Current Practices in the Management and Treatment of Avulsed Teeth: A Survey of Dentists in Manitoba, Canada
Notice bibliographique
Résumé
Purpose: To evaluate current trends in the management and treatment of avulsed permanent teeth by dental practitioners in Manitoba and to compare these practices to current guidelines outlined by the International Association of Dental Traumatology (IADT).Materials and Methods: A two-part questionnaire was distributed to members of the Manitoba Dental Association.The purpose of the first part of the questionnaire was to collect personal information.The second part of the questionnaire consisted of questions regarding the management and treatment of avulsed teeth based on the IADT guidelines.Responses from 120 participants were evaluated.Results: 103 (85.83%) dentists surveyed were general dentists, while 17 (14.17%)were specialists.The number of avulsions treated by the practitioners surveyed ranged from zero to greater than ten cases.The responses were evaluated for adherence with the current IADT guidelines.Protocols in which the majority of responses were in agreement with IADT guidelines were: 1) storage time; 2) over-thephone recommendation to parents of a child immediately following avulsion; 3) intracanal medicament; 4) type of splint; 5) splinting time for avulsion without alveolar fracture; 6) most critical factors for avulsion management; 7) modifications for open versus closed apex; 8) management of avulsed primary teeth; and 9) antibiotic of choice for pediatric patients.Protocols in which a high number of responses were not in agreement with IADT guidelines were: 1) storage medium; 2) splinting time for avulsion with alveolar fracture; and 3) antibiotic of choice for adult patients.Non-adherence to the current IADT guidelines was evident in the latter three protocols.The responses in Avulsed(Teeth,(3( ( these three focus areas were further analyzed to distinguish level of knowledge of general dentists versus specialists.It was found that adherence to the IADT guidelines by those respondents who identified as specialists surpassed that of those who identified as general dentists.The study found that current practices by Manitoba dentists regarding the management and treatment of avulsions varies.In general, those respondents identifying as specialists showed greater knowledge and adherence to the IADT guidelines compared to those respondents identifying as general dentists.In nine of the 12 protocols assessed, the majority of participants' responses were in agreement with current IADT guidelines, whereas the majority of participants' responses were not in agreement with the other three.Thus, insufficient knowledge of the IADT exists in these focus areas.Continuing education and specialization were both found to be positively correlated with increased adherence to IADT guidelines.Conclusion: The study highlighted the need for continuing education for dentists in Manitoba to improve the management and treatment of avulsed teeth.Three areas of insufficient knowledge as identified by the study were: 1) storage medium; 2) splinting time for avulsion with alveolar fracture; and 3) antibiotic of choice for adult patients.Compared to general dentists, specialists demonstrated improved knowledge of currently accepted guidelines for the treatment and management of avulsed teeth.
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Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,004 |
| Études des sciences et des technologies | 0,003 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,002 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».