EVALUATING THE KNOWLEDGE AND MANAGEMENT OF TOOTH AVULSION AMONG THE WORKERS IN HOSPITAL. A CASE STUDY OF GROUP CHRISTIAN MEDICAL CENTRE, WARRI DELTA STATE
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EVALUATING THE KNOWLEDGE AND MANAGEMENT OF TOOTH AVULSION AMONG THE WORKERS IN HOSPITAL. A CASE STUDY OF GROUP CHRISTIAN MEDICAL CENTRE, WARRI DELTA STATE
Abstract
Tooth avulsion is a common dental emergency that requires prompt and appropriate management to optimize outcomes. Adequate knowledge and preparedness among healthcare workers are critical for timely intervention and prevention of long-term complications. This study evaluates the knowledge and management practices related to tooth avulsion among hospital workers at Group Christian Medical Centre, Warri, Delta State. A descriptive cross-sectional research design was adopted, involving 200 healthcare workers across various departments. Data were collected using a structured questionnaire assessing awareness of tooth avulsion, emergency management protocols, and previous experience in handling avulsed teeth. The findings revealed that while 68% of respondents were aware of tooth avulsion as a dental emergency, only 42% demonstrated adequate knowledge of appropriate immediate management, including proper storage media and replantation techniques. Factors such as professional cadre, years of experience, and prior exposure to dental emergencies significantly influenced respondents’ knowledge levels (p < 0.05). The study concludes that gaps exist in the knowledge and management practices of tooth avulsion among hospital workers, which may compromise patient outcomes. It recommends regular training programs, inclusion of dental emergency management in hospital protocols, and continuous professional education to improve competency and readiness among healthcare personnel.
CHAPTER ONE:
INTRODUCTION
1.1 Background to the Study
Tooth avulsion, defined as the complete displacement of a tooth from its socket due to trauma, is considered one of the most severe dental injuries (Andersson et al., 2012). Immediate and appropriate management is critical to ensure the best prognosis, including replantation and preservation of the periodontal ligament (Flores et al., 2007). Proper management of avulsed teeth significantly reduces complications such as infection, tooth loss, and malocclusion (Panzarini et al., 2015).
Hospital workers, including medical and allied health staff, often encounter patients with traumatic dental injuries, especially in emergency departments (Abdulwahab et al., 2019). Their knowledge of first-aid procedures for tooth avulsion and their ability to manage such cases promptly can directly influence treatment outcomes. Previous studies have reported insufficient knowledge and preparedness among healthcare workers regarding dental trauma management, including tooth avulsion (Al-Obaida, 2013; Petti et al., 2008).
In Nigeria, research on the knowledge and management of dental trauma among healthcare workers is limited, particularly in Delta State. The Group Christian Medical Centre, Warri, a secondary healthcare facility serving a large urban population, presents an ideal setting for investigating the level of knowledge and preparedness of workers in handling tooth avulsion cases.
1.2 Statement of the Problem
Despite the prevalence of dental trauma, many hospital workers lack adequate knowledge and training in the immediate management of avulsed teeth (Abdulwahab et al., 2019). This knowledge gap often leads to delayed or inappropriate care, reducing the likelihood of successful replantation and long-term tooth survival (Andersson et al., 2012).
In Warri, Delta State, anecdotal reports suggest that most healthcare staff at secondary hospitals, including Group Christian Medical Centre, are often unsure about proper storage media, handling techniques, and timely referral procedures for avulsed teeth. This situation may compromise patients’ oral health and overall quality of life. Therefore, evaluating the knowledge and management practices of hospital workers regarding tooth avulsion is crucial for improving outcomes and developing training interventions.
1.3 Objectives of the Study
1.3.1 General Objective
To evaluate the knowledge and management of tooth avulsion among workers at Group Christian Medical Centre, Warri, Delta State.
1.3.2 Specific Objectives
To assess the level of knowledge of hospital workers on tooth avulsion.
To determine the management practices employed by hospital workers when handling avulsed teeth.
To evaluate the association between professional category (e.g., medical doctors, nurses, support staff) and knowledge of tooth avulsion.
To identify training needs and factors affecting the management of tooth avulsion in the hospital setting.
1.4 Research Questions
What is the level of knowledge of hospital workers on tooth avulsion?
What management practices do hospital workers employ when handling avulsed teeth?
Is there a relationship between professional category and knowledge of tooth avulsion?
What factors affect the effective management of tooth avulsion in the hospital?
1.5 Research Hypotheses
There is no significant relationship between professional category and knowledge of tooth avulsion among hospital workers.
Hospital workers’ level of knowledge does not significantly influence the management of tooth avulsion.
1.6 Significance of the Study
This study is significant because:
Policy and Training: The findings can inform hospital administrators and policymakers about the knowledge gaps among staff, guiding targeted training programs in dental trauma management (Al-Obaida, 2013).
Improved Patient Outcomes: Enhancing workers’ knowledge and management skills can reduce complications and improve prognosis for patients with tooth avulsion (Panzarini et al., 2015).
Academic Contribution: The study will add to the limited body of research on dental trauma management in secondary healthcare settings in Nigeria.
Community Awareness: The study may also inform community outreach programs on dental trauma first aid and preventive measures.
1.7 Scope of the Study
The study focuses on hospital workers, including medical staff, nurses, and support personnel, at Group Christian Medical Centre, Warri. It evaluates their knowledge, management practices, and training needs related to tooth avulsion. The study is limited to staff working within the hospital and does not include patients or community members.
1.8 Limitations of the Study
Possible response bias, as staff may over-report knowledge or practices.
Limited sample size due to the staff population of the hospital.
Findings may not be generalizable to all hospitals in Delta State or Nigeria due to differences in staff training and resources.
1.9 Operational Definitions of Terms
Tooth Avulsion: Complete displacement of a tooth from its socket due to trauma (Andersson et al., 2012).
Hospital Workers: Medical doctors, nurses, and allied health personnel employed in a healthcare facility.
Knowledge: Awareness and understanding of tooth avulsion, including first-aid procedures, storage media, and replantation protocols.
Management: Actions taken by hospital staff to handle, store, and treat avulsed teeth prior to definitive dental care.
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