Population Knowledge and Attitude Toward Emergency Management of Avulsed Permanent Teeth


  • Gisele Lima Teles
  • Ellen Pereira Ribeiro
  • Joana Dourado Martins Cerqueira
  • Alessandra Castro Alves
  • Erica dos Santos Carvalho


Tooth Injuries, Tooth Avulsion, Tooth Replantation, Community Dentistry


Objective: To evaluate the knowledge of patients treated in a public University concerning dental avulsion and its emergency first-aid management. Material and Methods: Three hundred patients were invited to answer a questionnaire about demographic characteristics, attitude and knowledge of first-aid management of dental avulsion. Chi-square test was used to assess the association between knowledge about dental replantation and education level. Results: Female gender (66.7%) aged from 31 to 40 years (31.3%) with high school education (50.3%) predominated among all the participants. It was not found a difference between education level and management of avulsed permanent teeth (p=0.076), and 66% of the respondents were not able to do the replantation. In relation to the management of avulsed tooth, 42.7% of the respondents would brush the tooth and if the replantation was not possible, most of them would choose inappropriate media for storage. The association between the storage medium and educational level showed to be statistically significant (p=0.043). Conclusion: It was possible to notice the lack of knowledge about this subject, and it could result in the worst prognosis. In avulsion cases, the subsequent root resorptions may lead to the loss of the child's tooth. It is important to implement educational campaigns to spread knowledge and improve success rates of permanent avulsed teeth.


Adnan S, Lone MM, Khan FR, Hussain SM, Nagi SE. Which is the most recommended medium for the storage and transport of avulsed teeth? A systematic review. Dent Traumatol 2018; 34(2):59-70. https://doi.org/10.1111/edt.12382

Albuquerque YE, Rosell FL, Tagliaferro EPS, Silva SRC. Knowledge of mothers about emergency management of tooth avulsion. RFO UPF 2014; 19(2):159-65.

Antunes LAA, Souza HMR, Gonçalves PHPQ, Crespo MA, Antunes LS. Dental trauma and mouthguard: knowledge and attitudes in Physical Education undergraduates. Rev Bras Educ Fís Esporte 2016; 30(2):287-94. https://doi.org/10.1590/1807-55092016000200287

Costa LED, Queiroz FS, Nóbrega CBC, Leite MS, Nóbrega WFS, Almeida ER. Dental trauma in childhood: evaluation action of educators in public nurseries from the city of Patos-PB. Rev odontol UNESP 2014; 43(6):402-8. https://doi.org/10.1590/1807-2577.1053

Fujita Y, Shiono Y, Maki K. Knowledge of emergency management of avulsed tooth among Japanese dental students. BMC Oral Health 2014; 14:34. https://doi.org/10.1186/1472-6831-14-34

Mesquita GC, Soares PBF, Moura CCG, Roscoe MG, Paiva SM, Soares CJ. A 12-year retrospective study of avulsion cases in a public Brazilian dental trauma service. Braz Dent J 2017; 28(6):749-56. https://doi.org/10.1590/0103-6440201701610

Frítola M, Couto ACF, Spinardi D, Junkes MC, Fraiz FC, Ferreira FM. Do educational leaflets improve the knowledge of parents when faced with traumatic dental injuries? Arq Odontol 2014; 50(4):178-84.

Ningthoujam S, Gurunathan D, Singh WR, Mall BB. Parental self-perceived knowledge and attitudes toward emergency management of avulsed permanent teeth in Imphal: A cross-sectional study. Natl J Maxillofac Surg 2019; 10(1):33-42. https://doi.org/10.4103/njms.NJMS_64_17

Parra Enríquez S, Crespo CL, Bauzá BX, Aguilera OFM. Level of knowledge in parents and educators on the behavior to follow for dental-alveolar traumatisms. CCM 2017; 21(3):820-32.

Fouad AF, Abbott PV, Tsilingaridis G, Cohenca N, Lauridsen E, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2020; 36(4):331-42. https://doi.org/10.1111/edt.12573

Balestrin A, Santos MS, Cançado MN, Rafagnin GD. Clinical protocol for the management of avulsion of permanent teeth. Rev Bras Odontol 2018; 75:e1071. https://doi.org/10.18363/rbo.v75.2018.e1071

Longo DL, Fumes AC, Kuchler EC, Paula-Silva FWG, Nelson-Filho P, Silva LAB. Efficiency of diferente storage media for avulsed teeth in animal models: a systematic review. Dent Traumatol 2018; 34(1):12-9. https://doi.org/10.1111/edt.12365

Pujita C, Nuvvula S, Shilpa G, NirmalaS, Yamini V. Informative promotional outcome on school teachers’ knowledge about emergency management of dental trauma. J Conserv Dent 2013; 16(1):21-7. https://doi.org/10.4103/0972-0707.105293

Lubaszewski VPA, Raldi DP, Pinto CA, Habitante SM. Evaluation of the emergency procedure used by professionals in cases of dental avulsion before and after educational lectures. ClipeOdonto. 2015; 7(1):9-19.

Poi WR, Sonoda CK, Martins CM, Melo ME, Pellizzer EP, Mendonça MR, et al. Storage media for avulsed teeth: a literature review. Braz Dent J 2013; 24(5):437-45. https://doi.org/10.1590/0103-6440201302297

Santos LCA, Teixeira BCS, Trindade RA, Figueiredo NBM, Carvalho ES. Dental community’s knowledge regarding teeth avulsion. J Dent Pub H 2018; 9(1):33-9. https://doi.org/10.17267/2596-3368dentistry.v9i1.1711

Buldur B, Kapdan A. Factors Associated with knowledge and attitude of management of traumatic dental injuries: A cross sectional study among Turkish Dentists. Pesqui Bras Odontopediatria Clin Integr 2018; 18(1):e3948. https://doi.org/10.4034/PBOCI.2018.181.30.

Oliveira MJL, Dias VO, Santos KKF, Rodruigues QF, Paiva ER, Martins RC. Knowledge of dental trauma of parents/caregivers of children treated at UNIMONTES pediatric clinic. Pesqui Bras Odontopediatria Clin Integr 2013; 13(2):189-96. https://doi.org/10.4034/PBOCI.2013.132.08

Beretta RJ, Volpato MES, Galato D, Medeiros GHF. Tooth avulsion from trauma: the level of knowledge of emergency physicians. RFO 2017; 22(1):38-42.

Nagata JY, Góis VLA, Münchow EA, Albuquerque MTP. Dental trauma education intervention as a positive influence among undergraduate students. Eur J Dent 2018; 12(4):502-7. https://doi.org/10.4103/ejd.ejd_148_18

Alyahya L, Alkandari SA, Alajmi S, Alyahya A. Knowledge and sociodemographic determinants of emergency management of dental avulsion among parents in Kuwait: A cross-sectional study. Med Princ Pract 2018; 27(1):55-60. https://doi.org/10.1159/000486095

Tzimpoulas N, Markou M, Zioutis V, Tzanetakis GN. A questionnaire-based survey for the evaluation of the knowledge level of primary school teachers on first-aid management of traumatic dental injuries in Athens, Greece. Dent Traumatol 2020; 36(1):41-50. https://doi.org/10.1111/edt.12503




How to Cite

Teles, G. L. ., Ribeiro, E. P. ., Cerqueira, J. D. M. ., Alves, A. C. ., & Carvalho, E. dos S. (2021). Population Knowledge and Attitude Toward Emergency Management of Avulsed Permanent Teeth. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 21, e0223. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/722



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