An investigation of dento-alveolar trauma and its treatment in an adolescent population. Part 2: Dentists' knowledge of management methods and their perceptions of barriers to providing care.
OBJECTIVE
To assess dentists' knowledge of and perceived barriers to treatment of dental injuries.


METHODS
Cross-sectional postal questionnaire and personal interview.


METHODS
Questionnaires from 153 GDPs and 53 CDOs were received giving details of emergency options on 17 imaginary dental injuries and perceived barriers to treatment of trauma. Structured interviews with 21 of the GDPs and 19 CDOs seeking knowledge on diagnosis and long-term follow-up and treatment took place. Age and gender of dentist, type of practice and postgraduate courses attended were noted.


METHODS
Mean knowledge scores.


RESULTS
Of a maximum of 14 correct responses on emergency treatment of injured teeth the mean was 7.5. Only 19% knew for how long avulsed teeth should be splinted. Of a maximum of 37 correct responses on long-term follow-up of treatment the mean was 15.4. Only 10% would correctly treat acute abscess on a traumatised tooth. 82% of dentists thought dental trauma should be treated in the primary care service, but 86% of GDPs thought fees for this type of treatment were too low. 72% of CDOs thought the treatment occupied too much clinic time and was not the responsibility of the CDS.


CONCLUSIONS
Dentists in the primary care sector have insufficient knowledge to treat dental trauma.
Hamilton
F A
FA
Salford Community Healthcare NHS Trust, Lance Burn Health Centre, Salford.
Hill
F J
FJ
Holloway
P J
PJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003149:Community Dentistry; D003430:Cross-Sectional Studies; D019140:Dental Care for Children / Q000706:statistics & numerical data*; D004497:Education, Dental; D005260:Female; D005792:General Practice, Dental; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D019239:Practice Patterns, Dentists' / Q000191:economics / Q000706:statistics & numerical data*; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D018677:Tooth Injuries / Q000628:therapy*; D006113:United Kingdom