Grand Rounds: Dental Trauma 101

Objectives (Educational Content) :

1. Identify factors which would predispose a patient to dental/facial trauma

2. Describe initial management of a fractured tooth by a primary care physician/APP.

3. Describe initial management of an avulsed tooth by a primary care physician/APP.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Primary care physicians and advanced practice providers often lack the knowledge and skills needed to recognize risk factors for dental/facial trauma and to deliver timely, guideline-based initial management of fractured and avulsed teeth, resulting in inconsistent triage, improper handling of avulsed teeth, and delays in definitive care. This falls short of current IADT 2020 recommendations, which emphasize rapid assessment, appropriate storage media or immediate replantation, correct splinting, and early referral, as well as pediatric primary care guidance underscoring the urgency and time-sensitivity of dental trauma management. Education is therefore needed to close gaps in knowledge, competence, and performance, enabling clinicians to provide evidence-based acute dental trauma care that improves tooth survival and patient outcomes.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:

01-15-2027

Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.

Disclosure:

The speaker(s) has returned the disclosure form, indicating that there are no financial relationships with ineligible companies: Brian Martin, DMD The following CME Committee/Planning Committee member(s) has the following financial relationships with ineligible companies to disclose: Merck - Maria Cristina Victorio, MD All financial relationships have been mitigated. The remaining planning committee/CME committee members have indicated that they have no financial relationships with any ineligible companies.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Bibliography:

1. https://www.aapd.org/globalassets/assets/1/7/e_fractures.pdf

2. https://www.aapd.org/research/oral-health-policies--recommendations/guidelines-for-the-management-of-traumatic-dental-injuries-in-the-primary-dentition/

3. https://iadt-dentaltrauma.org/guidelines-and-resources/guidelines/