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At least 955 records · Page 53Linked to original sources
PubMed2005

Dental trauma and its association with anatomic, behavioral, and social variables among fifth and sixth grade schoolchildren in Jerusalem.

UNLABELLED: With the decrease in dental caries prevalence, public health should place emphasis on other dental diseases. Dental trauma is an irreversible pathology which after occurrence is characterized by life-long debilitating effects. OBJECTIVES: To measure the prevalence of trauma in anterior permanent teeth among children, and to assess the associations with social, behavioral, and orthodontic variables. METHODS: A total of 1195 fifth and sixth grade schoolchildren participated, representing the general Jewish population of Jerusalem. Trauma, incisal overjet and lip competence were measured by two calibrated examiners in the schools. Reasons and location of trauma were assessed according to telephone interviews with the parents of the children with severe trauma. RESULTS: The total prevalence of dental trauma was 29.6%. Severe trauma, at least involving the dentine, was found among 13.5% of the children. Severe dental trauma was more prevalent among children with an incisal overjet of 4-6 mm (adjusted OR=1.50, P=0.049) or more than 7 mm (adjusted OR=2.51, P=0.018); with incompetent lips (adjusted OR=2.31, P<0.001), who learned in public religious schools (adjusted OR=1.59, P=0.048) and were males (adjusted OR=1.45, P=0.041). The main reason for dental trauma in all surroundings was falling, but sports and violence (not at orthodox private schools) were also important reasons. CONCLUSIONS: Based upon these findings a community effort is being planned and initiated with the aim of educating sports teachers, teachers, health personnel, and schoolchildren regarding awareness of dental trauma prevention, with emphasis on utilizing mouth guards and early orthodontic intervention, when financially possible.

Accidental Falls↗
PubMed2006

Prevalence and causes of oral injuries in a population of Canadian adults aged 18 to 50 years--a brief communication.

OBJECTIVE: To determine the prevalence and causes of injuries to the mouth and teeth among adults aged 18 to 50 years in Ontario, Canada. METHODS: 2001 individuals in the target age range participated in a telephone interview survey based on random digit dialling. RESULTS: Overall, 15.5% of subjects reported a history of injury with 5.4% having multiple episodes of injury. One third of the injuries occurred in adulthood. The majority (85.0%) with a history of trauma reported damage to the teeth and of these, 26.0% broke one or more teeth, 25.4% reported one or more teeth being knocked out and 6.5% reported displacement of teeth. The most common cause of injury was playing sports, followed by collisions and falls. Violence accounted for 10.0% of the injuries reported. The causes of injury varied according to gender, education and the age at which the injury occurred. CONCLUSION: Oral and dental injuries occur throughout the lifespan, although the causes appear to vary according to the age at which they happen.

Adolescent↗
PubMed2005

[The use of mouthguards].

A mouthguard is a useful appliance to prevent oral injuries, and their emotional and financial consequences. Most sportsmen are aware of the benefits of a mouthguard. Nevertheless, a relatively small percentage of sportsmen in contact sports are using a mouthguard actually. Whether or not a mouthguard is used, is predominantly determined by its comfort. Therefore, a mouthguard must be optimally comfortable. However, to make sportsmen using an even optimal mouthguard, needs motivation. Stimulating of motivation is the task of parents, coaches, (team) physicians, and (team) dentists. Especially coaches seem to have great influence on sportsmen. Children are very much influenced by their parents. It is the task of general dental practitioners not only to inform sportsmen and their parents, but also their coaches and team physicians about the risks of oral injuries and about the benefits of preparing a mouthguard. General dental practitioners must put themselves disposal to prepare mouthguards for their individual patients as well as for all players of a team who wish to have a mouthguard prepared.

Athletic Injuries↗
PubMed1994

Extraoral tooth eruption and transposition of teeth following trauma.

A six-year-old boy presented with extraoral eruption of a mandibular permanent canine and a loosely attached lateral incisor in the labial vestibule, 3 months following trauma to the chin. The trauma not only caused displacement of the permanent tooth buds, but also resulted in transposition of the lateral incisor and canine with subsequent ectopic eruption. The case is presented to demonstrate one of the infrequent complications of trauma involving the unerupted tooth buds of permanent teeth and its unusual clinical presentation.

Child↗
PubMed2006

A systematic review of the diagnostic classifications of traumatic dental injuries.

A systematic review of the literature was undertaken to evaluate the criteria used for the diagnostic classification of traumatic dental injuries from an epidemiological standpoint. The methodology used was that suggested by the Cochrane Collaboration and the National Health Service. A total of 12 electronic bibliographical databases (BBO, BioMed Central, Blackwell Synergy, Cochrane, DARE, EMBASE, HighWire, LILACS, MEDLINE, PubMed Central, SciELO, SciSearch) and the World Wide Web were searched. There was no attempt to specify the strategy in relation to date, study design, or language. The last search was performed in May 2003. Two reviewers screened each record independently for eligibility by examining titles, abstracts, keywords and using a standardized reference form. Disagreements were resolved through consensus. The final study collection consisted of 164 articles, from 1936 to 2003, and the population sample ranged from 38 to 210,500 patients. 54 distinct classification systems were identified. According to the literature, the most frequently used classification system was that of Andreasen (32%); as regards the type of injury, the uncomplicated crown fracture was the most mentioned lesion (88.5%). Evidence supports the fact that there is no suitable system for establishing the diagnosis of the studied injuries that could be applied to epidemiological surveys.

Humans↗
PubMedDate not supplied

Prevalence of traumatic dental injury in grade 8 children in six Ontario communities.

OBJECTIVES: To determine the prevalence of traumatic injury to the anterior dentition in Grade 8 children in six Ontario communities. METHODS: Clinical examination of 3,010 children attending a stratified random sample of 66 schools in the communities served by 6 Ontario Public Health departments. Trauma to the hard tissues was classified according to the Trauma Index. RESULTS: Damage to the anterior dentition was observed in 18.5% of those examined. Unrestored fractures of the enamel were present in 13.0%, with more severe damage or damage sufficiently severe to have been treated being present in 5.9%. Of those with the more severe injuries, 20% had not received treatment. The prevalence of injury was higher in males than in females (21.3% vs. 13.4%: p < 0.0001) and varied across the six communities studied (10.7-29.4%: p < 0.01). There was an association between dental decay experience and traumatic dental injury. Those with more severe injuries had higher mean Decayed, Missing and Filled Teeth (DMFT) scores and were less likely to have a DMFT score of zero than those without injury (p < 0.01). DISCUSSION: The prevalence of traumatic dental injury in this Ontario child population was similar to those reported in national surveys in the US and UK. The association between injury and dental decay may reflect the fact that a subgroup of children live within environments or are prone to behaviours that place them at greater risk of multiple oral disorders. In order to provide a basis for prevention, further research needs to be undertaken to identify the causes of and the personal and environmental risk factors for such injuries in Ontario children.

Adolescent↗
PubMed2005

Imaging of maxillofacial trauma: evolutions and emerging revolutions.

The aim of diagnostic imaging for maxillofacial trauma is to provide additional information that can positively influence medical or surgical patient management. Current advances in diagnostic imaging have come from the confluence of 3 driving forces: (1) the demand from clinicians to enhance and expand their diagnostic abilities; (2) the development of new theoretical concepts by basic scientists; and (3) the application of concepts by engineers and manufacturers to provide increasingly sophisticated imaging capabilities. The role of imaging within the health care environment is, however, also buffeted by the complex, sometimes competing, interactions of external social, political, economic, and technological pressures at the national, regional, and local levels. The purposes of this review are to provide a perspective on current imaging modalities used for maxillofacial trauma and to provide an insight into the influences, both technologic and external, on future developments and applications.

Computer Simulation↗
PubMed1999

Mouthguard use in Australian football.

A survey was performed of 961 Australian rules footballers of varying age and football ability in order to determine the prevalence of mouthguard use during training and match play. Emergency dental injury data was obtained to compare the frequency and timing of dental injury in a non-sporting community population. The prevalence of mouthguard use during match play varied between 60% for juniors and 90% for elite footballers whereas the mouthguard use during training ranged between 2% for junior and 40% for elite players. One third of players used over the counter 'boil & bite' mouthguards, generally considered unsatisfactory for dental protection. Of the players who did not currently use mouthguards, most had tried them previously but found them uncomfortable to wear. The community dental injury data showed that the majority of emergency dental injuries were due to sport and followed the temporal pattern of sports participation on week days and weekends. The prevalence of mouthguard use in this population was not known. This study has implications for the provision of emergency dental treatment for sport participants and for improved dental injury prevention measures to avoid expensive and potentially disfiguring dental injuries in young athletes.

Adolescent↗
PubMed1997

A bimaxillary sports mouthguard: a modified technique.

The bimaxillary mouthguard provides enhanced protection for a participant in contact sports. This article describes the fabrication of a polyvinylacetate-polyethylene (PVAc-PE) bimaxillary mouthguard in which the connection of the maxillary and mandibular components is reinforced by pressure thermoforming a 2-mm PVAc-PE sheet over the labial and buccal portions of the mouthguard.

Athletic Injuries↗
PubMed2004

Perception of Nigerian athletes of the use of mouth guards to prevent the stresses of sports injury.

OBJECTIVE: The perception of Nigerian athletes of the use of mouth guards to prevent the stresses of sports injuries was examined using psychological, sociological, and physical stress variables. METHODS: The descriptive survey research design was used in this study. Participants (n = 333) were selected using the purposive random sampling technique and data were collected using the 4 point Likert type instrument. The coefficient alpha was used to determine the reliability of the instrument with r = 0.79 for psychological, r = 0.66 for physical, and r = 0.74 for sociological stress. RESULTS: The result reveals that female athletes perceived the use of mouth guards as being more important to prevent the stresses of sports injuries than male athletes, while athletes who had used mouth guards for longer periods also perceived them as being more important to prevent the stresses of sports injuries compared to those who had used them less. The result also revealed a significant difference (p<0.05) among the various sport groups as independent variables on the psychological and physical stress variables. Scheffe post hoc analysis was used to identify the group where significant difference was found. CONCLUSIONS: The study concluded that since the impact of injury is perceived to affect the cognitive function of athletes, athletes should be educated on the use of mouth guards in order to reduce the incidence of oral and dental injuries to the barest minimum.

Adolescent↗
PubMed1985

An evaluation of mouthguard programs in Texas high school football.

Recent publications have indicated the interest in and controversy surrounding mouth protectors in sports dentistry. Mouth protection for athletes has been and continues to be dentistry's contribution to sports. Perhaps no other item of protective equipment is more effective in reducing injury to football players than a mouthguard. Although protection is no longer doubtful when a mouthguard is worn, there are still many mouthguards used that are not acceptable to the athletes in terms of comfort, durability, and speech. It is the responsibility of the dental profession to develop and dispense the best mouthguards available. From the present study it may be concluded that a properly constructed custom-made mouthguard will minimize the common complaints coaches and trainers have concerning mouthguards. It is apparent that more education about the types of mouthguards, their merits, and their availability is needed.

Athletic Injuries↗
PubMed2005

A technique for fabricating modern athletic mouthguards.

The prevention and treatment of orofacial trauma is now a very important part of the general practice. Children as well as adults are participating more in events where the probability of trauma is apparent. Attendance at health clubs and gymnasiums is on the rise. With the increase in sports participation comes an increase in orofacial injuries. The general population is taking its health more seriously. Athletic participation is on the rise, and Title IX has introduced increased female participation at all levels. This only increases the possibility that our patients will present themselves in our offices with the need for trauma treatment and also our opinions on the methods of preventing such traumatic experiences.

Adolescent↗