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Global status of knowledge of parents for emergency management of traumatic dental injuries: a systematic review and meta-analysis

Evidence-Based Dentistry volume 24, page 91 (2023)Cite this article

Subjects

Abstract

Research protocol

The protocol was developed as per the recommendations of the Cochrane-handbook and PRISMA and was registered in PROSPERO.

Literature search

Search was performed by using MeSH-Terms and keywords in PubMed, Scopus, Embase, Web of Sciences, Lilacs, and Cochrane databases and gray literature sources 15th July 2022. There were no limits regarding the year of publication and language. Hand-searching of included articles was also performed. Titles and abstracts and later full texts were screened as per strict inclusion and exclusion criteria.

Data extraction

Self-designed pilot-tested form was used.

Quality appraisal

Risk of bias was analyzed through Joanna-Brigg’s-Institute’s-critical appraisal checklist. The evidence analysis was done by using the GRADE approach.

Data analysis

Qualitative synthesis was performed for describing the study characteristics, details of sampling, and results of various questionnaires. It was discussed by the expert group and presented using KAP heat map. Meta-analysis was done by using Random Effects Model.

Results and interpretation

The risk of bias was found to be low in seven and moderate in one study. It was observed that >50% of parents knew about the urgency to seek professional advice after TDI. Only <50% of parents were confident of their ability to identify the injured tooth, clean the soiled avulsed tooth, and perform the replantation. Appropriate responses regarding immediate action after tooth avulsion were given by 54.5% (95% CI: 50.2–58.8, p = 0.042) of parents. The knowledge of the parents regarding the emergency management of TDI was found to be inadequate. The majority of them were interested in obtaining information about dental trauma first aid.

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Fig. 1: PRISMA chart.
Fig. 2: KAP-Heat Map.
Fig. 3: Forest plot.
Fig. 4: Forest plot.
Fig. 5: Forest plot.

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Author information

Authors and Affiliations

  1. Division of Pediatric & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India

    Nitesh Tewari, Shubhi Goel, Sukeshana Srivastav, Vijay Prakash Mathur, Morankar Rahul & Kalpana Bansal

  2. Public Health Dentistry, Pt BD Sharma Post Graduate Institute of Dental Sciences, Rohtak, India

    Shubhi Goel

  3. Orthodontics, Aarhus University, Aarhus, Denmark

    Sukeshana Srivastav

  4. Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India

    Partha Haldar

  5. University of Texas Houston School of Dentistry, Houston, TX, USA

    Priyanshi Ritwik

Authors
  1. Nitesh Tewari
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  2. Shubhi Goel
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  3. Sukeshana Srivastav
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  4. Vijay Prakash Mathur
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  5. Morankar Rahul
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  6. Partha Haldar
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  7. Priyanshi Ritwik
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  8. Kalpana Bansal
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Contributions

The idea was conceptualized by NT. The team comprising of all the co authors designed the protocol and the methods of the systematic review. The review of literature was conducted by NT, SG and supervised by VPM. The data extraction was performed by SG, SS and supervised by VPM. The quality analysis was performed by SS, SG. Interpretation was performed by all the authors and co authors. The initial draft of the manuscript was prepared by NT, KB and SG. It was revised by all the authors.

Corresponding author

Correspondence to Nitesh Tewari.

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Tewari, N., Goel, S., Srivastav, S. et al. Global status of knowledge of parents for emergency management of traumatic dental injuries: a systematic review and meta-analysis. Evid Based Dent 24, 91 (2023). https://doi.org/10.1038/s41432-023-00883-7

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