Volume 7, Issue 4 (10-2022)                   J Res Dent Maxillofac Sci 2022, 7(4): 233-240 | Back to browse issues page

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Arivazhagan V, Lakshmi Rathan A, Chandran S, Narayanan V, Ramakrishnan K. Knowledge, Attitude and Practice of Dental Interns and Postgraduates towards Managing Medical Emergencies in Dental Chair. J Res Dent Maxillofac Sci 2022; 7 (4) :233-240
URL: http://jrdms.dentaliau.ac.ir/article-1-451-en.html
Knowledge, Attitude and Practice of Dental Interns and Postgraduates towards Managing Medical Emergencies in Dental Chair
V Arivazhagan 1, AC Lakshmi Rathan2 , S Chandran2 , V Narayanan2 , K Ramakrishnan2
1- Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM nagar, Kattankulathur, 603203 Kancheepuram, Chennai, Tamilnadu, India , drlrmaxfac@gmail.com
2- Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM nagar, Kattankulathur, 603203 Kancheepuram, Chennai, Tamilnadu, India
Abstract:   (1013 Views)

Background and Aim: Medical emergencies can happen habitually in dental setting. It is ultimately a dentist's responsibility to foresee the situation and manage it effectively. The aim was to assess the knowledge, attitude, and practice of dental interns and postgraduates regarding managing medical emergencies in dental chair.  
Materials and Methods: A cross-sectional study was conducted for a period of 6 months from June 2021 to November 2021 on postgraduates and dental interns studying in dental colleges in and around the Chennai city. A pre-validated questionnaire consisting of 20 close-ended questions was circulated through Google forms. It consisted of questions on experience of medical emergencies encountered by interns during their graduation, knowledge about the essential drugs and equipment, amount of medical emergency training undertaken by participants, and preparedness of interns in handling of medical emergencies. Extracted data were statistically analysed by the Chi square test.
Results: Of 217 participants, only 50.63% of interns and 49.37% of postgraduates had good knowledge about drugs used in medical emergencies; 71.65% of interns and 28.35% of postgraduates had come across medical emergencies and were confident enough in handling them during their practice. Also, 64.79% of interns and 35.21% of postgraduates were well informed about treating patients with airway obstruction, haemophilia, diabetes, epilepsy, spontaneous bleeding after extraction, acute asthmatic attack, and adrenal crisis.
Conclusion: The majority of postgraduates had a good knowledge about management of medical emergencies in dental chair while the interns lacked confidence in handling some of the medical emergencies.  
Keywords: Attitude of Health Personnel, Cardiopulmonary Resuscitation, Emergency Medical Services, Practice Management, Dental
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Type of Study: Original article | Subject: Oral & maxillofacial surgery
References
1. Leelavathi L, Reddy V C, Elizabeth CP, Priyadarshni I. Experience, awareness, and perceptions about medical emergencies among dental interns of Chennai city, India. J Indian Assoc Public Health Dent 2016;14(4):440-4. [DOI:10.4103/2319-5932.195831]
2. Ahamed A, Kumar MS. Knowledge, attitude and perceived confidence in handling medical emergencies among dentalstudents. J. Pharm. Sci. & Res. 2016 Jul 1;8(7):645-9.
3. Jodalli PS, Ankola AV. Evaluation of knowledge, experience and perceptions about medical emergencies amongst dental graduates (Interns) of Belgaum City, India. J Clin Exp Dent. 2012 Feb 1;4(1):e14-8. [DOI:10.4317/jced.50627] [PMID] [PMCID]
4. Haas DA. Management of medical emergencies in the dental office: conditions in each country, the extent of treatment by the dentist. Anesth Prog. 2006 Spring; 53(1): 20-4. [DOI:10.2344/0003-3006(2006)53[20:MOMEIT]2.0.CO;2]
5. Carvalho RM, Costa LR, Marcelo VC. Brazilian dental students' perceptions about medical emergencies: a qualitative exploratory study. J Dent Educ. 2008 Nov;72 (11):1343-9. [DOI:10.1002/j.0022-0337.2008.72.11.tb04617.x] [PMID]
6. Gordon SG, Halpern IL. Medical aspects of dental patient history. Oral Surgery, Oral Medicine, Oral Pathology. 1962 Oct 1;15(10):1270-6. [DOI:10.1016/0030-4220(62)90164-0]
7. Kwak EJ, Pang NS, Cho JH, Jung BY, Kim KD, Park W. Computer-controlled local anesthetic delivery for painless anesthesia: a literature review. J Dent Anesth Pain Med. 2016 Jun;16(2):81-8. [DOI:10.17245/jdapm.2016.16.2.81] [PMID] [PMCID]
8. Müller MP, Hänsel M, Stehr SN, Weber S, Koch T. A state-wide survey of medical emergency management in dental practices: incidence of emergencies and training experience. Emerg Med J. 2008 May;25(5):296-300. [DOI:10.1136/emj.2007.052936] [PMID]
9. Scully C. Medical Problems in Dentistry.6th ed. Edinburgh: Churchill livingstone;2010. 768 p.
10. Shenoy N, Ahmed J, Ongole R, Boaz K, Srikant N. Are dental surgeons prepared for medical emergencies. Interna-tional Journal of Biomedical Research. 2013;4(9):461-4. [DOI:10.7439/ijbr.v4i9.322]
11. Morrison AD, Goodday RH. Preparing for medical emergencies in the dental office. J Can Dent Assoc. 1999 May; 65(5):284-6.
12. Atherton GJ, McCaul JA, Williams SA. Medical emergencies in general dental practice in Great Britain. Part 1: Their prevalence over a 10-year period. Br Dent J. 1999 Jan 23;186(2):72-9. [DOI:10.1038/sj.bdj.4800023] [PMID]
13. Arsati F, Montalli VA, Flório FM, Ramacciato JC, da Cunha FL, Cecanho R, de Andrade ED, Motta RH. Brazilian dentists' attitudes about medical emergencies during dental treatment. J Dent Educ. 2010 Jun;74(6):661-6. [DOI:10.1002/j.0022-0337.2010.74.6.tb04912.x] [PMID]
14. Greenwood M. Medical emergencies in dental practice: 1. The drug box, equipment and general approach. Dent Update. 2009 May;36(4):202-4, 207-8, 211. [DOI:10.12968/denu.2009.36.4.202] [PMID]
15. Gupta T, Aradhya MR, Nagaraj A. Preparedness for management of medical emergencies among dentists in Udupi and Mangalore, India. J Contemp Dent Pract. 2008 Jul 1;9(5):92-9. [DOI:10.5005/jcdp-9-5-92] [PMID]
16. Atherton GJ, McCaul JA, Williams SA. Medical emergencies in general dental practice in Great Britain. Part 3: Perceptions of training and competence of GDPs in their management. Br Dent J. 1999 Mar 13;186(5):234-7. [DOI:10.1038/sj.bdj.4800073] [PMID]
17. Mutzbauer TS, Rossi R, Ahnefeld FW, Sitzmann F. Emergency medical training for dental students. Anesth Prog. 1996 Spring;43(2):37-40.
18. Amirchaghmaghi M, Sarabadani J, Delavarian Z, Mosannen Mozafary P, Shahri A, Dalirsani Z. The Knowledge and Preparedness of General Dentists about Medical Emergencies in Iran. Iran Red Crescent Med J. 2011 Mar; 13 (3):217-8. [DOI:10.5812/kowsar.20741804.2242] [PMID] [PMCID]
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