Evaluation of Knowledge and Preparedness of Pedodontists and Residents to Prevent and Treat Pediatric Medical Emergencies during Dental Treatments

Fatemeh Jahanimoghadam; Fatemeh Moslemi

Authors

Fatemeh Jahanimoghadam
Fatemeh Moslemi

Keywords:

Emergency Treatment, Quality of Health Care, Clinical Competence

Abstract

Objective: To evaluate the knowledge of pedodontists and residents in the face of pediatric medical emergencies. Material and Methods: This descriptive-analytical study was conducted on pedodontists and residents participating in the Congress. The knowledge evaluation tool was a researcher-made questionnaire with acceptable validity and reliability. The questionnaire consisted of seven sections on information and education, prevention, office staff readiness, practical abilities, cardiopulmonary resuscitation skills and intravenous access, medicines, and emergency treatment equipment. After completing the questionnaires, the data were analyzed using SPSS 21. Chi-squared test, t-test, ANOVA, correlation test, and linear regression were used for data analysis (P<0.05). Results: The study examined 150 specialists, 88 residents, and 62 pedodontists. The level of knowledge of specialists and pedodontic residents in the face of pediatric medical emergencies was 35.3% (moderate) and 31.7 (weak), respectively. The specialists' scores on the entire questionnaire and areas of information, medicine, and equipment were significantly higher than those of residents. Moreover, participation in lectures and reading papers significantly increased general awareness. Conclusion: The results indicated that specialists' awareness and pedodontic residents about pediatric medical emergencies during dentistry were at a different level, necessitating more practical and theoretical training.

References

Reuter NG, Westgate PM, Ingram M, Miller CS. Death related to dental treatment: a systematic review. Oral Surg 2017; 123(2):194-204. e10. https://doi.org/10.1016/j.oooo.2016.10.015. PMid:27989710

Albelaihi HF, Alweneen AI, Ettish A, Alshahrani FA. Knowledge, attitude, and perceived confidence in the management of medical emergencies in the dental office: A survey among the dental students and interns. J Int Soc Prev Community Dent 2017; 7(6):364. https://doi.org/10.4103/jispcd.JISPCD_414_17

Mohideen K, Thayumanavan B, Balasubramaniam AM, Vidya K, Rajkumari S, Bharkavi SI. Basics of management of medical emergencies in dental office and emergency drug kit. Int J Sci Study 2017; 5(4):273-278.

Smereka J, Aluchna M, Aluchna A, Puchalski M, Wroblewski P, Checinski I, et al. Medical emergencies in dental hygienists' practice. Medicine 2019; 98(30):e16613. https://doi.org/10.1097/MD.0000000000016613

Guivarc'h M, Saliba-Serre B, Jacquot B, Le Coz P, Bukiet F. Dental students' attitudes towards management of pain and anxiety during a dental emergency: educational issues. Int Dent J 2017; 67(6):384-390. https://doi.org/10.1111/idj.12323

Nowak AJ, Christensen JR, Mabry TR, Townsend JA, Wells MH (Editors). Pediatric Dentistry: Infancy Through Adolescence. Philadelphia: Elsevier Health Sciences; 2019.

Jodalli PS, Ankola AV. Evaluation of knowledge, experience and perceptions about medical emergencies amongst dental graduates (Interns) of Belgaum City, India. J Clin Exp Dent 2012; 4(1):e14. https://doi.org/10.4317/jced.50627

Gonzales PS, Fernandes MM, de Oliveira MR, Wolffenbuttel L, Michel-Crosato E, de Oliveira RN. Can dental anesthesia lead to death? Crime investigation report. Rev Bras Odontol Legal 2019; 6(1):67-73 https://doi.org/10.21117/rbol.v6i1.227

Raffee LA, Khader YS, Oteir AO, Alawneh K, Saqan RS, Beovich B, et al. Final year dental students' perception of knowledge, training and competence in medical emergency management. Glob J Health Sci 2018; 10(6):1-9. https://doi.org/10.5539/gjhs.v10n6p1

Čuković-Bagić I, Hrvatin S, Jeličić J, Negovetić Vranić D, Kujundžić Tiljak M, Pezo H, et al. General dentists' awareness of how to cope with medical emergencies in pediatric dental patients. Int Dent J 2017; 67(4):238-243. https://doi.org/10.1111/idj.12286

Malamed SF. Medical Emergencies in the Dental Office. Philadelphia: Elsevier Health Sciences; 2014.

McCarthy FM. Sudden, unexpected death in the dental office. J Am Dent Assoc 1971; 83(5):1091-1092. https://doi.org/10.14219/jada.archive.1971.0453

Babaee N, Mir APB, Serajpoor H. Assessment of Babol′s dentist knowledge regarding medical emergencies in dental office in 2010. J Dent Med 2013; 26(4):314-320.

Khami MR, Yazdani R, Afzalimoghaddam M, Razeghi S, Moscowchi A. Medical emergency management among Iranian dentists. J Contemp Dent Pract 2014; 15(6):693-698. https://doi.org/10.5005/jp-journals-10024-1601

Mehdizadeh M, Seyedmajidi M, Hajisadeghi S, Karkoubzadeh A. Knowledge of dental students and general dentists about medical emergencies. J Dent School 2020; 38(2):79-83.

Azad A, Talattof Z, Deilami Z, Zahed M, Karimi A. Knowledge and attitude of general dentists regarding common emergencies in dental offices: A cross-sectional study in Shiraz, Iran. Indian J Dent Res 2018; 29(5):551-555. https://doi.org/10.4103/ijdr.IJDR_587_16

Atherton G, Pemberton M, Thornhill M. Medical emergencies: the experience of staff of a UK dental teaching hospital. Br Dent J 2000; 188(6):320-324. https://doi.org/10.1038/sj.bdj.4800469

Elanchezhiyan S, Elavarasu S, Vennila K, Renukadevi R, Mahabob MN, Sentilkumar B, et al. Awareness of dental office medical emergencies among dental interns in Southern India: An analytical study. J Dent Educ 2013; 77(3):364-369. https://doi.org/10.1002/j.0022-0337.2013.77.3.tb05480.x

Gupta T, Aradhya MR, Nagaraj A. Preparedness for management of medical emergencies among dentists in Udupi and Mangalore, India. J Contemp Dent Pract 2008; 9(5):92-99. https://doi.org/10.5005/jcdp-9-5-92

Stafuzza TC, Carrara CFC, Oliveira FV, Santos CF, Oliveira TM. Evaluation of the dentists' knowledge on medical urgency and emergency. Braz Oral Res 2014; 28(1):1-5. https://doi.org/10.1590/10.1590/1807-3107BOR-2014.vol28.0029

Arsati F, Montalli VA, Flório FM, Ramacciato JC, da Cunha FL, Cecanho R, et al. Brazilian dentists' attitudes about medical emergencies during dental treatment. J Dent Educ 2010; 74(6):661-666. https://doi.org/10.1002/j.0022-0337.2010.74.6.tb04912.x

Abraham S, Afradh KM. Knowledge about medical emergencies among interns in dental colleges in Chennai. eMIDAS J 2018; 3(2):8-11.

Behnia H, Reshad M. A survey of knowledge, attitude and practice of dentists in encountering medical emergencies. J Dent School 1999; 17(3):159-167.

FarhadMollashahi L, Honarmand M. Assessment of knowledge and attitude of general dental practitioners about medical emergencies in Zahedan-Iran. J Mashhad Dent 2008; 32(4):319-324.

Amir Chaghmaghi M, Sarabadani J, Delavarian Z, MirzaAli A. The evaluation of knowledge among dental specialists about common medical emergencies in dental offices in Mashhad-Iran in 2009-2010. J Mashhad Dent 2010; 34(4):263-270.

Morowati Sharifabad M, Aghelinejad A, Mosaffa A. Investigating general dentists' knowledge in regard with medical emergencies in Yazd in 2013. Yazd J Dent Res 2014; 3(1):176-184.

Al-Iryani GM, Ali FM, Alnami NH, Almashhur SK, Adawi MA, Tairy AA. Knowledge and preparedness of dental practitioners on management of medical emergencies in Jazan Province. Open access Maced J Med Sci 2018; 6(2):402. https://doi.org/10.3889/oamjms.2018.072

Birang R, Kaviani N, Behnia M, Mirghaderi M. Isfahan dentists' readiness for medical emergencies: their knowledge and access to necessary equipments. Iran J Med Educ 2005; 5(2):47-54.

Akbari N, Raeesi V, Ebrahimipour S, Ramezanzadeh K. Dentists' awareness about management of medical emergencies in dental offices Birjand-2014. Sch J Dent Sci 2015; 2(4):285-289.

Yang CW, Yen ZS, McGowan JE, Chen HC, Chiang WC, Mancini ME, et al. A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. Resuscitation 2012; 83(9):1055-1060. https://doi.org/10.1016/j.resuscitation.2012.02.027

Bayat M, Malkamian L, Baheri F. Evaluation of emergency equipment and drugs in Karaj urban dental clinics and the ability of dentists to use them. J Islam Dent Assoc Iran 2005; 10;17(2):105-110.

Tariq K, Wajahat M, Hassan M, Arif A. Experience and preparedness of medical emergency among dentists of private dental teaching hospitals of Lahore. Eur J Gen Dent 2022; 11:102-107. https://doi.org/10.1055/s-0042-1742644