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Oral trauma in the emergency department.

Oral trauma is commonly observed in the emergency department, and the emergency physician has the opportunity to greatly improve prognosis for these types of injuries through prompt and appropriate initial management. Injuries resulting from oral trauma can be physically and psychologically devastating to patients, and initial treatment must often be accomplished before dental consultation is available. This article provides the emergency physician with guidelines for diagnosis, initial management, and referral for oral injuries.

Adult↗

Maxillofacial blast injuries.

Blast injuries cause specific lesions and occur more often than previously, because of the wide use of explosives. This is especially the case in wartime. More and more people lose their lives every day due to blast injuries. The mechanism of the injury and pathophysiology of this trauma are discussed. The clinical effects as well as management are presented. The most dramatic effects observed are fractures to the middle third of the face, reported here for the first time, with their management. New fracture lines are typically seen in fractures of the mandible due to the blast wave effects. This presentation should help in the prevention and management to save the lives of patients in future.

Blast Injuries↗

Dental and oral trauma and mouthguard use during sport activities in Israel.

The purpose of the present study was to evaluate the occurrence of oral and dental injuries in young Israeli population engaged in diverse sport activities. The participants' awareness of the use of protective devices, such as mouthguards, during sport activities was also evaluated. A population of 943 young adults, 95% males and 5% females (ages 18-19), was surveyed. A questionnaire was distributed relating to the type of sport activity practised, past oral and dental injuries over their lifetime, specifying the time and type of sports in which the injury occurred and the use and awareness of the protective devices. Of the total population examined, 850 (90%) were active in at least one type of sport, either as professionals or as amateurs. The analysis included the population that regularly participated in at least one sporting activity. The most commonly practised sports were soccer (54% of all active participants) and basketball (50%). The total number of dental and oral injuries experienced during all sport activities was 229, affecting 27% of the participants of whom 73 (9%) suffered dental injuries. Most dental injuries occurred during the basketball and soccer training sessions and matches reaching 42 and 41% of the total number of injuries, respectively, and affected 7.2 and 6.6% of the basketball and soccer players. Traumatic dental injuries in other sports occurred in less than 7% of the participants in these activities. Only 27% of the participants were aware of the protective devices, such as a mouthguards, and only 3% actually used these devices. These results point to the high risk of potential dental and oral injury during sport activities, the little knowledge about the benefits of using mouthguards and their limited utilization. The importance of public health education to increase the awareness of protective measures and devices and their actual use in Israel is the main focus. It should be a combined duty of dentists and sports physicians and of the coaches to encourage the use of protective devices during training and games.

Adolescent↗

Dental trauma and mouthguard usage among ice hockey players in Turkey premier league.

An epidemiological survey was carried out among the ice hockey players of Turkish Premier Ice Hockey League. The purpose of the present study was to evaluate the prevalence of dental trauma in youth and adult ice hockey players, as well as to check if the players were aware of mouthguards and had used any. The players were interviewed to determine the occurrence of dental trauma during ice hockey and mouthguard usage level. Results revealed that awareness of Turkish ice hockey players to dental trauma is neglected while the majority of players also demonstrated limited utilization of mouthguard.

Adolescent↗

Causes of accidental injuries to the teeth and jaws.

Almost one half of all the dental accidents recorded during this study occurred when the victim was moving and struck a stationary object. Falls and vehicles were about equally responsible for half of the accidents. Accident proneness seemed to be affected by age and sex with the teenage group reporting the most dental accidents (35.76%) and males reported dental accidents three times as often as females. Of orthodontic patients, 16.43 percent had a history of dental accidents in contrast to about five percent of the general population. From the limited data available, approximately three fourths of the persons reporting said no seat belts were available in their automobiles. The remaining one fourth had belts but they were not being used at the time of the dental injury. Right-handed victims tended to be injured on the right side of the mouth and jaw and left-handed victims exhibited more injuries on the left side. As was anticipated, a high percentage (23 percent) of the residents of a hospital for the mentally retarded exhibited dental injuries.

Accident Prevention↗

[The role of the mouthguard in preventing sports-related oral-facial and dental traumas.].

Sports play a significant role in all nations worldwide. More and more people involve in sports so that the incidence of the oral-facial and dental traumas with accidents ascends. The treatment cost is considerable, and the sporters' lives will be influenced by these traumas. This paper examines the status and the reasons of the oral-facial and dental traumas. It reviews not only the principle and the types of the mouthguard but also the evidence of the mouthguard in preventing sports-related traumas. Prevention is thought to be the key element in minimizing traumas that occur in sports, the using of mouthguard is considered essential.

Athletic Injuries↗

Dental trauma due to sport in the pediatric patient.

Dental trauma due to sport is devastating to any athlete but is made worse when the athlete is young and still growing. Orofacial trauma is relatively common in the pediatric population and can have significant management problems. Continued maxillary and alveolar growth, development, and maturation of individual teeth, as well as behavioral considerations create unique challenges in the management of this population. Children and youths have increased risk factors for dental trauma due to sports, including untreated malocclusions, an increase in risk-taking behavior, and undeveloped coordination and skill levels. This review article aims to increase awareness as to the role of sports in dental and orofacial injuries, discuss risk factors for this trauma as well as its prevention, and outline risk minimization for the pediatric athlete.

Adolescent↗

Epidemiology and prediction of sports-related traumatic injuries.

All sports injuries, and this is certainly true of dentally related sports injuries, occur for predictable reasons. In some instances, these predictors have been well studied and are recognized by participants as well as coaches, dentists, and other responsible parties. In other instances, there is much to be learned about these predictors. There is no question that predictors have direct influence upon the incidence and prevalence data for dental injuries related to each sport. Because of the variability of these predictors from one sport to another, from one sports participant to another, from one age group to another, and even from on playground, field, or court to another, the importance and validity and usefulness of much of the data available currently is debatable. The importance of sports dentistry is not based solely on the urgency afforded by a given number of injuries among a specified number of participants over a certain amount of time. It is the predictable nature of these injuries and the need for the profession to take responsible action in their prevention and treatment that provides the strongest imperative for a sports dentistry movement.

Adolescent↗

Sports dentistry.

Explore the source record for details and available documents.

Athletic Injuries↗

Prevention of intraoral trauma in sports.

Dental, oral, facial, and cranial injuries can be reduced by the use of mouthguards and faceguards. Disadvantages of mouthguard use are based mostly on lack of information. There is a growing endorsement for the use of mouthguards and faceguards, presenting the dental profession with a major opportunity to improve the oral health of athletes.

Athletic Injuries↗

Fieldside management of athletic injuries.

A physician trained in the management of sports-related injuries should be in attendance at athletic events with a potential for significant injury. These are usually contact sports, particularly football. While many of the expected injuries are orthopedic in nature, the risk of serious injury to the larynx, abdomen, eyes and teeth also exists.

Abdominal Injuries↗