Evidence map›Paper›PMID 41454455›Full record

ArticleDental traumatology : official publication of International Association for Dental Traumatology2026

Awareness and Sense of Urgency in Dental Avulsion Management: Knowledge Gaps Among Dutch Teens and Students.

Hiuman Maxim Chan, Jasmine Atay, Renee Helmers, Leander Dubois

Abstract read
In one paragraph

Article in Dental traumatology : official publication of International Association for Dental Traumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Dental Traumatology in Contemporary Practice: From Evidence to Education and Clinical Practice.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hiuman Maxim ChanDepartment of Oral and Maxillofacial Surgery, Amsterdam UMC and Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, the Netherlands.ORCID 0009-0007-7200-558X
Jasmine AtayDepartment of Oral and Maxillofacial Surgery, Amsterdam UMC and Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, the Netherlands.
Renee HelmersDepartment of Oral and Maxillofacial Surgery, Amsterdam UMC and Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0003-0042-6493
Leander DuboisDepartment of Oral and Maxillofacial Surgery, Amsterdam UMC and Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-0151-1676

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAccording to Dutch dental trauma guidelines (DTG), optimal outcomes for avulsed permanent teeth are achieved when replantation or professional treatment occurs within 30 to 60 min following trauma. However, studies suggest that patients in the Netherlands often seek care well beyond the critical window for effective intervention, reducing the chances of successful reimplantation. This delay may be partly due to limited public awareness of appropriate first-aid measures for dental avulsion.

objectiveThis study assesses awareness and perceived urgency in managing dental avulsion among Dutch students, focusing on knowledge gaps and their variation across different educational levels. Participants included secondary school students and individuals in higher education with both medical and non-medical backgrounds.

methodsA 16-item questionnaire, incorporating a case-based scenario, was designed to evaluate general awareness and urgency perception. The questionnaire was distributed in educational settings between December 2024 and February 2025 and completed by students.

resultsA total of 348 responses were included. Only 49% of participants correctly identified the recommended treatment timeframe of 30 min or less. Those with a dental background scored highest overall (p < 0.001), while secondary school students scored lowest. Medical students showed significantly greater general knowledge of avulsion management ("awareness") than secondary school students (p < 0.05); however, they did not differ considerably in recognizing the urgency of treatment or in taking correct immediate actions ("sense of urgency"). Notably, only 17% of participants answered all six key management questions correctly according to national guidelines, highlighting substantial knowledge gaps, even among higher-education groups.

conclusionThe findings of this study indicate significant knowledge deficits regarding the emergency management of dental avulsion across all educational levels. These results highlight the urgent need for targeted educational strategies to enhance first-aid awareness, particularly among adolescents and medical students, with an emphasis on timely and appropriate response.

Indexed as

Health Knowledge, Attitudes, PracticeStudentsTooth AvulsionAdolescentFemaleFirst AidHumansMaleNetherlandsSurveys and QuestionnairesTooth Replantation

Identifiers

PMID41454455
PMCPMC13356494

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.