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A Retrospective Case Series of Decoronation and Root Submergence With Long-Term Follow-Up: Trend Analysis of Provisional Restoration Survival and Marginal Bone Development 长期随访的回顾性病例系列:临时修复存活和边缘骨发育趋势分析。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-07 DOI: 10.1111/edt.13037
Réka Kaán, Nastaran Meschi, Gertrude Van Gorp, Jan Wyatt, Rayann Sellami, Pierre Lahoud, Wim Coucke

Background

Dentoalveolar ankylosis posttrauma or external cervical resorption (ECR) post orthodontics might affect permanent teeth in growing individuals. Decoronation and root submergence attempt to minimize the impact of these sequelae. This is one of the few reports in which the survival of provisional restorations and preservation of the marginal bone post long-term follow-up of this treatment modality were evaluated for several cases.

Materials and Methods

Nine upper permanent incisors with ankylosis or ECR, treated using decoronation and root submergence were examined. The qualitative changes in the vertical dimension of the alveolar ridge were measured on periapical radiographs by means of a three-point scoring system, and the time to moderate and considerable bone increase was assessed using Kaplan–Meier curves. The quantitative changes in vertical bone dimension were measured on the periapical radiographs and the inter-rater reliability was assessed. The survival of the temporary restoration post decoronation and the presence of root remnants were evaluated. The mean age of the patients was 11 years at the time of trauma and 15.3 years when decoronated. The follow-up period post decoronation was 1.5–8.5 years (mean 3.5 years). Post decoronation, quantitatively, 5 cases presented a slight bone increase (0.01–2 mm) and 4 unchanged or slightly decreased bone levels (0.2–1.3 mm). Qualitatively, 60% (95% CI; 15%–90%) of the female patients showed moderate bone increase and 40% (95% CI; 10%–70%) considerable, respectively, 1.7–8.3 and 2.5–8.3 years post decoronation. Age was inversely proportional with bone increase, independent of gender. At 1.5 years follow-up, root remnants were present in all cases. The tooth shaped as a pontic failed the most as a temporary restoration.

Conclusion

Despite limitations, the following can be concluded: decoronation and root submergence of permanent incisors in growing individuals seem promising in terms of long-term vertical alveolar ridge preservation. The restorative temporary replacement of decoronized teeth is challenging.

背景:创伤后牙槽强直或颈外吸收(ECR)后正畸治疗可能影响生长个体的恒牙。装饰和根部浸没试图减少这些后遗症的影响。这是为数不多的报道之一,其中临时修复体的存活和边缘骨的保存后,这种治疗方式的长期随访评估了几个病例。材料和方法:对9例上颌恒切牙强直或ECR,采用装饰和根埋治疗。通过三点评分系统在根尖周围x线片上测量牙槽嵴垂直尺寸的质变,并使用Kaplan-Meier曲线评估中度和相当程度骨增加的时间。在根尖周x线片上测量垂直骨尺寸的定量变化,并评估其可靠性。评估临时修复后装饰的存活率和根残留的存在。患者创伤时的平均年龄为11岁,装饰时的平均年龄为15.3岁。术后随访1.5 ~ 8.5年,平均3.5年。在数量上,装饰后5例骨轻度增高(0.01 ~ 2mm), 4例骨水平不变或轻度降低(0.2 ~ 1.3 mm)。定性:60% (95% CI;15%-90%)的女性患者表现为中度骨增高,40% (95% CI;10%-70%)可观,分别为1.7-8.3年和2.5-8.3年后装修。年龄与骨质增加成反比,与性别无关。随访1年半,所有病例均有根残留。作为临时修复,桥状牙齿最失败。结论:尽管有一定的局限性,但可以得出以下结论:在生长个体中,恒切牙的装饰和根埋没在长期的垂直牙槽嵴保存方面是有希望的。去龋牙的临时修复置换具有一定的挑战性。
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引用次数: 0
Current Concepts in Dental Trauma Management, Documentation, Follow-Up and Education: Proceedings From the World Congress on Dental Traumatology (WCDT) 牙外伤管理、文献、随访和教育的最新概念:世界牙外伤大会论文集(WCDT)
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-04 DOI: 10.1111/edt.13035
Liran Levin

It is a great pleasure to present this special issue of Dental Traumatology, dedicated to current concepts in dental trauma management, documentation, follow-up and education. This issue is a result of the work of leading figures in the world of dental trauma and based on the presentations given at the World Congress on Dental Traumatology (WCDT) that was held in Tokyo, Japan, in July 2024. The issue provides a diverse overview of practical issues that would benefit all of us, who are working with dental trauma patients. The papers cover a wide range of topics starting with the proper documentation of traumatic dental injuries [1]. Documentation and record keeping are of utmost importance in the long-term handling of trauma cases [2, 3]. Well-informed documentation will help with progress and healing evaluation and can be valuable tool for communication with patients and colleagues. Globally, on a larger scale, this will enable better data collection and promotion of public policies and services [4, 5].

This issue further presents a thorough and multi-angle views on the management of injuries in primary and young permanent teeth [6-8]. These cases are often very challenging and require comprehensive understanding and multi-disciplinary approaches as well as a long-term plan for follow-up and identification of possible complications [9-12]. Some of the possible complications and the ways to mitigate and handle them are also an important portion of this special issue [13-15].

Additionally, in this issue, there are important reports on the interesting phenomenon of transient apical breakdown (TAB) that was not vastly investigated and explored yet [16] as well as the examination of new digital technology applications for auto-transplantation of teeth [17]. Various approaches had been suggested recently to improve the long-term outcomes of tooth transplantation, and the utilization of novel techniques and technologies have the potential to increase the predictability and success rates of this important treatment modality [18-23].

Finally, you will be able to find an up-to-date view on dental trauma education for the new generation of students and learners, a fascinating topic that will require attention in the next years in order to provide proper knowledge in effective ways to our next generation of oral health professionals [24]. Many papers had been published recently on the use of AI tools and online information to enhance dental trauma education and knowledge; however, these tools need to be used with caution to avoid misinformation and mal-informed decisions [25-31]. Education of the next generation both of dental professionals and the public is an extremely important responsibility and efforts should be continuously made to improve and enhance these educational practices [

这是一个非常高兴地提出这个特别问题的牙科创伤,致力于目前的概念在牙科创伤管理,文件,后续和教育。这期杂志是牙科创伤领域的领军人物的工作成果,并以2024年7月在日本东京举行的世界牙科创伤学大会(WCDT)上的演讲为基础。这个问题提供了一个不同的实际问题的概述,这将有利于我们所有人,谁是与牙科创伤患者工作。这些论文涵盖了广泛的主题,从创伤性牙齿损伤的适当文件开始。文件和记录保存在创伤病例的长期处理中是至关重要的[2,3]。见多识广的文件将有助于进展和治疗评估,并可作为与患者和同事沟通的宝贵工具。在全球范围内,在更大的范围内,这将有助于更好地收集数据并促进公共政策和服务[4,5]。本刊对乳牙和恒幼牙损伤的处理提出了全面、多角度的观点[6-8]。这些病例往往非常具有挑战性,需要全面的理解和多学科的方法,以及长期的随访计划和识别可能的并发症[9-12]。一些可能的并发症及其缓解和处理方法也是本期特刊的重要内容[13-15]。此外,在这期杂志中,有一些关于暂时根尖破裂(TAB)的有趣现象的重要报道,这些现象尚未得到广泛的研究和探索,以及新的数字技术在牙齿自体移植中的应用。最近提出了各种方法来改善牙齿移植的长期结果,新技术和技术的使用有可能提高这一重要治疗方式的可预测性和成功率[18-23]。最后,您将能够为新一代的学生和学习者找到关于牙外伤教育的最新观点,这是一个引人入胜的话题,需要在未来几年关注,以便以有效的方式为我们下一代的口腔健康专业人员提供正确的知识。最近发表了许多关于使用人工智能工具和在线信息加强牙外伤教育和知识的论文;然而,这些工具需要谨慎使用,以避免错误信息和错误信息的决定[25-31]。对下一代牙科专业人员和公众的教育是一项极其重要的责任,应不断努力改进和加强这些教育实践[32-38]。《口腔创伤学》编辑团队以及国际口腔创伤学协会感谢所有作者为本期特刊和我们的领域所付出的时间、努力和巨大贡献。作者对这篇文章负全部责任。作者声明无利益冲突。
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引用次数: 0
Evaluation of Chatbots in the Emergency Management of Avulsion Injuries 聊天机器人在撕脱伤应急处理中的应用评价。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-24 DOI: 10.1111/edt.13041
Şeyma Mustuloğlu, Büşra Pınar Deniz

Background

This study assessed the accuracy and consistency of responses provided by six Artificial Intelligence (AI) applications, ChatGPT version 3.5 (OpenAI), ChatGPT version 4 (OpenAI), ChatGPT version 4.0 (OpenAI), Perplexity (Perplexity.AI), Gemini (Google), and Copilot (Bing), to questions related to emergency management of avulsed teeth.

Materials and Methods

Two pediatric dentists developed 18 true or false questions regarding dental avulsion and asked public chatbots for 3 days. The responses were recorded and compared with the correct answers. The SPSS program was used to calculate the obtained accuracies and their consistency.

Results

ChatGPT 4.0 achieved the highest accuracy rate of 95.6% over the entire time frame, while Perplexity (Perplexity.AI) had the lowest accuracy rate of 67.2%. ChatGPT version 4.0 (OpenAI) was the only AI that achieved perfect agreement with real answers, except at noon on day 1. ChatGPT version 3.5 (OpenAI) was the AI that showed the weakest agreement (6 times).

Conclusions

With the exception of ChatGPT's paid version, 4.0, AI chatbots do not seem ready for use as the main resource in managing avulsed teeth during emergencies. It might prove beneficial to incorporate the International Association of Dental Traumatology (IADT) guidelines in chatbot databases, enhancing their accuracy and consistency.

背景:本研究评估了六款人工智能(AI)应用程序(ChatGPT 3.5版(OpenAI)、ChatGPT 4版(OpenAI)、ChatGPT 4.0版(OpenAI)、Perplexity(Perplexity.AI)、Gemini(谷歌)和Copilot(必应))对牙齿脱落紧急处理相关问题所做回答的准确性和一致性:两名儿科牙医开发了 18 个有关牙齿脱落的真假问题,并向公共聊天机器人提问 3 天。对回答进行记录,并与正确答案进行比较。使用 SPSS 程序计算所获得的准确率及其一致性:ChatGPT 4.0 在整个时间段内的准确率最高,达到 95.6%,而 Perplexity (Perplexity.AI) 的准确率最低,仅为 67.2%。ChatGPT 4.0 版(OpenAI)是唯一一个与真实答案完全一致的人工智能,第 1 天中午除外。ChatGPT 3.5 版(OpenAI)是显示出最弱一致性的人工智能(6 次):除了 ChatGPT 的付费版本 4.0,人工智能聊天机器人似乎还不能作为紧急情况下处理牙齿脱落的主要资源。将国际牙科创伤学会(IADT)指南纳入聊天机器人数据库,提高其准确性和一致性,可能会有所裨益。
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引用次数: 0
Trauma-Induced Stress Distribution in Primary Incisors Restored With Preformed Zirconia Crowns: 3D Finite Element Analysis 预成型氧化锆冠修复上切牙创伤应力分布的三维有限元分析。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-23 DOI: 10.1111/edt.13040
Ajay Goyal, Manjari Reshikesh, Mohammad Atif, Nitesh Tewari, Isha Duggal, Anoop Chawla, Kalpana Bansal, Morankar Rahul, Vijay Mathur, Ritu Duggal

Background/Aims

Preformed zirconia crowns have emerged as the preferred choice for restoring damaged primary incisors. However, they differ from natural teeth in their biophysical properties and can potentially alter the overall response of crowned teeth to a traumatic load. This in silico study aimed to compare the response of three different traumatic loading conditions for the (i) natural (M1) and (ii) zirconia-restored tooth models (M2) models.

Methodology

A 3D dynamic finite element (FE) analysis was performed, and minimum dynamic loads required for fracture and coronal portion disjunction of both tooth models were applied in frontal, oblique, and incisal directions. Stress concentrations, von Mises stresses, fracture patterns, and displacements were compared at different periods of the loading pulse.

Results

The computed minimum threshold loads resulting in fracture of the natural tooth model were 82 N, 166 N, and 171 N for the frontal, oblique, and incisal impacts, respectively. Fracture of the coronal portion started at 1.8 and 1.68 ms in natural tooth and zirconia-restored tooth models, respectively. Complete disjunction of coronal and radicular portions occurred earlier in the zirconia-restored tooth model (2.46 ms) than in the natural tooth model (4.5 ms) for frontal impact. The maximum von Mises stresses causing fracture ranged from 254 to 314 MPa for both models, following assigned element erosion criteria. The zirconia-restored tooth model did not experience fracture during an oblique impact.

Conclusion

The stress concentration patterns were seen to be altered in the zirconia-restored tooth model. On incisal impact, the permanent tooth germ in the natural tooth model displayed stress concentrations that were not seen in the zirconia-restored tooth model.

背景/目的:预制氧化锆冠已成为修复初级门牙损伤的首选。然而,它们与天然牙齿的生物物理特性不同,可能会改变冠状牙齿对创伤负荷的整体反应。本研究旨在比较(i)天然(M1)和(ii)氧化锆修复牙齿模型(M2)模型在三种不同创伤载荷条件下的反应。方法:进行三维动态有限元(FE)分析,并在正面,倾斜和切牙方向应用两种牙齿模型的骨折和冠状部分分离所需的最小动态载荷。比较了加载脉冲不同时期的应力集中、von Mises应力、断裂模式和位移。结果:计算得到的自然牙模型正面、斜牙和切牙的最小阈值载荷分别为82 N、166 N和171 N。天然牙和氧化锆修复牙模型冠状部分的断裂时间分别为1.8 ms和1.68 ms。正面碰撞时,氧化锆修复牙模型冠状和根状部分完全分离的时间(2.46 ms)比天然牙模型早(4.5 ms)。两种模型的最大von Mises应力导致断裂的范围为254 ~ 314 MPa,遵循指定的单元侵蚀标准。氧化锆修复的牙齿模型在斜撞击中没有发生骨折。结论:氧化锆修复牙模型的应力集中模式发生了改变。对于内切冲击,天然牙模型中的恒牙胚显示出在氧化锆修复牙模型中未见的应力集中。
{"title":"Trauma-Induced Stress Distribution in Primary Incisors Restored With Preformed Zirconia Crowns: 3D Finite Element Analysis","authors":"Ajay Goyal,&nbsp;Manjari Reshikesh,&nbsp;Mohammad Atif,&nbsp;Nitesh Tewari,&nbsp;Isha Duggal,&nbsp;Anoop Chawla,&nbsp;Kalpana Bansal,&nbsp;Morankar Rahul,&nbsp;Vijay Mathur,&nbsp;Ritu Duggal","doi":"10.1111/edt.13040","DOIUrl":"10.1111/edt.13040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aims</h3>\u0000 \u0000 <p>Preformed zirconia crowns have emerged as the preferred choice for restoring damaged primary incisors. However, they differ from natural teeth in their biophysical properties and can potentially alter the overall response of crowned teeth to a traumatic load. This in silico study aimed to compare the response of three different traumatic loading conditions for the (i) natural (M1) and (ii) zirconia-restored tooth models (M2) models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A 3D dynamic finite element (FE) analysis was performed, and minimum dynamic loads required for fracture and coronal portion disjunction of both tooth models were applied in frontal, oblique, and incisal directions. Stress concentrations, von Mises stresses, fracture patterns, and displacements were compared at different periods of the loading pulse.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The computed minimum threshold loads resulting in fracture of the natural tooth model were 82 N, 166 N, and 171 N for the frontal, oblique, and incisal impacts, respectively. Fracture of the coronal portion started at 1.8 and 1.68 ms in natural tooth and zirconia-restored tooth models, respectively. Complete disjunction of coronal and radicular portions occurred earlier in the zirconia-restored tooth model (2.46 ms) than in the natural tooth model (4.5 ms) for frontal impact. The maximum von Mises stresses causing fracture ranged from 254 to 314 MPa for both models, following assigned element erosion criteria. The zirconia-restored tooth model did not experience fracture during an oblique impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The stress concentration patterns were seen to be altered in the zirconia-restored tooth model. On incisal impact, the permanent tooth germ in the natural tooth model displayed stress concentrations that were not seen in the zirconia-restored tooth model.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 4","pages":"445-456"},"PeriodicalIF":2.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Information Provided by ChatGPT Versions on Traumatic Dental Injuries for Dental Students and Professionals 评估ChatGPT版本为牙科学生和专业人员提供的创伤性牙科损伤信息。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-23 DOI: 10.1111/edt.13042
Zeynep Öztürk, Cenkhan Bal, Beyza Nur Çelikkaya

Background/Aim

The use of AI-driven chatbots for accessing medical information is increasingly popular among educators and students. This study aims to assess two different ChatGPT models—ChatGPT 3.5 and ChatGPT 4.0—regarding their responses to queries about traumatic dental injuries, specifically for dental students and professionals.

Material and Methods

A total of 40 questions were prepared, divided equally between those concerning definitions and diagnosis and those on treatment and follow-up. The responses from both ChatGPT versions were evaluated on several criteria: quality, reliability, similarity, and readability. These evaluations were conducted using the Global Quality Scale (GQS), the Reliability Scoring System (adapted DISCERN), the Flesch Reading Ease Score (FRES), the Flesch–Kincaid Reading Grade Level (FKRGL), and the Similarity Index. Normality was checked with the Shapiro–Wilk test, and variance homogeneity was assessed using the Levene test.

Results

The analysis revealed that ChatGPT 3.5 provided more original responses compared to ChatGPT 4.0. According to FRES scores, both versions were challenging to read, with ChatGPT 3.5 having a higher FRES score (39.732 ± 9.713) than ChatGPT 4.0 (34.813 ± 9.356), indicating relatively better readability. There were no significant differences between the ChatGPT versions regarding GQS, DISCERN, and FKRGL scores. However, in the definition and diagnosis section, ChatGPT 4.0 had a statistically higher quality score than ChatGPT 3.5. In contrast, ChatGPT 3.5 provided more original answers in the treatment and follow-up section. For ChatGPT 4.0, the readability and similarity rates for the definition and diagnosis section were higher than those for the treatment and follow-up section. No significant differences were observed between ChatGPT 3.5's DISCERN, FRES, FKRGL, and similarity index measurements by topic.

Conclusions

Both ChatGPT versions offer high-quality and original information, though they present challenges in readability and reliability. They are valuable resources for dental students and professionals but should be used in conjunction with additional sources of information for a comprehensive understanding.

背景/目的:使用人工智能驱动的聊天机器人来获取医疗信息在教育工作者和学生中越来越受欢迎。本研究旨在评估两种不同的ChatGPT模型——ChatGPT 3.5和ChatGPT 4.0——关于他们对创伤性牙齿损伤的回答,特别是针对牙科学生和专业人士。材料和方法:共准备了40个问题,平均分为关于定义和诊断的问题和关于治疗和随访的问题。两个ChatGPT版本的回复都根据几个标准进行了评估:质量、可靠性、相似性和可读性。这些评估采用全球质量量表(GQS)、可靠性评分系统(改版为DISCERN)、Flesch阅读易用性评分(FRES)、Flesch- kincaid阅读等级水平(FKRGL)和相似度指数进行。采用Shapiro-Wilk检验检验正态性,采用Levene检验评估方差齐性。结果:与ChatGPT 4.0相比,ChatGPT 3.5提供了更多的原创答案。从FRES评分来看,两个版本都具有阅读难度,ChatGPT 3.5版本的FRES评分(39.732±9.713)高于ChatGPT 4.0版本(34.813±9.356),可读性相对较好。ChatGPT版本在GQS、DISCERN和FKRGL得分方面没有显著差异。然而,在定义和诊断部分,ChatGPT 4.0的质量得分在统计学上高于ChatGPT 3.5。相比之下,ChatGPT 3.5在治疗和随访部分提供了更多的原始答案。在ChatGPT 4.0中,定义和诊断部分的可读性和相似率高于治疗和随访部分。ChatGPT 3.5的DISCERN、FRES、FKRGL和按主题测量的相似性指数之间没有显著差异。结论:两个ChatGPT版本都提供了高质量和原始的信息,尽管它们在可读性和可靠性方面存在挑战。它们是牙科学生和专业人士的宝贵资源,但应与其他信息来源一起使用,以获得全面的理解。
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引用次数: 0
Exploring Dental Trauma Among Cattle Farmers in Vadodara, Gujarat: Prevalence and Risk Factors 探索古吉拉特邦瓦多达拉养牛户的牙外伤:患病率和危险因素。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-19 DOI: 10.1111/edt.13038
Pratik B. Kariya, Aishwarya V. Antala, Sweta Singh, Simron Baishya, Palak Shah

Background

Traumatic dental injuries (TDI) are a global health concern, affecting millions of people annually. The prevalence of traumatic dental injuries (TDIs) can vary significantly with change in geographic region, occupation, and lifestyle. Animal handlers, such as cattle farmers, are at risk of experiencing TDIs due to their interactions with animals. However, there have been no previous studies investigating the prevalence of TDI among cattle farmers.

Aim

To determine the prevalence and associated risk of TDI among cattle farmers in Vadodara City, Gujarat, India.

Methodology

A cross-sectional study was conducted among cattle farmers residing in Vadodara City. Purposive snowball sampling was used to recruit the cattle farmers. A questionnaire was used to collect data on demographic variables, animal handling practices, experience, history of trauma. Clinical examination was carried out to screen for TDI and possible risk factors.

Results

A total of 357 cattle farmers participated in the study. The prevalence of TDI among cattle farmers was 7.8%. All the respondents reported some form of soft tissue injury (100%). Luxation (60.71%) was the most frequent dental injury, followed by tooth fracture (57.14%). Maxillary incisors were the most commonly affected teeth (75.61%). Kicking (39%) and head-butting (43%) were the most frequent causes of injury. Increased overjet, inadequate lip coverage, and Class II molar relationship were associated with a higher risk of TDI.

Conclusion

Prevalence of TDI among cattle farmers was found to be 7.8%. Since the cattle farmers are inherently at risk for TDI as occupational hazard, preventing dental trauma-related injuries in cattle farmers is crucial.

背景:创伤性牙齿损伤(TDI)是一个全球性的健康问题,每年影响数百万人。外伤性牙损伤(TDIs)的患病率随地理区域、职业和生活方式的变化而显著不同。动物处理者,如养牛户,由于与动物的相互作用,有患tdi的风险。然而,以前没有研究调查TDI在养牛户中的流行程度。目的:确定印度古吉拉特邦瓦多达拉市养牛户中TDI的患病率和相关风险。方法:采用横断面研究方法对瓦尔多达拉市的养牛户进行调查。采用有目的的滚雪球抽样方法招募养牛户。使用问卷收集人口统计变量、动物处理方法、经验、创伤史等数据。进行临床检查以筛查TDI及可能的危险因素。结果:共有357名养牛户参与了研究。牛农TDI患病率为7.8%。所有的应答者都报告了某种形式的软组织损伤(100%)。脱位(60.71%)是最常见的牙损伤,其次是牙齿断裂(57.14%)。上颌门牙是最常见的感染牙(75.61%)。踢腿(39%)和撞头(43%)是最常见的伤害原因。增加的覆盖、不充分的唇部覆盖和II级磨牙关系与TDI的高风险相关。结论:养牛户TDI患病率为7.8%。由于养牛户本身就面临TDI的职业危害风险,因此预防养牛户的牙齿创伤相关伤害至关重要。
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引用次数: 0
Development and Preliminary Validation of a Novel Instrument to Assess Re-Injury Associated Anxiety Following Traumatic Orofacial and Dental Injury in Young Boxers 一种评估年轻拳击手创伤性口面部和牙齿损伤后再损伤相关焦虑的新仪器的开发和初步验证。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-19 DOI: 10.1111/edt.13039
Mugilan Ravi, Nitesh Tewari, Vijay Prakash Mathur, Partha Haldar, Rachna Bhargava, Raman Deep, Morankar Rahul, Kalpana Bansal, Shubhi Goel, Sruthila Raghuthaman

Background/Aim

An injury sustained during sports activity can lead to the development of reinjury anxiety and hamper performance. Although tools exist to assess re-injury anxiety, a domain of interest in the field of sports medicine, research in the psychological impact of an orofacial injury is rudimentary. The present study envisaged to develop an instrument to assess the presence of reinjury anxiety following orofacial and dental injury in boxers aged between 10 and 16 years.

Methods

In Phase 1, items were generated following literature search and focus-group discussions (FGD). In Phase 2, a group discussion was conducted with three experienced boxing coaches to assess face validity, followed by two rounds of scrutiny by expert groups to assess the content validity through the content-validity-index (CVI), respectively. In Phase 3, the modified tool was pre-tested on an independent sample of young boxers. Finally, in Phase 4, to determine dimensionality, the modified tool was administered to 183 young boxers and their responses were subject to an exploratory factor analysis through Principal component analysis, followed by Promax rotation to determine the factor loading. Internal consistency reliability was measured through calculation of Cronbach's-alpha.

Results

From the 29-items devised initially, the tool was sequentially modified. Analysis of the responses by the second expert group, an average Scale-level-CVI of 0.9 and Universal agreement of 0.526 was obtained, which resulted in the inclusion of 20 items for the final phase of the study. From the factor analysis, the items were found to fit to a five-factor structure, which explained 56.4% of the variance in the constructs. Internal consistency of the tool was measured to be 0.74.

Conclusion

A 10-item oral re-injury anxiety scale for young boxers (ORAS-YB) tool was developed. It was found to have high face and content validity, and acceptable reliability. Further research with a larger sample is required to confirm the factor structure and determine test–retest reliability of the developed tool.

背景/目的:在体育活动中持续的损伤可导致再损伤焦虑的发展并妨碍运动表现。尽管存在评估再伤焦虑的工具,这是运动医学领域的一个感兴趣的领域,但对口面部损伤的心理影响的研究还处于初级阶段。本研究设想开发一种工具来评估10至16岁拳击手口腔面部和牙齿损伤后再损伤焦虑的存在。方法:在第一阶段,通过文献检索和焦点小组讨论(FGD)产生项目。在第二阶段,由3名经验丰富的拳击教练进行小组讨论,评估面部效度,然后由专家小组分别通过内容效度指数(CVI)评估内容效度。在第三阶段,修改后的工具在一个独立的年轻拳击手样本上进行了预测试。最后,在第四阶段,为了确定维度,我们对183名年轻拳击手进行了改进的工具,并通过主成分分析对他们的反应进行了探索性因子分析,然后通过Promax旋转来确定因子负荷。内部一致性信度通过计算Cronbach's-alpha来衡量。结果:从最初设计的29个项目开始,对工具进行了依次修改。对第二专家组的回答进行分析,得到的平均量表水平cvi为0.9,普遍同意度为0.526,因此纳入了20个项目用于研究的最后阶段。因子分析发现,这些项目符合一个五因子结构,这解释了56.4%的结构方差。测量该工具的内部一致性为0.74。结论:编制了青少年拳击手口腔再损伤焦虑量表(ORAS-YB)。结果表明,该量表具有较高的表面效度和内容效度,信度可接受。进一步的研究需要更大的样本来确认因素结构和确定所开发的工具的重测信度。
{"title":"Development and Preliminary Validation of a Novel Instrument to Assess Re-Injury Associated Anxiety Following Traumatic Orofacial and Dental Injury in Young Boxers","authors":"Mugilan Ravi,&nbsp;Nitesh Tewari,&nbsp;Vijay Prakash Mathur,&nbsp;Partha Haldar,&nbsp;Rachna Bhargava,&nbsp;Raman Deep,&nbsp;Morankar Rahul,&nbsp;Kalpana Bansal,&nbsp;Shubhi Goel,&nbsp;Sruthila Raghuthaman","doi":"10.1111/edt.13039","DOIUrl":"10.1111/edt.13039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>An injury sustained during sports activity can lead to the development of reinjury anxiety and hamper performance. Although tools exist to assess re-injury anxiety, a domain of interest in the field of sports medicine, research in the psychological impact of an orofacial injury is rudimentary. The present study envisaged to develop an instrument to assess the presence of reinjury anxiety following orofacial and dental injury in boxers aged between 10 and 16 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In Phase 1, items were generated following literature search and focus-group discussions (FGD). In Phase 2, a group discussion was conducted with three experienced boxing coaches to assess face validity, followed by two rounds of scrutiny by expert groups to assess the content validity through the content-validity-index (CVI), respectively. In Phase 3, the modified tool was pre-tested on an independent sample of young boxers. Finally, in Phase 4, to determine dimensionality, the modified tool was administered to 183 young boxers and their responses were subject to an exploratory factor analysis through Principal component analysis, followed by Promax rotation to determine the factor loading. Internal consistency reliability was measured through calculation of Cronbach's-alpha.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From the 29-items devised initially, the tool was sequentially modified. Analysis of the responses by the second expert group, an average Scale-level-CVI of 0.9 and Universal agreement of 0.526 was obtained, which resulted in the inclusion of 20 items for the final phase of the study. From the factor analysis, the items were found to fit to a five-factor structure, which explained 56.4% of the variance in the constructs. Internal consistency of the tool was measured to be 0.74.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A 10-item oral re-injury anxiety scale for young boxers (ORAS-YB) tool was developed. It was found to have high face and content validity, and acceptable reliability. Further research with a larger sample is required to confirm the factor structure and determine test–retest reliability of the developed tool.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 4","pages":"401-409"},"PeriodicalIF":2.3,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automatic Vertical Root Fracture Detection on Intraoral Periapical Radiographs With Artificial Intelligence-Based Image Enhancement 基于人工智能图像增强的口腔内根尖周x线片牙根垂直骨折自动检测。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-19 DOI: 10.1111/edt.13027
Sifa Ozsari, Kıvanç Kamburoğlu, Aviad Tamse, Suna Elçin Yener, Igor Tsesis, Funda Yılmaz, Eyal Rosen

Background/Aim

To explore transfer learning (TL) techniques for enhancing vertical root fracture (VRF) diagnosis accuracy and to assess the impact of artificial intelligence (AI) on image enhancement for VRF detection on both extracted teeth images and intraoral images taken from patients.

Materials and Methods

A dataset of 378 intraoral periapical radiographs comprising 195 teeth with fractures and 183 teeth without fractures serving as controls was included. DenseNet, ConvNext, Inception121, and MobileNetV2 were employed with model fusion. Prior to evaluation, Particle Swarm Optimization (PSO) and Deep Learning (DL) image enhancement were applied. Performance assessment included accuracy rate, precision, recall, F1-score, AUC, and kappa values. Intra- and inter-observer agreement, according to the Gold Standard (GS), were assessed using ICC and t-tests. Statistical significance was set at p < 0.05.

Results

The DenseNet + Inception fusion model achieved the highest accuracy rate of 0.80, with commendable recall, F1-score, and AUC values, supported by precision (0.81) and kappa (0.60) values. Molar tooth examination yielded an accuracy rate, precision, recall, and F1-score of 0.80, with an AUC of 0.84 and kappa of 0.60. For premolar teeth, the fusion network showed an accuracy rate of 0.78, an AUC of 0.78, and notable metrics, including F1-score (0.80), recall (0.85), precision (0.71), and kappa (0.55). ICC results demonstrated acceptable agreement (≥ 0.57 for molars, ≥ 0.52 for premolars).

Conclusion

TL methods have demonstrated significant potential in enhancing diagnostic accuracy for VRFs in radiographic imaging. TL is emerging as a valuable tool in the development of robust, automated diagnostic systems for VRF identification, ultimately supporting clinicians in delivering more accurate diagnoses.

背景/目的:探讨迁移学习(TL)技术在提高垂直牙根骨折(VRF)诊断准确性方面的应用,并评估人工智能(AI)对患者拔牙图像和口腔内图像进行垂直牙根骨折检测图像增强的影响。材料和方法:378张口腔内根尖周x线片,包括195颗骨折牙齿和183颗无骨折牙齿作为对照。采用DenseNet、ConvNext、Inception121和MobileNetV2进行模型融合。在评估之前,使用粒子群优化(PSO)和深度学习(DL)图像增强。绩效评估包括准确率、准确率、召回率、f1评分、AUC和kappa值。根据金标准(GS),使用ICC和t检验评估观察员内部和观察员之间的协议。结果:DenseNet + Inception融合模型的准确率最高,为0.80,召回率、f1评分和AUC值都很好,精度(0.81)和kappa(0.60)值也很好。磨牙检查的准确率、精密度、召回率和f1评分为0.80,AUC为0.84,kappa为0.60。对于前磨牙,融合网络的准确率为0.78,AUC为0.78,并且有显著的指标,包括f1评分(0.80)、召回率(0.85)、精度(0.71)和kappa(0.55)。ICC结果显示出可接受的一致性(磨牙≥0.57,前磨牙≥0.52)。结论:TL方法在提高vrf的放射成像诊断准确性方面具有显著的潜力。TL正在成为开发用于VRF识别的强大、自动化诊断系统的宝贵工具,最终支持临床医生提供更准确的诊断。
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引用次数: 0
Long-Term Management of Dental Trauma, Mitigating Risk Factors, and Optimizing Treatment Outcomes 牙外伤的长期管理,减轻危险因素,优化治疗结果。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-14 DOI: 10.1111/edt.13033
Lea Budak, Liran Levin

The importance of protective equipment in sports cannot be overstated, as orofacial injuries remain a significant concern among athletes. These injuries, which occur across a wide range of sports, have increasingly been recognized for their immediate and long-term impact on the health and well-being of athletes [1, 2]. This highlights the urgent need for effective preventive measures, such as mouthguards, which have been shown to reduce the risk of dental and soft tissue injuries significantly [1]. By prioritizing orofacial injury prevention, athletes can be better protected not only from short-term injuries but also from long-term complications, fostering a safer and more sustainable approach to sports participation [2, 3]. As digital platforms continue to shape healthcare communication, the quality of available information becomes ever more crucial [4-8]. In this issue, Gezer et al. analyzed the quality and reliability of YouTube videos related to mouthguards in sports dentistry [9]. Their study highlights the marked differences in content quality between videos produced by dental professionals and non-professionals. By examining 300 videos, the authors categorize their findings based on publisher credibility and video types, shedding light on the role of online educational resources in informing athletes about protective measures. This research offers valuable insights into the potential of digital media to both educate and misinform, pointing to the need for better oversight and guidance in online healthcare content.

Furthermore, in this issue, de Bessa et al. present a scoping review that synthesizes data on orofacial injuries resulting from intense physical practices, with a particular focus on dental damage and temporomandibular joint disorders [10]. Understanding the types and prevalence of these injuries is vital for developing effective preventive strategies. Their findings underscore the need for further investigation into preventive measures and for increasing awareness among athletes about the risks associated with high-intensity physical training. The study highlights the growing recognition of these injuries in non-traditional sports and the importance of tailored prevention programs.

The integration of advanced technologies in the design and production of mouthguards holds significant promise for enhancing athlete safety [3]. In this issue, Rondon et al. compared the adaptation, thickness, and shock absorption properties of mouthguards made from conventional plaster models versus three-dimensional printed models [11]. As personalized healthcare continues to gain traction, the authors examine the effectiveness of new manufacturing methods in improving the protective quality of mouthguards. The findings suggest that 3D printing technology could offer enhanced customizations, potentially reducing

防护装备在运动中的重要性怎么强调都不为过,因为面部损伤仍然是运动员关注的一个重要问题。这些损伤发生在各种各样的运动中,越来越多的人认识到它们对运动员健康和福祉的直接和长期影响[1,2]。这突出表明迫切需要有效的预防措施,如护齿器,这已被证明可以显著降低牙齿和软组织损伤的风险。通过优先预防口面部损伤,运动员不仅可以更好地免受短期损伤,还可以更好地防止长期并发症,从而培养更安全、更可持续的体育参与方式[2,3]。随着数字平台继续塑造医疗保健沟通,可用信息的质量变得越来越重要[4-8]。本期,Gezer等人分析了YouTube上运动牙科护齿器相关视频的质量和可靠性[9]。他们的研究强调了专业牙医和非专业牙医制作的视频在内容质量上的显著差异。通过研究300个视频,作者根据出版商的可信度和视频类型对他们的发现进行了分类,揭示了在线教育资源在告知运动员保护措施方面的作用。这项研究对数字媒体在教育和误导方面的潜力提供了有价值的见解,指出需要对在线医疗保健内容进行更好的监督和指导。此外,在本期中,de Bessa等人提出了一项范围综述,综合了高强度体育锻炼导致的口面部损伤的数据,特别关注牙齿损伤和颞下颌关节疾病bbb。了解这些伤害的类型和流行程度对于制定有效的预防策略至关重要。他们的发现强调需要进一步调查预防措施,并提高运动员对高强度体育训练相关风险的认识。这项研究强调了人们对非传统运动中这些伤害的日益认识,以及量身定制预防计划的重要性。在设计和生产牙护套的先进技术的集成具有显著的承诺,以提高运动员的安全[3]。在这一期中,Rondon等人比较了传统石膏模型和三维打印模型[11]制成的护齿的适应性、厚度和减震性能。随着个性化医疗保健的不断发展,作者研究了新的制造方法在提高护齿器保护质量方面的有效性。研究结果表明,3D打印技术可以提供增强的定制,潜在地降低体育活动中牙齿受伤的风险,并提高整体表现。牙外伤,特别是在未成熟的牙齿,提出了独特的挑战,在即时管理和长期的结果。儿童正在发育的牙列非常脆弱,由于这些牙齿的脆弱特性和并发症的风险,损伤可能会破坏未来牙齿的发育和功能,这些并发症可能会影响乳牙和它们的永久继任者[12,13]。在这一期中,Kevci等人探讨了学龄前儿童牙槽骨突骨折的并发症。本回顾性队列研究考察了乳牙愈合并发症及其对恒牙的潜在长期影响。研究结果强调了早期识别和适当处理这些损伤的重要性,有助于改善儿科牙科的临床结果和预防策略的发展。各种研究已经检查了牙齿和口面外伤的危险因素,调查了年龄、性别、行为和环境因素等因素,以更好地了解它们对损伤发生和严重程度的影响[15-19]。在这一期中,Ju等人调查了澳大利亚土著儿童耳部健康与创伤性牙齿损伤发生率之间的关系,这一群体面临着独特的医疗挑战[10]。利用纵向队列研究的数据,作者探讨了耳部健康,包括复发性耳部感染或听力损失,如何影响这一人群发生牙齿创伤的可能性。他们的研究结果为增加牙齿损伤风险的健康问题的复杂相互作用提供了有价值的见解,强调了解决牙齿和一般健康的综合医疗保健方法的必要性[21-23]。这项研究强调了预防和管理牙齿创伤的多方面方法的重要性,特别是在获得医疗保健的机会可能有限和健康差距更为明显的社区。 未成熟牙齿发育中的牙根更容易发生并发症,因此有必要探索支持愈合和促进牙根适当成熟的有效治疗方案[25-27]。在这期杂志中,Maree等人研究了再生根管治疗后60个月的形态学变化动态[1]。采用回顾性队列设计,研究评估了创伤性未成熟牙齿的根尖周状态和牙根尺寸,揭示了这种治疗的长期效果。通过了解牙根形态如何随着时间的推移而演变,这些发现有可能完善临床随访方案,并改善未成熟创伤牙齿患者的长期治疗结果。在根管治疗的牙齿中,垂直牙根骨折通常很难检测到,可能需要先进的成像技术来精确识别。在这一期中,Hilgert等人研究了锥形束计算机断层扫描(CBCT)中不同采集方案和伪影减少滤波器对诊断根管治疗后牙齿垂直根骨折的影响。他们对断层图像进行了详细的分析,旨在通过评估这些成像参数如何影响骨折的检测来提高诊断的准确性,最终改善临床决策。该研究强调了优化成像方案的重要性,以提高CBCT诊断复杂牙髓疾病的可靠性。整合先进的成像技术对于推进牙髓护理、改善诊断实践、使从业者能够更有效地管理具有挑战性的病例,最终为患者带来更好的长期结果至关重要。牙齿撕脱是指牙齿完全脱离牙槽,是一种严重的牙齿紧急情况,需要立即进行干预以保护牙齿及其周围结构。成功的再植取决于几个关键因素,包括再植的时机、牙周韧带的状况以及再植前使用的储存脱脱牙的方法[30-32]。尽管治疗技术取得了进步,但在标准化方案和改善结果方面仍然存在挑战,特别是在延迟再植方面。在这一期中,Tewari等人解决了长期存在的术语不一致的问题,即用于描述与牙齿撕脱和再植bbb相关的时间间隔。这项研究包括对92项研究进行全面的范围审查,随后对20名全球牙科创伤学专家进行德尔菲调查,以完善和商定最准确和最具描述性的术语。这一发现为这个长期存在的问题提供了一个潜在的解决方案,可以改善沟通,并在治疗撕脱牙方面取得更好的临床效果。此外,在这期,Doiphode和Kalaskar研究了柠檬酸和EDTA对人牙周韧带细胞在脱脱牙脱水根表面活力的影响。延迟再植往往会导致并发症,危及长期的成功,这促使了对促进牙周愈合治疗的研究。这项体外研究为潜在的治疗方法提供了有价值的见解,可以改善牙齿撕脱伤后的愈合结果。在本期杂志上发表的另一项体外研究中,Harjai和Shanbhog比较了不同妊娠期羊水与汉克平衡盐溶液(Hank’s Balanced Salt Solution, HBSS)在保持牙周韧带细胞活力方面的功效。他们的发现表明,这两种类型的羊水都可以长期维持细胞活力,这就提出了关于处理撕脱牙齿的最佳做法的重要问题。选择合适的储存介质对于维持牙周活力和最大限度地增加再植成功的机会至关重要。总之,这些研究有助于更深入地了解如何通过更好的术语,促进牙周愈合和最佳储存介质来改善牙齿撕脱伤的管理。解决这些关键方面,使牙科专业人员更有效地导航牙齿撕脱的复杂性,导致更好的临床干预和改善患者的长期预后。牙科专业人员往往缺乏足够的牙科创伤管理知识和培训,这可能会阻碍他们为创伤性牙科损伤患者提供有效护理的能力[36,37]。鉴于TDI管理的紧迫性和复杂性,了解牙科专业人员面临的具体挑战对于改善临床结果和患者护理至关重要。在本期中,Cvijic等人探讨了普通牙医在挪威公共牙科服务中管理TDI时所遇到的挑战。 通过一系列焦点小组讨论,该研究确定了关键问题,例如诊断和治疗tdi的熟练程度不足以及需要在这一领域进行更全面的培训。研究结果强调了有针对性的教育计划和持续的专业发展的迫切需要,以确保牙医完全具备有效管理创伤性牙齿损伤所需的知识和技能[38,40]。通过解决教育和培训方面的这些差距,我们可以提高向TDI患者提供的护理质量,并在不同的医疗保健环境中促进更好的临床结果。近年来,接受儿童牙科手术的家庭的经历引起了越来越多的关注,特别是关于治疗决定如何影响儿童及其照顾者[41,42]。在这一期中,Williams等人研究了一些家庭将自体牙齿移植作为上颌门牙缺失治疗的经验
{"title":"Long-Term Management of Dental Trauma, Mitigating Risk Factors, and Optimizing Treatment Outcomes","authors":"Lea Budak,&nbsp;Liran Levin","doi":"10.1111/edt.13033","DOIUrl":"10.1111/edt.13033","url":null,"abstract":"<p>The importance of protective equipment in sports cannot be overstated, as orofacial injuries remain a significant concern among athletes. These injuries, which occur across a wide range of sports, have increasingly been recognized for their immediate and long-term impact on the health and well-being of athletes [<span>1, 2</span>]. This highlights the urgent need for effective preventive measures, such as mouthguards, which have been shown to reduce the risk of dental and soft tissue injuries significantly [<span>1</span>]. By prioritizing orofacial injury prevention, athletes can be better protected not only from short-term injuries but also from long-term complications, fostering a safer and more sustainable approach to sports participation [<span>2, 3</span>]. As digital platforms continue to shape healthcare communication, the quality of available information becomes ever more crucial [<span>4-8</span>]. In this <i>issue</i>, Gezer et al. analyzed the quality and reliability of YouTube videos related to mouthguards in sports dentistry [<span>9</span>]. Their study highlights the marked differences in content quality between videos produced by dental professionals and non-professionals. By examining 300 videos, the authors categorize their findings based on publisher credibility and video types, shedding light on the role of online educational resources in informing athletes about protective measures. This research offers valuable insights into the potential of digital media to both educate and misinform, pointing to the need for better oversight and guidance in online healthcare content.</p><p>Furthermore, in this <i>issue</i>, de Bessa et al. present a scoping review that synthesizes data on orofacial injuries resulting from intense physical practices, with a particular focus on dental damage and temporomandibular joint disorders [<span>10</span>]. Understanding the types and prevalence of these injuries is vital for developing effective preventive strategies. Their findings underscore the need for further investigation into preventive measures and for increasing awareness among athletes about the risks associated with high-intensity physical training. The study highlights the growing recognition of these injuries in non-traditional sports and the importance of tailored prevention programs.</p><p>The integration of advanced technologies in the design and production of mouthguards holds significant promise for enhancing athlete safety [<span>3</span>]. In this <i>issue</i>, Rondon et al. compared the adaptation, thickness, and shock absorption properties of mouthguards made from conventional plaster models versus three-dimensional printed models [<span>11</span>]. As personalized healthcare continues to gain traction, the authors examine the effectiveness of new manufacturing methods in improving the protective quality of mouthguards. The findings suggest that 3D printing technology could offer enhanced customizations, potentially reducing","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 1","pages":"1-4"},"PeriodicalIF":2.3,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.13033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influence of Conservative or Invasive Treatments on the Occurrence of Sequelae in Permanent Successors After Injuries in the Support Tissues of Incisors Deciduous Teeth: A Cohort Study 保守或侵入性治疗对门牙乳牙支持组织损伤后永久继位者后遗症发生的影响:一项队列研究。
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-11 DOI: 10.1111/edt.13034
Fabio Anevan Ubiski Fagundes, Gabriella Oliveira da Silva Clemente, Lucas Alves Jural, Mariana Pires da Costa, Maria Clara Frias Lobo Marinho, Lucianne Cople Maia, Andréa Fonseca-Gonçalves

Objective

To assess the influence of conservative or invasive treatments on the appearance of sequelae in permanent successor teeth (SPT) after injuries in the support tissues of anterior deciduous teeth (ISTDT).

Methods

This cohort study accompanied 52 children with ISTDT up to the complete eruption of the permanent successor to investigate the presence or not of SPT. Trauma was clinically evaluated according to the International Association for Dental Traumatology. Sex, age at the time of trauma (ATT), type and severity of trauma, sequelae in anterior deciduous teeth (SDT), treatment type (conservative—without exodontia/ invasive—with exodontia), seeking care (immediate/late), and the caregiver's education level (CEL) were collected. Regression models were performed (p = 0.05).

Results

Of the children (ATT = 3.6 ± 1.5 years), boys (52/57.1%) were the majority. The teeth (n = 91) injuries were lateral luxation (26/28.6%), intrusion (22/24.1%), concussion (20/22.0%), subluxation (19/20.9%), and extrusion (4/4.4%), that affected only incisors. Most teeth (63/69.2%) received late care, presented SDT (62/68.1%) and were treated conservatively (73/80.2%). There was no association of sex (p = 0.611), SDT (p = 0.705) and seeking care (p = 0.800) with SPT. The treatment type did not influence the SPT occurrence (p = 0.923), independent of the ATT, trauma severity and the educational level of the caregiver. The lower the ATT (p = 0.026) and the more severe the trauma (p = 0.009), the higher the number of SPT.

Conclusion

The treatment type of anterior deciduous teeth, mainly considering incisors, did not influence the appearance of SPT, which leads us to always choose the most conservative treatment, independent of the child's age, the injury severity, and the caregiver's educational level.

目的:探讨保守治疗与侵入性治疗对前乳牙支持组织损伤后恒继牙(SPT)后遗症外观的影响。方法:本队列研究随访了52例ISTDT患儿,直至永久性继发灶完全爆发,以调查是否存在SPT。根据国际牙科创伤学协会对创伤进行临床评估。收集患者的性别、外伤时年龄(ATT)、外伤类型和严重程度、前乳牙后遗症(SDT)、治疗类型(保守-无外牙/侵袭-有外牙)、就诊(立即/晚期)和护理者的文化程度(CEL)。进行回归模型分析(p = 0.05)。结果:儿童(ATT = 3.6±1.5岁)中,男孩(52/57.1%)居多。91例牙齿损伤分别为侧脱位(26/28.6%)、侵入(22/24.1%)、震荡(20/22.0%)、半脱位(19/20.9%)和挤压(4/4.4%),均仅影响门牙。大多数牙齿(63/69.2%)接受晚护理,出现SDT(62/68.1%)和保守治疗(73/80.2%)。性别(p = 0.611)、SDT (p = 0.705)和就诊(p = 0.800)与SPT无相关性。治疗类型不影响SPT的发生(p = 0.923),与ATT、创伤严重程度和护理者文化程度无关。ATT越低(p = 0.026),创伤越严重(p = 0.009), SPT次数越多。结论:以门牙为主的前乳牙治疗方式对SPT的外观没有影响,因此我们总是选择最保守的治疗方式,而不考虑儿童的年龄、损伤严重程度和照顾者的文化程度。
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引用次数: 0
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Dental Traumatology
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