Dental Traumatology最新文献_第8页

Evaluation of Pediatric Oral Health-Related Quality of Life score in children with traumatic dental avulsion injury: A Questionnaire-Based Cross-Sectional survey 评估外伤性牙齿撕脱伤患儿与口腔健康相关的生活质量评分：基于问卷的横断面调查

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2024-04-05 DOI: 10.1111/edt.12957

Peris Celikel, Nilay Ozturk, Aybike Bas, Fatih Sengul

Background/Aim

Dental avulsion injury, being one of the traumatic dental injuries, has negative impacts on children's life quality. This study aims to evaluate the Pediatric Oral Health-Related Quality of Life (POQL) scores of children with dental avulsion history from their perspective.

Materials and Methods

The population of this cross-sectional study comprises 40 patients, aged between 8 and 14, who have a history of dental avulsion, in comparison to 40 other healthy peers. A questionnaire including general questions (such as age, gender, loss of tooth due to dental avulsion, malocclusion) and POQL instrument, with subscales including physical function, social function, emotional function, and role function, were completed by these children. Mann–Whitney U-test is used when comparing the POQL scores.

Results

The social scores (median: 47, interquartile range [IQR]: 17–95) and total score percentages (median: 30, IQR: 14–40) of children with a history of avulsion were higher than those of their healthy peers (p < 0.05). The higher total POQL scores among girls (median: 37, IQR: 31–47) with a history of dental avulsion compared to boys (median: 19, IQR: 8–34) (p = .002) can be attributed to girls achieving higher scores in both social (median: 81, IQR: 39–100) and emotional (median: 35, IQR: 17–47) scores following dental avulsion (p_social = .02, p_emotional = .006). Whether the avulsed tooth is replanted or not, it has not made any visible impact on the POQL scores. However, the loss of replanted teeth over time has created a borderline significant difference in emotional scores (median: 21, IQR: 11–35, p = .055).

Conclusion

Within the limits of our study, avulsion injuries have negative effects on children's emotional, social, and total quality of life. Even though avulsion injuries may be inevitable, to prevent these negative effects, it is vital to provide appropriate psychological support in the treatment of these children.

背景/目的牙齿撕脱伤是牙科创伤之一，对儿童的生活质量有负面影响。本研究旨在从有牙齿脱落史的儿童的角度，评估其与小儿口腔健康相关的生活质量（POQL）评分。材料和方法本横断面研究的研究对象包括 40 名有牙齿脱落史的患者，年龄在 8 至 14 岁之间，与 40 名其他健康的同龄人进行对比。这些儿童填写了一份问卷，其中包括一般问题（如年龄、性别、牙齿脱落造成的牙齿缺失、咬合不正）和 POQL 工具，其中的子量表包括身体功能、社交功能、情感功能和角色功能。结果有牙齿脱落史的儿童的社交得分（中位数：47，四分位距[IQR]：17-95）和总分百分比（中位数：30，四分位距[IQR]：14-40）均高于健康儿童（P < 0.05）。与男孩（中位数：19，IQR：8-34）相比，有牙齿脱落史的女孩（中位数：37，IQR：31-47）的 POQL 总分更高（p = .002），这是因为女孩在牙齿脱落后的社交（中位数：81，IQR：39-100）和情感（中位数：35，IQR：17-47）得分更高（psocial = .02, pemotional = .006）。无论脱落的牙齿是否得到修复，都不会对 POQL 评分产生明显影响。然而，随着时间的推移，重新镶嵌的牙齿的脱落会在情绪评分上造成边缘显著差异（中位数：21，IQR：11-35，p = .055）。结论在我们的研究范围内，撕脱伤会对儿童的情绪、社交和总体生活质量造成负面影响。尽管撕脱伤可能不可避免，但为了防止这些负面影响，在治疗这些儿童时提供适当的心理支持至关重要。

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引用次数: 0

Epidemiological profile of luxations injuries with or without dental fractures in permanent teeth: A 10-years retrospective study 伴有或不伴有牙折的恒牙脱落损伤的流行病学概况：十年回顾性研究

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2024-04-05 DOI: 10.1111/edt.12953

Ana Laura Lopes Amilcar, Walbert A. Vieira, Aline Cristine Gomes Matta, Brenda Paula Figueiredo de Almeida Gomes, Marina Angélica Marciano da Silva, José Flávio Affonso de Almeida, Caio Cézar Randi Ferraz, Eduardo César Almada Santos, Julio Vargas Neto, Adriana de Jesus Soares

Background/Aim

This study assessed the epidemiology of luxation injuries with or without dental fractures in patients attending the outpatient clinic of a Brazilian dental school over the past decade.

Material and Methods

We reviewed clinical records from a specialized center for dental trauma care in Brazil, focusing on patients who experienced at least one traumatic dental injury (TDI) in a permanent tooth between 2012 and 2022. The extracted data included sex, age, etiology, time between trauma occurrence and the search for initial care, TDI classification, and the need for endodontic treatment. The statistical analysis involved Pearson's chi-squared and Fisher's exact tests at a 5% significance level.

Results

The 366 analyzed clinical records included 166 patients (350 teeth) with luxation injuries. Men (n = 102) showed a higher prevalence of luxation injuries than women (n = 64). Extrusive luxation prevailed (n = 99 patients and 208 teeth). Patients with luxation injuries sought care promptly after dental trauma incidents (p = .02) and demonstrated a higher incidence of endodontic treatment (p < .0001) than those without luxation injuries. Lateral luxation was notably associated with traffic accidents (p < .0001). The combination of luxation injuries and tooth fractures did not correlate with a higher need for endodontic treatment (p > .05).

Conclusions

Age and trauma etiology seemed to have influenced the epidemiological profile of luxation injuries. Additionally, these injuries affected the time to seek initial care and the need for endodontic treatment.

背景/目的本研究评估了过去十年中在巴西一所牙科学校门诊就诊的患者中伴有或不伴有牙体骨折的牙齿松动损伤的流行病学情况。材料和方法我们查阅了巴西一家牙科创伤治疗专业中心的临床记录，重点关注2012年至2022年期间至少经历过一次恒牙外伤（TDI）的患者。提取的数据包括性别、年龄、病因、创伤发生与寻求初步治疗之间的时间间隔、TDI分类以及牙髓治疗需求。统计分析采用皮尔逊卡方检验和费雪精确检验，显著性水平为5%。男性（102人）的牙齿松动率高于女性（64人）。外伤占多数（99名患者，208颗牙齿）。与没有牙齿松动损伤的患者相比，有牙齿松动损伤的患者在牙科创伤事件发生后及时就医（p = .02），牙髓治疗的发生率也更高（p < .0001）。外侧松动与交通事故明显相关（p < .0001）。结论年龄和外伤病因似乎影响了松动损伤的流行病学特征。结论年龄和创伤病因似乎影响了松动损伤的流行病学特征，此外，这些损伤还影响了寻求初步治疗的时间和牙髓治疗的需求。

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引用次数: 0

Risk of pulp necrosis and related complications in the permanent anterior teeth with lateral luxation: A systematic review and meta-analysis 恒前牙髓坏死的风险和相关并发症：系统回顾和荟萃分析

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2024-04-05 DOI: 10.1111/edt.12956

Nitesh Tewari, Eva Lauridsen, Mohammad Atif, Sukeshana Srivastav, Georgios Tsilingaridis, Partha Haldar, Lars Andersson

This systematic review aimed to evaluate the evidence related to the occurrence of pulp necrosis and related complications in permanent anterior teeth with lateral luxation. It was envisaged to address the ambiguity related to the recommendation for pulp extirpation in teeth with mature root apex. An a priori protocol was formulated as per the best practices of evidence-based medicine and registered in PROSPERO. A comprehensive search was performed electronically in PubMed, LILACS, Web of Science, EMBASE, Scopus, and Cochrane on July 10,2023 without any restriction of language or year of publication. The screening of titles and abstracts and later the full-text articles were performed. Later, the data extraction was performed by using a self-designed sheet, risk of bias (ROB) assessment was done, meta-analysis was performed, and the GRADE approach was used to assess the quality of evidence. The qualitative synthesis was performed on 13 studies done from 1985 to 2020 in hospital settings. There was variability in the minimum and total observation periods, sample sizes, and characteristics of the sample population. The overall pooled prevalence of pulp necrosis was found to be 57% (95% CI: 42, 72%). It was 12% (95% CI: 8%, 18%, I² = 0%) in immature teeth, and 58% (95% CI: 42, 73%, I² = 86%) in mature teeth. The pooled prevalence of EIRR was found to be 11% (95% CI: 4, 27%, I² = 95%) with greater risk in teeth with mature root apex (RR: 1.26, 95% CI: 1.12, 1.42, I² = 0%). The ROB was moderate or high in nine studies and the GRADE of evidence was very low in 14 of 15 outcomes. There are greater chances of pulp necrosis in teeth with lateral luxation, especially with mature apex. However, it can still be less than 60% in most cases with the prevalence of EIRR less than 20%. Hence, an absolute recommendation for endodontic intervention in mature teeth with lateral luxation must be interpreted with slight caution.

本系统综述旨在评估与侧方塌陷恒前牙牙髓坏死的发生和相关并发症有关的证据。它旨在解决与成熟根尖牙牙髓拔除建议相关的模糊问题。根据循证医学的最佳实践制定了先验方案，并在 PROSPERO 上进行了注册。2023 年 7 月 10 日，在 PubMed、LILACS、Web of Science、EMBASE、Scopus 和 Cochrane 中进行了全面的电子检索，对语言和发表年份没有任何限制。先筛选标题和摘要，然后再筛选全文。随后，使用自行设计的表格进行数据提取，评估偏倚风险（ROB），进行荟萃分析，并使用 GRADE 方法评估证据质量。定性综合对1985年至2020年期间在医院环境中进行的13项研究进行了分析。研究的最短观察期和总观察期、样本大小以及样本人群的特征均存在差异。研究发现，牙髓坏死的总患病率为57%（95% CI：42%，72%）。未成熟牙的发病率为 12%（95% CI：8%，18%，I2 = 0%），成熟牙的发病率为 58%（95% CI：42%，73%，I2 = 86%）。EIRR 的合计患病率为 11% (95% CI: 4, 27%, I2 = 95%)，根尖成熟的牙齿患病风险更高（RR: 1.26, 95% CI: 1.12, 1.42, I2 = 0%）。九项研究的 ROB 为中度或高度，15 项结果中有 14 项的证据 GRADE 为极低。侧向塌陷的牙齿，尤其是先端成熟的牙齿，牙髓坏死的几率更大。然而，在大多数病例中，牙髓坏死的几率仍然低于 60%，而 EIRR 的发生率低于 20%。因此，在解释对有侧向松动的成熟牙齿进行牙髓干预的绝对建议时必须略微谨慎。

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引用次数: 0

Associations between traumatic dental injuries due to violence and various drinking behaviors in Korea: A cross-sectional study 韩国因暴力导致的牙外伤与各种饮酒行为之间的关系：横断面研究

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2024-04-05 DOI: 10.1111/edt.12954

Ji-Young Son, Jaehyung Lim, Dong-Hun Han

Background and Aim

Various patterns of alcohol consumption are associated with trauma and violence. The aim of this study was to assess the association between traumatic dental injuries (TDI) due to violence and different patterns of alcohol consumption in Korean adults.

Materials and Methods

A cross-sectional study was conducted with representative sample of Korean adults. Among the total participants, 11.8% (6489/58,999) experienced TDI, and 0.9% (520/58,999) experienced TDI due to violence. The associations between various types of alcohol consumption (frequency of drinking, frequency of binge drinking, age of first drinking) and TDI due to violence were assessed using logistic regression analyses. We confirmed differences in the prevalence experience of TDI due to violence with various types of alcohol consumption by confounders (socioeconomic status).

Results

All types of drinking (frequency of drinking, frequency of binge drinking, age of first drinking) were strongly associated with TDI due to violence. After adjusting for confounders, those who started drinking at the age of 18 or younger and drank 4 or more days a week (OR: 2.86, 95% CI: 1.68–4.88), those who started drinking at the age of 18 or younger and drank 3 days or less a week (OR: 2.37, 95% CI: 1.40–4.02), and those who started drinking at the age of 18 or younger and binge drinking at least once a week (OR: 3.18, 95% CI: 1.79–5.65) had higher prevalence of TDI due to violence compared to those with no alcohol drinking.

Conclusions

This study presents evidence of an association between various types of alcohol consumption and TDI due to violence in Korean adults. These findings suggest the necessity for policies aimed at reducing alcohol consumption, frequency of drinking, and access to drinking especially in adolescent to reduce the prevalence experience of TDI due to violence.

背景和目的各种饮酒模式都与创伤和暴力有关。本研究旨在评估韩国成年人因暴力导致的牙外伤（TDI）与不同饮酒模式之间的关系。在所有参与者中，11.8%（6489/58999）的人经历过牙齿外伤，0.9%（520/58999）的人经历过暴力导致的牙齿外伤。我们使用逻辑回归分析评估了各种类型的酒精消费（饮酒频率、暴饮暴食频率、首次饮酒年龄）与暴力导致的 TDI 之间的关系。结果所有饮酒类型（饮酒频率、酗酒频率、首次饮酒年龄）都与暴力导致的TDI密切相关。与不饮酒者相比，18 岁及以下开始饮酒且每周至少暴饮一次者（OR：3.18，95% CI：1.79-5.65）的暴力导致的 TDI 发生率更高。这些研究结果表明，有必要制定旨在减少饮酒量、饮酒频率和饮酒机会的政策，尤其是在青少年中，以减少因暴力而导致的 TDI 的发生率。

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引用次数: 0

Influence of COVID-19 pandemic on mandible fracture patterns in a German cranio-maxillofacial trauma center: PreCOVID (2019) versus IntraCOVID (2020) COVID-19 大流行对德国颅颌面创伤中心下颌骨骨折模式的影响：COVID前（2019年）与COVID中（2020年）

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2024-04-04 DOI: 10.1111/edt.12949

Florian Dudde, Oliver Schuck, Johannes Schunk, Barbarewicz Filip

Background/Aims

The COVID-19 (Coronavirus Disease-2019) pandemic confronted the global healthcare system with a variety of challenges. The pandemic and the associated lockdowns also had an impact on multiple medical disciplines (i.e. delay of surgery, change of hospital admissions). The aim of this study was to analyze the impact of the COVID-19 pandemic on mandible fracture patterns/distributions and circumstances in a German cranio-maxillofacial trauma center.

Materials and Methods

This retrospective study compared the mandible fracture patterns of patients in the PreCOVID (PC) era (February 2019–January 2020) with patients in the IntraCOVID (IC) era (February 2020–January 2021). In addition to baseline characteristics, the number/type of mandible fractures, location of the mandible fracture, circumstances leading to mandible fracture, and hospital admissions/treatments were analyzed.

Results

A total of 127 patients was included in this study. In the IC period, the absolute frequencies of mandible fractures decreased (PC = 72 vs. IC = 55). There were minor changes in the mandible fracture locations. An increase of concomitant facial soft tissue injuries (IC = 69.1% vs. PC = 58.3%), as well as higher rates of traumatic tooth loss (IC = 32.7% vs. PC = 22.2%), was observed. Regarding the causes/accidents leading to mandible fractures, there were significant increases in falls and significant decreases in sports accidents as well as interpersonal violence during the IC period. A significant increase in accidents at home and domestic violence during the COVID-19 pandemic, with a simultaneous decrease in weekend and night-time trauma leading to mandible fractures was observed. Furthermore, a significant increase in days from trauma to surgery was recorded.

Conclusion

The COVID-19 pandemic had a significant impact on mandibular fracture patterns. The locations and types of mandibular fractures changed slightly. However, significant differences in the circumstances leading to mandible fractures (increased falls, decreased interpersonal violence) were recorded.

背景/目的COVID-19（冠状病毒病-2019）大流行给全球医疗系统带来了各种挑战。大流行和相关的封锁也对多个医学学科产生了影响（如手术延迟、入院人数变化）。本研究旨在分析 COVID-19 大流行对德国一家颅颌面创伤中心下颌骨骨折模式/分布和情况的影响。材料与方法本回顾性研究比较了前 COVID (PC) 时代（2019 年 2 月至 2020 年 1 月）与内 COVID (IC) 时代（2020 年 2 月至 2021 年 1 月）患者的下颌骨骨折模式。除了基线特征外，还分析了下颌骨骨折的数量/类型、下颌骨骨折的位置、导致下颌骨骨折的情况以及入院/治疗情况。在 IC 期间，下颌骨骨折的绝对频率有所下降（PC = 72 对 IC = 55）。下颌骨骨折位置略有变化。据观察，同时发生的面部软组织损伤有所增加（IC = 69.1% 对 PC = 58.3%），外伤性牙齿脱落率也有所上升（IC = 32.7% 对 PC = 22.2%）。关于导致下颌骨骨折的原因/事故，在 IC 阶段，跌倒的发生率显著上升，运动事故和人际暴力的发生率显著下降。在 COVID-19 大流行期间，导致下颌骨骨折的家庭事故和家庭暴力明显增加，而周末和夜间创伤则同时减少。结论 COVID-19 大流行对下颌骨骨折模式产生了重大影响。下颌骨骨折的位置和类型略有变化。然而，在导致下颌骨骨折的情况（跌倒增加、人际暴力减少）方面存在重大差异。

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引用次数: 0

Traumatic dental injuries in child, adult and elderly: Domestic violence—physical abuse hidden in plain sight 儿童、成人和老年人的牙外伤：隐藏在众目睽睽之下的家庭暴力--身体虐待。

IF 2.5 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2024-03-18 DOI: 10.1111/edt.12948

Hamdi Cem Güngör

<p>In its 2002 report, the World Health Organization (WHO) has indicated the dramatic worldwide increase in the incidence of intentional injuries affecting people of all ages and both sexes, but especially children, women, and elderly. The report also suggested that most physical abuse (e.g., 90% of the cases in children) went unnoticed despite extensive efforts. Hence, raising awareness and reducing its prevalence are global challenges.</p><p>Any kind of non-accidental injury inflicted in an individual is defined as physical abuse. Child physical abuse is an important and constant problem. The largest data compiled and published by the United Nations Children's Fund (UNICEF) suggested that around 6 in 10 children between the ages of 2 and 14 worldwide (almost a billion) are subjected to physical punishment by their caregivers on a regular basis. Particular attention must be directed to children with disabilities, as the records indicate they are three times more likely to be abused than their able-bodied counterparts.</p><p>In the <i>Global Status Report on Violence Prevention by the WHO (2014)</i>, it was stated that a quarter of all adults report having been physically abused as children; one in three women had been a victim of physical or sexual violence by an intimate partner at some point in their lifetime; and one in seventeen older adults reported abuse in the past month.</p><p>Whether the violence occurs in the family, school, institution, or workplace, dental professionals can be one of the front-line responders. Dental professionals are in a unique position for not only to treat but also to diagnose and report cases of dental trauma resulting from physical abuse.<span><sup>1</sup></span> Valuable information and assistance can be provided to physicians about oral and dental aspects of physical abuse, especially in vulnerable population groups.</p><p>Studies show that almost 50% of all physical abuse is related to injuries in the head and orofacial region.<span><sup>2</sup></span> The relationships between traumatic dental injuries and interpersonal violence, namely child maltreatment, youth violence, intimate partner violence, and elder abuse have long been recognized by the dental community. Hence, Dental Traumatology has sought to increase the dental knowledge base by adding systematic reviews, research, and case series in this regard. I am pleased that the researchers from various disciplines have responded positively to the call and contributed to this special issue of Dental Traumatology which now includes reports on orofacial and dental trauma and its recognition by the dentist<span><sup>1, 2</sup></span>; injuries in physically abused children<span><sup>3</sup></span>; oro-dental and facial manifestations of physical abuse in adults<span><sup>4-7</sup></span>; sexual abuse<span><sup>8</sup></span>; medicolegal aspects of dental trauma in children,<span><sup>9</sup></span> and the Munchausen syndrome by proxy.<span><sup>10</sup><

世界卫生组织（WHO）在其 2002 年的报告中指出，世界范围内故意伤害的发生率急剧上升，影响到各个年龄段的男女老少，尤其是儿童、妇女和老年人。该报告还指出，尽管做了大量工作，但大多数身体虐待（如 90% 的儿童案件）仍未引起人们的注意。因此，提高认识和降低其发生率是全球性的挑战。儿童身体虐待是一个重要且持续存在的问题。联合国儿童基金会（UNICEF）汇编和公布的最大规模数据表明，全世界每 10 个 2 至 14 岁的儿童中就有 6 个（近 10 亿）经常受到其照顾者的体罚。必须特别关注残疾儿童，因为记录显示，他们受到虐待的可能性是健全儿童的三倍。世卫组织在《全球预防暴力现状报告》（2014年）中指出，四分之一的成年人报告曾在孩童时期遭受过身体虐待；三分之一的妇女在一生中的某个阶段曾遭受过亲密伴侣的身体暴力或性暴力；十七分之一的老年人报告曾在过去一个月中遭受过虐待。研究表明，几乎50%的身体虐待都与头部和口面部的伤害有关。2 牙科创伤与人际暴力，即虐待儿童、青少年暴力、亲密伴侣暴力和虐待老人之间的关系早已被牙科界所认识。因此，《牙科创伤学》试图通过增加这方面的系统回顾、研究和病例系列来增加牙科知识库。我很高兴各学科的研究人员积极响应这一号召，为《牙科创伤学》这一特刊做出了贡献，其中包括关于口面部和牙科创伤及其牙医识别的报告1，2；身体虐待儿童的伤害3；成人身体虐待的口面部和面部表现4-7；性虐待8；儿童牙科创伤的医学法律问题9以及代理孟乔森综合症10。最后，我想对荣誉编辑 Paul V. Abbott 教授表示感谢，是他的支持使我的想法得到了考虑。我还要特别感谢主编 Liran Levin 教授，是他在这个项目中提供了极好的指导。最后，我非常感谢伟大的 Wiley 编辑团队成员 Zora Ma、Charulatha Nagarajan、Shivi Sharma、Mie Bak 和 Hannah Watson，感谢他们在整个投稿、审稿和出版过程中的辛勤工作。

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引用次数: 0

Dental Traumatology research and education—Foundations for a better tomorrow 牙科创伤研究与教育--为更美好的明天奠定基础。

IF 2.5 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2024-03-15 DOI: 10.1111/edt.12943

Lea Budak, Liran Levin

<p> </p><p> </p><p>An avulsed permanent tooth is a serious traumatic dental injury (TDI), which should be dealt with immediately.<span><sup>1, 2</sup></span> The prognosis is very much dependent on decisions at the place of the accident and the time immediately after the avulsion has taken place.<span><sup>2</sup></span> The preferred treatment for an avulsed permanent tooth is replanting the avulsed tooth back into its socket, which should be carried out as soon as possible to have the best outcome.<span><sup>2, 3</sup></span> If the tooth cannot be replanted immediately, it must be stored.<span><sup>3, 4</sup></span> According to the guidelines of the International Association of Dental Traumatology (IADT), saline, saliva, and milk are considered physiological media that preserve the periodontal ligament before replantation.<span><sup>5</sup></span> In this Issue, Gul et al. performed a long-term clinical assessment of the risks of ankylosis-related resorption in different storage conditions.<span><sup>6</sup></span> Avulsed teeth were divided into three groups: immediately replanted teeth, teeth stored in physiologic media, and the control group dry stored teeth. The storage media used in the physiological storage group in this study were saliva and saline. The storage conditions are of great importance and impact the prognosis of the avulsed teeth.</p><p>Basketball is a contact sport with risks of oral injuries, defined as injuries to the teeth, periodontium, and surrounding soft tissues such as the lips and tongue.<span><sup>7, 8</sup></span> Common basketball-related oral injuries include soft tissue lacerations and contusions.<span><sup>8</sup></span> Given a high-enough impact force, traumatic dental injuries such as tooth fractures and avulsions can occur.<span><sup>7, 8</sup></span> In this Issue, Liang et al. investigated the distribution of different oral injuries within each injury mechanism and evaluated which mechanisms were most likely to lead to a dental injury.<span><sup>9</sup></span> Understanding the mechanisms of dental injuries in basketball and other sports is imperative for medical teams to acutely manage and treat these injuries. Furthermore, information regarding the mechanisms leading to severe dental injuries will help basketball staff educate athletes on prevention and safer playing techniques.</p><p>TDIs occur frequently and at any age, although the peak incidence is during childhood.<span><sup>10, 11</sup></span> It is known that the quality of immediate emergency treatment positively influences the outcome of any TDI.<span><sup>11, 12</sup></span> It is reasonable to expect that a dental practitioner would have the knowledge and skills to manage a dental emergency with the same confidence as a medical emergency as a result of basic education during their professional training.<span><sup>12, 13</sup></span> In this Issue, O'Connell and Olegário investigated teaching

恒牙脱落是一种严重的牙科外伤（TDI），应立即处理。1, 2 预后在很大程度上取决于事故发生地的决定和脱落发生后的时间。2 恒牙脱落的首选治疗方法是将脱落的牙齿重新植回牙槽窝，应尽快进行以获得最佳效果、4 根据国际牙科创伤学会（IADT）的指南，生理盐水、唾液和牛奶被认为是在重新镶牙前能保护牙周韧带的生理介质。5 在本期中，Gul 等人对不同储存条件下与强直相关的牙齿吸收风险进行了长期临床评估。本研究中生理储存组使用的储存介质是唾液和生理盐水。篮球是一项有口腔损伤风险的接触性运动，口腔损伤是指牙齿、牙周和周围软组织（如嘴唇和舌头）的损伤。7, 8 与篮球有关的常见口腔损伤包括软组织撕裂伤和挫伤。在本期中，Liang 等人研究了不同口腔损伤在每种损伤机制中的分布情况，并评估了哪种机制最有可能导致牙科损伤。此外，有关导致严重牙科损伤的机制的信息将有助于篮球工作人员教育运动员如何预防和使用更安全的比赛技术。TDI 频繁发生在任何年龄段，尽管发病高峰期是在儿童时期、12 我们有理由期望，牙科医生在接受专业培训期间，通过基础教育，能够掌握处理牙科急症的知识和技能，就像处理医疗急症一样自信。这篇论文强调了牙科创伤教育在国际上存在差异，并且在大多数牙科学校中都是以零散的方式进行的。创伤性直接外伤是一个重大的公共卫生问题，其在儿童中的发病率非常高、15 在本期中，de Medeiros 等人制作并验证了一本面向非专业人士的教育漫画书，旨在指导牙科创伤病例中的即时行动，并评估其对提高读者知识水平的效果。16 缺乏处理牙科创伤情况所需的适当知识会损害经历创伤者的生活质量，削弱有效治疗的潜力，并降低成功治疗的机会。18 问卷调查是一种常用的数据收集方法，其验证是研究的重要部分，因为验证所设计问卷的心理测量特性非常重要、20 在本课题中，Magno 等人旨在开发并验证一份问卷（TDI-Q），以评估非专业人士对 TDIs 的了解程度，其中包括来自巴西五个地区的参与者21 。有必要使用经过验证的工具，以避免研究人员在收集数据时出现任何错误或能力不足，并避免信息混乱和不完整。 22 由于即刻再植并不总是可行的选择，延迟再植有时是更现实和实用的治疗选择。3 任何类型的牙齿损伤的主要反应是急性炎症，刺激炎症反应的终止将导致愈合、24 在本期中，Herr 等人评估了在大鼠牙齿延迟再植后在牙槽窝应用氟啶脲 A 对炎症反应的影响。颌面部创伤的流行病学因社会经济、人口和环境因素而异。27 在本期中，Gugliotta 等人分析了二十多年来颌面部创伤的流行病学，以评估意大利一家三级医院的儿童、成人和老年人群骨折原因是否发生了重大变化。收集有关颌面部创伤的长期流行病学数据至关重要，这不仅能使各国政府评估创伤病因和相关费用的演变模式，还能针对最常导致面部骨折的原因制定预防措施。牙外伤发生在25%的学龄儿童和33%的青壮年身上，大多发生在19岁之前。32 国际牙科协会于2018年推出了ToothSOS应用程序，以传播任何牙外伤情况下的急救信息。这一免费应用程序旨在确保向个人和牙科专业人员提供有关牙外伤的公共信息，据报道，它是其他文件和工具的首选，因为它是一种易于获取且显而易见的工具。32 在本期中，Sari 等人评估了儿科医生对牙外伤的知识水平以及他们对 ToothSOS 移动应用程序的认识。ToothSOS 可被推荐为专业人士和个人的教育工具。35 护齿器可用于预防运动中的牙齿创伤和口面部损伤。在本期中，Costa 等人评估了通过热循环使乙烯-醋酸乙烯老化对用于护齿的不同乙烯-醋酸乙烯品牌的弹性模量、应力、应变和冲击吸收能力的影响37。通过单轴拉伸试验和非线性动态冲击分析，对护齿器的有效性进行了测试。热循环过程是一种成熟的老化协议研究方法，在牙科材料科学中非常有用。袭击、跌倒和机动车事故是颌面部受伤的主要原因、41 在本期中，Yari 等人评估了翻车事故受害者颌面部骨折的发生率和模式以及相关的人口统计学数据。这些数据有助于制定创新战略，以减少颌面部创伤的发生率，并通过评估高危人群和确定造成创伤的因素来提供适当的护理。牙齿自体移植是龋齿或创伤导致的牙齿替换的成功替代种植牙的方法，在儿童和青少年中的成功率超过 95%，在成年人中超过 80%。三维打印复制品可减少创伤和口外暴露，并有可能保持细胞活力，有助于最大限度地减少拔牙过程中对捐献者牙齿的损伤，减少所需的试戴次数，从而保护牙周韧带的完整性。在本期中，Lejnieks 等人介绍了一种结合锥束计算机断层扫描 (CBCT)、软件和三维打印技术的方案，用于设计牙齿自动移植的三维复制品。48 将 CBCT、软件和三维打印技术整合到自动移植中是一种很有前景的方法，可以减少供体牙齿的口外暴露时间，并有可能提高成功率。

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引用次数: 0

Munchausen syndrome by proxy: A narrative review and update for the dentist and other healthcare professionals 代理孟乔森综合症：针对牙医和其他医疗保健专业人员的叙述性回顾和更新。

IF 2.5 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2024-03-08 DOI: 10.1111/edt.12946

Ruixiang Yee, Sarah Ying Sim, Wen Hann Chow, Kumudhini Rajasegaran, Catherine Hsu Ling Hong

Munchausen syndrome by proxy (MSbP) is a form of abuse in which a caregiver with Factitious Disorder Imposed on Another (FDIA) fabricates or induces signs or symptoms in a person under their care to satisfy a self-serving psychological need. Unnecessary clinical evaluations, procedures, and treatments that are initiated based on falsification by the abuser inadvertently add to the trauma experienced by the victim. It is a form of abuse and the impact on victims can be severe, sometimes fatal, and far-reaching such as prolonged neglect and extension to affected siblings. The long-term exposure to MSbP may predispose the victim to eventually developing factitious disorder imposed on self (FDIS). While MSbP often involves child victims, elderly, adults, and pets have also been reported as victims. MSbP can be a diagnostic challenge, and the important keys to timely identification of MSbP include the ability to detect deception by caregivers through awareness, clinical suspicion, and careful review of available health records; it also involves collecting collaborative information from other relevant healthcare providers including dentists, schoolteachers, and social workers. To date, there are limited published cases of MSbP with oral findings. This paper provides a narrative review of the current understanding of MSbP with a section on cases with oral findings. This paper aims to increase awareness about the clinical presentations and management considerations for MSbP among dentists and other healthcare professionals.

代理孟乔森综合症（Munchausen syndrome by proxy，MSbP）是一种虐待形式，患有 "强加于他人的事实性失调症"（Factitious Disorder Imposed on Another，FDIA）的照顾者会在其照顾的人身上捏造或诱发症状或体征，以满足自我的心理需求。基于施虐者的伪造而启动的不必要的临床评估、程序和治疗，无意中加重了受害者的创伤。MSbP 是一种虐待形式，对受害者的影响可能是严重的，有时甚至是致命的，而且影响深远，如长期忽视和延伸到受影响的兄弟姐妹。长期遭受 MSbP 可能会使受害者最终患上强加于自身的事实性失调症（FDIS）。虽然 MSbP 通常涉及儿童受害者，但也有报道称老年人、成年人和宠物也是受害者。MSbP可能是诊断方面的一个难题，及时识别MSbP的重要关键包括通过意识、临床怀疑和仔细查看现有健康记录来发现护理人员欺骗行为的能力；还包括从牙医、学校教师和社会工作者等其他相关医疗服务提供者那里收集合作信息。迄今为止，已发表的有口腔发现的 MSbP 病例非常有限。本文对目前人们对 MSbP 的认识进行了叙述性回顾，其中一部分是关于有口腔发现的病例。本文旨在提高牙医和其他医护人员对 MSbP 临床表现和管理注意事项的认识。

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引用次数: 0

Traumatic dental injuries: Knowledge assessment of dentists in the Norwegian Public Dental Service of Vestland 牙科外伤：挪威维斯特兰公共牙科服务机构牙医的知识评估。

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2024-03-08 DOI: 10.1111/edt.12945

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

Background/Aim

Most children and adolescents in Norway attend the Public Dental Service (PDS) where they are treated free-of-charge until the age of 19 years. Thus, general dentists employed in the PDS are the primary care providers for traumatic dental injuries (TDI) in young patients. This cross-sectional study assessed the knowledge of PDS general dentists on the acute management and follow-up of TDI and its socio-demographic and attitudinal covariates.

Materials and Methods

All general dentists employed in the Vestland County PDS, Western Norway, (N = 170) received an online questionnaire. Socio-demographic and professional profiles of respondents as well as attitudinal indicators were queried. Clinical case scenarios on emergency treatment and further follow-ups of TDI were used to calculate a dental trauma knowledge score (DTKS; range: 0–21). Mann–Whitney U tests and Kruskal–Wallis tests determined differences between the demographic subgroups. Logistic regressions determined the potential of single factors in explaining the variability in dental trauma knowledge.

Results

The response rate was 46%. Most participants (60.5%) had not participated in a TDI course after graduation but would like such a course (84.2%). Mean DTKS was 13.82 (±2.6). Knowledge scores differed significantly between age groups (p = .014) and years since graduation (p = .0018). Younger dentists and recently graduated dentists scored highest. Dentists under the age of 30 years scored higher than 30–39- and 40–49-year-old dentists in these areas: emergency treatment of crown fractures with pulp exposure, identification of complications after avulsion, and management of severe intrusive luxation injury.

Conclusion

Younger dentists had a higher theoretical knowledge of TDI. Continuing professional development among dentists in the Norwegian PDS is needed for emergency treatment and complication management after TDI.

背景/目的：挪威的大多数儿童和青少年都在公共牙科服务机构（PDS）接受免费治疗，直至 19 岁。因此，受雇于公共牙科服务机构的普通牙医是年轻患者牙外伤（TDI）的主要治疗提供者。这项横断面研究评估了PDS普通牙医对TDI急性处理和随访的知识及其社会人口和态度协变量：挪威西部韦斯特兰县公共牙科诊所的所有普通牙医（N = 170）都收到了一份在线问卷。问卷调查了受访者的社会人口学和专业概况以及态度指标。利用紧急治疗的临床案例情景和 TDI 的进一步随访来计算牙科创伤知识得分（DTKS；范围：0-21）。Mann-Whitney U 检验和 Kruskal-Wallis 检验确定了人口统计分组之间的差异。逻辑回归确定了单一因素在解释牙科创伤知识差异方面的潜力：回复率为 46%。大多数参与者（60.5%）在毕业后没有参加过牙科创伤知识课程，但希望参加此类课程（84.2%）。平均 DTKS 为 13.82（±2.6）分。不同年龄组（p = .014）和毕业年限（p = .0018）的知识得分差异很大。年轻牙医和刚毕业的牙医得分最高。30岁以下的牙医在以下方面的得分高于30-39岁和40-49岁的牙医：牙冠骨折伴牙髓暴露的紧急治疗、撕脱后并发症的识别以及严重侵入性松动损伤的处理：结论：年轻牙医对牙髓损伤的理论知识掌握得更多。挪威牙医职业发展计划（PDS）中的牙医需要在牙髓损伤后的紧急治疗和并发症处理方面进行持续的职业发展。

{"title":"Traumatic dental injuries: Knowledge assessment of dentists in the Norwegian Public Dental Service of Vestland","authors":"Andjelka Cvijic, Anne Åstrøm, Monika Kvernenes, Georgios Tsilingaridis, Athanasia Bletsa","doi":"10.1111/edt.12945","DOIUrl":"10.1111/edt.12945","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Most children and adolescents in Norway attend the Public Dental Service (PDS) where they are treated free-of-charge until the age of 19 years. Thus, general dentists employed in the PDS are the primary care providers for traumatic dental injuries (TDI) in young patients. This cross-sectional study assessed the knowledge of PDS general dentists on the acute management and follow-up of TDI and its socio-demographic and attitudinal covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>All general dentists employed in the Vestland County PDS, Western Norway, (N = 170) received an online questionnaire. Socio-demographic and professional profiles of respondents as well as attitudinal indicators were queried. Clinical case scenarios on emergency treatment and further follow-ups of TDI were used to calculate a dental trauma knowledge score (DTKS; range: 0–21). Mann–Whitney <i>U</i> tests and Kruskal–Wallis tests determined differences between the demographic subgroups. Logistic regressions determined the potential of single factors in explaining the variability in dental trauma knowledge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The response rate was 46%. Most participants (60.5%) had not participated in a TDI course after graduation but would like such a course (84.2%). Mean DTKS was 13.82 (±2.6). Knowledge scores differed significantly between age groups (<i>p</i> = .014) and years since graduation (<i>p</i> = .0018). Younger dentists and recently graduated dentists scored highest. Dentists under the age of 30 years scored higher than 30–39- and 40–49-year-old dentists in these areas: emergency treatment of crown fractures with pulp exposure, identification of complications after avulsion, and management of severe intrusive luxation injury.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Younger dentists had a higher theoretical knowledge of TDI. Continuing professional development among dentists in the Norwegian PDS is needed for emergency treatment and complication management after TDI.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 4","pages":"398-409"},"PeriodicalIF":2.3,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066293","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

Changes in oral functions and speech when using custom-fitted mouthguards: An uncontrolled before-and-after study 使用定制护齿时口腔功能和言语的变化：一项前后对照研究。

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology

Pub Date : 2024-03-08 DOI: 10.1111/edt.12939

Muhammad Khiratti Mat Zainal, Amy Kia Cheen Liew, Dalia Abdullah, Eason Soo, Badrulzaman Abdul Hamid, Roza Anon Mohd Ramlee

Background/Aim

Mouthguards are crucial for protecting athletes against orofacial injuries, yet concerns persist regarding their potential impact on oral functions. This study aimed to investigate the effects of sports mouthguards on oral functions and speech over time.

Material and Methods

Thirty national rugby players received custom-fitted mouthguards. Questionnaire responses and speech recordings were collected before mouthguard use and at various intervals after using mouthguards: immediately, 1 week, 2 month, and 6 months. Spectrographic analysis was performed to measure voice onset time (VOT) for /p, b, t, d/ phonemes. Questionnaire responses were assessed with Friedman's test, while VOT changes were examined using one-way repeated measure analysis of variance.

Results

Compliance with mouthguard use improved during training and competitions, with consistent wear reported during matches. Over time, speaking difficulties and lisping decreased significantly (p < .001). The perception of nausea improved (p < .001), stabilizing after 1 month (p = .414). Sensations of bulkiness declined (p < .001). Mouth dryness reduced steadily, with no occurrences reported by all players by the end of the study. None of the participants reported bad breath, ulcers, or redness in the mouth. VOT changed immediately after wearing mouthguards (p < .001), gradually regressing toward the baseline, although not completely reaching it. Players held a favorable view of mouthguard use, with comfort and support for mandatory use increasing over time.

Conclusions

Custom-fitted mouthguards do not lead to significant long-term disruptions in oral functions. Athletes generally adapt to mouthguard use, reporting improved comfort and greater support for their use.

背景/目的：运动护齿对于保护运动员免受口腔损伤至关重要，但人们对其对口腔功能的潜在影响一直存在担忧。本研究旨在调查运动护齿随着时间的推移对口腔功能和言语的影响：30 名国家橄榄球运动员接受了定制的护齿。在使用护齿前和使用护齿后的不同时间段（立即、1 周、2 个月和 6 个月），收集了调查问卷和语言记录。对/p、b、t、d/音素的发声时间（VOT）进行了光谱分析。问卷回答采用弗里德曼检验进行评估，VOT变化采用单向重复测量方差分析进行检验：结果：在训练和比赛期间，使用护齿的依从性有所提高，据报告，在比赛期间佩戴护齿的情况始终如一。随着时间的推移，说话困难和口齿不清的情况明显减少（P量身定制的护齿不会对口腔功能造成严重的长期影响。运动员一般都能适应护齿的使用，并表示其舒适度有所提高，使用起来也更有支撑力。

{"title":"Changes in oral functions and speech when using custom-fitted mouthguards: An uncontrolled before-and-after study","authors":"Muhammad Khiratti Mat Zainal, Amy Kia Cheen Liew, Dalia Abdullah, Eason Soo, Badrulzaman Abdul Hamid, Roza Anon Mohd Ramlee","doi":"10.1111/edt.12939","DOIUrl":"10.1111/edt.12939","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Mouthguards are crucial for protecting athletes against orofacial injuries, yet concerns persist regarding their potential impact on oral functions. This study aimed to investigate the effects of sports mouthguards on oral functions and speech over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>Thirty national rugby players received custom-fitted mouthguards. Questionnaire responses and speech recordings were collected before mouthguard use and at various intervals after using mouthguards: immediately, 1 week, 2 month, and 6 months. Spectrographic analysis was performed to measure voice onset time (VOT) for /<i>p</i>, <i>b</i>, <i>t</i>, <i>d</i>/ phonemes. Questionnaire responses were assessed with Friedman's test, while VOT changes were examined using one-way repeated measure analysis of variance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compliance with mouthguard use improved during training and competitions, with consistent wear reported during matches. Over time, speaking difficulties and lisping decreased significantly (<i>p</i> < .001). The perception of nausea improved (<i>p</i> < .001), stabilizing after 1 month (<i>p</i> = .414). Sensations of bulkiness declined (<i>p</i> < .001). Mouth dryness reduced steadily, with no occurrences reported by all players by the end of the study. None of the participants reported bad breath, ulcers, or redness in the mouth. VOT changed immediately after wearing mouthguards (<i>p</i> < .001), gradually regressing toward the baseline, although not completely reaching it. Players held a favorable view of mouthguard use, with comfort and support for mandatory use increasing over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Custom-fitted mouthguards do not lead to significant long-term disruptions in oral functions. Athletes generally adapt to mouthguard use, reporting improved comfort and greater support for their use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 4","pages":"460-469"},"PeriodicalIF":2.3,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066237","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