Dental Traumatology最新文献_第9页

Enhancing mouthguard longevity: Impact of surface treatment against aging from brushing and disinfectant exposure 延长护齿的使用寿命：表面处理对防止因刷牙和接触消毒剂而老化的影响。

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

Dental Traumatology

Pub Date : 2024-03-08 DOI: 10.1111/edt.12941

Larissa Haddad e Borro, Talita Suelen de Queiroz, Beatriz Serralheiro da Cruz, Amir Mohidin Demachkia, Alexandre Luiz Souto Borges, João Paulo Mendes Tribst, Tarcisio Jose de Arruda Paes Junior

Background/Aims

The study aimed to assess the surface characteristics of sports mouthguards under mechanical stresses during cleaning, either by brushing or immersion in disinfectant solutions.

Material and Methods

Ethylene-vinyl acetate samples, 4 mm thick, were randomly assigned to cleaning methods: control (C—no cleaning), brushing with water (B.W), brushing with neutral liquid soap (B.S), brushing with toothpaste (B.T), immersion in distilled water for 10 min (I.W), immersion in 2.25% sodium hypochlorite solution for 10 min (I.SH), and immersion in sodium bicarbonate solution for 5 min (I.SB). All cleaning methods were applied for 28 days. Surface roughness average (Ra) and wettability were measured at baseline for the control group (n = 9), and after cleaning for all the other groups.

Results

One-way ANOVA with Tukey tests (5% significance) indicated significant differences among groups (p < .05). The I.SB group had higher surface roughness than B.S and B.T (p < .05). B.W showed the lowest wettability, significantly lower than B.T, I.W, and I.SB (p < .05). I.SB exhibited the highest wettability, significantly different from sodium hypochlorite, neutral liquid soap, brushing with water, and control groups (p < .05). The sodium bicarbonate immersion group (I.SB) demonstrated greater statistical variation, displaying higher susceptibility to aging compared to brushing with neutral liquid soap.

Conclusion

Cleaning mouthguards with a toothbrush, water, and neutral liquid soap emerged as the most promising method, causing minimal surface changes in the material.

背景/目的：本研究旨在评估运动护齿在刷洗或浸泡在消毒剂溶液中进行清洁时，在机械应力作用下的表面特性：将厚度为 4 毫米的乙烯-醋酸乙烯酯样品随机分配到不同的清洁方法中：对照组（C-不清洁）、用水刷洗（B.W）、用中性肥皂液刷洗（B.S）、用牙膏刷洗（B.T）、在蒸馏水中浸泡 10 分钟（I.W）、在 2.25% 次氯酸钠溶液中浸泡 10 分钟（I.SH）以及在碳酸氢钠溶液中浸泡 5 分钟（I.SB）。所有清洁方法均持续 28 天。对照组（n = 9）在基线时测量表面粗糙度平均值（Ra）和润湿性，所有其他组在清洗后测量表面粗糙度平均值（Ra）和润湿性：结果：单因素方差分析和 Tukey 检验（显著性为 5%）表明，各组之间存在显著差异（p 结论：用牙刷清洁护齿时，各组之间存在显著差异：用牙刷、水和中性皂液清洁护齿是最有效的方法，对材料表面的改变最小。

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引用次数: 0

A cross-sectional study of the impact of the COVID-19 lockdown on domestic violence-related oral and maxillofacial injuries COVID-19 封锁对家庭暴力相关口腔和颌面部伤害影响的横断面研究。

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

Dental Traumatology

Pub Date : 2024-03-08 DOI: 10.1111/edt.12944

Ochbayar Naran-Ochir, Tsetsegkhen Narantsetseg, Batzorig Bayartsogt, Batzorig Batbileg, Batbold Gan-Ochir, Munkhdul Altannamar, Enkh-Orchlon Batbayar

Background

During the COVID-19 lockdown, more domestic violence-related traumas were reported. In this study, we investigated and compared the incidence of domestic violence-related injuries—in particular oral and maxillofacial injuries—in Ulaanbaatar, Mongolia, before and during the COVID-19 lockdown.

Materials and Methods

We conducted a cross-sectional study based on 3974 domestic violence cases registered at the Public Health Department, National Traumatology and Orthopedics Research Center of Mongolia between 2018 and 2022. Descriptive and binary logistic regression analyses were conducted. The victims were categorized according to their age (child, adult, and elderly).

Results

The mean age of the victims was children 9.7 ± 5.4 years, adults 34.8 ± 8.3 years, and elderly 64.3 ± 8.7 years. Binary logistic regression analysis (no/yes) showed that oral and maxillofacial injuries during the lockdown increased 1.3 times (OR = 1.3; CI 95% = 1.0–1.6; p = .003) in adults and 2.5 times in children (OR = 2.5; CI 95% = 1.7–3.9; p = .001). Additionally, injuries to upper limbs increased 4.6 times (OR = 4.6; CI 95% = 3.5–6.1; p = .001) in adults and 5.2 times in elderly patients (OR = 5.2; CI 95% = 1.8–16.2; p = .01). Additionally, thorax injury in children increased 3.1 times (OR = 3.1; CI 95% = 1.7–5.7; p = .001).

Conclusions

During the lockdown, injury to oral and maxillofacial regions increased in adult and child victims of domestic violence.

背景：在COVID-19封锁期间，报告了更多与家庭暴力相关的创伤。在这项研究中，我们调查并比较了 COVID-19 封锁前和封锁期间蒙古乌兰巴托与家庭暴力相关的伤害（尤其是口腔和颌面部伤害）的发生率：我们对2018年至2022年期间在蒙古国家创伤和骨科研究中心公共卫生部登记的3974例家庭暴力病例进行了横断面研究。研究进行了描述性分析和二元逻辑回归分析。受害者根据年龄（儿童、成人和老人）进行分类：结果：受害者的平均年龄为儿童（9.7 ± 5.4）岁、成人（34.8 ± 8.3）岁和老年人（64.3 ± 8.7）岁。二元逻辑回归分析（否/是）显示，封锁期间口腔和颌面部受伤的人数在成人中增加了 1.3 倍（OR = 1.3；CI 95% = 1.0-1.6；p = .003），在儿童中增加了 2.5 倍（OR = 2.5；CI 95% = 1.7-3.9；p = .001）。此外，上肢受伤在成人中增加了 4.6 倍（OR = 4.6；CI 95% = 3.5-6.1；p = .001），在老年患者中增加了 5.2 倍（OR = 5.2；CI 95% = 1.8-16.2；p = .01）。此外，儿童胸腔损伤增加了 3.1 倍（OR = 3.1；CI 95% = 1.7-5.7；p = .001）：结论：在封锁期间，成人和儿童家庭暴力受害者的口腔和颌面部受伤情况有所增加。

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引用次数: 0

Intraradicular reinforcement of traumatized immature anterior teeth after MTA apexification 在 MTA 顶点成形术后对创伤性未成熟前牙进行关节内加固。

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

Dental Traumatology

Pub Date : 2024-03-08 DOI: 10.1111/edt.12947

Kanet Chotvorrarak, Supatra Danwittayakorn, Danuchit Banomyong, Warattama Suksaphar

This review article describes the methods and clinical recommendations for reinforcing traumatized anterior immature teeth with pulp necrosis treated with mineral trioxide aggregate (MTA) apexification. Traumatic injury can cause pulp necrosis and incomplete root formation in immature teeth. MTA apexification is the treatment of choice for necrotic immature teeth, particularly during the middle or late stages of root development. MTA apexification has a high success rate; however, failures due to cervical or root fractures occasionally occur. The risk of fracture is higher in immature teeth with thin root dentin, particularly those with external root resorption. Furthermore, the loading force from any parafunctional habit also increases fracture risk. Therefore, intra-radicular reinforcement may be necessary after MTA apexification. In vitro, intraradicular restoration with a resin composite/core build-up material or a prefabricated fiber post demonstrated better root reinforcement than root canal obturation materials (i.e., gutta-percha and sealer). However, the root-reinforcement effect of MTA orthograde filling in the entire root canal remains unclear. In vivo, the survival of fractured teeth with intraradicular restorations (resin composite/core build-up material or prefabricated fiber posts) is extremely high. Moreover, the survival of teeth with gutta-percha/sealer obturation or MTA orthograde filling and restoration with resin composite extending into the cervical third of the root canal approximately 1–2 mm below the cemento-enamel junction is acceptably high. Based on this evidence, the remaining tooth/root structure and loading force should be carefully examined when considering intra-radicular reinforcement of immature anterior teeth treated with MTA apexification.

这篇综述文章介绍了用三氧化矿物骨料（MTA）顶点强化术治疗牙髓坏死的创伤性前牙未成熟牙的方法和临床建议。外伤可导致牙髓坏死和未成熟牙牙根形成不完全。对于坏死的未成熟牙齿，尤其是在牙根发育的中期或晚期，MTA 尖端化是首选的治疗方法。MTA 尖端成形术的成功率很高；但偶尔也会出现因牙颈部或牙根折断而导致的失败。牙根牙本质薄的未成熟牙齿，尤其是外根吸收的牙齿，发生折断的风险更高。此外，任何副功能习惯所产生的负荷力也会增加骨折风险。因此，MTA 尖端化后可能需要进行根内加固。在体外，与根管封固材料（即古塔波卡和封闭剂）相比，使用树脂复合材料/桩核构建材料或预制纤维桩进行的根管内修复具有更好的根管加固效果。然而，MTA 正交充填对整个根管的根部加固效果仍不明确。在体内，使用根管内修复体（树脂复合材料/桩核材料或预制纤维桩）的折断牙存活率极高。此外，使用古塔漆/密封剂封闭或 MTA 正交充填，并将树脂复合材料伸入根管颈部三分之一处（低于牙本质-釉质交界处约 1-2 毫米）进行修复的牙齿存活率也很高。基于这些证据，在考虑对采用 MTA 尖端化治疗的未成熟前牙进行根管内加固时，应仔细检查剩余的牙齿/牙根结构和加载力。

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引用次数: 0

Factors influencing traumatic brain injuries in maxillofacial fractures: A 12-year retrospective analysis of 2841 patients 影响颌面部骨折脑外伤的因素：对 2841 名患者进行的 12 年回顾性分析。

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

Dental Traumatology

Pub Date : 2024-03-08 DOI: 10.1111/edt.12942

Jingjing Mao, Jiawen Xue, Yunlong Li, Qi Zhou, Shuo Zhou, Zhongwei Zhou

Background/Aim

Results of studies investigating the association between traumatic brain injury (TBI) and maxillofacial fractures (MFs) have varied considerably. The present study aimed to evaluate the correlation between TBIs and MFs, as well as the impact of age, sex, trauma mechanism, and season on TBIs.

Materials and Methods

This 12-year retrospective study of 2841 patients used univariate and multivariate logistic regression to assess the association between MFs and other factors impacting TBIs.

Results

Among 2841 patients, 1978 TBIs occurred in 829 (29.2%), with intracranial injuries (n = 828) is the most common. Of 829 patients with TBIs, 688 were male and 141 were female, corresponding to a male-to-female ratio of 4.9:1.0. The most common age group was 40–49 years (24.6%). Vehicles (including motor vehicles and electric vehicles) accidents were the primary causes of injuries. Multivariate regression analyses revealed an increased risk for TBIs among males (odds ratio [OR] 0.632, p < 0.001). Patients >40 years of age were at higher risk for TBIs, especially those ≥70 years (OR 3.966, p = 0.001). Vehicle accidents were a high-risk factor for TBIs (OR 6.894, p < 0.001), and winter was the most prevalent season for such injuries (OR 1.559, p = 0.002). Risk for TBI increased by 136.4% in combined midfacial and mandibular fractures (p = 0.016) and by 101.6% in multiple midfacial fractures (p = 0.045). TBIs were less common in single mandibular fractures, notably in single-angle fractures, with a risk of only 0.204-fold.

Conclusion

TBIs in MFs were significantly correlated with sex, age, aetiology, season and fracture location. Maxillofacial surgeons and emergency physicians must be aware of the possible association between TBIs and MFs to assess and manage this complicated relationship in a timely manner.

背景/目的：有关创伤性脑损伤（TBI）与颌面部骨折（MFs）之间关系的研究结果差异很大。本研究旨在评估创伤性脑损伤与颌面部骨折之间的相关性，以及年龄、性别、创伤机制和季节对创伤性脑损伤的影响：这项为期12年、对2841名患者进行的回顾性研究使用单变量和多变量逻辑回归评估了MFs与影响创伤性脑损伤的其他因素之间的关联：在 2841 名患者中，1978 年有 829 人（29.2%）发生了创伤性脑损伤，其中颅内损伤（828 人）最为常见。在 829 名创伤性脑损伤患者中，男性 688 人，女性 141 人，男女比例为 4.9:1.0。最常见的年龄组为 40-49 岁（24.6%）。车辆（包括机动车和电动车）事故是受伤的主要原因。多变量回归分析显示，男性发生创伤性脑损伤的风险更高（几率比[OR] 0.632，P = 0.001），40 岁以上人群发生创伤性脑损伤的风险更高，尤其是年龄≥70 岁的人群（OR 3.966，P = 0.001）。车辆事故是造成创伤性脑损伤的高危因素（OR 6.894，P 结论：车辆事故是造成创伤性脑损伤的高危因素：中风患者的创伤性脑损伤与性别、年龄、病因、季节和骨折部位有明显的相关性。颌面外科医生和急诊医生必须意识到创伤性脑损伤与中风之间可能存在的关联，以便及时评估和处理这种复杂的关系。

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引用次数: 0

Enhancing elementary school teachers' knowledge in managing traumatic dental injuries: The effectiveness of educational sessions 提高小学教师处理牙外伤的知识：教育课程的有效性。

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

Dental Traumatology

Pub Date : 2024-02-17 DOI: 10.1111/edt.12938

Ahlam Alomari, Raghad Hashim, Tarun Walia, Raghavendra Shetty

Background/Aims

This study aims to evaluate the short- and long-term effects of educational intervention on elementary school teachers' knowledge of traumatic dental injuries (TDI).

Materials and Methods

The study included all of the elementary schools (29) in the emirate of Ras Al Khaimah, United Arab Emirates. Of the initial 538 participants, 497 teachers completed the full-length study. The first assessment (T0) was performed prior to intervention using a four-part validated questionnaire that evaluated demographics, knowledge, attitudes, and self-assessment in relation to TDIs. The questionnaire was followed by a 30-min lecture presentation featuring various dental trauma scenarios. Each teacher's knowledge was reassessed immediately after the intervention (T1) and 3 months after the intervention (T2). The data were analyzed using the Cochran test, Wilcoxon signed-rank test, and chi-squared test.

Results

Half of the participants had witnessed dental trauma at least once; however, 96.6% of the participants had not attended any training related to dental trauma prior to the educational intervention. Knowledge regarding first aid management of broken teeth and avulsions was disappointing pre-intervention but was significantly higher post-intervention (p < .001). Following the workshop, participant self-assessments indicated improvement in the ability to appropriately respond to cases of dental trauma as necessary (p < .001).

Conclusions

Inadequate knowledge of emergency management of TDI was demonstrated initially. There was a remarkable improvement in the overall knowledge of TDI after the educational sessions. Raising the awareness in dental trauma field by conducting educational sessions is crucial for achieving a better outcome.

背景/目的本研究旨在评估教育干预对小学教师了解牙外伤（TDI）知识的短期和长期影响：研究对象包括阿拉伯联合酋长国哈伊马角酋长国的所有小学（29 所）。在最初的 538 名参与者中，有 497 名教师完成了整个研究。第一次评估（T0）是在干预前进行的，使用了一份由四个部分组成的有效问卷，评估了与 TDI 相关的人口统计学、知识、态度和自我评估。问卷调查后，进行了 30 分钟的讲座，介绍了各种牙科创伤情况。干预结束后（T1）和干预结束 3 个月后（T2）对每位教师的知识进行了重新评估。数据分析采用 Cochran 检验、Wilcoxon 符号秩检验和卡方检验：结果：半数参与者至少目睹过一次牙外伤，但96.6%的参与者在教育干预之前没有参加过任何与牙外伤相关的培训。干预前，参与者对牙齿断裂和撕脱的急救处理知识的了解程度令人失望，但干预后则显著提高（p 结论：干预前，参与者对牙齿断裂和撕脱的急救处理知识的了解程度令人失望，但干预后则显著提高：最初对牙科创伤急救处理的认识不足。教育课程结束后，对 TDI 的总体认识有了显著提高。通过开展教育课程提高牙科创伤领域的认识对于取得更好的结果至关重要。

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引用次数: 0

The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) guidelines for prevention of traumatic dental injuries: Part 8: ToothSOS app 国际牙科创伤学会（IADT）和运动牙科学院（ASD）预防牙科创伤指南：第 8 部分：ToothSOS 应用程序。

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

Dental Traumatology

Pub Date : 2024-02-16 DOI: 10.1111/edt.12928

Nitesh Tewari, Paul V. Abbott, Anne C. O'Connell, Stephen C. Mills, Hans Stasiuk, Mark Roettger, Liran Levin

The Guidelines for Prevention of Traumatic Dental Injuries were reviewed and approved by the Board of Directors of the International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD).

国际牙科创伤学会 (IADT) 和运动牙科学会 (ASD) 的董事会对《牙科创伤预防指南》进行了审查和批准。

引用次数: 0

The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) guidelines for prevention of traumatic dental injuries: Part 1: General introduction 国际牙科创伤学会（IADT）和运动牙科学院（ASD）牙科创伤预防指南：第 1 部分：总论。

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

Dental Traumatology

Pub Date : 2024-02-16 DOI: 10.1111/edt.12923

Liran Levin, Anne C. O'Connell, Nitesh Tewari, Stephen C. Mills, Hans Stasiuk, Mark Roettger, Paul V. Abbott

The Guidelines for Prevention of Traumatic Dental Injuries were reviewed and approved by the Board of Directors of the International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD).

国际牙科创伤学会 (IADT) 和运动牙科学会 (ASD) 的董事会对《牙科创伤预防指南》进行了审查和批准。

引用次数: 0

The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) guidelines for prevention of traumatic dental injuries: Part 2: Primary prevention of dental trauma across the life course 国际牙科创伤学会（IADT）和运动牙科学院（ASD）牙科创伤预防指南：第二部分：一生中牙齿创伤的初级预防。

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

Dental Traumatology

Pub Date : 2024-02-16 DOI: 10.1111/edt.12924

Anne C. O'Connell, Paul V. Abbott, Nitesh Tewari, Stephen C. Mills, Hans Stasiuk, Mark Roettger, Liran Levin

The Guidelines for Prevention of Traumatic Dental Injuries were reviewed and approved by the Board of Directors of the International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD).

国际牙科创伤学会 (IADT) 和运动牙科学会 (ASD) 的董事会对《牙科创伤预防指南》进行了审查和批准。

引用次数: 0

The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) guidelines for prevention of traumatic dental injuries: Part 5: Secondary prevention of dental injuries 国际牙科创伤学会（IADT）和运动牙科学院（ASD）牙科创伤预防指南：第 5 部分：牙外伤的二级预防。

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

Dental Traumatology

Pub Date : 2024-02-16 DOI: 10.1111/edt.12929

Nitesh Tewari, Paul V. Abbott, Anne C. O'Connell, Stephen C. Mills, Hans Stasiuk, Mark Roettger, Liran Levin

The Guidelines for Prevention of Traumatic Dental Injuries were reviewed and approved by the Board of Directors of the International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD).

国际牙科创伤学会 (IADT) 和运动牙科学院 (ASD) 的董事会对《牙科创伤预防指南》进行了审查和批准。

引用次数: 0

The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) guidelines for prevention of traumatic dental injuries: Part 10: First aid education 国际牙科创伤学会（IADT）和运动牙科学院（ASD）预防牙科创伤指南：第 10 部分：急救教育。

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

Dental Traumatology

Pub Date : 2024-02-16 DOI: 10.1111/edt.12931

Nitesh Tewari, Paul V. Abbott, Anne C. O'Connell, Stephen C. Mills, Hans Stasiuk, Mark Roettger, Liran Levin

The Guidelines for Prevention of Traumatic Dental Injuries were reviewed and approved by the Board of Directors of the International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD).

国际牙科创伤学会 (IADT) 和运动牙科学会 (ASD) 的董事会对《牙科创伤预防指南》进行了审查和批准。

引用次数: 0