DENTAL TRAUMA - PEDIATRICIANS' KNOWLEDGE OF EMERGENCY PROCEDURE

Traume zuba kod djece su često kompleksne ozljede koje su zbog sve veće prevalencije postale pravi javno-zdravstveni problem. Osnovna zadaća liječenja traumatiziranog zuba je očuvanje zuba u zubnom luku barem dok se pacijentu nakon završetka rasta čeljusti moţe dati druga estetska alternativa (1,9,23). Za donošenje dijagnoze i ispravnog plana liječenja treba provesti detaljnu anamnezu, klinički pregled i rendgenografsku analizu. Prema postavljenoj dijagnozi ozljeda se klasificira prema klasifikaciji koju preporučuje Svjetska zdravstvena organizacija. Dokazano je da uspjeh terapije uvelike ovisi o vremenu proteklom od traume do početka liječenja. Roditelji se često obraćaju prvo liječnicima različitih specijalnosti, uključujući i pedijatre. Da bi mogli postupiti pravilno, potrebno je da imaju odreĎeno znanje o hitnom postupku i vaţnosti što brţeg početka liječenja. U provedenom istraţivanju anketirano je 42 pedijatra Republike Hrvatske. Rezultati su pokazali osrednju informiranost o hitnom postupku kod traumatskih ozljeda zuba, a 93% ispitanika se susrelo s traumatskom ozljedom u praksi što ukazuje na potrebu edukacije pedijatra o ovoj tematici. Educiranje pedijatra o problematici traumatskih ozljeda zuba je moguće na strukovnim seminarima, predavanjima stomatologa, putem postera, brošura, letaka, interneta ili članaka.Tooth traumas in children are often complex injuries that are due to the increasing prevalence become a real public health problem. The main task of treating traumatized tooth is the preservation of teeth in the dental arch at least as long as the growth of the jaw. Than we can give different aesthetic alternative to the patient (1,9,23). To make proper diagnosis and treatment plan we should conduct medical history, clinical examination and roentgenographic analysis. According to the adopted diagnosis, injuries are classified according to the classification recommended by the World Health Organization. It has been shown that the success of treatment depends largely on the time elapsed from trauma to beginning of the treatment. Parents often turn first to physicians of various specialties, including pediatricians. To be able to proceed properly, it is necessary to have some knowledge of the emergency procedure and the importance of early treatment. In this research surveyed 42 pediatricians of Croatian Republic. The results showed moderate awareness of the urgent procedure in traumatic injuries of teeth, while 93 % of respondents have encountered a traumatic injury in practice, indicating the need to train pediatricians on this subject. Educating pediatricians on the issue of traumatic injuries of teeth is possible trough professional seminars, lectures held by dentists, through posters, pamphlets and internet