Knowledge and attitude of elementary school health-care providers with regard to emergency management of traumatic dental injuries in Kashan city

Document Type : Original Article


1 Department of General Dentistry, School of Dentistry, Kashan University of Medical Sciences, Kashan, Iran

2 Department of Pediatric Dentistry, School of Dentistry, Kashan University of Medical Sciences, Kashan, Iran

3 Department of Epidemiology and Biostatistics, School of Health, Kashan University of Medical Sciences, Kashan, Iran



Background and Objectives: Dental trauma is a common problem seen in children. Since schools are one of the main places where traumatic dental injuries (TDIs) occur, school health care providers have an important role to reduce the possible consequences. The study aimed at examining the awareness and attitudes of elementary school health-care providers about the emergency management of TDIs in children. Methods: This cross-sectional study was conducted on all health-care providers of elementary schools in Kashan, Iran. Data were collected using a four-part questionnaire. The collected data were analyzed using descriptive statistics (percentage, frequency, mean, and standard deviation) by the SPSS 26 software. Results: Regarding emergency management of traumatic dental injures, the scores of health care providers' knowledge and health care providers' attitude were 65% and 86.5%, respectively. There was no statistically significant association between the level of knowledge and a length of service, gender, and the educational level. Conclusions: The elementary school health-care providers did not have a high level of awareness about how to deal with TDIs.


Yassen GH, Chin JR, Younus MS, Eckert GJ. Knowledge and attitude of dental trauma among mothers in Iraq. Eur Arch Paediatr Dent 2013;14:259-65.  Back to cited text no. 1
Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta-analysis – One billion living people have had traumatic dental injuries. Dent Traumatol 2018;34:71-86.  Back to cited text no. 2
Rouhani A, Movahhed T, Ghoddusi J, Mohiti Y, Banihashemi E, Akbari M. Anterior traumatic dental injuries in East Iranian school children: Prevalence and risk factors. Iran Endod J 2015;10:35-8.  Back to cited text no. 3
Kamali A, Kashani AT, Hydarpoor M. Primary school health teachers' knowledge regarding the emergency treatment of avulsed permanent teeth in Hamadan. J Dent Med 2016;29:129-35.  Back to cited text no. 4
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;3:38-41.  Back to cited text no. 5
[PUBMED]  [Full text]  
Diab M, elBadrawy HE. Intrusion injuries of primary incisors. Part I: Review and management. Quintessence Int 2000;31:327-34.  Back to cited text no. 6
Aldrigui JM, Abanto J, Carvalho TS, Mendes FM, Wanderley MT, Bönecker M, et al. Impact of traumatic dental injuries and malocclusions on quality of life of young children. Health Qual Life Outcomes 2011;9:78.  Back to cited text no. 7
Rodd H, Noble F. Psychosocial impacts relating to dental injuries in childhood: The bigger picture. Dent J (Basel) 2019;7:23.  Back to cited text no. 8
Slayton RL, Palmer EA. Prevention of traumatic dental injuries. In: Traumatic Dental Injuries in Children. Cham: Springer; 2020. p. 167-78.  Back to cited text no. 9
Andreasen JO, Andreasen FM, Andersson L. Textbook and Color Atlas of Traumatic Injuries to the Teeth. Wiley-Blackwell: John Wiley & Sons; 2018.  Back to cited text no. 10
Bhayya DP, Shyagali TR. Traumatic injuries in the primary teeth of 4- to 6-year-old school children in Gulbarga city, India. A prevalence study. Oral Health Dent Manag 2013;12:17-23.  Back to cited text no. 11
Blokland A, Watt RG, Tsakos G, Heilmann A. Traumatic dental injuries and socioeconomic position – Findings from the children's dental health survey 2013. Community Dent Oral Epidemiol 2016;44:586-91.  Back to cited text no. 12
Dean JA, Avery DR, McDonald RE, editors. McDonald and Avery's Dentistry for the Child and Adolescent. 10th ed. Mosby: Elsevier, Inc; 2016.  Back to cited text no. 13
Sharma R, Mallaiah P, Kadalur U, Verma S. Knowledge and attitude of school teachers with regard to emergency management of dental trauma in Bangalore city. Int J Oral Health Med Res 2016;3:38-43.  Back to cited text no. 14
Young C, Wong KY, Cheung LK. Emergency management of dental trauma: Knowledge of Hong Kong primary and secondary school teachers. Hong Kong Med J 2012;18:362-70.  Back to cited text no. 15
Krishnan B, Joseph J. Knowledge of basic dental physiology among teachers can improve preliminary management of acute dental avulsion in school children. Int J Clin Exp Physiol 2014;1:63-7.  Back to cited text no. 16
  [Full text]  
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;24:43-9.  Back to cited text no. 17
Al-Jundi SH, Al-Waeili H, Khairalah K. Knowledge and attitude of Jordanian school health teachers with regards to emergency management of dental trauma. Dent Traumatol 2005;21:183-7.  Back to cited text no. 18
Caglar E, Ferreira LP, Kargul B. Dental trauma management knowledge among a group of teachers in two south European cities. Dent Traumatol 2005;21:258-62.  Back to cited text no. 19
Chandukutty D, Peedikayil FC, Premkumar CT, Narasimhan D, Jose D. Awareness of dental trauma management among school teachers of Kannur, Kerala, India. J Clin Diagn Res 2017;11:C08-12.  Back to cited text no. 20
Prathyusha P, Harshini T, Haripriya B, Pramod IJ, Swathi K, Samyuktha CL. Knowledge and awareness regarding avulsion and its immediate treatment in school teachers in Bangalore city (South). J Int Oral Health 2015;7:93-7.  Back to cited text no. 21
Sae-Lim V, Lim LP. Dental trauma management awareness of Singapore pre-school teachers. Dent Traumatol 2001;17:71-6.  Back to cited text no. 22
Karame M, Moradi M, Shafiee F. Evaluating the knowledge of elementary school health teachers of Sanandaj about traumatic dental injuries in year 2017-2018. J Dent Med 2019;31:239-48.  Back to cited text no. 23
Mehrabkhani M, Ajami B, Parisay I, Bolboli A, Akbarian G. Knowledge of emergency management of traumatized teeth among schoolteachers in Mashhad, Iran. J Dent Res Dent Clin Dent Prospects 2015;9:121-5.  Back to cited text no. 24
Mesgarzadeh AH, Shahamfar M, Hefzollesan A. Evaluating knowledge and attitudes of elementary school teachers on emergency management of traumatic dental injuries: A study in an Iranian urban area. Oral Health Prev Dent 2009;7:297-308.  Back to cited text no. 25
Rouhani A, Movahhed T, Mohiti Y, Banihashemi E, Akbari M. Knowledge and attitude of primary school staff to management of dental trauma in North-East of Iran in 2015. J Dent Mater Tech 2017;6:67-72.  Back to cited text no. 26
Chan AW, Wong TK, Cheung GS. Lay knowledge of physical education teachers about the emergency management of dental trauma in Hong Kong. Dent Traumatol 2001;17:77-85.  Back to cited text no. 27
Farzandipour M, Mohamadian H, Akbari H, Safari S, Sharif R. Designing a national model for assessment of nursing informatics competency. BMC Med Inform Decis Mak 2021;21:35.  Back to cited text no. 28
Nirwan M, Syed AA, Chaturvedi S, Goenka P, Sharma S. Awareness in primary school teachers regarding traumatic dental injuries in children and their emergency management: A survey in South Jaipur. Int J Clin Pediatr Dent 2016;9:62-6.  Back to cited text no. 29
Pithon MM, dos Santos RL, Magalhães PH, Coqueiro Rda S. Brazilian primary school teachers' knowledge about immediate management of dental trauma. Dental Press J Orthod 2014;19:110-5.  Back to cited text no. 30
Fux-Noy A, Sarnat H, Amir E. Knowledge of elementary school teachers in Tel-Aviv, Israel, regarding emergency care of dental injuries. Dent Traumatol 2011;27:252-6.  Back to cited text no. 31
Blakytny C, Surbuts C, Thomas A, Hunter ML. Avulsed permanent incisors: Knowledge and attitudes of primary school teachers with regard to emergency management. Int J Paediatr Dent 2001;11:327-32.  Back to cited text no. 32
McIntyre JD, Lee JY, Trope M, Vann WF Jr. Elementary school staff knowledge about dental injuries. Dent Traumatol 2008;24:289-98.  Back to cited text no. 33
Tiryakioglu F, Erzurum F. Use of social networks as an education tool. Contemp Educ Technol 2011;2:135-50.  Back to cited text no. 34