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Incidence of dentoalveolar injuries in hospital emergency room patients.

A retrospective survey over one year of a hospital emergency room population, seen at an oral and maxillofacial surgery clinic, found 271 patients (4.6% of the total population) with dentoalveolar injuries. A very large number of injuries occurred to children between the ages of 0 and 5 years (42.1%), and there was a significant number of injured patients in the adult population (19.1%). The ratio of male to female was 1.9:1. The leading cause of injury was falls (59.8%). The largest number of injuries was seen during summer. The diagnoses were lateral luxation (27.3%), concussion (17.3%), exarticulation (14.3%), tooth fracture (12.5%), intrusive luxation (11.1%), fracture of alveolar process (7.4%), extrusive luxation (3.7%), and cases with more than one diagnosis (6.3%). Most of the involved teeth were maxillary central incisors, in both dentitions.

Adolescent↗

Dental injuries among Norwegian soccer players.

The incidence and type of dental injuries among Norwegian soccer players were assessed according to the files of the Norwegian Soccer Association. In 1979-83 a total of 7319 injuries were reported. Approximately 20% (1267) were dental injuries. In every fifth case the expenses for necessary dental treatment exceeded the maximum compensation from the insurance company. The majority of the injuries occurred among male players (96.5%). Also the relative frequency of dental injuries was higher in men than in women. The prevalence of dental injuries was highest in the top division, and decreased gradually down through the divisions. Goalkeepers seemed to be more susceptible to injuries than did the other players. Uncomplicated crown fracture of maxillary front teeth was common and accounted for 45% of all dental injuries.

Adolescent↗

Oral injury and mouthguard usage by athletes in Japan.

The use of mouthguards in contact sports effectively prevents oral injury and preserves oral structures. We investigated oral injuries and awareness concerning mouthguards among Japanese high school soccer and rugby players. Athletes were asked a series of questions concerning their history of oral injury while participating in sports, and their pattern of mouthguard use was determined. The data were evaluated statistically using chi-square analysis. The incidence of oral injuries was 32.3% for soccer athletes and 56.5% for rugby athletes, with 0.8% and 24.1% of the respective groups having mouthguards. There were significant differences between the soccer and rugby groups (P < 0.001). Although 81.8% of soccer athletes thought mouthguards were unnecessary, only 26.2% of rugby athletes shared this opinion and there was a significant difference between the soccer and rugby groups. Many soccer athletes had insufficient knowledge about mouthguards and were not concerned about preventing oral injury, although it was in fact a common problem in their sport. Athletes as well as coaches must be made aware of the high risk of oral injury when playing soccer, rugby, and other contact sports.

Adolescent↗

Dental and orofacial trauma in pony and horseback riding children.

An epidemiological survey was carried among pony and horseback riding children in nine pony and horseback riding clubs, Istanbul. The purpose of the present study was to evaluate the prevalence of dental trauma in young pony and horse riders. A total of 214 children were interviewed to determine the occurrence of dental trauma during pony and horseback riding. Some 2.3% of participants (n = 5) had already been affected by dental and orofacial trauma. Horse riders experienced dental and/or orofacial trauma significantly more than the pony riders. Results revealed that these children's awareness of dental trauma is limited while all of them (100%) wore helmets.

Adolescent↗

Mouthguard utilization rates during sport activities in Ankara, Turkey.

The objective of this study was to determine the attitudes towards mouthguard use in Ankara, Turkey. In the first part of this study, an eight-item questionnaire was distributed to 22 coaches from 15 secondary schools randomly selected from five municipalities of Ankara, Turkey. The questionnaire sought information on how much coaches know regarding mouthguards and how often children and adolescents of the ages 11-18 use mouthguards. The second part of the study was based on the data obtained from direct interviews answered by 121 university athletes of three different sport modalities (football, ice hockey and martial arts). The purpose of this part of the study was to determine the rate of mouthguard use and the frequency and type of oral trauma in these athletes. The result of the coaches' questionnaires revealed that; none of the 11-18 years old children and adolescents used mouthguards while participating in sports. Of the coaches, 77.2% had seen orofacial trauma in this age group during sport activities and 95.5% of the coaches believed that mouthguards prevented oral injuries. Of the coaches, 72.7% reported that children and adolescents should use mouthguards in sport activities. The second part of the study showed that although all of the athletes owned mouth-formed type of mouthguards, the utilization rate was 74.4%. Of all players, 13.2% had suffered from one or more form of oral injury while not wearing mouthguards. The results show that in Turkey, the use of mouthguards has not become widespread in sports. It can be concluded that regular mouthguard use in sports should be encouraged in Turkey.

Adolescent↗

Dental and facial injuries in international field hockey.

In many respects international sportsmen are trendsetters for the behaviour of recreational sportsmen. For this reason the attitude of international hockey players towards mouth protectors was studied. The possession and use of mouth protectors vary markedly between different countries. The incidence of dental-facial traumas among international field hockey players is high; 54% had sustained injuries necessitating a visit to a physician and/or a dentist. Of these victims 20% sustained serious dental damage at least once (women 16% and men 22%). Only 20% of the international players wear a mouth protector consistently during training and matches. Women use the apparatus almost twice as much as men. The main argument in rejecting a mouth protector is that it is not felt to be necessary.

Asia↗

Mouth protectors and oral trauma: a study of adolescent football players.

A total of 754 junior high school and high school football players from the Birmingham, AL, area were studied to determine the extent of sports-related oral trauma among players. More than half the oral injuries and more than a third of the concussions were reported in sports other than football. Basketball and baseball players had a high prevalence of hard tissue oral trauma with virtually none of the players wearing mouth protectors. The results of this study indicate that current mouth protector designs are helpful in preventing hard tissue trauma, yet additional soft tissue protection is indicated in football mouth protector design.

Adolescent↗

[Barotrauma in diving].

Boyle's law is important for the understanding of the pathophysiology of barotrauma. Barotrauma--any disease or injury due to unequal pressures between a hollow space inside the body and the ambient pressure, or between two spaces within the body; examples include arterial gas embolism, pneumomediastinum, and pneumothorax. It may affect the lungs, the middle ear, the inner ear, the external ear, the eyes, the teeth, the gastrointestinal tract, the skin. Symptoms remain the same whether it all happens during ascent or descent.

Barotrauma↗