Preschool and primary school teachers' knowledge of emergency management of traumatic dental injuries: a cross-sectional study.

PURPOSE: Teachers frequently serve as primary first responders when traumatic dental injuries (TDIs) occur in schools. Immediate management is critical for prognosis, particularly in avulsion cases. This study aimed to assess preschool and primary school teachers' knowledge of emergency TDI management and their awareness of the ToothSOS mobile application, a resource providing evidence-based guidance.

METHODS

A descriptive cross-sectional study was conducted among 427 preschool and primary school teachers in Turkey between May and June 2025. An online questionnaire, based on international guidelines and validated by expert review, collected data on demographics, TDI management knowledge, and ToothSOS awareness. Statistical analyses were performed using non-parametric tests (P < 0.05).

RESULTS

The median knowledge score was 3 (range: 0-8). Few teachers correctly identified immediate replantation or storage in milk as appropriate actions for avulsed permanent teeth. Although awareness of the ToothSOS was extremely low, over half of the participants expressed willingness to use it. Significantly higher knowledge scores were observed among teachers with prior trauma education.

CONCLUSION

Teachers demonstrated insufficient knowledge of emergency management of TDIs and limited awareness of digital support tools. Incorporating structured trauma education and accessible educational technologies into teacher training may support teachers' preparedness and decision-making in dental trauma emergencies.