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Knowledge of Australian primary education providers towards dental avulsion injuries: a cross-sectional study.

  • Khan, A1
  • Goyal, A1
  • Somaiya, V1
  • Rathesh, A1
  • Sathiyamoorthy, J1
  • Larkin, K1
  • Currell, S D2
  • Nimmo, A J1
  • 1 College of Medicine and Dentistry, James Cook University, Queensland, Australia. , (Australia)
  • 2 Private Practice, Southport, Queensland, Australia. , (Australia)
Published Article
Australian dental journal
Publication Date
Oct 29, 2019
DOI: 10.1111/adj.12732
PMID: 31660614


The aim of this study was to evaluate the knowledge of school professionals regarding the emergency management of dental avulsion. This cross-sectional study utilised a self-administered, pilot-tested questionnaire for school staff from primary schools. Descriptive statistics were used for the analysis - the prevalence and univariate associations between a categorical outcome and the variables under consideration, were evaluated using Pearson's Chi-squared test. This survey yielded a response rate of 43.5% (n = 313). Approximately 60% of participants held valid first-aid certificates and 23% had received avulsion advice previously. Over 80% of participants expressed an unwillingness to replant an avulsed tooth, and over 90% believed that there should be greater awareness in this area. This unwillingness to replant was influenced by respondents' age (x2 = 8.13 df = 3, P = 0.043) and receiving advice previously (x2 = 13.15, df = 1, P < 0.001). Under-preparedness was related to years of experience (x2 = 15.03, df = 5, P = 0.010), first-aid training (x2 = 6.41, df = 1, P = 0.011) and receiving advice previously (x2 = 43.47, df = 1, P < 0.001). It was also evident that first-aid training positively influenced appropriate dental referral in the management pathway (x2 = 10.49, df = 1, P = 0.001). This study suggests that there is an inadequate level of knowledge on the appropriate management of dental avulsion injuries amongst primary school professionals in Australia. © 2019 Australian Dental Association.

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