A Framework to Improve the Management of Traumatic Dental Injuries
Care Process & Redesign
Technology
Training ＆ Education
National Healthcare Innovation and Productivity Medals
National University Health System
10 October 2025
To improve the management of Traumatic Dental Injuries (TDIs) at the National University Centre for Oral Health Singapore. The R3 framework significantly improved the management of TDIs at NUCOHS, demonstrating the effectiveness of integrating education and.
Year Submitted: 2025
Published Date: 10 October 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Clinical Practice Improvement, Technology, Digitalisation, Digital Platforms, Training ＆ Education, Records Management
About this Content
Aims
To improve the management of Traumatic Dental Injuries (TDIs) at the National University Centre for Oral Health Singapore (NUCOHS) by implementing a multipronged approach integrating education and administrative support.
Background
An internal audit at NUCOHS found that the quality of TDI management and review was lacking due to barriers such as inadequate clinician knowledge, poor adherence to guidelines, and time limitations.
Methods
The project involved a multipronged approach with three interventions: a refresher lecture, standardized recording templates in the electronic dental records system, and improved access to resources (the R3 TDI framework).
Results
Post-implementation, the proportion of adequately managed TDI cases increased significantly, with baseline management scores improving from 62.5% to 100% and review management scores from 100% to 100%.
Conclusion
The R3 framework significantly improved the management of TDIs at NUCOHS, demonstrating the effectiveness of integrating education and administrative support.
Lessons Learnt
Changing clinician behavior is challenging. Education on the benefits of change and ensuring the new workflow is not onerous is crucial. Leveraging Epic’s SmartTools can improve carequality.
Keywords
Traumatic Dental Injuries, Management, Quality Improvement
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Centre for Oral Health Singapore (NUCOHS) |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Allied Health, Nursing |
Applicable Specialty or Discipline | Healthcare Administrators, Dental / Dentistry |
Project Lead(s) | Chua Kho Xian Sarah |
Project Member(s) | YONG Chee Weng |
Connect with this contributor!
Dr CHUA Kho Xian Sarah - Sarah_Chua@NUHS.edu.sg
Project Attachment
469_NUCOHS_NHIP_2025_A_Framework_to_Improve_the_Management_of_Traumatic_Dental_Injuries.pdf