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      Effect of Two Educational Interventions Regarding the Management of Traumatic Dental Injuries on Mothers of 8-Year-Old Children

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          Abstract

          Objectives:

          This study evaluated the effect of two educational interventions on knowledge and self-reported practice of mothers of 8-year-old children regarding emergency management of traumatic dental injuries (TDIs).

          Materials and Methods:

          Six public elementary schools (girls and boys) in Tehran were randomly selected. The mothers of 8-year-old students at each school were randomly assigned to three groups: intervention by poster, intervention by pamphlet, and control. An anonymous valid and reliable questionnaire, including demographics, previous experience on TDIs, mothers’ knowledge, and self-reported practice about emergency management of TDIs was provided to the mothers. After collecting the questionnaires, educational interventions by poster and pamphlet with similar contents regarding step-by-step emergency management of TDIs were performed for the target groups. Three months after the interventions, the same questionnaire was completed by the mothers. The results of pre-test and post-test were compared.

          Results:

          Totally, 201 mothers participated in this study. The mean knowledge score significantly increased in the pamphlet group (P<0.05) after the intervention, while this change was not significant in the poster and control groups (P>0.05). The mean knowledge score was significantly higher in the pamphlet than the poster group (P=0.009). The mean self-reported practice score significantly increased after the intervention in both intervention groups (P<0.05) but not in the control group. There was no significant difference in the mean self-reported practice score between the two intervention groups (P>0.05).

          Conclusion:

          Both pamphlet and poster were equally effective in improving the self-reported practice of mothers regarding TDIs, which highlights the significance of educating mothers.

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          Most cited references29

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          World traumatic dental injury prevalence and incidence, a meta-analysis-One billion living people have had traumatic dental injuries

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            Epidemiology of traumatic dental injuries--a 12 year review of the literature.

            A traumatic dental injury (TDI) is a public dental health problem because of its frequency, occurrence at a young age, costs and that treatment may continue for the rest of the patient's life. The aim of this paper is to present a12-year, international review of the prevalence and incidence of TDIs including some background factors and a quick, easy method in registering TDIs to receive a primary understanding of the extent and severity of dental trauma. The databases of Medline, Cochrane, SSCI, SCI and CINAHL from 1995 to the present were used. The results indicate a high prevalence of TDIs in primary and permanent teeth and that TDIs exists throughout the world. The prevalence show that one third of all preschool children have suffered a TDI involving the primary dentition, one fourth of all school children and almost one third of adults have suffered a trauma to the permanent dentition, but variations exist both between and within countries. Activities of a person and the environment are probably more determining factors of TDIs than gender and age. A risk profile why some patients sustain multiple dental trauma episodes (MDTE) is necessary to present. All dental clinics should have a prospective ongoing registration of TDIs. The NUC method (N = no TDI, U = uncomplicated TDI, C = complicated TDI) presents if there has been any TDI and the severity of that trauma. The trend of TDIs seems to be stable on a high level with variations largely reflecting local differences. Because of the complexity of TDIs, every dental clinic should have a prospective ongoing registration of number and severity of TDIs.
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              Aetiology and risk factors related to traumatic dental injuries--a review of the literature.

              During the past 30 years, the number of aetiologies of traumatic dental injuries (TDIs) has increased dramatically in the literature and now includes a broad spectrum of variables, including oral and environmental factors and human behaviour. The aim of this study is to present an international review of well-known as well as less well-known unintentional and intentional causes of TDIs. Moreover, some models that are useful in investigating contact sport injuries are presented. The databases of Medline, Cochrane, Social Citation Index, Science Citation Index and CINAHL from 1995 to the present were used. Oral factors (increased overjet with protrusion), environmental determinants (material deprivation) and human behaviour (risk-taking children, children being bullied, emotionally stressful conditions, obesity and attention-deficit hyperactivity disorder) were found to increase the risk for TDIs. Other factors increasing the risk for TDIs are presence of illness, learning difficulties, physical limitations and inappropriate use of teeth. A new cause of TDIs that is of particular interest is oral piercing. In traffic facial injury was similar in unrestrained occupants (no seat belts) and occupants restrained only with an air bag. Amateur athletes have been found to suffer from TDIs more often than professional athletes. Falls and collisions mask intentional TDIs, such as physical abuse, assaults and torture. Violence has increased in severity during the past few decades and its role has been underestimated when looking at intentional vs unintentional TDIs. There are useful models to prevent TDIs from occurring in sports. WHO Healthy Cities and WHO Health Promoting Schools Programmes offer a broad solution for dental trauma as a public health problem. The number of known causes of TDIs has grown to alarming levels, probably because of increased interest of the causes and the underlying complexity of a TDI. Accepted oral, environmental and human aetiological factors must therefore be included in the registration of TDIs.
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                Author and article information

                Journal
                Front Dent
                Front Dent
                FID
                Frontiers in Dentistry
                Tehran University of Medical Sciences
                2676-296X
                2020
                8 December 2020
                : 17
                : 33
                Affiliations
                [1. ] Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
                [2. ] Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
                [3. ] Private Practice, Tehran, Iran
                [4. ] Department of Pediatric Dentistry, Faculty of Dentistry, Ilam University of Medical Sciences, Ilam, Iran
                [5. ] Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
                Author notes
                [* ] Corresponding author: Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran, Email: smohebbi@ 123456tums.ac.ir
                Article
                fid-17-33
                10.18502/fid.v17i33.5197
                9375103
                36042805
                09993aba-880b-4468-a432-3918b8280598
                Copyright © 2020 The Authors. Published by Tehran University of Medical Sciences

                This work is published as an open access article distributed under the terms of the Creative Commons Attribution 4.0 License ( http://creativecommons.org/licenses/by-nc/4). Non-commercial uses of the work are permitted, provided the original work is properly cited.

                History
                : 28 March 2020
                : 23 November 2020
                Categories
                Original Article

                wounds and injuries,knowledge,tooth,child,education
                wounds and injuries, knowledge, tooth, child, education

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