TRAVMATİK DİŞ YARALANMALARININ ACİL DURUM YÖNETİMİ İLE İLGİLİ EBEVENYLERİN BİLGİSİ VE FARKINDALIĞI

Yıl 2022, , 409 - 416, 24.08.2022

Ulku Sermet Elbay , Mesut Elbay , Can Kaya Ceren Uğurluel Güleryüz Gül Uçar

https://doi.org/10.15311/selcukdentj.910124

Öz

Amaç: Bu araştırmanın amacı; (i) Kocaeli, Türkiye'de yaşayan ebeveynlerin travmatik diş yaralanmalarına (TDY) ilişkin farkındalıklarını değerlendirmek ve (ii) diş hekimi ziyareti sırasında temin edilen bilgi broşürünün ebeveynlerin TDY'lara ilişkin farkındalığını artırmadaki etkinliğini değerlendirmektir.
Gereç ve Yöntemler: Araştırma, rutin diş muayeneleri için çocuk diş hekimliği kliniğine başvuran 6-12 yaş arası 237 çocuğun ebeveynleri ile gerçekleştirildi. Ebeveynlerin TDY'lara ilişkin farkındalığı, gerçek travma vakalarının acil durum yönetimi hakkında bilgi içeren broşür ile eğitim verildikten önce ve 1 ay sonra anket formu kullanılarak değerlendirildi. 2 bölümden oluşan anket formunun birinci bölümünde; demografik bilgi ve diş travması ile ilgili önceki deneyimlerle ilgili bilgi toplarken, ikinci bölümde diş travması ile ilgili farkındalık düzeyini değerlendirmek için tasarlanmış 12 soru bulunmaktadır. Anketlerden elde edilen veriler istatistiksel olarak Kruskal Wallis H, Mann Whitney U, Wilcoxon, McNemar ve Ki-kare testleri kullanılarak analiz edildi.
Bulgular: Anketlerdeki ebeveyn puanları, eğitim öncesi oldukça düşük puanlardan (ortalama: 4.6) eğitimden sonra oldukça yüksek puanlara (ortalama: 9.1) önemli ölçüde yükselmiştir (P <.05). Ayrıca, her soru için doğru cevapların sayısı eğitimden sonra da önemli ölçüde artmıştır (P <.05).
Sonuç: Bu çalışmanın sonuçları, ebeveynlerin travmatik diş yaralanmaları konusunda yeterli farkındalığa sahip olmadıklarını, ancak diş ziyareti sırasında gerçek travma vakalarını içeren bir broşürle eğitilmelerinin, TDY'lar hakkındaki farkındalıklarını artırmada büyük etkisi olduğunu göstermiştir.

Anahtar Kelimeler

travmatik diş yaralanmaları, çocuk, bilgilendirme broşürleri, ebeveynlerin rolü, travma bilinci

EVALUATION OF KNOWLEDGE AND AWARENESS OF PARENTS ABOUT EMERGENCY MANAGEMENT OF TRAUMATIC DENTAL INJURIES

Öz

Background: The purpose of the present study was to (i) evaluate how awareness parents living in Kocaeli, Turkey are regarding traumatic dental injuries (TDI); and to (ii) evaluate the effectiveness of an information leaflet provided during a dental visit in increasing parents’ awareness regarding TDIs.
Methods: The study was conducted with 237 parents of children aged 6-12 years who applied to the Pediatric Dentistry Clinic for routine dental examinations. Parents’ awareness regarding TDIs was assessed using a questionnaire both prior to and 1 month after providing education using a leaflet that included information on the emergency management of actual trauma cases. The questionnaire consisted of 2 parts: Part 1 collected demographic information and information regarding previous experiences of dental trauma, and Part 2 included 12 questions designed to evaluate the level of awareness regarding dental trauma. Data obtained from the questionnaires were statistically analyzed using Kruskal Wallis H, Mann Whitney U, Wilcoxon, McNemar and Chi-square tests.
Results: Parents scores on the questionnaires increased significantly (P<.05) from rather low scores (mean: 4.6) prior to education to rather high scores (mean: 9.1) after education. In addition, for each question, the number of correct answers also increased significantly after education (P<.05).
Conclusion: The results of this study showed parents had insufficient awareness regarding traumatic dental injuries, but educating them with a leaflet that included real trauma cases during a dental visit had a great impact in terms of improving their awareness about TDIs.

Anahtar Kelimeler

traumatic dental injuries, children, information leaflets, parents' role, awareness of trauma

Kaynakça

• 1. Glendor U. Epidemiology of traumatic dental injuries – a 12 year review of the literature. Dent Traumatol 2008;24(6):603-611.
• 2. Subhashraj K. Awareness of management of dental trauma among medical professionals in Pondicherry, India. Dent Traumatol 2009;25(1):92-94.
• 3. Dua R, Sharma S. Prevalence, causes, and correlates of traumatic dental injuries among seven-to-twelve-year-old school children in Dera Bassi. Contemp Clin Dent 2012;3(1):38-41.
• 4. Cauwels RG, Martens LC, Verbeeck RM. Educational background of Flemish dental practitioners and their perceptions of their management of dental trauma. Dent Traumatol 2014;30(2):133-139.
• 5. Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1(5):235–239.
• 6. Lam R, Abbott P, Lloyd C, Lloyd C, Kruger E, Tennant M. Dental trauma in an Australian rural centre. Dent Traumatol 2008;24(6):663-670.
• 7. Oliveira LB, Marcenes W, Ardenghi TM, Sheiham A, Bönecker M. Traumatic dental injuries and associated factors among Brazilian preschool children. Dent Traumatol 2007;23(2):76-81.
• 8. Taiwo OO, Jalo HP. Dental Injuries in 12-year Old Nigerian students. Dent Traumatol 2011;27(3):230-234.
• 9. Savas S, Kucukyilmaz E, Akcay M, Koseoglu S. Delayed replantation of avulsed teeth: two case reports. Case Rep Dent 2015;2015:197202.
• 10. Al-Jundi SH. Type of treatment, prognosis, and estimation of time spent to manage dental trauma in late presentation cases at a dental teaching hospital: a longitudinal and retrospective study. Dent Traumatol 2004;20(1):1-5.
• 11. Elbay ÜŞ, Baysal A, Elbay M, Sarıdağ S. Multidisciplinary approach to delayed treatment of traumatic teeth injuries involving extrusive luxation, avulsion and crown fracture. Oper Dent 2014;39(6):566-571.
• 12. Al-Jundi SH. Knowledge of Jordanian mothers with regards to emergency management of dental trauma. Dent Traumatol 2006;22(6):291-295.
• 13. Santos ME, Habecost AP, Gomes FV, Weber JB, de Oliveira MG. Parent and caretaker knowledge about avulsion of permanent teeth. Dent Traumatol 2009;25(2):203-208.
• 14. Vergotine RJ, Govoni R. Public school educator's knowledge of initial management of dental trauma. Dent Traumatol 2010;26(2):133-136.
• 15. Vergotine RJ, Koerber A. The relationship of dental visits to parental knowledge of management of dental trauma. Pediatr Dent 2010;32(4):329-332.
• 16. Oliveira TM, Sakai VT, Moretti AB, Silva TC, Santos CF, Machado MA. Knowledge and Attitude of Mothers with Regards to Emergency Management of Dental Avulsion. J Dent Child (Chic) 2007;74(3):200-202.
• 17. Al-Asfour A, Andersson L. The effect of a leaflet given to parents for first aid measures after tooth avulsion. Dent Traumatol 2008;24(5):515-521.
• 18. Ghaderi F, Adl A, Ranjbar Z. Effect of a leaflet given to parents on knowledge of tooth avulsion. Eur J Paediatr Dent 2013;14(1):13-16.
• 19. Hegde AM, Kumar KN, Varghese E. Knowledge of dental trauma among mothers in Mangalore. Dent Traumatol 2010;26(5):417-421.
• 20. Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. Oxford: Blackwell Munksgaard. pp. 217-475.
• 21. Arikan V, Sönmez H. Knowledge level of primary school teachers regarding traumatic dental injuries and their emergency management before and after receiving an informative leaflet. Dent Traumatol 2012;28(2):101-107.
• 22. Al-Asfour A, Andersson L, Al-Jame Q. School teachers’ knowledge of tooth avulsion and dental first aid before and after receiving information about avulsed teeth and replantation. Dent Traumatol 2008;24(1):43-49.
• 23. Lauridsen E, Hermann NV, Gerds TA, Kreiborg S, Andreasen JO. Pattern of traumatic dental injuries in the permanent dentition among children, adolescents, and adults. Dent Traumatol 2012;28(5):358-363.
• 24. Namdev R, Jindal A, Bhargava S, Bakshi L, Verma R, Beniwal D. Awareness of emergency management of dental trauma. Contemp Clin Dent 2014;5(4):507-513.
• 25. Quaranta A, De Giglio O, Coretti C, Vaccaro S, Barbuti G, Strohmenger L. What do parents know about dental trauma among school-age children? A pilot study. Ann Ig 2014;26(5):443-446.
• 26. Newsome PR, Tran DC, Cooke MS. The role of the mouthguard in the prevention of sports-related dental injuries: a review. Int J Paediatr Dent 2001;11(6):396-404.
• 27. Ranalli DN, Demas PN. Orofacial injuries from sport: preventive measures for sports medicine. Sports Med 2002;32(7):409-418.
• 28. Ozbay G, Bakkal M, Abbasoglu Z, Demirel S, Kargul B, Welbury R. Incidence and prevention of traumatic injuries in paediatric handball players in Istanbul, Turkey. Eur Arch Paediatr Dent 2013;14(1):41-45.