Evidence map›Paper›PMID 41514499›Full record

ArticleDental traumatology : official publication of International Association for Dental Traumatology2026

'It Was Surprising in a Bad Way': The Experiences of Children/Adolescents With Dental Avulsion and Their Family in New Zealand.

Aiswarya Kovanur Kesava, Finn Gilroy, Ben Kei Daniel Motidyang, Alison Meldrum, Manikandan Ekambaram

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. New Frontiers in Dental Traumatology: Innovation, Prevention, and Clinical Practice.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Article
  2. 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

5 authors.

Aiswarya Kovanur KesavaPaediatric Dentistry Discipline, Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Finn GilroyEndodontics Discipline, Department of Oral Rehabilitation, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Ben Kei Daniel MotidyangDepartment of Computer Science, Faculty of Science and Engineering, University of Northern British Columbia, Prince George, Canada.
Alison MeldrumPaediatric Dentistry Discipline, Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Manikandan EkambaramPaediatric Dentistry Discipline, Department of Oral Sciences, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-9156-3727

Funding

University of Otago, Sir John Walsh Research Institute Fuller Scholarship in Dentistry
6 · The paper itself

Abstract

backgroundDental avulsion is among the most common traumatic dental injuries in children, with prognosis heavily reliant on the prompt response of parents or caregivers. While such injuries can have significant and lasting physical, emotional and social impacts on children and their families, the specific nature and extent of these effects remain understudied in New Zealand.

aimsTo explore the lived experiences of New Zealand children, adolescents, and their families following dental avulsion of permanent maxillary central incisors, and to identify barriers to accessing timely emergency dental care.

methodsExploratory qualitative research design involving the use of semi-structured interviews (n = 11). The data were analysed using thematic analysis. Participants were recruited via social media and advertisements.

resultsInterviews were conducted with 11 children and adolescents, along with their parents. Thematic analysis revealed five major themes: the injury itself, challenges in accessing emergency dental care, emotional and psychological impact (identified as a key finding), treatment experience and outcomes, and the role of barriers and enablers. The degree of impact varied depending on parental, caregiver, or teacher awareness, access to timely care and treatment success. Parents with prior knowledge of dental trauma were more likely to seek immediate care, leading to more favourable treatment outcomes and reduced emotional distress. In contrast, lack of awareness, limited access to emergency services, and poor treatment outcomes were associated with heightened negative emotional and psychological effects.

conclusionThis is the first study in New Zealand to explore the lived experiences of children and their families following a dental avulsion injury. It highlights the emotional, practical and clinical impacts on both children/adolescents and their caregivers. The findings reveal persistent barriers to accessing timely emergency dental care. There is a critical need for improved education and awareness about dental avulsions and appropriate immediate care to support better outcomes.

Indexed as

FamilyTooth AvulsionAdolescentChildFemaleHealth Services AccessibilityHumansInterviews as TopicMaleNew ZealandQualitative Researchchildrendental avulsionexperiencesfamilyNew Zealandtraumatic dental injuries

Identifiers

PMID41514499
PMCPMC13356552

What OpenQuestion holds

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Registered trials

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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.