Skip to main content
Top
Published in: BMC Pediatrics 1/2022

Open Access 01-12-2022 | Dental Injuries | Research

Mothers’ knowledge and self-reported performance regarding the management of traumatic dental injuries and associated factors: a cross-sectional study

Authors: Zahra Momeni, Sanaz Afzalsoltani, Mahmoudreza Moslemzadehasl

Published in: BMC Pediatrics | Issue 1/2022

Login to get access

Abstract

Background

Dental trauma is common among children. It has negative effects on a child’s quality of life. Parental knowledge, especially among mothers is an important factor for the long-term success of this emergency. This study aimed to investigate mothers’ knowledge and self-reported performance regarding the management of traumatic dental injuries and associated socio-demographic factors.

Methods

In this cross-sectional study, 277 mothers of children (8–12 years) attending the pediatrics department of Alborz dental school were studied by convenience sampling. The participants completed a valid reliable questionnaire about the management of traumatic dental injuries. The predictor variables were the child’s gender, maternal education and employment status, economic status, and accommodation status. The outcome variables were the mothers’ knowledge about the management of traumatic dental injuries (Eight statements with 10 scores) and self-reported performance including four case scenarios of traumatic dental injury (Five questions with 7 scores). Data were analyzed by T-test or One-way ANOVA to test the within-group changes, Pearson’s correlation coefficient and Linear multiple regression to examine the effect of predictor variables on maternal knowledge and self-reported performance.

Results

The mean score of mothers’ knowledge was 3.43; SD = 1.58 (total score ranged from 0 to 10). The mean score of mothers’ performance was 3.38; SD = 1.2 (total score ranged from 0 to 7). Mothers who work (p < 0.001) and mothers with high qualifications (p < 0.001) had higher knowledge. Furthermore, mothers who work (p = 0.011), mothers with high qualifications (p < 0.001), and those who have had previous experience with traumatic dental injuries (p < 0.001) had higher self-reported performance. The results of multiple linear regression analysis demonstrated the association between mothers’ knowledge with mothers’ education (β = 0.22, p = 0.001) and mothers’ employment status (β = 0.15, p = 0.017), while there is a relationship between mothers’ self-reported performance and mothers’ education (β = 0.27, p < 0.001).

Conclusion

Since the means of mothers’ knowledge and performance scores regarding dental trauma management, were less than half of the obtainable scores as well as mothers have a crucial role in the children’s oral health, it is important to increase the mothers’ knowledge and improve their performance in this context. Therefore, running educational programs is necessary for this respect.
Appendix
Available only for authorised users
Literature
1.
go back to reference Andreasen FM, Andreasen JO, Tsukiboshi M, Cohenca N. Examination and diagnosis of dental injuries. In: Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. 5th ed. Oxford: Wiley Blackwell; 2019. pp. 295–326. Andreasen FM, Andreasen JO, Tsukiboshi M, Cohenca N. Examination and diagnosis of dental injuries. In: Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth. 5th ed. Oxford: Wiley Blackwell; 2019. pp. 295–326.
2.
go back to reference Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J. 2016;61(Suppl 1):4–20.CrossRefPubMed Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J. 2016;61(Suppl 1):4–20.CrossRefPubMed
3.
go back to reference Jones JE, Spolnik KJ, Yassen GH. Trauma to the teeth and supporting tissues. In: McDonald RE, Avery DR, Dean JA, Jones JE, editors. Dentistry for the child and adolescent. 11th ed. St Louis: Mosby Elsevier Inc; 2022. p. 2076. Jones JE, Spolnik KJ, Yassen GH. Trauma to the teeth and supporting tissues. In: McDonald RE, Avery DR, Dean JA, Jones JE, editors. Dentistry for the child and adolescent. 11th ed. St Louis: Mosby Elsevier Inc; 2022. p. 2076.
4.
go back to reference Andreasen JO, Andreasen FM, Skeie A, Hjørting-Hansen E, Schwartz O. Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries- a review article. Dent Traumatol. 2002;18:116–28.CrossRefPubMed Andreasen JO, Andreasen FM, Skeie A, Hjørting-Hansen E, Schwartz O. Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries- a review article. Dent Traumatol. 2002;18:116–28.CrossRefPubMed
5.
go back to reference Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ, et al. Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth. Pediatr Dent. 2017;39(6):412–9.PubMed Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ, et al. Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth. Pediatr Dent. 2017;39(6):412–9.PubMed
6.
go back to reference Azami-Aghdash S, Ebadifard Azar F, Pournaghi Azar F, Aziz Rezapour4, Moradi-Joo M, Moosavi A, et al. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis. Med J Islam Repub Iran. 2015;29:(10 July):234 – 47. Azami-Aghdash S, Ebadifard Azar F, Pournaghi Azar F, Aziz Rezapour4, Moradi-Joo M, Moosavi A, et al. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis. Med J Islam Repub Iran. 2015;29:(10 July):234 – 47.
7.
go back to reference Ayodele A, Elizabeth O, Vincent U, Akinwale A. Knowledge of first aid measures of avulsion and replantation of teeth in Nigerian school children. Internet J Dent Sci. 2009;7:(1). Ayodele A, Elizabeth O, Vincent U, Akinwale A. Knowledge of first aid measures of avulsion and replantation of teeth in Nigerian school children. Internet J Dent Sci. 2009;7:(1).
8.
go back to reference Shashikiran ND, Reddy VV, Nagaveni NB. Knowledge and attitude of 2,000 parents (urban and rural – 1,000 each) with regard to avulsed permanent incisors and their emergency management, in and around Davangere. J Indian Soc Pedod Prev Dent. 2006;24(3):116–21.CrossRefPubMed Shashikiran ND, Reddy VV, Nagaveni NB. Knowledge and attitude of 2,000 parents (urban and rural – 1,000 each) with regard to avulsed permanent incisors and their emergency management, in and around Davangere. J Indian Soc Pedod Prev Dent. 2006;24(3):116–21.CrossRefPubMed
9.
go back to reference Al-Asfour A, Andersson L. The effect of a leaflet given to parents for first aid measures after tooth avulsion. Dent Traumatol. 2008;24(5):515–21.CrossRefPubMed Al-Asfour A, Andersson L. The effect of a leaflet given to parents for first aid measures after tooth avulsion. Dent Traumatol. 2008;24(5):515–21.CrossRefPubMed
10.
go back to reference Al-Sehaibany FS, Alajlan R, Almubarak D, Almaflehi N, Aljabaa A, AlBarakati SF. Knowledge on management of traumatic dental injuries among Saudi mothers. Clin Cosmet Investig Dent. 2018;10:123–8.CrossRefPubMedPubMedCentral Al-Sehaibany FS, Alajlan R, Almubarak D, Almaflehi N, Aljabaa A, AlBarakati SF. Knowledge on management of traumatic dental injuries among Saudi mothers. Clin Cosmet Investig Dent. 2018;10:123–8.CrossRefPubMedPubMedCentral
11.
go back to reference Pani SC, Alolaiwi LA, AlRukban LA, NM K, AlRuzeyg SS. Awareness of the Emergency Management of Dental Trauma in Children: A Comparison of Fathers and Mothers in Riyadh City. J Trauma Care. 2017;2:1. Pani SC, Alolaiwi LA, AlRukban LA, NM K, AlRuzeyg SS. Awareness of the Emergency Management of Dental Trauma in Children: A Comparison of Fathers and Mothers in Riyadh City. J Trauma Care. 2017;2:1.
12.
go back to reference Glendor U. Has the education of professional caregivers and lay people in dental trauma care failed? Dent Traumatol. 2009;25(1):12–8.CrossRefPubMed Glendor U. Has the education of professional caregivers and lay people in dental trauma care failed? Dent Traumatol. 2009;25(1):12–8.CrossRefPubMed
13.
go back to reference Kebriaei F, Attarzadeh H, Sadri L, Foroughi E, Taghian M, Sadri S. Knowledge of Iranian Parents of Elementary School Children about Traumatic Dental Injuries and its Management. J Dent Shiraz. 2020;21(3):202–8.PubMed Kebriaei F, Attarzadeh H, Sadri L, Foroughi E, Taghian M, Sadri S. Knowledge of Iranian Parents of Elementary School Children about Traumatic Dental Injuries and its Management. J Dent Shiraz. 2020;21(3):202–8.PubMed
14.
go back to reference Shahnaseri S, Khalili Z, Mousavi SA, Jafari N. Evaluation of Knowledge of Parents of Children Aged 8–12 Years about Traumatic Avulsed Teeth in Isfahan in 2016. J Mash Dent Sch. 2017;41(1):41–50. Shahnaseri S, Khalili Z, Mousavi SA, Jafari N. Evaluation of Knowledge of Parents of Children Aged 8–12 Years about Traumatic Avulsed Teeth in Isfahan in 2016. J Mash Dent Sch. 2017;41(1):41–50.
15.
go back to reference Vojdani J. N. M. The Prevalence And Etiology Of Anterior Crown Fracture Of Anterior Permanent Teeth. J Guilan University of Medical Sciences Summer. 2006;15(58):87–92. Vojdani J. N. M. The Prevalence And Etiology Of Anterior Crown Fracture Of Anterior Permanent Teeth. J Guilan University of Medical Sciences Summer. 2006;15(58):87–92.
16.
go back to reference Momeni Z, Sargeran K, Yazdani R, Sighaldeh SS. Perception of Iranian Mothers About Oral Health of Their School-Children: A Qualitative Study. J Dent Tehran. 2017;14(4):180–90.PubMedPubMedCentral Momeni Z, Sargeran K, Yazdani R, Sighaldeh SS. Perception of Iranian Mothers About Oral Health of Their School-Children: A Qualitative Study. J Dent Tehran. 2017;14(4):180–90.PubMedPubMedCentral
17.
go back to reference Touré B, Benoist FL, Faye B, Kane A, Kaadioui S. Primary school teachers’ knowledge regarding emergency management of avulsed permanent incisors. J dentistry (Tehran Iran). 2011;8(3):117. Touré B, Benoist FL, Faye B, Kane A, Kaadioui S. Primary school teachers’ knowledge regarding emergency management of avulsed permanent incisors. J dentistry (Tehran Iran). 2011;8(3):117.
18.
go back to reference Mohandas U, Chandan GD. Knowledge, attitude and practice in emergency management of dental injury among physical education teachers: a survey in Bangalore urban schools. J Indian Soc Pedod Prev Dent. 2009;27:242–8.CrossRefPubMed Mohandas U, Chandan GD. Knowledge, attitude and practice in emergency management of dental injury among physical education teachers: a survey in Bangalore urban schools. J Indian Soc Pedod Prev Dent. 2009;27:242–8.CrossRefPubMed
19.
go back to reference Razeghi S, Mohebbi SZ, Mahmoudi M. Mothers’ knowledge and self-reported practice on management of traumatic dental injuries in 8-years-old children and it determinants. Iran Pediatr Dentistry. 2014;10(1):69–76.CrossRef Razeghi S, Mohebbi SZ, Mahmoudi M. Mothers’ knowledge and self-reported practice on management of traumatic dental injuries in 8-years-old children and it determinants. Iran Pediatr Dentistry. 2014;10(1):69–76.CrossRef
20.
go back to reference Malta M, Cardoso LO, Bastos FI, Magnanini MMF, Silva CMFP. STROBE initiative: guidelines on. Rev Saúde Pública. 2010;44(3):1–5. Malta M, Cardoso LO, Bastos FI, Magnanini MMF, Silva CMFP. STROBE initiative: guidelines on. Rev Saúde Pública. 2010;44(3):1–5.
22.
go back to reference Ghadimi S, Seraj B, Keshavarz H, Shamshiri AR, Abiri R. The effect of using an educational poster on elementary school health teachers’ knowledge of emergency management of traumatic dental injuries. J Dent (Tehran). 2014;11(6):620–8. Ghadimi S, Seraj B, Keshavarz H, Shamshiri AR, Abiri R. The effect of using an educational poster on elementary school health teachers’ knowledge of emergency management of traumatic dental injuries. J Dent (Tehran). 2014;11(6):620–8.
23.
go back to reference Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, et al. Guidelines for the Management of Traumatic Dental Injuries: 1. Fractures and Luxations of Permanent Teeth. Pediatr Dent. 2017;39(6):401–11.PubMed Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, et al. Guidelines for the Management of Traumatic Dental Injuries: 1. Fractures and Luxations of Permanent Teeth. Pediatr Dent. 2017;39(6):401–11.PubMed
24.
go back to reference Casamassimo P, Fields H, McTigue D, Nowak A. Pediatric dentistry: Infancy through Adolescence. Amsterdam, The Netherlands, Elsevier, 5th ed. 2013;503 – 17. Casamassimo P, Fields H, McTigue D, Nowak A. Pediatric dentistry: Infancy through Adolescence. Amsterdam, The Netherlands, Elsevier, 5th ed. 2013;503 – 17.
25.
go back to reference Jens O, Andersson L, Frances M. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Denmark: Wiley; 2007. Jens O, Andersson L, Frances M. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Denmark: Wiley; 2007.
26.
go back to reference Donyavi T, Naieni KH, Nedjat S, Vahdaninia M, Najafi M, Montazeri A. Socioeconomic status and mortality after acute myocardial infarction: a study from Iran. Int J Equity Health. 2011;10:9.CrossRefPubMedPubMedCentral Donyavi T, Naieni KH, Nedjat S, Vahdaninia M, Najafi M, Montazeri A. Socioeconomic status and mortality after acute myocardial infarction: a study from Iran. Int J Equity Health. 2011;10:9.CrossRefPubMedPubMedCentral
27.
go back to reference Dumitrescu ALW, Dogaru M, Manolescu BC. B. Modeling the theory of planned behavior for intention to improve oral health behaviors: The impact of attitudes, knowledge, and current behavior. J Oral Sci. 2011;53:369–77.CrossRefPubMed Dumitrescu ALW, Dogaru M, Manolescu BC. B. Modeling the theory of planned behavior for intention to improve oral health behaviors: The impact of attitudes, knowledge, and current behavior. J Oral Sci. 2011;53:369–77.CrossRefPubMed
28.
go back to reference Hashim R. Investigation of mothers’ knowledge of dental trauma management in United Arab Emirates. Eur J Paediatr Dent. 2012;13(2):83–6.CrossRef Hashim R. Investigation of mothers’ knowledge of dental trauma management in United Arab Emirates. Eur J Paediatr Dent. 2012;13(2):83–6.CrossRef
29.
go back to reference Kaul R, Jain P, Angrish P, Saha S, Patra TK, Saha N, et al. Knowledge, Awareness and Attitude towards Emergency Management of Dental Trauma among the Parents of Kolkata-An Institutional Study. J Clin Diagnos Res July. 2016;10(7):95–101. Kaul R, Jain P, Angrish P, Saha S, Patra TK, Saha N, et al. Knowledge, Awareness and Attitude towards Emergency Management of Dental Trauma among the Parents of Kolkata-An Institutional Study. J Clin Diagnos Res July. 2016;10(7):95–101.
30.
go back to reference Ozer S, Yilmaz EI, Bayrak S, Tunc ES. Parental knowledge and attitudes regarding the emergency treatment of avulsed permanent teeth. Europ J Dent. 2012;6(4):370–5.CrossRef Ozer S, Yilmaz EI, Bayrak S, Tunc ES. Parental knowledge and attitudes regarding the emergency treatment of avulsed permanent teeth. Europ J Dent. 2012;6(4):370–5.CrossRef
31.
go back to reference Santos P, Hespanhol A. An ethical view of vaccine refusal. Rev Port Med Geral Fam. 2013;29:328–33. Santos P, Hespanhol A. An ethical view of vaccine refusal. Rev Port Med Geral Fam. 2013;29:328–33.
32.
go back to reference Jabarifar E, Khadem P, Heidari M, Javadinejad S, Nobahar S, Haji Ahmadi M. Evaluation of awareness of mothers about individual and environmental risk factors of dental trauma and prevention in 8–12 year-old children and their relationship with children’s daily life. J Isfahan Dent School. 2011;6(5):574–87. Jabarifar E, Khadem P, Heidari M, Javadinejad S, Nobahar S, Haji Ahmadi M. Evaluation of awareness of mothers about individual and environmental risk factors of dental trauma and prevention in 8–12 year-old children and their relationship with children’s daily life. J Isfahan Dent School. 2011;6(5):574–87.
33.
go back to reference Sanu OO, Utomi IL. Parental awareness of emergency management of avulsion of permanent teeth of children in Lagos, Nigeria. Niger Postgrad Med J. 2005;12(2):115–20.PubMed Sanu OO, Utomi IL. Parental awareness of emergency management of avulsion of permanent teeth of children in Lagos, Nigeria. Niger Postgrad Med J. 2005;12(2):115–20.PubMed
34.
go back to reference Santos ME, Habecost AP, Gomes FV, Weber JB, de Oliveira MG. Parent and caretaker knowledge about avulsion of permanent teeth. Dent Traumatol. 2009;25(2):203–8.CrossRefPubMed Santos ME, Habecost AP, Gomes FV, Weber JB, de Oliveira MG. Parent and caretaker knowledge about avulsion of permanent teeth. Dent Traumatol. 2009;25(2):203–8.CrossRefPubMed
35.
go back to reference Abdellatif AM, Hegazy SA. Knowledge of emergency management of avulsed teeth among a sample of Egyptian parents. J Adv Res. 2011;2:157–62.CrossRef Abdellatif AM, Hegazy SA. Knowledge of emergency management of avulsed teeth among a sample of Egyptian parents. J Adv Res. 2011;2:157–62.CrossRef
36.
go back to reference Al-Jundi SH. Knowledge of Jordanian mothers with regards to emergency management of dental trauma. Dent Traumatol. 2006;22:(6):291–5.CrossRefPubMed Al-Jundi SH. Knowledge of Jordanian mothers with regards to emergency management of dental trauma. Dent Traumatol. 2006;22:(6):291–5.CrossRefPubMed
37.
go back to reference Murali K, Krishnan R, Kumar VS, Shanmugam S, Rajasundharam P. Knowledge, attitude, and perception of mothers towards emergency management of dental trauma in Salem district, Tamil Nadu: a questionnaire study. J Indian Soc Pedod Prev Dent. 2014;32(3):202–6.CrossRefPubMed Murali K, Krishnan R, Kumar VS, Shanmugam S, Rajasundharam P. Knowledge, attitude, and perception of mothers towards emergency management of dental trauma in Salem district, Tamil Nadu: a questionnaire study. J Indian Soc Pedod Prev Dent. 2014;32(3):202–6.CrossRefPubMed
38.
go back to reference Razeghi S, Mohebbi SZ, Mahmoudi M, Ahmadian M, Kharazifard MJ. Effect of Two Educational Interventions Regarding the Management of Traumatic Dental Injuries on Mothers of 8-Year-Old Children. Frontier Dentistry. 2020;17:33. Razeghi S, Mohebbi SZ, Mahmoudi M, Ahmadian M, Kharazifard MJ. Effect of Two Educational Interventions Regarding the Management of Traumatic Dental Injuries on Mothers of 8-Year-Old Children. Frontier Dentistry. 2020;17:33.
39.
go back to reference Yassen GH, Chin JR, Younus MS, Eckert GJ. Knowledge and attitude of dental trauma among mothers in Iraq. Eur Arch Paediatr Dent. 2013;14(4):259–65.CrossRefPubMed Yassen GH, Chin JR, Younus MS, Eckert GJ. Knowledge and attitude of dental trauma among mothers in Iraq. Eur Arch Paediatr Dent. 2013;14(4):259–65.CrossRefPubMed
40.
go back to reference Hegde AM, Kumar KN, Varghese E. Knowledge of dental trauma among mothers in Mangalore. Dent Traumatol. 2010;26(5):417–21.CrossRefPubMed Hegde AM, Kumar KN, Varghese E. Knowledge of dental trauma among mothers in Mangalore. Dent Traumatol. 2010;26(5):417–21.CrossRefPubMed
41.
go back to reference NSW Health Department. A framework for building capacity to improve health. Sydney: New South Wales Government; 2001. NSW Health Department. A framework for building capacity to improve health. Sydney: New South Wales Government; 2001.
Metadata
Title
Mothers’ knowledge and self-reported performance regarding the management of traumatic dental injuries and associated factors: a cross-sectional study
Authors
Zahra Momeni
Sanaz Afzalsoltani
Mahmoudreza Moslemzadehasl
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Dental Injuries
Published in
BMC Pediatrics / Issue 1/2022
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-022-03735-y

Other articles of this Issue 1/2022

BMC Pediatrics 1/2022 Go to the issue