Knowledge and Practice on Dental Avulsion Management Among General Dentists in Isfahan: A Cross-Sectional Study
Journal of Dental School,
Vol. 44 No. 1 (2026),
29 December 2025,
Page e1
https://doi.org/10.22037/jds.v44i1.47563
Objective(s): Dental avulsion is a serious dental trauma that requires timely and appropriate management to ensure favorable outcomes. The aim of the present study was to assess the knowledge and clinical practice of general dentists regarding dental avulsion management. Methods: A cross-sectional study was conducted in 2024 among 129 general dentists in Isfahan, Iran. A structured, researcher-designed questionnaire assessed knowledge (16 items), and practice (10 items) related to dental avulsion management, focusing on critical extra-alveolar time, optimal storage media, antibiotic prophylaxis, endodontic treatment timing, and availability of educational materials, based on international guidelines. Data were analyzed using Student’s t-test and Kruskal-Wallis test to evaluate the associations between knowledge and practice scores and demographic variables (gender and years of experience). Results: The mean knowledge and practice scores were 4.97 ± 1.26 and 5.39 ±1.61, respectively, indicating moderate levels. Regarding knowledge, most dentists correctly identified the critical extra-alveolar time, while less than half recognized the optimal storage medium and appropriate timing for revascularization in open apex teeth. Approximately one-fourth acknowledged the need for antibiotic prophylaxis, and mostly underestimated the adverse effects of storing avulsed teeth in tap water. In terms of practice, about 15% had educational materials on dental avulsion in their clinics, and over 90% expressed a need for further training. No significant associations were found between knowledge scores and gender (p= 0.42), or years of experience (p= 0.43). Similarly, practice scores were not significantly associated with gender (p=0.23), or years of experience (p=0.66). Conclusion: General dentists in Isfahan demonstrated moderate knowledge and clinical practice regarding dental avulsion management, with notable gaps in key areas such as storage media, antibiotic prophylaxis, and revascularization potential. These findings highlight the need for structured continuing education programs and the dissemination of clinical guidelines to improve the management of dental avulsions.