Objectives: This study was undertaken to investigate the knowledge and attitudes toward pediatric traumatic dental injury (TDI) among the population of Taif, as well as predictors of emergency management and intentions for future education, with an additional focus on the subpopulation of parents. Methods: Data were collected from 345 participants using an anonymous questionnaire that was distributed online and contained four sections: demographics, questions regarding TDI knowledge and previous experiences, questions about the management of two clinical cases, and questions about the self‐reported capability to manage future TDIs and the motivation for future education/training. Adjusted linear and logistic regressions were utilized to assess the effect of the different predictors on the total knowledge score, self‐reported management capabilities, TDI learning importance, and future education/training interests. Results: The findings revealed poor overall knowledge regarding TDI management, especially in avulsion incidents, with slightly better knowledge in the subpopulation of parents. In the total population, working in a governmental job ( p ‐value = 0.047) or as a freelancer ( p ‐value = 0.006) was associated with higher knowledge, while obtaining any previous TDI information was associated with sufficient management capabilities ( p ‐value = 0.001). Regarding the parent subpopulation, attending a previous TDI educational course was associated with higher knowledge ( p ‐value = 0.043). Similar to the total population, obtaining any previous TDI information was associated with sufficient management capabilities ( p ‐value = 0.001). However, receiving such information from professional resources was associated with lower management capabilities ( p ‐value = 0.033). No significant associations were observed regarding the outcomes of TDI learning importance and future education/training interests. Conclusion: This study highlights significant gaps in the knowledge, awareness, and skills related to pediatric dental injuries and their management among the population of the Taif region. Targeted educational interventions are needed to increase public awareness and bridge the current gaps in knowledge and skills.

Background: Understanding predictors of pain associated with paediatric dental procedures could play an important role in preventing loss of cooperation, which often leads to the procedure having to be performed under general anaesthesia. Aim: We aimed to identify predictors of intra-operative and post-operative pain associated with routine dental procedures in children. Materials and Methods: A systematic review of observational studies was performed using electronic searches on MEDLINE, EMBASE, PsycINFO, Global Health via OVID, PubMed, Scopus, and SciELO. The NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies was used to evaluate the quality of the included studies, which were meta-analysed to estimate the impact of dental procedures and anxiety on children’s pain perception. A meta-regression analysis was also performed to determine the relative effect of predictors on children’s pain perception measured as mean differences on a visual analogue scale (VAS). Results: The search identified 532 articles; 53 were retrieved for full-text screening; 6 studies were included in the review; and 4 were eligible for the meta-analysis. The meta-analysis showed the types of procedures that predicted intra-operative pain, with dental extractions being the most painful (Mean VAS Difference [MD] 46.51 mm, 95% confidence interval [CI] 40.40 to 52.62 mm). The meta-regression showed that pain scores for dental extractions were significantly higher than polishing (the least painful procedure (reference category)) by VAS MD = 23.80 mm (95% CI 5.13–42.46 mm, p-value = 0.012). It also showed that highly anxious children reported significantly higher pain scores during dental procedures by a 12.31 mm MD VAS score (95% CI 5.23–19.40 mm, p-value = 0.001) compared to those with low anxiety levels. Conclusions: This systematic review demonstrates that the strongest predictors of intra-operative pain associated with paediatric dental procedures are dental extractions followed by drilling. Children with high anxiety also reported more pain for similar procedures. Tailoring interventions to reduce pain associated with paediatric dental procedures should be a priority for future research, as reducing pain can impact compliance and could reduce the need for general anaesthesia in dental treatment.

Background: In Saudi Arabia, dental trauma is regarded as one of the most important issues affecting schoolchildren. This study evaluated Saudi Arabian schoolteachers’ knowledge, attitude, and practice regarding emergency dental trauma management. Methods: A cross-sectional study was conducted on 263 schoolteachers from 25 schools; 50.9% were females. A questionnaire was used to collect respondents’ personal and professional data and information on managing dental injury scenarios and the respondents’ attitudes toward dental injuries. A multivariate logistic regression analysis was carried out for the independent and outcome variable of inadequate knowledge regarding dental trauma management. Results: Male teachers had better knowledge than female teachers regarding emergency management of avulsed teeth. Compared to female teachers, male teachers would scrub a tooth with a toothbrush to replant it back into its socket if it fell onto the ground and was covered with dirt. Males had a significantly higher percentage of believing it is not teachers’ responsibility to care for tooth injuries in schools. Teachers with teaching experience of 5–10 years had a significantly higher percentage of training in dental emergencies. Teachers with bachelor’s degrees agreed on the need for teacher involvement to save the tooth in a timely manner. Compared to general teachers, physical education teachers would put the tooth back in the mouth and send the child to the dentist immediately if they were hit in the face and the upper front tooth fell out of their mouth. Teachers with a diploma level of education and teachers with a general type of teaching qualification were 2.15 times (CI = 0.98–3.11, p = 0.002) and 3.19 times (CI = 1.71–4.22, p = 0.0001) more likely to have a higher level of inadequate knowledge regarding dental trauma management. Conclusions: There is a need to raise teachers’ awareness and improve their dental trauma emergency management training.

Objective: implementing appropriate pharmacological and non-pharmacological interventions to alleviate pain related to routine dental procedures in paediatric patients could enhance children’s ability to manage dental care. The aim of this review was to investigate the effectiveness of and provide recommendations for interventions that can be used to reduce intra-operative and post-operative pain associated with routine paediatric dental procedures. Methods: A systematic review of randomised controlled clinical trials (RCT) was conducted. Multiple electronic databases were systematically searched. The Cochrane risk-of-bias tool for RCTs was used to evaluate the quality of the included studies. A meta-analysis was performed to determine the effectiveness of the interventions using the Cohen’s d standardised mean differences (SMD) and 95% confidence intervals (CIs) for continuous outcomes. The GRADE tool was used to assess the certainty of evidence to make recommendations. Results: The review included forty-five RCTs comprising 3093 children. Thirty-seven RCTs were included in the meta-analysis, which showed the effectiveness of behavioural interventions (SMD = −0.50, 95% CI −0.83 to −0.18), mechanoreceptor and thermal receptor stimulation (SMD = −1.38, 95% CI −2.02 to −0.73) for intra-operative pain, and pre-emptive oral analgesics (SMD = −0.77, 95% CI −1.21 to −0.33) for reducing post-operative pain in children receiving routine dental care. Conclusion: The GRADE results for these interventions were strong recommendation (IB) for their use, based on moderate evidence and their benefits far outweighing the harm, and they can be delivered readily with minimal training to reduce the pain experience of paediatric patients.

Traumatic injuries most commonly affect the maxillary teeth, making them highly susceptible to fractures. This study aims to report a case of multiple dental traumatic injuries after a fall, affecting maxillary central incisors, with a focus on their impact on the patient’s quality of life and the management approach that utilized a multidisciplinary team of dental specialists. A 12-year-old patient who presented approximately one and a half years after the initial trauma. The patient exhibited a complicated crown-root fracture with extrusion of the maxillary right central incisor, which was deemed non-restorable and managed through extraction and the placement of an immediate removable partial denture to restore aesthetics and function. The maxillary left central incisor sustained an uncomplicated crown fracture that progressed to pulpal necrosis due to prolonged dentin exposure; it was treated with non-surgical root canal therapy followed by a composite restoration. This case highlights the clinical challenges associated with delayed presentation and underscores the importance of early intervention and a multidisciplinary approach in achieving optimal functional and aesthetic outcomes in the management of dental trauma.