Research Article
BibTex RIS Cite

Medical Emergency Management in Dental Clinics: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices

Year 2025, Volume: 15 Issue: 3, 1058 - 1068, 30.09.2025
https://doi.org/10.31020/mutftd.1742270

Abstract

Objective: This study aimed to assess dentists’ knowledge, attitudes, practices, and self-confidence regarding medical emergencies, as well as to determine the frequency, types, and severity of such events encountered in dental settings. Additionally, the availability of essential emergency equipment and drugs, dentists’ preparedness levels, and prior training experiences were evaluated.
Methods: A cross-sectional survey was conducted among 120 dentists using a previously validated and reliable questionnaire. The survey assessed demographic characteristics, clinical experience, prior encounters with medical emergencies, availability of equipment, and perceived self-efficacy. Frequency analyses and association tests were employed to examine the relationships between encountering medical emergencies, training background, and equipment availability.
Results: Within the past 12 months, hypoglycemia (32.5%) emerged as the most frequently reported emergency, surpassing vasovagal syncope (25.8%), which is commonly emphasized in the literature. Dentists who reported serious medical emergencies also indicated higher levels of equipment availability and prior exposure to minor emergencies. Among those who had witnessed cardiac arrest, the majority (80%) had not received postgraduate training, and none (100%) had used a defibrillator. Oxygen use (27.5%) showed a strong association with prior training during undergraduate education. Conclusion: The findings highlight significant variability in emergency preparedness among dentists. Continuous, hands-on training and standardized emergency protocols are crucial for enhancing clinical competence and improving patient safety in dental practice

References

  • 1. Resuscitation Council (UK). Medical emergencies and resuscitation. Standards for clinical practice and training for dental practitioners and dental care professionals in general dental practice. 2012. [http://www.resus.org.uk/pages/MEdental.pdf](http://www.resus.org.uk/pages/MEdental.pdf) (accessed 14 July 2013).
  • 2. Nolan JP, et al. European resuscitation council guidelines for resuscitation 2010. Section 1. Executive summary. Resuscitation 2010;81:1219–76.
  • 3. Soar J, et al. European resuscitation council guidelines for resuscitation 2010. Section 9. Principles of education in resuscitation. Resuscitation 2010;81:1434–44.
  • 4. Le TT, et al. Ability of dental students to deliver oxygen in a medical emergency. J Dent Educ 2009;73(4):499–508.
  • 5. Malamed SF. Back to basics: emergency medicine in dentistry. J Calif Dent Assoc 1997;25(4):285–6, 288–94.
  • 6. Arsati F, et al. Brazilian dentists’ attitudes about medical emergencies during dental treatment. J Dent Educ 2010;74(4):661–6.
  • 7. Greenwood M. Medical emergencies in the dental practice. Periodontol 2000 2008;46:27–41.
  • 8. Müller MP, et al. A state-wide survey of medical emergency management in dental practice: incidence of emergencies and training experience. Emerg Med J 2008;25(5):296–300.
  • 9. Ruggia G. Medical emergencies in the dental office: contributions of continuing education. Schweiz Monatsschr Zahnmed 2003;113(12):1311–6.
  • 10. Broadbent JM, Thomson WM. The readiness of New Zealand general dental practitioners for medical emergencies. N Z Dent J 2001;97(429):82–6.
  • 11. Newby JP, et al. Simulation of medical emergencies in dental practice: development and evaluation of an undergraduate training programme. Aust Dent J 2010;55(4):399–404.
  • 12. Adewole RA, et al. An assessment of the competence and experience of dentists with the management of medical emergencies in a Nigerian teaching hospital. Nig Q J Hosp Med 2009;19(4):190–4.
  • 13. Australian Dental Association. Guidelines for good practice on emergencies in dental practice. As amended by Special Purpose Committee on Therapeutics & Drugs, June 2005.
  • 14. Haas AD. Extent of treatment by the dentist. Jpn Dent Soc Anesthesiol 2005;33:153–7.
  • 15. Dental Council of New Zealand. Code of Practice: Medical Emergencies in Dental Practice. 2005.
  • 16. Tanzawa T, et al. Medical emergency education using a robot patient in a dental setting. Eur J Dent Educ 2013;17\:e114–e119.
  • 17. Roy E, et al. High-fidelity simulation in training dental students for medical life-threatening emergency. Eur J Dent Educ 2018;22\:e261–e269.
  • 18. Wald DA, et al. An office-based emergencies course for third-year dental students. J Dent Educ 2013;77:1033–41.
  • 19. Varoni EM, et al. Medical emergencies in dental practice: a nationwide web-based survey of Italian dentists. Heliyon 2023;9(3)\:e13910.
  • 20. Girdler NM, Smith DG. Prevalence of emergency events in British dental practice and emergency management skills of British dentists. Resuscitation 1999;41(2):159–67.
  • 21. Laurent F, et al. Medical emergencies in dental practice. Med Buccale Chir Buccale 2014;20(1):3–12.
  • 22. Chapman PJ. A questionnaire survey of dentists regarding knowledge and perceived competence in resuscitation and occurrence of resuscitation emergencies. Aust Dent J 1995;40(2):98–103.
  • 23. Chapman PJ. Medical emergencies in dental practice and choice of emergency drugs and equipment: a survey of Australian dentists. Aust Dent J 1997;42(2):103–8.
  • 24. Gupta T, et al. Preparedness for management of medical emergencies among dentists in Udupi and Mangalore, India. J Contemp Dent Pract 2008;9(5):92–9.
  • 25. Khami MR, et al. Medical emergency management among Iranian dentists. J Contemp Dent Pract 2014;15(6):693–8.
  • 26. Gupta S, et al. Knowledge of handling medical emergencies among general dental practitioners pan India: a cross-sectional survey. BMC Res Notes 2023;16(1):16.

Diş Hekimliği Kliniklerinde Tıbbi Acil Durum Yönetimi: Bilgi, Tutum ve Uygulamaların Kesitsel Bir Değerlendirmesi

Year 2025, Volume: 15 Issue: 3, 1058 - 1068, 30.09.2025
https://doi.org/10.31020/mutftd.1742270

Abstract

Amaç: Bu çalışmanın amacı, diş hekimlerinin tıbbi acil durumlara ilişkin bilgi, tutum, uygulama ve öz güven düzeylerini değerlendirmek; diş hekimliği kliniklerinde karşılaşılan acil durumların sıklığını, türlerini ve ciddiyetini belirlemektir. Ayrıca hekimler arasında hazırlık düzeyleri, gerekli acil durum ekipman ve ilaçlarının bulunabilirliği ile eğitim geçmişleri incelenmiştir.
Gereç ve Yöntem: Geçerliliği ve güvenilirliği daha önce kanıtlanmış bir anket formu kullanılarak 120 diş hekimi arasında kesitsel bir araştırma yürütülmüştür. Anket; katılımcıların demografik özelliklerini, klinik deneyimlerini, geçmiş acil durum deneyimlerini, mevcut ekipman varlığını ve algılanan öz yeterlilik düzeylerini değerlendirmiştir. Acil durumlarla karşılaşma ile eğitim geçmişi veya ekipman bulunabilirliği arasındaki ilişkiler sıklık analizleri ve istatistiksel ilişki testleri ile incelenmiştir.
Bulgular: Son 12 ayda en sık bildirilen acil durum, literatürde yaygın olarak görülen vazovagal senkopun (%25,8) önüne geçerek hipoglisemi (%32,5) olmuştur. Ciddi acil durumlara tanık olan diş hekimleri, daha yüksek düzeyde ekipman bulunabilirliği ve daha önce küçük acil durumlara maruziyet bildirmiştir. Kalp durması vakasına tanık olanların önemli bir kısmı (%80) lisansüstü eğitim almamış, tamamı (%100) defibrilatör kullanmamıştır. Oksijen kullanım oranı (%27,5), özellikle lisans eğitimi sırasında alınan önceki eğitimle güçlü bir ilişki göstermiştir.
Sonuç: Bulgular, diş hekimleri arasında acil durum hazırlığında önemli farklılıklar olduğunu ortaya koymaktadır. Sürekli, uygulamalı eğitim ve standart acil durum protokolleri, klinik yeterliliği artırmak ve diş hekimliği pratiğinde hasta güvenliğini artırmak için olmazsa olmazdır.

References

  • 1. Resuscitation Council (UK). Medical emergencies and resuscitation. Standards for clinical practice and training for dental practitioners and dental care professionals in general dental practice. 2012. [http://www.resus.org.uk/pages/MEdental.pdf](http://www.resus.org.uk/pages/MEdental.pdf) (accessed 14 July 2013).
  • 2. Nolan JP, et al. European resuscitation council guidelines for resuscitation 2010. Section 1. Executive summary. Resuscitation 2010;81:1219–76.
  • 3. Soar J, et al. European resuscitation council guidelines for resuscitation 2010. Section 9. Principles of education in resuscitation. Resuscitation 2010;81:1434–44.
  • 4. Le TT, et al. Ability of dental students to deliver oxygen in a medical emergency. J Dent Educ 2009;73(4):499–508.
  • 5. Malamed SF. Back to basics: emergency medicine in dentistry. J Calif Dent Assoc 1997;25(4):285–6, 288–94.
  • 6. Arsati F, et al. Brazilian dentists’ attitudes about medical emergencies during dental treatment. J Dent Educ 2010;74(4):661–6.
  • 7. Greenwood M. Medical emergencies in the dental practice. Periodontol 2000 2008;46:27–41.
  • 8. Müller MP, et al. A state-wide survey of medical emergency management in dental practice: incidence of emergencies and training experience. Emerg Med J 2008;25(5):296–300.
  • 9. Ruggia G. Medical emergencies in the dental office: contributions of continuing education. Schweiz Monatsschr Zahnmed 2003;113(12):1311–6.
  • 10. Broadbent JM, Thomson WM. The readiness of New Zealand general dental practitioners for medical emergencies. N Z Dent J 2001;97(429):82–6.
  • 11. Newby JP, et al. Simulation of medical emergencies in dental practice: development and evaluation of an undergraduate training programme. Aust Dent J 2010;55(4):399–404.
  • 12. Adewole RA, et al. An assessment of the competence and experience of dentists with the management of medical emergencies in a Nigerian teaching hospital. Nig Q J Hosp Med 2009;19(4):190–4.
  • 13. Australian Dental Association. Guidelines for good practice on emergencies in dental practice. As amended by Special Purpose Committee on Therapeutics & Drugs, June 2005.
  • 14. Haas AD. Extent of treatment by the dentist. Jpn Dent Soc Anesthesiol 2005;33:153–7.
  • 15. Dental Council of New Zealand. Code of Practice: Medical Emergencies in Dental Practice. 2005.
  • 16. Tanzawa T, et al. Medical emergency education using a robot patient in a dental setting. Eur J Dent Educ 2013;17\:e114–e119.
  • 17. Roy E, et al. High-fidelity simulation in training dental students for medical life-threatening emergency. Eur J Dent Educ 2018;22\:e261–e269.
  • 18. Wald DA, et al. An office-based emergencies course for third-year dental students. J Dent Educ 2013;77:1033–41.
  • 19. Varoni EM, et al. Medical emergencies in dental practice: a nationwide web-based survey of Italian dentists. Heliyon 2023;9(3)\:e13910.
  • 20. Girdler NM, Smith DG. Prevalence of emergency events in British dental practice and emergency management skills of British dentists. Resuscitation 1999;41(2):159–67.
  • 21. Laurent F, et al. Medical emergencies in dental practice. Med Buccale Chir Buccale 2014;20(1):3–12.
  • 22. Chapman PJ. A questionnaire survey of dentists regarding knowledge and perceived competence in resuscitation and occurrence of resuscitation emergencies. Aust Dent J 1995;40(2):98–103.
  • 23. Chapman PJ. Medical emergencies in dental practice and choice of emergency drugs and equipment: a survey of Australian dentists. Aust Dent J 1997;42(2):103–8.
  • 24. Gupta T, et al. Preparedness for management of medical emergencies among dentists in Udupi and Mangalore, India. J Contemp Dent Pract 2008;9(5):92–9.
  • 25. Khami MR, et al. Medical emergency management among Iranian dentists. J Contemp Dent Pract 2014;15(6):693–8.
  • 26. Gupta S, et al. Knowledge of handling medical emergencies among general dental practitioners pan India: a cross-sectional survey. BMC Res Notes 2023;16(1):16.
There are 26 citations in total.

Details

Primary Language English
Subjects Preventative Health Care, Medical Education
Journal Section Research Article
Authors

Sema Nur Sevinç Gül 0000-0003-0699-917X

Alparslan Dilsiz 0000-0001-8462-1725

Edanur Diri This is me 0009-0006-6363-8097

Ismayil Huseynli 0000-0002-5610-8390

Submission Date July 15, 2025
Acceptance Date September 1, 2025
Early Pub Date September 27, 2025
Publication Date September 30, 2025
Published in Issue Year 2025 Volume: 15 Issue: 3

Cite

APA Sevinç Gül, S. N., Dilsiz, A., Diri, E., Huseynli, I. (2025). Medical Emergency Management in Dental Clinics: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi, 15(3), 1058-1068. https://doi.org/10.31020/mutftd.1742270
AMA Sevinç Gül SN, Dilsiz A, Diri E, Huseynli I. Medical Emergency Management in Dental Clinics: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi. September 2025;15(3):1058-1068. doi:10.31020/mutftd.1742270
Chicago Sevinç Gül, Sema Nur, Alparslan Dilsiz, Edanur Diri, and Ismayil Huseynli. “Medical Emergency Management in Dental Clinics: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices”. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi 15, no. 3 (September 2025): 1058-68. https://doi.org/10.31020/mutftd.1742270.
EndNote Sevinç Gül SN, Dilsiz A, Diri E, Huseynli I (September 1, 2025) Medical Emergency Management in Dental Clinics: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 15 3 1058–1068.
IEEE S. N. Sevinç Gül, A. Dilsiz, E. Diri, and I. Huseynli, “Medical Emergency Management in Dental Clinics: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices”, Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi, vol. 15, no. 3, pp. 1058–1068, 2025, doi: 10.31020/mutftd.1742270.
ISNAD Sevinç Gül, Sema Nur et al. “Medical Emergency Management in Dental Clinics: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices”. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 15/3 (September2025), 1058-1068. https://doi.org/10.31020/mutftd.1742270.
JAMA Sevinç Gül SN, Dilsiz A, Diri E, Huseynli I. Medical Emergency Management in Dental Clinics: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi. 2025;15:1058–1068.
MLA Sevinç Gül, Sema Nur et al. “Medical Emergency Management in Dental Clinics: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices”. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi, vol. 15, no. 3, 2025, pp. 1058-6, doi:10.31020/mutftd.1742270.
Vancouver Sevinç Gül SN, Dilsiz A, Diri E, Huseynli I. Medical Emergency Management in Dental Clinics: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi. 2025;15(3):1058-6.

                                                                                                                                  Creative Commons Lisansı                        
                                                                  This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

  

                                    Periodical scientific publication of Mersin University School of Medicine. Can not be cited without referenceResponsibility of the articles belong to the authors

  Cover

Ayşegül Tuğuz

from composition of İlter Uzel named Dioscorides and his Student

Address

Mersin Üniversitesi Tıp Fakültesi Tıp Tarihi ve Etik Anabilim Dalı Çiftlikköy Kampüsü

Yenişehir / Mersin