ArticleBMC medical education2026
Factors influencing the accuracy of clinical decision-making in dental trauma: knowledge, experience, and educational attitudes among medical students.
Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundTraumatic dental injuries (TDI) require prompt and appropriate first aid; however, non-dental healthcare professionals often lack sufficient knowledge to manage such cases effectively. This study aimed to evaluate the accuracy of clinical decision-making among medical students in dental trauma scenarios and to identify factors influencing their performance, including knowledge, experience, and educational attitudes. MATERIALS AND
methodsA cross-sectional survey of 291 medical students assessed knowledge, decision-making accuracy, and educational attitudes toward dental trauma management using a structured questionnaire.
resultsOverall, clinical decision-making accuracy was limited, particularly for tooth avulsion. Only 9.6% of participants selected the correct management for avulsion, compared to 40.9% for crown fractures. General avulsion knowledge was significantly associated with decision accuracy (ρ = 0.31, p < 0.001) and emerged as the only significant predictor in regression analysis (B = 0.096, 95% CI: 0.039-0.153, p = 0.001). Domain-specific knowledge, including replantation and storage, was not independently associated with decision accuracy. Participation in formal dental trauma training was weakly but significantly correlated with better performance (ρ = 0.125, p = 0.034). Despite low self-assessed knowledge (mean = 1.64/5), students reported a high need for education (mean = 3.87/5) and willingness to participate in training (mean = 4.00/5).
conclusionsMedical students demonstrated limited preparedness for managing traumatic dental injuries, particularly in time-sensitive avulsion cases. General knowledge of avulsion was associated with more accurate decision-making, while other factors showed limited influence. These findings suggest that integrating structured, guideline-based dental trauma education into medical curricula may help improve preparedness, although further multicenter research is needed to confirm these observations.
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