Dental Traumatology最新文献_第8页

A Framework to Improve the Quality of Management of Traumatic Dental Injuries at a Tertiary Dental Hospital 提高三级牙科医院创伤性牙损伤管理质量的框架。

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2025-06-19 DOI: 10.1111/edt.13080

Sarah Kho Xian Chua, Chee Weng Yong, Jeannette Ming Cheng Chua, Wataru Ode, Ren Jie Jacob Chew

Background/Aim

Appropriate early management, as well as early diagnosis and interceptive management of adverse outcomes, is essential in managing Traumatic Dental Injuries (TDIs) to minimize the incidence and impact of negative sequelae. Barriers to optimal management include inadequate clinician knowledge and experience, poor adherence to established guidelines, time constraints, and the complex nature of TDIs. These barriers can potentially be addressed by adopting a multipronged approach that integrates education and administrative support. The aim of this study was to evaluate the improvements in the quality of TDI management and review at the National University Centre for Oral Health Singapore after implementing a framework consisting of a series of targeted interventions.

Materials and Methods

Interventions included a refresher lecture, standardized recording templates, and improved access to resources such as international guidelines. Clinical records and radiographs of patients who had received acute management for TDI or received dental review as follow-up for TDIs between 1st May 2023 and 30th June 2024 were reviewed. The quality of baseline management and follow-up review was scored based on a scoring rubric, with a score of 100% deemed as “appropriate” management. The quality of baseline management and follow-up review of TDI in the pre- and post-implementation phases was compared using Chi-squared, Fisher's exact, and Mann–Whitney U tests.

Results

247 patients were seen for TDI baseline management or review. The quality of TDI baseline and review management improved significantly, with median (interquartile range) scores increasing from 62.5% (27.9%) and 100% (66.6%), respectively, to 100% (0%, p < 0.001). The proportion of cases deemed appropriately managed at both baseline and review significantly improved from 3.64% and 54.3% to 82.9% and 93.8%, respectively (p < 0.001).

Conclusion

A framework consisting of refresher lectures, standardized recording templates, and enhanced access to resources significantly improves the quality of TDI management and review.

背景/目的：适当的早期管理，以及早期诊断和不良后果的拦截管理，对于管理创伤性牙齿损伤（TDIs）至关重要，以尽量减少负面后遗症的发生率和影响。实现最佳管理的障碍包括临床医生知识和经验不足、对既定指南的遵守不力、时间限制以及tdi的复杂性。通过采取综合教育和行政支持的多管齐下的办法，这些障碍有可能得到解决。本研究的目的是评估新加坡国立大学口腔健康中心在实施由一系列有针对性的干预措施组成的框架后，TDI管理质量的改善和审查。材料和方法：干预措施包括复习讲座，标准化的录音模板，以及改善对资源的获取，如国际指导方针。回顾了2023年5月1日至2024年6月30日期间接受TDI急性治疗或作为TDI随访接受牙科检查的患者的临床记录和x线片。基线管理和后续审查的质量根据评分标准进行评分，得分为100%视为“适当”管理。采用卡方检验、Fisher精确检验和Mann-Whitney U检验比较实施前后阶段TDI基线管理和随访评价的质量。结果：247例患者接受TDI基线管理或复查。TDI基线和复习管理质量显著提高，中位数（四分位差）得分分别从62.5%（27.9%）和100%（66.6%）提高到100% (0%)，p结论：复习讲座、标准化记录模板和加强资源获取的框架显著提高了TDI管理和复习质量。

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引用次数: 0

Epidemiology of Maxillofacial Injuries in the Swords of Iron War: Insights From a National Registry 铁之剑中颌面损伤的流行病学：来自国家登记处的见解。

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2025-06-13 DOI: 10.1111/edt.13081

Nir Tsur, Dmitry Kotovich, Dean Dudkiewicz, Tomer Talmy, Irina Radomislensky, Adi Givon, Israel Trauma Group, Avi Benov, Yael Arbel, Mor Rittblat, Shachar Shapira

Background

Maxillofacial injuries (MFI) in warfare present significant challenges due to the concentration of vital structures in the facial region and the high-energy mechanisms of injury. This study analyzes the epidemiology, severity, and outcomes of MFI during the Swords of Iron conflict using data from the Israeli National Trauma Registry.

Methods

A retrospective analysis was conducted on casualties from October 7, 2023 to August 1, 2024. Injury characteristics, surgical interventions, intensive care unit (ICU) admissions, and mortality rates were assessed. Logistic regression identified predictors for severe head injury and surgical intervention.

Results

Of 1654 casualties, 324 (19.6%) sustained MFI, predominantly from explosions (85.2%). Fractures were associated with higher ICU admission rates (60.6% vs. 20.0%, p < 0.0001) and greater surgical intervention requirements (65.4% vs. 36.4%, p = 0.0001) than soft tissue injuries. Orbital fractures (59.6%) were the most common and strongly correlated with severe head injury (OR 9.33, CI 4.29–21.54, p < 0.001). Zygomatic (OR 8.47), maxillary (OR 5.81), and mandibular fractures (OR 12.61) significantly predicted the need for surgery, whereas orbital fractures often did not. Airway management was required in 26.5% of MFI cases, significantly higher than in other injuries (12.6%, p < 0.001). The overall mortality rate was low, with 7.7% in the fracture group and 0.9% in the soft tissue injury group.

Conclusion

MFI in combat settings demands specialized trauma care, particularly for fractures requiring surgical intervention and intensive care. The high prevalence of orbital fractures and their association with severe head injuries highlight the need for early recognition and intervention despite their being less prone to surgical correction. These findings can inform trauma care protocols to optimize management and outcomes in future conflicts.

背景：颌面部损伤（MFI）在战争中由于面部重要结构的集中和损伤的高能量机制而面临重大挑战。本研究使用来自以色列国家创伤登记处的数据，分析了铁剑冲突期间MFI的流行病学、严重程度和结果。方法：对2023年10月7日至2024年8月1日的伤亡者进行回顾性分析。评估损伤特征、手术干预、重症监护病房（ICU）入院率和死亡率。Logistic回归确定了严重颅脑损伤和手术干预的预测因素。结果：1654例伤亡者中，324例（19.6%）为MFI，主要为爆炸（85.2%）。结论：战斗环境中的MFI需要专门的创伤护理，特别是需要手术干预和重症监护的骨折。眶部骨折的高发病率及其与严重头部损伤的相关性突出了早期识别和干预的必要性，尽管它们不太容易进行手术矫正。这些发现可以为创伤护理方案提供信息，以优化未来冲突的管理和结果。

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引用次数: 0

Pediatric Maxillofacial Trauma: Machine Learning Based Predictive Modeling to Identify Trauma Patterns 儿童颌面外伤：基于机器学习的预测模型识别创伤模式。

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2025-06-13 DOI: 10.1111/edt.13077

Elsy Antony, Saima Yunus Khan, Md Kalim Ansari, Divya Sanjay Sharma, Manoj Kumar Sharma

Aim

To analyze the characteristics of pediatric facial trauma and predict factors influencing them through machine learning algorithms.

Material and Methods

A prospective hospital-based study was carried out between January 2024 and January 2025. All patients up to 15 years of age reporting with maxillofacial trauma formed the sample. Collected data was subjected to logistic regression analysis and machine learning algorithms (Bayesian Network, CHAID and Neural Network) to determine factors influencing pediatric maxillofacial trauma.

Results

Logistic regression and Bayesian Network demonstrated 92.59% accuracy, whereas CHAID and Neural Network showed an accuracy of 78.40% and 74.69%, respectively. Bayesian Network and Logistic Regression with similar accuracy showed age (21.77%), (p = 0.014) as the variable with maximum predictor importance, followed by paternal education (15.65%), (p = 0.003), maternal education (12.55%), (p = 0.040) and parental employment (9.43%), (p = 0.040). Further, Bayesian Network showed RTA (9.66%), sex (6.36%), maxillofacial fracture treatment (5.99%), other causes of trauma (5.67%), religion (2.89%) and delay in TDI treatment (2.78%) as other predictor variables. Parental employment had the maximum predictor importance (17.36%) in the Neural Network, whereas maternal education demonstrated the highest predictor importance (33.03%) in the CHAID model.

Conclusions

Age showed highest importance in predicting maxillofacial trauma when machine learning algorithms were used, followed by parental education and employment as other major predictors which suggested that children from lower socioeconomic status were more prone to trauma, as employment serves as a proxy for education.

目的：利用机器学习算法分析小儿面部外伤的特点，并预测影响因素。材料和方法：在2024年1月至2025年1月期间进行了一项前瞻性医院研究。所有15岁以下报告有颌面外伤的患者构成了样本。对收集到的数据进行逻辑回归分析和机器学习算法（贝叶斯网络、CHAID和神经网络），以确定影响儿童颌面外伤的因素。结果：Logistic回归和贝叶斯网络的准确率为92.59%，CHAID和神经网络的准确率分别为78.40%和74.69%。贝叶斯网络和Logistic回归结果显示，年龄（21.77%）（p = 0.014）是最重要的预测变量，其次是父亲受教育程度（15.65%）（p = 0.003）、母亲受教育程度（12.55%）（p = 0.040）和父母就业（9.43%）（p = 0.040）。此外，贝叶斯网络显示RTA（9.66%）、性别（6.36%）、颌面部骨折治疗（5.99%）、其他创伤原因（5.67%）、宗教（2.89%）和TDI治疗延迟（2.78%）是其他预测变量。在CHAID模型中，父母就业具有最大的预测重要性（17.36%），而母亲教育具有最高的预测重要性（33.03%）。结论：当使用机器学习算法时，年龄在预测颌面部创伤方面显示出最高的重要性，其次是父母教育和就业作为其他主要预测因素，这表明社会经济地位较低的儿童更容易发生创伤，因为就业是教育的代表。

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引用次数: 0

Approaches to Continuing Professional Development in Dental Traumatology—A Qualitative Study of General Dentists' Experiences 牙科创伤学持续专业发展的途径——对普通牙医经验的定性研究。

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2025-06-13 DOI: 10.1111/edt.13079

Andjelka Cvijic, Monika Kvernenes, Anne Åstrøm, Georgios Tsilingaridis, Athanasia Bletsa

<div> <section> <h3> Background</h3> <p>Dentists require continuous professional development (CPD) to maintain and enhance the quality of their services. However, there remains a gap in our understanding of the most effective methods for delivering such professional education.</p> </section> <section> <h3> Objective</h3> <p>In order to develop CPD that is relevant and effective for general dentists, the aim of this study was to explore general dentists' experiences with and attitudes about two educational formats in dental traumatology: purely theoretical asynchronous webinars versus webinars complemented by an in-person, interactive course.</p> </section> <section> <h3> Design, Participants, and Setting</h3> <p>All general dentists in the public dental service (PDS) in the Vestland County of Western Norway participated in an educational intervention in dental traumatology between November 2022 and February 2023. We recruited dentists from a group that attended webinars alone (<i>N</i> = 31) and a group that participated in webinars combined with an interactive in-person course (<i>N</i> = 36), referred to as a combined approach. In total, 16 dentists agreed to participate in focus group discussions through the electronic platform Teams. The discussions were video recorded, and the transcripts were analyzed using thematic analysis. Prior to the focus group discussions, participants completed a questionnaire with demographic information and course evaluation.</p> </section> <section> <h3> Results</h3> <p>Participants represented diversity in clinical experience, age, gender, and they were overall satisfied with the content, organization, and learning outcomes of the given educational formats. Three themes emerged from the qualitative data analysis: Webinars offer flexibility but with limited learning outcomes; a combined approach supports knowledge application; balancing feasibility with participatory learning. While webinars in dental traumatology as an educational format offer accessibility and flexibility, the combined format made the general dentists reflect more, in addition to gaining ideas on better workflow as a team in their clinical settings. Regarding course design, results revealed the importance of well-structured content, interaction with relevant educators, and the need for a combined educational model.</p> </section> <section> <h3> Conclusion</h3> <p>The study demonstrates that a combined educational format with high-quality content

背景：牙医需要持续的专业发展（CPD）来保持和提高他们的服务质量。然而，我们对提供这种专业教育的最有效方法的理解仍然存在差距。目的：为了开发与普通牙医相关且有效的CPD，本研究的目的是探讨普通牙医对两种牙科创伤学教育形式的经验和态度：纯理论异步网络研讨会与面对面互动课程补充的网络研讨会。设计、参与者和环境：在2022年11月至2023年2月期间，挪威西部Vestland县公共牙科服务（PDS）的所有普通牙医参加了一项牙科创伤学教育干预。我们从单独参加网络研讨会的一组（N = 31）和参加网络研讨会结合互动面对面课程的一组（N = 36）中招募了牙医，这被称为联合方法。共有16名牙医同意透过电子平台Teams参与焦点小组讨论。对讨论进行录像，并利用专题分析对文字记录进行分析。在焦点小组讨论之前，参与者完成了一份包含人口统计信息和课程评估的问卷。结果：参与者在临床经验、年龄、性别方面表现出多样性，他们对给定教育形式的内容、组织和学习结果总体上感到满意。定性数据分析显示了三个主题：网络研讨会提供了灵活性，但学习成果有限；结合方法支持知识应用；平衡可行性与参与式学习。虽然牙科创伤学的网络研讨会作为一种教育形式提供了可访问性和灵活性，但综合形式使普通牙医除了在临床环境中获得更好的团队工作流程的想法外，还能进行更多的反思。在课程设计方面，结果显示了内容结构良好、与相关教育者互动的重要性，以及对综合教育模式的需求。结论：高质量的教学形式和一定程度的互动是普通牙医口腔创伤学持续发展的首选方法。

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引用次数: 0

Evaluation of the Performance of Artificial Intelligence Based Chatbots in Providing First Aid Information on Dental Trauma According to the ToothSOS Application 基于ToothSOS应用的人工智能聊天机器人提供牙外伤急救信息的性能评价

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2025-06-09 DOI: 10.1111/edt.13078

Ecem Elif Çege, Hamide Cömert, Neşe Akal, Ayşegül Ölmez

Aim

The aim of this study was to evaluate the performance of ChatGPT-4o and Gemini Advanced artificial intelligence-based chatbots (AI-based chatbots) in providing emergency intervention recommendations for dental trauma with intraoral photographs of patients diagnosed with traumatic dental injuries, and to assess their compatibility with emergency intervention recommendations in the ToothSOS application.

Material and Methods

In this study, 80 intraoral photographs obtained from patients presenting with dental trauma were uploaded to two different AI-based chatbots (ChatGPT-4o and Gemini Advanced) and the responses generated by these systems were evaluated by four paediatric dentists. The evaluators scored the responses with a Modified Global Quality Score (GQS), referring to the English instructions of the ToothSOS application. In order to analyse the reliability of the responses, a total of three evaluation sessions were conducted 1 week apart.

Results

The ChatGPT-4o performed better when all injury types were considered together (p = 0.012). It was found that the ChatGPT-4o performed much better in complicated crown fracture cases (p = 0.004) and the Gemini Advanced chatbot performed much better in critical dental injuries such as avulsion (p < 0.001).

Conclusions

AI-based chatbots can be a helpful tool in the assessment of dental trauma. However, further development and expert validation are needed to improve their accuracy and consistency, especially in complex cases. Incorporating the International Association of Dental Traumatology (IADT) guidelines into the databases of these systems could improve the reliability of their recommendations. In addition, given the widespread use of AI-based chatbots in many fields, particularly health, they could contribute to public health by supporting access to accurate information.

目的：本研究的目的是评估chatgpt - 40和Gemini Advanced人工智能聊天机器人（AI-based chatbots）在通过诊断为创伤性牙齿损伤的患者的口内照片为牙齿创伤提供紧急干预建议方面的表现，并评估它们与teeth sos应用中紧急干预建议的兼容性。材料和方法：在这项研究中，从牙外伤患者那里获得的80张口腔内照片被上传到两个不同的基于人工智能的聊天机器人（chatgpt - 40和Gemini Advanced），并由四位儿科牙医评估这些系统产生的反应。评估人员参照牙齿sos应用程序的英文说明，使用修改后的全球质量评分（GQS）对回答进行评分。为了分析回答的信度，总共进行了三次评估，间隔1周。结果：综合考虑所有损伤类型时，chatgpt - 40表现更好（p = 0.012）。研究发现，chatgpt - 40在复杂牙冠骨折病例中的表现要好得多（p = 0.004）， Gemini Advanced聊天机器人在严重牙损伤（如撕脱）中的表现要好得多(p)。结论：基于人工智能的聊天机器人可以成为评估牙外伤的有用工具。然而，需要进一步的开发和专家验证来提高它们的准确性和一致性，特别是在复杂的情况下。将国际牙科创伤学协会（IADT）指南纳入这些系统的数据库可以提高其建议的可靠性。此外，鉴于基于人工智能的聊天机器人在许多领域（特别是卫生领域）的广泛使用，它们可以通过支持获取准确信息来促进公共卫生。

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引用次数: 0

Teachers' Attitude Toward Situations of Dental Trauma in a Capital in Southeast Brazil 巴西东南部某首都教师对牙外伤情况的态度。

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2025-06-09 DOI: 10.1111/edt.13076

Pamela Barbosa dos Santos, Vanessa Felipe Vargas-Moreno, Gilda Rocha dos Reis-Neta, Altair Antoninha Del Bel Cury, Maria Helena Monteiro de Barros Miotto

Introduction

Teachers play a crucial role in first aid for dental trauma (DT), as children spend a large part of their time in schools. In these environments, accidents are frequent. Immediate and correct intervention is essential for prognosis.

Aim

To assess the attitudes of teachers in the municipal school system in the municipality of Vitória-ES towards different DT scenarios and to associate them with socioeconomic, demographic, and functional variables.

Material and Methods

A quantitative, cross-sectional, and probabilistic study was carried out. Data was collected using self-administered and validated questionnaires, covering sociodemographic and functional information and teachers' knowledge of DT. To this end, teachers' attitudes were classified as correct or incorrect and assessed considering three different DT scenarios: 1—crown fracture; 2—lateral luxation; 3—tooth avulsion. Descriptive analyses, frequency tables, and statistical analyses using the chi-square test (p < 0.05) were carried out. A total of 292 teachers from 37 schools took part in the study.

Results

Among the participants, 137 (46.9%) teachers had already witnessed cases of DT, 94 (68.6%) of which had occurred in the school environment. In addition, 274 (93.8%) of the teachers had never received formal guidance. In scenario 3 (tooth avulsion), only 18.3% of teachers answered correctly. Teachers who had received training in dental trauma had (33.3%) correct answers and (66.7%) incorrect answers. Teachers who had not received training got (13.1%) correct, while (86.9%) got it wrong. This difference was statistically significant (p = 0.03). Similarly, teachers who had experienced dental trauma showed a potentially significant association (p = 0.05) with correct attitudes.

Conclusion

There was a high frequency of inappropriate behavior in the event of tooth avulsion, highlighting the need for first aid training. This reinforces the need for educational interventions in the school environment, aimed at providing adequate training in the correct handling of dental emergencies.

教师在牙外伤（DT）的急救中起着至关重要的作用，因为儿童大部分时间都在学校度过。在这样的环境中，事故频发。及时、正确的干预对预后至关重要。目的：评估Vitória-ES市市立学校系统中教师对不同DT情景的态度，并将其与社会经济、人口统计学和功能变量联系起来。材料和方法：进行了定量、横断面和概率研究。数据采用自我管理和有效的问卷收集，涵盖社会人口学和功能信息以及教师的DT知识。为此，教师的态度被划分为正确或不正确，并考虑三种不同的DT情景进行评估：1冠骨折；2-lateral脱臼;3-tooth崩裂。描述性分析、频率表和卡方检验统计分析(p)结果：参与调查的教师中，有137名（46.9%）教师曾目睹过DT，其中94名（68.6%）教师曾在学校环境中发生过DT。此外，274名（93.8%）教师从未接受过正式的指导。在情景3（牙齿撕脱）中，只有18.3%的教师回答正确。接受过牙外伤培训的教师正确答案占33.3%，不正确答案占66.7%。未接受培训的教师答对（13.1%），错误率（86.9%）。差异有统计学意义（p = 0.03）。同样，经历过牙外伤的教师与正确态度有潜在的显著相关性（p = 0.05）。结论：牙齿撕脱事故中出现不良行为的频率较高，需要进行急救培训。这加强了在学校环境中进行教育干预的必要性，目的是提供正确处理牙齿紧急情况的适当培训。

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引用次数: 0

Facial Trauma in E-Scooter vs. Bicycle Accidents: A Retrospective Comparative Analysis in a Metropolitan Setting 电动踏板车与自行车事故的面部创伤：都市背景下的回顾性比较分析。

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2025-05-26 DOI: 10.1111/edt.13074

Florian Dudde, Lawik Revend, Doha Revend, Oliver Schuck, Manfred Giese

Aim

The increasing prevalence of E-Scooters has led to a rise in related injuries, particularly affecting the maxillofacial region. While bicycle-related facial trauma is well-documented, comparative data on E-Scooter injuries remain rare. This study aims to analyze and compare facial trauma patterns between E-Scooter and bicycle accidents in a metropolitan setting.

Materials and Methods

A retrospective analysis was conducted at the Department of Oral and Maxillofacial Surgery, including patients with facial trauma from E-Scooter or bicycle accidents between January 2023 and July 2024. Demographic data, accident characteristics, and injury patterns, including dental trauma, soft tissue injuries, and fractures, were analyzed using Chi-squared tests, independent t-tests, and Fisher's exact test.

Results

A total of 272 patients were included, with 84 (30.9%) sustaining E-Scooter-related injuries and 188 (69.1%) bicycle-related injuries. E-Scooter users were significantly younger (36.5 ± 12.4 vs. 47.0 ± 14.2 years, p < 0.001) and more often female (64.3% vs. 33.0%, p < 0.001). Dental trauma was frequent in both groups, but tooth avulsions were significantly more common in E-Scooter accidents (53.6% vs. 19.7%, p < 0.001). Mandibular and nasal fractures occurred more frequently in E-Scooter users, while bicycle accidents resulted in more zygomatic and Le Fort fractures.

Conclusion

E-Scooter and bicycle accidents exhibit distinct facial trauma patterns, likely due to differences in injury mechanisms. These findings highlight the need for enhanced safety regulations, including the wearing of protective gear and targeted prevention strategies for E-Scooter users.

目的：电动滑板车的日益普及导致了相关伤害的增加，特别是影响到颌面区域。虽然与自行车相关的面部创伤有充分的记录，但电动滑板车损伤的比较数据仍然很少。本研究旨在分析比较都市环境下电动踏板车与自行车事故的面部创伤模式。材料与方法：回顾性分析口腔颌面外科2023年1月至2024年7月因电动滑板车或自行车事故造成面部创伤的患者。使用卡方检验、独立t检验和Fisher精确检验对人口统计数据、事故特征和损伤模式（包括牙外伤、软组织损伤和骨折）进行分析。结果：共纳入272例患者，其中电动滑板车相关损伤84例（30.9%），自行车相关损伤188例（69.1%）。结论：电动滑板车与自行车事故的面部创伤表现出明显的差异，可能是由于损伤机制的差异。这些发现强调了加强安全法规的必要性，包括对电动滑板车用户佩戴防护装备和有针对性的预防策略。

{"title":"Facial Trauma in E-Scooter vs. Bicycle Accidents: A Retrospective Comparative Analysis in a Metropolitan Setting","authors":"Florian Dudde, Lawik Revend, Doha Revend, Oliver Schuck, Manfred Giese","doi":"10.1111/edt.13074","DOIUrl":"10.1111/edt.13074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The increasing prevalence of E-Scooters has led to a rise in related injuries, particularly affecting the maxillofacial region. While bicycle-related facial trauma is well-documented, comparative data on E-Scooter injuries remain rare. This study aims to analyze and compare facial trauma patterns between E-Scooter and bicycle accidents in a metropolitan setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A retrospective analysis was conducted at the Department of Oral and Maxillofacial Surgery, including patients with facial trauma from E-Scooter or bicycle accidents between January 2023 and July 2024. Demographic data, accident characteristics, and injury patterns, including dental trauma, soft tissue injuries, and fractures, were analyzed using Chi-squared tests, independent <i>t</i>-tests, and Fisher's exact test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 272 patients were included, with 84 (30.9%) sustaining E-Scooter-related injuries and 188 (69.1%) bicycle-related injuries. E-Scooter users were significantly younger (36.5 ± 12.4 vs. 47.0 ± 14.2 years, <i>p</i> < 0.001) and more often female (64.3% vs. 33.0%, <i>p</i> < 0.001). Dental trauma was frequent in both groups, but tooth avulsions were significantly more common in E-Scooter accidents (53.6% vs. 19.7%, <i>p</i> < 0.001). Mandibular and nasal fractures occurred more frequently in E-Scooter users, while bicycle accidents resulted in more zygomatic and Le Fort fractures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>E-Scooter and bicycle accidents exhibit distinct facial trauma patterns, likely due to differences in injury mechanisms. These findings highlight the need for enhanced safety regulations, including the wearing of protective gear and targeted prevention strategies for E-Scooter users.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 6","pages":"641-648"},"PeriodicalIF":3.1,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144523","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 3D-Printed Models in Dentoalveolar Trauma Simulation: A Randomized Trial in Undergraduate Dental Training 评估3d打印模型在牙槽牙外伤模拟：一项牙科本科培训的随机试验。

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2025-05-26 DOI: 10.1111/edt.13065

Cemre Koç, Bahar Melis Akyıldız, Ayşe Taş

Background/Aim

This study evaluated the impact of simulation training using 3D-printed models on anxiety, stress, self-confidence, and knowledge among dental students managing dentoalveolar trauma.

Material and Methods

This prospective, randomized controlled trial was conducted with fourth-year dental students, who were assigned to two groups. The control group received theoretical instruction only, while the experimental group received theoretical instruction combined with simulation training using 3D-printed models. Prior to the simulation training (T1), all students attended a 30-min lecture covering four trauma types: uncomplicated crown fracture, complicated crown fracture, intrusive luxation, and avulsion. At T1, all students completed questionnaires and a visual analog scale (VAS) to assess anxiety (STAI Trait [T] and State [S]), stress, self-confidence, and knowledge. Following this, only the experimental group participated in the simulation training. At T2 (two weeks later), both groups completed the same questionnaires and VAS assessments. The control group participated in the simulation training after the study concluded. Statistical analyses were conducted using the chi-square test, McNemar test, independent samples t-test, Mann–Whitney U test, paired samples t-test, and Wilcoxon test, with statistical significance set at p ≤ 0.05.

Results

Each group comprised 34 students, with no significant baseline differences in STAI-T scores (p = 0.57). At T1, no significant differences were observed between groups in STAI-S, VAS, confidence, or knowledge scores. At T2, the experimental group showed significantly higher self-confidence and knowledge scores than the control group (p < 0.001), although stress and anxiety scores remained comparable (p > 0.05). Within the experimental group, anxiety, stress, self-confidence, and knowledge scores improved significantly between T1 and T2.

Conclusions

Incorporating 3D-printed models into simulation training significantly enhanced students' self-confidence and knowledge in dentoalveolar trauma management, underscoring the value of simulation-based training for improved educational outcomes.

背景/目的：本研究评估了使用3d打印模型的模拟训练对牙科学生处理牙槽牙外伤的焦虑、压力、自信和知识的影响。材料和方法：这项前瞻性、随机对照试验在四年级牙科学生中进行，他们被分为两组。对照组只接受理论指导，实验组接受理论指导结合3d打印模型模拟训练。在模拟训练（T1）之前，所有学生都参加了30分钟的讲座，内容包括四种创伤类型：简单冠骨折、复杂冠骨折、侵入性脱位和撕脱伤。在T1时，所有学生完成问卷和视觉模拟量表（VAS）来评估焦虑（STAI Trait [T] and State [S]）、压力、自信和知识。之后，只有实验组参加了模拟训练。在T2（两周后），两组完成相同的问卷和VAS评估。对照组在研究结束后进行模拟训练。采用卡方检验、McNemar检验、独立样本t检验、Mann-Whitney U检验、配对样本t检验、Wilcoxon检验进行统计学分析，p≤0.05为统计学显著性。结果：每组34名学生，在STAI-T评分上无显著基线差异（p = 0.57）。在T1时，两组间在STAI-S、VAS、信心或知识评分方面无显著差异。T2时，实验组的自信心和知识得分显著高于对照组（p < 0.05）。在实验组内，焦虑、压力、自信和知识得分在T1和T2之间显著改善。结论：将3d打印模型纳入模拟训练，可显著增强学生对牙槽牙外伤管理的自信心和知识，突出了模拟训练对提高教育效果的价值。

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引用次数: 0

Evidence Mapping and Quality Assessment of Systematic Reviews in Dental Traumatology: A 54 Months Update 牙科创伤学系统评价的证据图谱和质量评估：54个月的更新。

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2025-05-19 DOI: 10.1111/edt.13073

Nitesh Tewari, Pavithra Devi, Hemlata Nehta, Ekta Wadhwani, Rigzen Tamchos, Georgios Tsilingaridis, Vijay Prakash Mathur, Morankar Rahul

Background/Aims

This update of previously conducted evidence mapping and quality analysis of systematic reviews related to dental traumatology aimed to assess the distribution of systematic reviews published in a period of past 54 months in various domains and subdomains and evaluate their quality. An attempt was also made to compare the trends of methodological and quality characteristics between the two Evidence Mapping studies.

Methods

An a priori protocol was prepared as per the recommendations of Global Evidence Mapping and registered in Open Science Framework. The boundary conditions were defined and a search was performed electronically by two authors on November 30, 2024 in PubMed, LILACS, Web of Science, Cochrane, Scopus, and EMBASE without any restrictions. EndNote Online was used to remove the duplicates and perform screening of titles and abstracts and the full texts. Data extraction was performed using a self-designed sheet and analyzed by the research group. AMSTAR-2 and ROBIS tools were used for assessing the quality of included systematic reviews.

Results

The evidence mapping included 66 systematic reviews that could be distributed in six domains. The maximum number of them were in Epidemiologic domain (n = 21) and the subdomain of “treatment protocols of permanent teeth” (n = 14). The conclusion of 27 SRs was graded as inconclusive. An a priori registration of protocol was done in 55 SRs, majority of reviews did not have any restrictions in search, and gray literature search was done in 39 SRs. The most common risk of bias (ROB) tool used was the Jonna Briggs Institute's Critical Appraisal Checklist. The ROB of 51 SRs was low as per ROBIS, and high level of confidence was exhibited by 24 SRs as per AMSTAR-2.

Conclusion

The highest number of SRs was seen in the domain of epidemiology, followed by therapeutic and prognostic domains. As per ROBIS, 77.27% of SRs were found to have low ROB with a high level of confidence in 39.4% SRs as per AMSTAR-2. There was significant improvement in methodological and quality trends as compared to the previous Evidence Mapping.

背景/目的：本研究更新了先前进行的与口腔创伤学相关的系统综述的证据图谱和质量分析，旨在评估过去54个月在各个领域和子领域发表的系统综述的分布，并评估其质量。我们还尝试比较两种证据图谱研究在方法学和质量特征上的趋势。方法：根据全球证据图谱的建议编制先验方案，并在开放科学框架中注册。定义边界条件，并由两位作者于2024年11月30日在PubMed， LILACS, Web of Science, Cochrane， Scopus和EMBASE中进行电子检索，没有任何限制。EndNote Online用于删除重复内容，并对标题、摘要和全文进行筛选。使用自行设计的表格进行数据提取，并由课题组进行分析。使用AMSTAR-2和ROBIS工具评估纳入系统评价的质量。结果：证据图谱包括66篇系统综述，可分布在6个领域。以流行病学域（n = 21）和“恒牙治疗方案”子域（n = 14）最多。27例SRs的结论被评为不确定。55篇sr进行了方案的先验注册，大多数综述在检索中没有任何限制，39篇sr进行了灰色文献检索。最常用的偏见风险（ROB）工具是Jonna Briggs研究所的关键评估清单。根据ROBIS， 51个sr的ROB较低，而根据AMSTAR-2, 24个sr表现出较高的置信度。结论：SRs在流行病学领域发生率最高，其次为治疗和预后领域。根据ROBIS， 77.27%的SRs被发现具有低ROB，而根据AMSTAR-2, 39.4%的SRs具有高置信度。与以前的证据制图相比，在方法和质量趋势方面有了显著的改进。

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引用次数: 0

Dental Trauma Education Among North American Dental Schools: Results From Multi-Center Interviews With Dental Educators 北美牙科学校的牙外伤教育：来自多中心牙科教育者访谈的结果。

IF 3.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2025-05-13 DOI: 10.1111/edt.13070

Yuli Berlin-Broner, Zanib Kiani, Liran Levin

Background/Aims

Studies highlighted the limited confidence of general dentists to effectively manage dental trauma (DT) cases. DT education at the predoctoral level varies globally; however, little is known about it in North American dental schools. This gap in understanding could explain deficiencies in general dentists' treatment of DT cases. Therefore, this study aimed to gain insights into the existing predoctoral DT education across North American dental schools, identify gaps, and recommend improvements to refine and unify DT education.

Methods

Interviews were conducted with DT instructors and curriculum coordinators from North American dental schools. A validated questionnaire was used for the interviews. The questionnaire was divided into three sections: DT curriculum, student assessments, and clinical exposure during predoctoral training. Qualitative data were analyzed individually and grouped for common findings.

Results

The overall response rate was 62.6% (n = 52 universities). Sixty-three instructors from 48 dental schools participated in the analysis. Four schools opted out of the study. DT education was found to be fragmented in 47 schools, with a mean of 5.7 ± 1.57 h allocated to DT teaching. Only nine schools assessed students after completing DT coursework, and just one conducted a final examination solely on DT. All instructors reported insufficient clinical exposure to DT cases during rotations.

Conclusions

Dental educators reported significant deficiencies in DT education in North American dental schools. Limited clinical exposure and an inconsistent curriculum may leave students ill prepared for managing DT cases. Increased hands-on experience and curriculum standardization across schools could improve DT education and preparedness.

背景/目的：研究强调了普通牙医对有效处理牙外伤（DT）病例的有限信心。博士前阶段的DT教育在全球各不相同；然而，在北美的牙科学校对它知之甚少。这种理解上的差距可以解释普通牙医治疗DT病例的缺陷。因此，本研究旨在深入了解北美牙科学校现有的博士前DT教育，找出差距，并提出改进建议，以完善和统一DT教育。方法：对来自北美牙科学校的DT讲师和课程协调员进行访谈。访谈采用一份有效的问卷。问卷分为三个部分：DT课程、学生评估和博士前培训期间的临床暴露。对定性数据进行单独和分组分析，以获得共同的发现。结果：总有效率为62.6%（52所高校）。来自48所牙科学校的63名教师参与了分析。四所学校选择退出这项研究。有47所学校的DT教学是碎片化的，平均分配给DT教学的时间为5.7±1.57小时。只有9所学校在完成DT课程后对学生进行评估，只有1所学校进行了DT期末考试。所有教官都报告在轮转期间对DT病例的临床接触不足。结论：牙科教育工作者报告了北美牙科学校DT教育的显著不足。有限的临床接触和不一致的课程可能使学生对管理DT病例准备不足。增加学校的实践经验和课程标准化可以改善DT教育和准备。

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引用次数: 0