调查了受访者的社会人口学和专业概况以及态度指标。利用紧急治疗的临床案例情景和 TDI 的进一步随访来计算牙科创伤知识得分（DTKS；范围：0-21）。Mann-Whitney U 检验和 Kruskal-Wallis 检验确定了人口统计分组之间的差异。逻辑回归确定了单一因素在解释牙科创伤知识差异方面的潜力：回复率为 46%。大多数参与者（60.5%）在毕业后没有参加过牙科创伤知识课程，但希望参加此类课程（84.2%）。平均 DTKS 为 13.82（±2.6）分。不同年龄组（p = .014）和毕业年限（p = .0018）的知识得分差异很大。年轻牙医和刚毕业的牙医得分最高。30岁以下的牙医在以下方面的得分高于30-39岁和40-49岁的牙医：牙冠骨折伴牙髓暴露的紧急治疗、撕脱后并发症的识别以及严重侵入性松动损伤的处理：结论：年轻牙医对牙髓损伤的理论知识掌握得更多。挪威牙医职业发展计划（PDS）中的牙医需要在牙髓损伤后的紧急治疗和并发症处理方面进行持续的职业发展。

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来源期刊

Dental Traumatology 医学-牙科与口腔外科

CiteScore

6.40

自引率

32.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.