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      Assessment of Elementary School Teachers' Level of Knowledge and Attitude regarding Traumatic Dental Injuries in the United Arab Emirates

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          Abstract

          Introduction

          In this cross-sectional study, the level of knowledge and attitude of elementary school teachers regarding traumatic dental injuries (TDI) were assessed.

          Materials and Methods

          A questionnaire was distributed to 330 elementary school teachers in 30 randomly selected schools in the Emirates of Sharjah and Dubai. The questionnaire collected information on participants' demographic characteristics, first aid training, and attitude about emergency management of TDI.

          Results

          292 teachers (88%) completed the questionnaires; of these, 95% were females, and 50% of the participants had first aid training. Knowledge about tooth avulsion was inadequate, and first aid training was not associated with correct responses to management of avulsed teeth ( p > 0.05). A significantly higher percentage of younger teachers ( p < 0.05) expressed the need for future education on TDI management. A significantly higher percentage of participants who had an educational position (95%) indicated that they did not have enough knowledge regarding TDI compared to physical education teachers (79%) and administrators (87%) ( p < 0.05).

          Conclusions

          Elementary school teachers in the UAE have a low level of knowledge regarding the management of dental trauma. Educational programs that address TDI are needed and could improve the elementary school teachers' level of knowledge in emergency management of TDI.

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          Most cited references17

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          Impact of traumatic injuries to the permanent teeth on the oral health-related quality of life in 12-14-year-old children.

          There are no data on the impacts on daily living of traumatic injuries to the permanent teeth. The aim of the present study was to assess the socio-dental impacts of untreated fractured anterior teeth in Brazilian schoolchildren. A population-based matched case-control study was used and a 2 : 1 control-to-case ratio was adopted. The cases were 68 children 12-14 years old, having non-restored teeth, with fracture involving dentine. The controls were 136 children without any traumatic dental injury. They were matched by age, sex and socio-economic status. The Oral Impact on Daily Performances (OIDP) index was used to measure the impacts. The response rate was 100%. Results of conditional logistic regression showed that children with fractured teeth were 20 times (95% CI = 2.2-45.6) more likely to report any impact on their daily living than children with no traumatic dental injury. These results remained statistically significant for the items of the OIDP separately, 'smiling' (P < 0.001), 'maintaining emotional state' (P < 0.001), 'eating' (P < 0.01), 'enjoying contact with people' (P < 0.01) and the overall OIDP (P < 0.001), after adjusting for confounding variables such as the Aesthetic Component of the Index of Orthodontic Treatment Need and DMFT index in a multiple conditional logistic regression. Children with untreated dental fracture of permanent teeth had more impacts on their daily living than children without any traumatic injury.
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            Epidemiology of dental trauma: a review of the literature.

            This article reviews recent reports describing the aetiology of dental trauma from national and international studies as well as the different classifications currently used to report dental injuries. It also discusses possible preventive measures to reduce the increasing frequency of dental trauma. Reported studies demonstrate that males tend to experience more dental trauma in the permanent dentition than females, however, there does not appear to be a difference between the sexes in the primary dentition. Accidents within and around the home were the major sources of injury to the primary dentition, while accidents at home and school accounted for most of the injuries to the permanent dentition. The most frequent type of injury was a simple crown fracture of the maxillary central incisors in the permanent dentition while injuries to the periodontal tissues were more common in the primary dentition. When preventive measures are being planned, knowledge of aetiology is important. More prospective studies from representative populations are required to understand the complexities of dental trauma epidemiology and to allow implementation of preventive strategies to reduce the increasing frequency of dental trauma.
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              Prevalence of traumatic dental injury and associated factors among 12-year-old school children in Florianópolis, Brazil.

              The objective of this study was to assess the prevalence and type of accidents that resulted in traumatic injuries to the permanent dentition of 12-year-old school children in Florianópolis, Brazil. A dental trauma cross-sectional survey was carried out through clinical examination of upper and lower permanent incisors and interviews with 307 12-year-old school children enrolled in public primary schools. Intra-examiner diagnosis variability was good, measured by kappa values on tooth-by-tooth basis. The prevalence of dental injury was 18.9%. There was no statistical difference in the prevalence between boys and girls (P = 0.103). The main types of accidents that resulted in dental injuries were falls and collisions with objects or people. It can be concluded that the prevalence of dental injuries in Florianópolis, Brazil is high and they have a great potential to be considered an emerging public health problem.
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                Author and article information

                Contributors
                Journal
                Int J Dent
                Int J Dent
                IJD
                International Journal of Dentistry
                Hindawi
                1687-8728
                1687-8736
                2017
                14 September 2017
                : 2017
                : 1025324
                Affiliations
                1Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAE
                2Dubai Health Authority, Dubai, UAE
                3Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
                Author notes

                Academic Editor: Louis M. Lin

                Author information
                http://orcid.org/0000-0003-0290-8170
                http://orcid.org/0000-0002-2146-1469
                Article
                10.1155/2017/1025324
                5618756
                6007ae51-9ee6-4028-afb2-6c53edb3fd44
                Copyright © 2017 Manal A. Awad et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 9 April 2017
                : 5 July 2017
                Categories
                Research Article

                Dentistry
                Dentistry

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