A Cross-Sectional Survey of Anesthesiologists' Awareness Toward Traumatic Dental Injuries During General Anesthesia in Syrian Arab Republic.

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Dental Traumatology Pub Date : 2024-11-20 DOI:10.1111/edt.13014
Mohammed N Al-Shiekh, Mohamed K Altinawi, Bana Darwish, Hasan Alzoubi
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Abstract

Background: Traumatic dental injuries with tracheal intubation during general anesthesia are considered one of the most common complications. It is also the primary reason for malpractice legal claims against anesthesiologists according to insurance companies. There is much information regarding the incidence, consequences, and risk factors of traumatic dental injuries during general anesthesia. This study aimed to assess the awareness (knowledge, practice, and attitude) of anesthetists regarding peri-anesthetic traumatic dental injuries and discuss measures to reduce the risk regarding peri-anesthetic traumatic dental injuries.

Materials and methods: Sixty seven anesthetists participated in this cross-sectional survey between January 2023 and July 2023, which was carried out in the Syrian Arab Republic. The questionnaire was generated using Google Forms and sent individually, as the researcher (MNA) was accompanied by all included anesthesiologists while filling out all the questionnaire paragraphs to answer any questions. The Fisher exact test and Pearson's Chi-squared test were used to analyze the results.

Results: The dental trauma caused by the anesthetists during their professional careers was 38.8%, and none of them were exposed to any legal claim. 77.6% of the anesthetists thought that avulsed permanent teeth could be replanted, 46.2% believed that the procedure must be done in < 30 min, and 84.6% thought they could not do it themselves and would send the patient to a dentist after the procedure. More than half of respondents (63.5%) indicated that the sterile saline solution was the best storage medium for avulsed teeth. Furthermore, 74.6% of anesthetists stated that emergency intubations are related to more traumatic dental injuries in comparison with elective intubation and about 62% were aware of the importance of mouthguard. However, nearly 57% complained about the shortage of knowledge related to the oral cavity and its special structure.

Conclusions: Syrian anesthetists have limited awareness (knowledge, practice, and attitude) of traumatic dental injury classification, prevention, and management. More information and training are still needed about factors used within clinical dentistry.

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阿拉伯叙利亚共和国麻醉师对全身麻醉期间牙外伤认识的横断面调查。
背景:全身麻醉时气管插管造成的牙外伤被认为是最常见的并发症之一。据保险公司称,这也是麻醉医生因渎职而遭到法律索赔的主要原因。有关全身麻醉期间牙外伤的发生率、后果和风险因素的信息很多。本研究旨在评估麻醉师对围麻醉期创伤性牙科损伤的认识(知识、实践和态度),并讨论降低围麻醉期创伤性牙科损伤风险的措施:67 名麻醉师参加了 2023 年 1 月至 2023 年 7 月期间在阿拉伯叙利亚共和国进行的横断面调查。调查问卷使用谷歌表格生成并单独发送,研究人员(MNA)在所有参与调查的麻醉师陪同下填写所有问卷段落以回答任何问题。结果采用费舍尔精确检验和皮尔逊卡方检验进行分析:结果:麻醉师在职业生涯中造成的牙科创伤占 38.8%,其中没有人受到任何法律索赔。77.6%的麻醉师认为脱落的恒牙可以再植,46.2%的麻醉师认为必须在得出结论的情况下再植恒牙:叙利亚麻醉师对牙科外伤分类、预防和处理的认识(知识、实践和态度)有限。临床牙科中使用的因素仍需要更多的信息和培训。
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来源期刊
Dental Traumatology
Dental Traumatology 医学-牙科与口腔外科
CiteScore
6.40
自引率
32.00%
发文量
85
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.
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