Annals of Emergency Medicine
Volume 54, Issue 4 , Pages 585-592 , October 2009

Stabilization and Treatment of Dental Avulsions and Fractures by Emergency Physicians Using Just-in-Time Training

  • Mark S. McIntosh, MD, MPH

      Affiliations

    • Department of Emergency Medicine, University of Florida Health Science Center Jacksonville, Jacksonville, FL
    • Corresponding Author InformationAddress for correspondence: Mark S. McIntosh, MD, MPH, Department of Emergency Medicine, University of Florida Health Science Center Jacksonville, 655 West 8th Street Box C506, Jacksonville, FL 32209; 904-244-4934, fax 904-244-4077
    • ,
  • Jason Konzelmann, MD

      Affiliations

    • Department of Emergency Medicine, University of Florida Health Science Center Jacksonville, Jacksonville, FL
    • ,
  • Jeffrey Smith, DMD

      Affiliations

    • Dental Programs, Florida Community College at Jacksonville, Jacksonville, FL
    • ,
  • Colleen J. Kalynych, MSH, EdDc

      Affiliations

    • Department of Emergency Medicine, University of Florida Health Science Center Jacksonville, Jacksonville, FL
    • ,
  • Robert L. Wears, MD, MS

      Affiliations

    • Department of Emergency Medicine, University of Florida Health Science Center Jacksonville, Jacksonville, FL
    • ,
  • Howard Schneider, DDS

      Affiliations

    • private practice, Jacksonville, FL
    • ,
  • Todd Wylie, MD, MPH

      Affiliations

    • Department of Emergency Medicine, University of Florida Health Science Center Jacksonville, Jacksonville, FL
    • ,
  • Anne Kaminski, MD

      Affiliations

    • Department of Emergency Medicine, University of Florida Health Science Center Jacksonville, Jacksonville, FL
    • ,
  • Madeline Matar-Joseph, MD

      Affiliations

    • Department of Emergency Medicine, University of Florida Health Science Center Jacksonville, Jacksonville, FL

Received 25 September 2008 ,Revised 3 June 2009 ,Accepted 24 June 2009.

References 

  1. Kaste LM, Gift HC, Bhat M, et al. Prevalence of incisor trauma in persons 6 to 50 years of age: United States, 1988-1991. J Dent Res. 1996;75(Spec No):696–705
  2. McTigue DJ. Diagnosis and management of dental injuries in children. Pediatr Clin North Am. 2000;47:1067–1084
  3. Andreasen J, Andreasen F. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 3rd ed.. Copenhagen, Denmark: Munksgaard; 1994;
  4. Lombardi SM, Sheller B, Williams BJ. Diagnosis and treatment of dental trauma in a children's hospital. Pediatr Dent. 1998;20:112–120
  5. US Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General to Executive Summary. Rockville, MD: US Dept of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health; 2000;
  6. Centers for Disease Control and Prevention. Dental service use and dental insurance coverage: United States, Behavioral Risk Factor Surveillance System, 1995. MMWR Morb Mortal Wkly Rep. 1997;45:1199–1203
  7. Rowley ST, Sheller B, Williams BJ, et al. Utilization of a hospital for treatment of pediatric dental emergencies. Pediatr Dent. 2006;28:10–17
  8. Zeng Y, Sheller B, Milgrom P. Epidemiology of dental emergency visits to an urban children's hospital. Pediatr Dent. 1994;16:419–423
  9. Lewis C, Lynch H, Johnston B. Dental complaints in emergency departments: a national perspective. Ann Emerg Med. 2003;42:93–99
  10. Rudkin SE, Oman J, Langdorf M, et al. The state of ED on-call coverage in California. Am J Emerg Med. 2004;22:575–581
  11. Zadik Y. Oral trauma and dental emergency management recommendations of first-aid textbooks and manuals. Dent Traumatol. 2007;23:304–306
  12. Benko K. Acute dental emergencies in emergency medicine. Emerg Med Pract. 2003;5:1–24
  13. Cohen LA, Manski RJ, Magder LS, et al. Dental visits to hospital emergency departments by adults receiving Medicaid: assessing their use. J Am Dent Assoc. 2002;133:715–724
  14. Ozçelik B, Kuraner T, Kendir B, et al. Histopathological evaluation of the dental pulps in crown-fractured teeth. J Endod. 2000;26:271–273
  15. Flores MT, Andersson L, Andreasen JO, et al. Guidelines for the management of traumatic dental injuries (I. Fractures and luxations of permanent teeth). Dent Traumatol. 2007;23:66–71
  16. Flores MT, Malmgren B, Andersson L, et al. Guidelines for the management of traumatic dental injuries (III. Primary teeth). Dent Traumatol. 2007;23:196–202
  17. Flores MT, Andersson L, Andreasen JO, et al. Guidelines for the management of traumatic dental injuries (II. Avulsion of permanent teeth). Dent Traumatol. 2007;23:130–136
  18. Amsterdam JT. General dental emergencies. In:  Tintinalli JE editors. Emergency Medicine: A Comprehensive Study Guide. 2nd ed.. New York, NY: McGraw-Hill; 1988;p. 612–617
  19. Oyler R. Dental injuries. In:  Harwood-Nuss AL editors. The Clinical Practice of Emergency Medicine. 2nd ed.. Philadelphia, PA: Lippincott-Raven; 1996;p. 418–421
  20. Amsterdam JT. Oral medicine. In:  Marx J editors. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed.. Philadelphia, PA: Mosby Elsevier; 2006;p. 1026–1043
  21. Beaudreau RW. Oral and dental emergencies. In:  Tintinalli JE editors. Emergency Medicine: A Comprehensive Study Guide. 6th ed.. New York, NY: McGraw-Hill; 2004;p. 1482–1494
  22. Benko K. Emergency dental procedures. In:  Roberts JR editors. Clinical Procedures in Emergency Medicine. 4th ed.. Philadelphia, PA: Saunders; 2004;p. 1317–1342
  23. Benko K. Dental emergencies. In:  Adams JG editors. Emergency Medicine. Philadelphia, PA: Saunders; 2008;p. 247–263
  24. Andreasen JO, Andreasen FM, Bakland LK, et al. Traumatic Dental Injuries: A Manual. 2nd ed.. Oxford, England: Blackwell Munksgaard, Ltd; 2007;
  25. Jones M. Just-in-Time training. Adv Dev Hum Res. 2001;3:480–487
  26. Peters MH, Austin MJ. The impact of Just-in-Time: a critical analysis. Industrial Manage Data Syst. 1995;95:12–17
  27. Cho W, Schmeizer CD. Just-in-Time education: tools for hospitality managers of the future?. Int J Contemporary Hospitality Manage. 2000;12:31–36
  28. Bauer LB. Issues and options for the structure and efficiency of preclinical and clinical education. In:  Brown LJ,  Meskin LH editor. The Economics of Dental Education. Chicago, IL: American Dental Association, Health Policy Resources Center; 2004;p. 143–146
  29. Buchanan JA. Use of simulation technology is dental education. J Dent Educ. 2001;65:1225–1231
  30. Senn S. Cross-over Trials in Clinical Research. 2nd ed.. London, England: John Wiley & Sons; 2002;

 Provide feedback on this article at the journal's Web site, www.annemergmed.com.

 Supervising editors: Robert D. Welch, MD, MS; Judd E. Hollander, MD

 Author contributions: MSM and CJK were responsible for protocol development and general supervision of the study. MSM, JK, CJK, TW, AK, and MM-J were responsible for simulation models and data collection. JS and HS performed ratings of effectiveness. RLW conducted statistical analysis. MSM, JK, RLW, JS, HS, CJK, TW, AK, and MM-J were responsible for article writing and editing. MSM takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. We claim no conflict of interest with any of the industries that manufacture the materials that we used. All materials were selected and purchased independently by funds allocated by our University of Florida and Shands/Jacksonville emergency department. Researchers had no previous opinion about which procedure would perform best.

 Publication date: Available online August 24, 2009.

 Reprints not available from the authors.

PII: S0196-0644(09)01141-X

doi: 10.1016/j.annemergmed.2009.06.510

Annals of Emergency Medicine
Volume 54, Issue 4 , Pages 585-592 , October 2009

Article Tools

* Image Usage & Resolution