Knowledge on Pre-Hospital Emergency Management of Tooth Avulsion among Croatian Kindergarten Teachers

Zvonimir Užarević, Zrinka Ivanišević, Tena Velki, Vesnica Mlinarević, Vedrana Nikolašević, Nikola Matijević, Marko Matijević


The aim of this study was to evaluate knowledge on pre-hospital emergency management of tooth avulsion among
Croatian kindergarten teachers. A cross-sectional study was conducted among 33 educators in kindergarten (average
43.9±9.7 years). The questionnaire contained 10 close-ended questions with two or eleven possible answers. Statistical
significance was determined using chi-square test. Majority of participants had no experience with tooth injury among
children in kindergarten. Questions about the familiarity with the terms of a knocked-out tooth and tooth replantation
and whether the knocked-out tooth should be replanted were confirmatively answered by 90.9%, 57.6% and 63.6% of
participants, respectively. Only 9.1% of participants provided the correct answer that replantation should be done within
30 minutes. 78.8% of participants would choose correct medium for cleaning if avulsed tooth got dirty. Tooth would be
transported in appropriate medium by 48.5% of participants. Correct answers on both the transport medium and the
cleaning of knocked-out tooth were provided by 45.5% participants. 57.6% participants would seek help for replantation
by visiting the nearest dentist. None of the participants had ever received any kind of information on management of a
knocked-out tooth. The kindergarten teachers have a lack of knowledge for immediate response to tooth avulsion. Every
kindergarten teacher should be well informed what should be done if some type of dental injury happens. The official
communication between dental professionals and kindergarten teachers should be improved at local and regional level.


tooth avulsion, dental trauma, kindergarten teachers

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