Soccer Coaches' Knowledge of Dental Trauma Management and Attitudes Toward Mouthguard Use: A Cross-Sectional Study.

Abstract

Background: Traumatic dental injuries represent a substantial concern in dental public health, often leading to functional, aesthetic, and psychological complications. Timely and appropriate management is essential to ensure favorable outcomes. This study aimed to assess the knowledge and attitudes of youth soccer team coaches regarding the management and prevention of traumatic dental injuries, as well as their awareness and promotion of protective mouthguard use.

Materials and methods: A standardized three-part survey was distributed to youth soccer team coaches from all 14 professional football clubs in Kuwait. The survey instrument, adapted from validated tools in previous studies, gathered demographic data and assessed coaches' knowledge through hypothetical case scenarios and multiple-choice questions. Statistical analysis included descriptive methods and linear regression to assess factors influencing coaches' knowledge. Multicollinearity (VIF) and model fit (ANOVA) were evaluated.

Results: A total of 56 coaches completed the survey. Although 64% reported first aid training, only 9% had specific training in dental injury management. Case scenario analysis revealed significant knowledge gaps: only 29% correctly identified an injured tooth, and 9% recommended dental referral. In the avulsion scenario, 72% were unwilling to replant the tooth, and 90% were unaware of appropriate transport media. Although 59% acknowledged mouthguard importance, only 23% advised their use. Linear regression showed no significant predictors of knowledge score (mean = 1, SD = 0.88). The model explained only 9% of variance (R² = 0.09), with no significant predictors (p > 0.05) or model fit (F = 0.446, p = 0.84).

Conclusion: There is a substantial gap in the recognition and management of traumatic dental injuries among Kuwaiti youth soccer coaches. The study highlights the importance of targeted educational programs to improve coaches' ability to recognize dental injuries, emergency response, and advocacy for the use of protective mouthguards.