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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 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。
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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 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 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 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。
{"title":"Dental Trauma Education Among North American Dental Schools: Results From Multi-Center Interviews With Dental Educators","authors":"Yuli Berlin-Broner,&nbsp;Zanib Kiani,&nbsp;Liran Levin","doi":"10.1111/edt.13070","DOIUrl":"10.1111/edt.13070","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aims</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overall response rate was 62.6% (<i>n</i> = 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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 6","pages":"625-633"},"PeriodicalIF":3.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.13070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058311","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
What's Next in Dental Trauma? Innovations, Preventive Strategies, and Future Treatment Paths 牙外伤的下一步是什么?创新,预防策略和未来的治疗途径
IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-06 DOI: 10.1111/edt.13069
Ana Beatriz Cantao, Liran Levin
<p>Sport-related traumatic dental injuries (TDIs) are prevalent, particularly in contact sports like football, hockey, and basketball, where athletes face a higher risk of injury [<span>1, 2</span>]. Custom-made sports mouthguards are widely recognized as one of the most effective preventive measures for preventing TDIs, offering superior protection compared to over-the-counter or boil-and-bite alternatives [<span>1</span>]. Despite their proven effectiveness, there is no globally standardized approach to the design, fabrication, or usage of mouthguards, leading to inconsistencies in their protection quality. In this issue, Avgerinos et al. emphasized the need for mouthguards made from FDA-approved materials and offered a position statement for the proper selection, construction, clinical use, and maintenance of mouthguards [<span>3</span>]. These guidelines highlight the importance of educating both dental professionals and athletes about the benefits of mouthguards in reducing the prevalence of TDIs in sports. The lack of a standardized approach to mouthguard fabrication underscores the need for global consistency to ensure that all athletes receive optimal protection against dental injuries.</p><p>Dental trauma is a prevalent concern in the field of dentistry, affecting individuals across various age groups, with the anterior teeth being the most commonly injured [<span>4, 5</span>]. The most frequent types of dental trauma include crown fractures, avulsions, and luxations, with varying degrees of severity in pulp and surrounding periodontal tissues [<span>6, 7</span>]. Effective treatment of these injuries is essential to restore both function and aesthetics [<span>7, 8</span>]. Among the available treatment options, dental fragment reattachment has emerged as an ideal solution for rehabilitating fractured teeth. This technique involves reattaching the fractured dental fragment using adhesive materials, offering both aesthetic and functional benefits while maintaining the integrity of the original tooth structure [<span>9</span>]. In this issue, Mulinari et al. conducted a bibliometric and altimetric analysis to explore the evolution of publications on this topic [<span>10</span>]. This analysis provides insights into the scientific trends surrounding dental fragment reattachment, highlighting the growing body of research and its implications for clinical practice.</p><p>Traumatic dental injuries to the permanent dentition are a significant health problem with potential life-long consequences [<span>11</span>]. One common and serious complication following dental trauma in children and adolescents is pulp necrosis in immature permanent teeth [<span>12, 13</span>]. The treatment of these injuries can be particularly challenging due to the unique anatomical and physiological characteristics of immature teeth, such as open apex, unfavorable crown-to-root ratio, thin dentinal walls, and a higher risk of root fractures. These factors complicate tr
运动相关的创伤性牙齿损伤(TDIs)很普遍,特别是在足球、曲棍球和篮球等接触性运动中,运动员面临更高的受伤风险[1,2]。定制的运动护齿器被广泛认为是预防tdi最有效的预防措施之一,与非处方或煮沸后咬的替代品[1]相比,它提供了更好的保护。尽管它们已被证明有效,但没有全球标准化的方法来设计,制造或使用护齿器,导致其保护质量不一致。在这期杂志中,Avgerinos等人强调了使用经fda批准的材料制作护齿器的必要性,并对护齿器bbb的正确选择、构造、临床使用和维护提供了立场声明。这些指南强调了教育牙科专业人员和运动员关于护齿器在减少运动中tdi患病率方面的好处的重要性。缺乏一个标准化的方法来制作护齿强调需要全球一致性,以确保所有运动员获得最佳的保护,防止牙齿损伤。牙外伤是牙科领域普遍关注的问题,影响各个年龄组的个体,其中前牙是最常见的损伤[4,5]。牙外伤最常见的类型包括牙冠骨折、撕脱和脱位,在牙髓和周围牙周组织中有不同程度的严重程度[6,7]。有效治疗这些损伤对于恢复功能和美观至关重要[7,8]。在现有的治疗方案中,牙片再附着已成为修复断裂牙齿的理想解决方案。这项技术包括使用粘合材料重新连接断裂的牙齿碎片,在保持原始牙齿结构完整性的同时,提供美学和功能上的好处。在本期中,Mulinari等人进行了文献计量学和测高分析,探讨了关于该主题的出版物的演变[10]。这一分析提供了对周围牙齿碎片再附着的科学趋势的见解,突出了越来越多的研究及其对临床实践的影响。恒牙外伤是一个严重的健康问题,具有潜在的终身后果[10]。儿童和青少年牙外伤后常见且严重的并发症是未成熟恒牙的牙髓坏死[12,13]。由于未成熟牙齿独特的解剖和生理特征,如开放的尖牙、不利的冠根比、薄的牙本质壁和较高的根骨折风险,这些损伤的治疗尤其具有挑战性。这些因素使治疗方案复杂化,需要谨慎的方法[14,15]。尽管有多种干预措施可用于治疗未成熟牙髓坏死,包括氢氧化钙根尖化、硅酸钙基材料根尖化和再生牙髓治疗(RET)[6,14,16,17],但关于这些主题的出版物越来越多,很难形成明确的结论。这些治疗结果的差异和差异强调了对现有证据进行进一步比较评估的必要性。在本期中,Tewari等人进行了一项概括性综述,分析了这三种技术有效性的现有科学证据b[18]。本评估比较了三种方法并评估了已发表证据的质量,为未成熟恒牙髓坏死的最有效治疗方案提供了见解。一些因素和机制导致创伤性牙齿损伤,包括跌倒、运动损伤和道路交通事故[19,20]。现有文献广泛地记录了这些常见的牙外伤原因。然而,其他潜在因素,如前牙前倾、嘴唇覆盖不足、神经运动障碍和姿势平衡受损,也会增加损伤的风险[21-23]。虽然有大量的文献,但对于感觉神经系统,特别是听力损失和前庭功能障碍在TDIs发生中的作用的研究存在明显的空白。在这一期中,Rajeswary等人进行了一项比较研究,研究了重度至重度听力障碍儿童和青少年与无听力障碍儿童和青少年中tdi的患病率和模式[10]。这项研究强调了解决听力损失儿童独特需求的重要性,以减少创伤性牙齿损伤的风险。 在城市暴力事件中,口腔和颌面损伤(OMFIs)是最常受影响的身体区域之一,使其成为高风险地区创伤管理的重要关注点[25,26]。尽管在暴力的城市环境中,男性和女性都面临与omfi相关的相似风险因素,但行为、社会甚至文化因素可以显著影响性别间这些伤害的发生率、性质和结果[25,26]。因此,omfi的病因、频率、严重程度和解剖分布可能因性别而异。在本期中,Fernandes等人评估了巴西一家转诊医院收治的女性和男性的omfi的独特特征,并特别关注了它们与城市暴力的相关性[10]。通过分析这些损伤,作者确定了两性之间omfi的潜在原因的显著差异,强调了创伤机制的差异。该研究还强调了牙槽损伤发生率的显著差异,以及多发性面部骨折的频率。牙齿撕脱是一种严重的损伤,牙齿完全脱离牙槽窝,可导致功能和心理问题,特别是当上颌中门牙受损伤时。脱脱牙的延迟再植是一个关键问题,因为它会导致牙周韧带(PDL)坏死,恶化预后,增加吸收的风险。这受牙槽外储存时间、储存介质和根发育阶段等因素的影响[6,29]。在这期杂志中,Sheikholaemeh和Sengul评估了撕脱牙bbb的长期愈合模式和影响生存的因素。通过调查这些因素,本研究旨在更好地了解牙根发育阶段如何影响撕脱伤后再植牙齿的愈合和存活。面部创伤常涉及颌面骨骼骨折,是急诊科的常见问题,约三分之一的创伤病例包括颌面骨折[11,31]。这些类型的创伤会导致严重的功能、审美和心理问题,给个人和社会带来负担[32,33]。眶部骨折常合并复杂的中面部骨折,约36.3%的颌面部外伤病例合并眶部骨折。伴随颌面外伤的眼部损伤可以从轻微的结膜下出血到严重的角膜撕裂、眼球破裂和视网膜脱离。这些损伤,特别是与眶部骨折有关的损伤,可能导致潜在的致盲并发症。然而,这些损伤往往不会立即显现,很容易被忽视,导致延误或治疗不足。在这期杂志中,Khan等人评估了印度一所医学院12年来颌面外伤患者眼部损伤的模式[10]。通过对这些损伤模式的评估,旨在为了解区域外伤趋势提供有价值的见解,从而有助于制定预防策略和改进颌面部外伤患者眼外伤的治疗计划。在某些情况下,全麻气管插管等医源性因素可能导致TDIs[37-39]。与全身麻醉相关的tdi是针对麻醉医师的医疗事故索赔的主要原因。尽管tdi是一种常见的并发症,但麻醉医师在牙齿解剖、tdi与气管插管相关的风险以及有效的管理策略方面的教育明显缺乏。在这一期中,Al- sheikh评估了麻醉医师对全麻期间与气管插管相关的TDIs的认识、知识、实践和态度。本研究旨在确定知识的差距,并提出措施,以减少麻醉周围创伤性牙齿损伤的风险,最终改善患者护理,最大限度地减少麻醉过程中的并发症。年轻人上颌前牙缺失通常归因于TDI或先天性发育不全[32,41,42]。这种缺失会带来功能和美学上的挑战,使牙齿置换过程更加复杂。当涉及到解决这些挑战时,有几种治疗方案可供选择,包括种植体支持的修复体,传统的固定义齿,树脂结合桥和自体移植[43,44]。虽然种植体支持的修复体提供了出色的美学效果,但它们也有局限性,特别是对于生长中的患者。在治疗方案中,自体前磨牙移植到前上颌虽然有很高的存活率,但经常被忽视。 然而,现有的关于自体移植牙长期存活的研究有限,并且很少有研究涉及影响这种治疗成功的预后因素。此外,与涉及种植体支持修复的治疗相比,美学结果和患者报告的结果研究较少,在了解自身移植的全部潜力方面留下了空白。在这期杂志中,Akhlef等人报道了122例患者前臼齿自体移植到前上颌的长期存活率、成功率、美观结果和患者报告的结果[0]。本研究评估了可能影响治疗生存和美学成功的预后因素,为临床医生和考虑将自体移植作为替代牙齿的可行选择的患者提供了有价值的见解。牙齿损伤通常发生在儿童时期,特别是在学习走路时,许多事故发生在家里[32,48,49]。虽然tdi的应急管理至关重要,但公众意识仍然不足[8,50 -52],促使许多人从网络平台寻求指导。随着技术的进步,聊天机器人等人工智能(AI)工具在获取卫生信息方面越来越受欢迎,特别是在紧急情况下[53,54
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引用次数: 0
Pattern of Traumatic Dental Injuries Among Victims of Interpersonal Violence: Evidence From a Reference Dental Service in Southern Brazil 人际暴力受害者的创伤性牙齿损伤模式:来自巴西南部参考牙科服务的证据。
IF 3.1 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-04-30 DOI: 10.1111/edt.13068
Henrique Freitas Jalil, Letícia Regina Morello Sartori, Glória Maria Gomes Dravanz, Leticia Kirst Post, Cristina Braga Xavier

Aim

This study aimed to describe the prevalence of traumatic dental injuries (TDIs) with etiology attributed to interpersonal violence among cases treated at a referral center for the management of TDIs in Southern Brazil, to identify and characterize the latent classes of TDIs, and to assess whether there was an association between the types of interpersonal violence and both the types of TDIs and their latent classes.

Methods

This observational retrospective study used data from dental records at a TDI's referral center. Records were included if TDI's etiology was related to interpersonal violence–community violence or family violence, and the first dental consultation occurred between 2011 and 2021. TDIs were classified using Andreasen's criteria. Latent Class Analysis was performed to identify latent classes of TDIs. Descriptive analysis was performed along with bivariate associations (Fisher's Exact and Wilcoxon-Mann–Whitney Tests). Stata 18.0 was used in all analyses (α = 5%).

Results

This study included 118 dental records with interpersonal violence as the TDI's etiology (22.9%). Of these, 87.2% were classified as community violence and 12.7% as family violence. Most victims were male, aged 26–40, with 75.4% injured through bodily assault, often in public places. Crown fractures were the most common TDI (42.2%), followed by concussion/subluxations and avulsions (26.5%, both). The latent class analysis identified three TDIs' classes: dentoalveolar injuries, dental fractures, and combined injuries, with a probability of individual inclusion of 17.7%, 33.3%, and 49.9%, respectively. No associations were found between the type of interpersonal violence and TDIs nor latent classes.

Conclusions

This study identified that 22.9% of TDIs were attributed to interpersonal violence, with crown fracture, concussion/subluxation, and avulsion being the most prevalent. TDI latent classes showed distinct and complex patterns. Although no associations with types of interpersonal violence were found, this study offers valuable evidence exploring TDI patterns in victims of interpersonal violence.

目的:本研究旨在描述在巴西南部一家治疗创伤性牙损伤的转诊中心治疗的病例中,因人际暴力导致的创伤性牙损伤(TDIs)的患病率,识别和表征创伤性牙损伤的潜在类型,并评估人际暴力类型与创伤性牙损伤类型及其潜在类型之间是否存在关联。方法:本观察性回顾性研究使用TDI转诊中心的牙科记录数据。如果TDI的病因与人际暴力-社区暴力或家庭暴力有关,则纳入记录,并且首次牙科咨询发生在2011年至2021年之间。使用Andreasen标准对tdi进行分类。进行潜在分类分析以确定tdi的潜在类别。描述性分析与双变量关联一起进行(Fisher's Exact和Wilcoxon-Mann-Whitney检验)。所有分析均采用Stata 18.0 (α = 5%)。结果:本研究纳入118例以人际暴力为TDI病因的牙科记录(22.9%)。其中,87.2%为社区暴力,12.7%为家庭暴力。大多数受害者是男性,年龄在26-40岁之间,75.4%的受害者是在公共场所受到人身攻击而受伤的。冠状骨折是最常见的TDI(42.2%),其次是脑震荡/半脱位和撕脱(26.5%)。潜在分类分析确定了三种tdi的分类:牙槽损伤、牙骨折和合并损伤,个体纳入的概率分别为17.7%、33.3%和49.9%。没有发现人际暴力类型与tdi或潜在类别之间的关联。结论:本研究发现22.9%的tdi是由人际暴力造成的,其中冠状骨折、脑震荡/半脱位和撕脱是最常见的。TDI潜类表现出明显而复杂的模式。虽然没有发现与人际暴力类型的关联,但本研究为探索人际暴力受害者的TDI模式提供了有价值的证据。
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引用次数: 0
The Influence of Sport Impacts on Injuries of the Temporomandibular System: Frontal Impacts 运动冲击对颞下颌系统损伤的影响:额部冲击。
IF 3.1 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-04-30 DOI: 10.1111/edt.13055
Annan Li, Bingmei Shao, Zhan Liu

Objective

The orofacial injuries (temporomandibular joint (TMJ) injuries, mandible fractures, etc.) represent a high incidence in sports medicine. But the mechanism of injuries caused by sport impacts was poorly studied. This study aimed to fill this gap.

Design

Different frontal impacts were applied to the finite element model. The motions and biomechanical responses of the joint and mandible were analyzed and compared with active open-closing mouth movement in order to evaluate injury causes.

Methods

Firstly, the maxillofacial morphology and open-closing motion were captured. Then an improved FE maxillofacial model for dynamic analysis was established for impact and mouth open–closing simulations.

Results

The rotation degrees of the mandible and the stress level of the TMJ increased as the impacts got greater. The disc sustained squeeze and the capsule sustained stretch. The mandibular body and ramus sustained greater stretch under impacts over 2000 N.

Conclusion

It indicated that the injuries of the TMJ were primarily from excessive squeezing on the disc and stretching on the capsule, caused by excessive displacement of the condyle. The mandibular body and ramus were at great risk of fracture.

目的:在运动医学中,口面部损伤(颞下颌关节损伤、下颌骨骨折等)的发生率较高。但对运动冲击损伤的机制研究较少。这项研究旨在填补这一空白。设计:在有限元模型中应用不同的正面碰撞。分析关节和下颌骨的运动和生物力学反应,并与主动开合口运动进行比较,以评估损伤原因。方法:首先采集颌面部形态和开合运动;在此基础上,建立了改进的有限元颌面动力学分析模型,进行了碰撞和开闭仿真。结果:随着冲击的增大,下颌骨的旋转度和颞下颌关节的应力水平增加。椎间盘持续挤压,囊膜持续拉伸。下颌骨体和支在2000牛顿以上的冲击下承受更大的拉伸。结论:颞下颌关节损伤主要是由髁突过度移位引起的椎间盘过度挤压和关节囊过度拉伸引起的。下颌骨体支骨折的危险较大。
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引用次数: 0
The In Vitro Effect of Isotonic Sports Drinks on Color Variation and Thickness of A Material Used for Sport Mouthguards 等渗运动饮料对运动护齿材料颜色变化及厚度的体外影响。
IF 3.1 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-04-21 DOI: 10.1111/edt.13067
Mariana Pires da Costa, Letícia Lopes de Almeida da Silva, Renan Rocha da Silva, Matheus César da Silva Parada, Maria Clara Frias Lobo Marinho, Tiago Braga Rabello, Marcela Baraúna Magno, Lucianne Cople Maia

This in vitro study aimed to evaluate the effect of isotonic sports drinks (Gatorade) on color variation and thickness of ethylene-vinyl acetate (EVA). White thermoformed EVA blocks (n = 60) were prepared and randomly allocated into five groups (n = 12): reverse osmosis water (G1—control, transparent/colorless), isotonic passion fruit flavor (G2—yellow drink), isotonic citrus flavor (G3—orange drink), isotonic strawberry with passion fruit flavor (G4—red drink), and isotonic grape flavor (G5—purple drink). The specimens were submerged in their respective liquids/drinks for each group and incubated at 37°C for 28 consecutive days. The liquids/drinks were replaced every 24 h. Color variation (ΔEab) and thickness (mm) were evaluated using a digital spectrophotometer and a digital micrometer, respectively, at baseline and after 7, 14, 21, and 28 days. ΔEab was calculated using the CIEL*a*b* system. Statistical analysis for both independent and dependent data was performed (α = 5%). Regarding color variation, G2 and G5 showed significant changes in ΔEab values after 21 and 28 days (p < 0.05), respectively. After 21 days, G2 became less clear and more pigmented towards the blue and red coordinates, with a reduction in L* (p < 0.001) and b* (p < 0.001), and an increase in a* (p < 0.001). After 28 days, G5 became pigmented towards the red and blue coordinates, with no significant change in L* (p > 0.05), but a reduction in b* (p = 0.021) and an increase in a* (p < 0.001). The thickness did not vary in relation to time or isotonic flavor/drink (p > 0.05). Isotonic drinks may cause changes in the color of EVA depending on the exposure time and the color of the isotonic drink consumed.

本实验旨在评价等渗运动饮料(佳得乐)对醋酸乙烯(EVA)颜色变化和厚度的影响。制备白色热成型EVA块(n = 60),随机分为5组(n = 12):反渗透水(g1 -对照,透明/无色)、等渗百香果味(g2 -黄色饮料)、等渗柑橘味(g3 -橙色饮料)、等渗百香果味草莓味(g4 -红色饮料)、等渗葡萄味(g5 -紫色饮料)。将各组标本分别浸泡在各自的液体/饮料中,37℃连续培养28天。每24小时更换一次液体/饮料。分别在基线和7、14、21和28天后使用数字分光光度计和数字千分尺评估颜色变化(ΔEab)和厚度(mm)。ΔEab采用CIEL*a*b*系统计算。对独立数据和相关数据进行统计学分析(α = 5%)。在颜色变化方面,G2和G5在21和28天后ΔEab值有显著变化(p 0.05),但b*值减少(p = 0.021), a*值增加(p 0.05)。等渗饮料可能会引起EVA颜色的变化,这取决于暴露时间和所消耗的等渗饮料的颜色。
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引用次数: 0
Dental and Maxillofacial Trauma Skills Content in the Southeast Asian Dental Curricula: A Mixed Methods Study 东南亚牙科课程中口腔及颌面创伤技能内容:一项混合方法研究。
IF 3.1 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-04-15 DOI: 10.1111/edt.13048
Rodrigo Mariño, Nabihah Dziaruddin, Kathreena Kadir, Christina P. C. Sim, Bernadette Quah, Papimon Chompu-inwai, Varisara Sirimaharaj

Background/Aim

This study aims to review contents related to dental maxillofacial trauma (DMT) in the dental curricula of Southeast Asian (SEA) countries and assess their effectiveness in equipping future dental professionals with the necessary skills for the efficient management of DMT. Additionally, the study aims to describe how the academics involved in the planning and organization of these curricula envision the incorporation of DMT within dental education.

Methods

The study employed a mixed methods approach composed of two phases. Phase 1 involved a review of all printed documentation to explore the DMT curricula, including details such as the country, subject, year of study, coverage, time spent on the subject, assessment types and various training themes (e.g., management, surgical, prevention). In Phase 2, semi-structured interviews were conducted with academics responsible for curriculum development in each school to identify how they envisaged the incorporation of DMT into the curricula.

Results

Regarding curricular contents, the dataset comprised a total of 31 subjects concerning DMT contents. Findings revealed variability in the coverage of trauma education across institutions, a lack of practical training and the need for better integration and collaboration among different dental specialties. The narrative highlighted concerns about the insufficient hands-on practice available for training in managing DMT, suggesting that students may not have enough opportunities for practical experience in this area. This deficit could potentially impact their ability to effectively manage trauma cases in a clinical setting.

Conclusion

This study provides valuable insights into the current state of dental trauma education in SEA countries, identifying critical areas for improvement and potential strategies for enhancing curriculum effectiveness. It emphasizes the importance of integrating practical training and collaborative learning to better equip future dental professionals for trauma management, thereby addressing significant challenges faced by dental educators and practitioners in SEA.

背景/目的:本研究旨在回顾东南亚国家牙科课程中有关口腔颌面部创伤(DMT)的内容,并评估其在为未来牙科专业人员提供有效管理DMT所需技能方面的有效性。此外,该研究旨在描述如何参与规划和组织这些课程的学者设想纳入牙科教育中的DMT。方法:采用两阶段混合方法进行研究。第一阶段涉及审查所有印刷文件,以探索DMT课程,包括国家、科目、学习年份、覆盖范围、在科目上花费的时间、评估类型和各种培训主题(例如管理、外科、预防)等细节。在第二阶段,与每所学校负责课程开发的学者进行了半结构化访谈,以确定他们如何设想将DMT纳入课程。结果:在课程内容方面,数据集共包含31个涉及DMT内容的科目。研究结果显示,各机构创伤教育的覆盖范围存在差异,缺乏实践培训,不同牙科专业之间需要更好的整合和合作。该叙述强调了对管理DMT培训中可用的实践不足的担忧,表明学生可能没有足够的机会在这一领域获得实践经验。这种缺陷可能会影响他们在临床环境中有效处理创伤病例的能力。结论:本研究为东南亚国家的牙外伤教育现状提供了有价值的见解,确定了需要改进的关键领域和提高课程有效性的潜在策略。它强调了整合实践培训和协作学习的重要性,以更好地装备未来的牙科专业人员进行创伤管理,从而解决牙科教育者和从业者在东南亚面临的重大挑战。
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引用次数: 0
Soccer Coaches' Knowledge of Dental Trauma Management and Attitudes Toward Mouthguard Use: A Cross-Sectional Study 足球教练牙外伤管理知识与护齿器使用态度之横断面研究。
IF 3.1 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-04-15 DOI: 10.1111/edt.13066
Eman Behbehani, Mariam Alkheder, Lama Khraisha, Muawia A. Qudeimat

Background

Traumatic dental injuries represent a substantial concern in dental public health, often leading to functional, aesthetic, and psychological complications. Timely and appropriate management is essential to ensure favorable outcomes. This study aimed to assess the knowledge and attitudes of youth soccer team coaches regarding the management and prevention of traumatic dental injuries, as well as their awareness and promotion of protective mouthguard use.

Materials and Methods

A standardized three-part survey was distributed to youth soccer team coaches from all 14 professional football clubs in Kuwait. The survey instrument, adapted from validated tools in previous studies, gathered demographic data and assessed coaches' knowledge through hypothetical case scenarios and multiple-choice questions. Statistical analysis included descriptive methods and linear regression to assess factors influencing coaches' knowledge. Multicollinearity (VIF) and model fit (ANOVA) were evaluated.

Results

A total of 56 coaches completed the survey. Although 64% reported first aid training, only 9% had specific training in dental injury management. Case scenario analysis revealed significant knowledge gaps: only 29% correctly identified an injured tooth, and 9% recommended dental referral. In the avulsion scenario, 72% were unwilling to replant the tooth, and 90% were unaware of appropriate transport media. Although 59% acknowledged mouthguard importance, only 23% advised their use. Linear regression showed no significant predictors of knowledge score (mean = 1, SD = 0.88). The model explained only 9% of variance (R2 = 0.09), with no significant predictors (p > 0.05) or model fit (F = 0.446, p = 0.84).

Conclusion

There is a substantial gap in the recognition and management of traumatic dental injuries among Kuwaiti youth soccer coaches. The study highlights the importance of targeted educational programs to improve coaches' ability to recognize dental injuries, emergency response, and advocacy for the use of protective mouthguards.

背景:外伤性牙损伤是牙科公共卫生的一个重要问题,经常导致功能、美学和心理并发症。及时和适当的管理对于确保良好的结果至关重要。本研究旨在评估青少年足球队教练员对创伤性牙损伤管理与预防的知识与态度,以及对护齿器使用的认知与推广。材料和方法:向科威特所有14个职业足球俱乐部的青年足球队教练分发了标准化的三部分调查。该调查工具采用了先前研究中经过验证的工具,收集了人口统计数据,并通过假设的案例场景和多项选择题来评估教练的知识。统计分析采用描述性方法和线性回归方法评估影响教练员知识的因素。多重共线性(VIF)和模型拟合(ANOVA)进行评估。结果:共56名教练员完成调查。尽管64%的人报告接受过急救培训,但只有9%的人接受过牙齿损伤管理方面的专门培训。案例情景分析显示了显著的知识差距:只有29%的人正确识别出受伤的牙齿,9%的人建议转诊。在撕脱的情况下,72%的人不愿意再植牙齿,90%的人不知道合适的运输介质。虽然59%的人承认护齿器的重要性,但只有23%的人建议使用。线性回归显示知识得分无显著预测因子(mean = 1, SD = 0.88)。该模型仅解释了9%的方差(R2 = 0.09),没有显著的预测因子(p < 0.05)或模型拟合(F = 0.446, p = 0.84)。结论:科威特青少年足球教练员对创伤性牙损伤的认识和管理存在较大差距。该研究强调了有针对性的教育计划的重要性,以提高教练识别牙齿损伤、应急反应和倡导使用保护性护齿器的能力。
{"title":"Soccer Coaches' Knowledge of Dental Trauma Management and Attitudes Toward Mouthguard Use: A Cross-Sectional Study","authors":"Eman Behbehani,&nbsp;Mariam Alkheder,&nbsp;Lama Khraisha,&nbsp;Muawia A. Qudeimat","doi":"10.1111/edt.13066","DOIUrl":"10.1111/edt.13066","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Traumatic dental injuries represent a substantial concern in dental public health, often leading to functional, aesthetic, and psychological complications. Timely and appropriate management is essential to ensure favorable outcomes. This study aimed to assess the knowledge and attitudes of youth soccer team coaches regarding the management and prevention of traumatic dental injuries, as well as their awareness and promotion of protective mouthguard use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A standardized three-part survey was distributed to youth soccer team coaches from all 14 professional football clubs in Kuwait. The survey instrument, adapted from validated tools in previous studies, gathered demographic data and assessed coaches' knowledge through hypothetical case scenarios and multiple-choice questions. Statistical analysis included descriptive methods and linear regression to assess factors influencing coaches' knowledge. Multicollinearity (VIF) and model fit (ANOVA) were evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 56 coaches completed the survey. Although 64% reported first aid training, only 9% had specific training in dental injury management. Case scenario analysis revealed significant knowledge gaps: only 29% correctly identified an injured tooth, and 9% recommended dental referral. In the avulsion scenario, 72% were unwilling to replant the tooth, and 90% were unaware of appropriate transport media. Although 59% acknowledged mouthguard importance, only 23% advised their use. Linear regression showed no significant predictors of knowledge score (mean = 1, SD = 0.88). The model explained only 9% of variance (<i>R</i><sup>2</sup> = 0.09), with no significant predictors (<i>p</i> &gt; 0.05) or model fit (<i>F</i> = 0.446, <i>p</i> = 0.84).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is a substantial gap in the recognition and management of traumatic dental injuries among Kuwaiti youth soccer coaches. The study highlights the importance of targeted educational programs to improve coaches' ability to recognize dental injuries, emergency response, and advocacy for the use of protective mouthguards.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 6","pages":"660-666"},"PeriodicalIF":3.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010206","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}
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Dental Traumatology
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