Empowering paramedics to save teeth: a comprehensive assessment of their knowledge and skills in managing dental traumas

Abstract

Aims: Dental traumas are prevalent injury types worldwide, and the time of the first intervention is crucial for a favorable prognosis. Paramedics are often the first to arrive at the scene of dental trauma. The significance of paramedics’ knowledge of dental trauma cannot be overstated, yet studies on this subject are limited. This study aims to assess the level of dental trauma knowledge among paramedics. Methods: A Google Forms link measuring dental trauma knowledge level consisting of 17 questions was sent to 1576 participants via WhatsApp. The forms were fully and consistently completed by 300 participants (19.3%). The data collected through Google Forms were imported into Microsoft Excel for statistical analysis. Statistical Analysis: The Mann-Whitney U test was used to determine whether there was a difference between the categories. The Kruskal-Wallis H test was used to determine whether there was a difference between the categories of the qualitative variable and more than two categories in the quantitative variable since average distribution as sumptions were not met. The statistical significance level was taken as 0.05. Results: There are 300 paramedics, with 159 males and 141 females. 87% of the participants did not receive any training regarding dental trauma. According to 85.3% of paramedics, dental traumas are considered an emergency situation. The most important type of dental trauma is avulsion. Only 21.7% of paramedics knew reimplantation was possible, while 78.4% believed that a dentist should do it. Research shows that 38.4% of paramedics prefer using a sterile sponge when storing avulsed teeth, while 10.7% prefer milk. 82.7% of the paramedics reported lacking the knowledge to handle dental traumas, and 84% expressed interest in receiving training. Conclusion: The research revealed that paramedics have insufficient knowledge regarding dental trauma. Most participants stated their preference not to intervene in cases of dental trauma. They believed that a dentist or emergency physician should handle it.

Keywords

• Paramedic
• Avulsion
• Dental Trauma
• Dentoalveolar Trauma
• hank’s balanced salt solution
• Ambulance

References

1. Fouad AF, Abbott PV, Tsilingaridis G, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. avulsion of permanent teeth. Dent Traumatol. 2020;36(4):331-342.
2. Levin L, Day PF, Hicks L, et al. International association of dental traumatology guidelines for the management of traumatic dental injuries: general introduction. Dent Traumatol. 2020;36(4):309-313. doi:10.1111/edt.12574
3. Díaz J, Bustos L, Herrera S, Sepulveda J. Knowledge of the management of paediatric dental traumas by non‐dental professionals in emergency rooms in south araucanía, temuco, chile. Dent Traumatol. 2009;25(6):611-619. doi:10.1111/j.1600-9657.2009.00835.x
4. Sarao SK, Rattai J, Levin L. Dental trauma among hockey players: preventive measures, compliance and injury types. J Can Dent Assoc. 2021;87:18. http://www.ncbi.nlm.nih.gov/pubmed/34343071
5. Doğan Ö, Sönmez H, Doğan SSA. Comfort and wearability properties of custom-made and boil-and-bite mouthguards among basketball players: a randomized parallel arm clinical trial. Dent Traumatol. 2024;40(3):251-265. doi:10.1111/edt.12918
6. Kuru R, Duruk G. Evaluation of Turkish emergency medicine physicians’ knowledge on emergency management of tooth avulsion. Eur Oral Res.. 2023;57:49-59.
7. Wolfer S, Mertens L, Hohenstein PK. Knowledge and skills of paramedics in handling patient with traumatic dental injuries. Dtsch Zahnarzliche Zeitschrift. 2022;4:149-157.
8. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-1160. doi:10.3758/BRM.41.4.1149

9. Aminu K, Kanmodi KK, Amzat J, Salami AA, Uwambaye P. School-based interventions on dental trauma: a scoping review of empirical evidence. Children. 2023;10(5):797. doi:10.3390/children10050797
10. Fernanda Bello K. Elementary school teachers’ knowledge and attitudes toward emergency management of traumatic dental injuries. Brazilian Oral Res. 2023;37:073.
11. van Vliet, Kirsten E. Knowledge about the emergency management of dental injuries among field hockey coaches. Dent Traumatol. 2022;2:526-531.
12. Bogumił L. Assessment of paramedics’ knowledge and skills on dealing with dental injuries. Med Rev. 2016;1:287-299.
13. Aras A, Dogan MS. Evaluating the levels of knowledge and attitudes of emergency medical technicians and paramedics toward traumatic dental injuries. Niger J Clin Pract. 2020;1:54-58.
14. Shaul L. Physician and emergency medical technicians’ knowledge and experience regarding dental trauma. Dent Traumatol. 2006;22:124-126.
15. Liran L. Dento–alveolar and maxillofacial injures–a survey of knowledge of the regimental aid providers in the Israeli army. Dent Traumatol. 2007;4:243-246.
16. Qazi SR, Nasir KS. First-aid knowledge about tooth avulsion among dentists, doctors and lay people. Dent Traumatol. 2009;25(3):295-299.
17. Abraham Y, Christy R, Gomez-Kunicki A, et al. Management of dental avulsion injuries: a survey of dental support staff in cairns, Australia. Dent J. 2020;9:1.
18. Özveren N, Yıldırım S. Effectiveness of an educational cartoon animation on the knowledge of children about traumatic dental injuries. Dent Traumatol. 2022;38(6):512-518. doi:10.1111/edt.12784
19. Joybell CC, Kumar MK, Ramraj B. Knowledge, awareness, and attitude among the employees in emergency ambulance services towards traumatic dental injuries. J Fam Med Prim Care. 2019;8(3):1043. doi:10.4103/jfmpc.jfmpc_343_348.
20. Cruz-da-Silva BR, Perazzo MF, Neves É, Firmino RT, Granville-Garcia AF. Effect of an educational programme on the knowledge level among an emergency service medical team regarding tooth avulsion. Oral Health Prev Dent. 2016;14:259-266.
21. Tewari N, Jonna I, Mathur VP, et al. Global status of knowledge for the prevention and emergency management of traumatic dental injuries among non-dental healthcare professionals: a systematic review and meta-analysis. Injury. 2021;52(8):2025-2037. doi:10.1016/j.injury.2021.06.006