DENTAL COMMUNITY'S KNOWLEDGE REGARDING TEETH AVULSION

Abstract

Avulsion is a severe sequel of trauma characterized by total disarticulation of the tooth with its alveolus. Treatment after avulsion of a permanent tooth should be immediate replantation, if this is not possible, it should be maintained in an environment that allows the cell viability of the periodontal ligament. The objective was to evaluate the knowledge of the clinical dentists and academic of the last year of Dentistry on the means of storage and dental replantation. This  is a descriptive study, with a convenience sample of clinicians and trainees (n = 100), who answered questionnaires about dental avulsion and the environment used to transport these teeth. Regarding the replantation, 94% answered that they could and 6% would not be able to do the procedure. Of these, 91% would wash before repositioning the tooth in the alveolus; 53% with physiological serum, 42% with running water, 3% with milk and 2% with distilled water. Most would recommend the patient to an endodontist (72%), however, 19% would not recommend the patient to a specialist. As for the storage environment before dental replantation, 57% of the sample judged that the best place would be in the mouth, 19% in a recipient with milk, 18% in a physiological serum and 6% in a recipient with saliva. About the ideal replantation period, 83% of the sample answer that immediately after the avulsion would be the ideal replantation period, 15% between 30 minutes and 1 hour after procedure and 2% between 1 and 4 hours after procedure. Knowledge about the management of avulsed teeth in the dental community is satisfactory, however, some misconceptions about the subject are still noted.