Dental Traumatology最新文献

{"title":"The Effect of an Educational Intervention in Dental Traumatology on General Dentists' Knowledge: A Study in the Public Dental Service of Western Norway.","authors":"Andjelka Cvijic, Knut Helge Midtbø Jensen, Anne Åstrøm, Monika Kvernenes, Georgios Tsilingaridis, Athanasia Bletsa","doi":"10.1111/edt.13061","DOIUrl":"https://doi.org/10.1111/edt.13061","url":null,"abstract":"<p><strong>Aim: </strong>To assess the effect of a dental traumatology educational intervention on general dentists' knowledge. The study was conducted at Vestland County's Public Dental Service (PDS) in Western Norway.</p><p><strong>Materials and methods: </strong>All PDS dental clinics of Vestland County (n = 52) were purposively assigned to a control group receiving no intervention (CC, n = 19), a webinar group (IC1, n = 17), and a combined webinar and in-person physical course group (IC2, n = 16). To examine the effect of the intervention, participants received a post-intervention online questionnaire (Q2) with clinical cases. A generalized linear mixed-effects model (GLMM) was used to compare the individual proportion of correct answers in Q2 between the three groups of educational intervention, where the clinic was set as a random effect factor. Additionally, a GLMM with a binary response variable was used to analyze the answers to individual cases. p < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The response rate was 57% (n = 94). The overall proportion of correct answers was 67.7%, 71.0%, and 75.0% for the CC, IC1, and IC2 groups, respectively. There was no statistically significant difference in the overall proportion of correct answers between the groups when accounting for the dependency structure caused by clinics. However, for the individual cases, the IC2 group had a statistically significantly higher proportion of correct answers in complicated crown fracture of the immature tooth (p = 0.02) and first aid after avulsion (p = 0.02) compared to the CC group. Furthermore, the IC2 group had a trend of difference in complicated crown fracture of the mature tooth (p = 0.09) compared to the CC group and in emergency treatment of root fracture (p = 0.08) compared with IC1.</p><p><strong>Conclusion: </strong>This study demonstrates that an educational intervention combining webinars with in-person interactive courses has a positive effect on general dentists' knowledge of dental trauma.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722512","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}

{"title":"Treatment by Preplanned Virtual Autotransplantation of a Microdont Immature Third Molar to a Maxillary Central Incisor Socket Using a 3D Printed Tooth Replica: A Case Report.","authors":"Aurore Barraco, Clara Marcoux, Raphaël Richert, Romain Ligerot, Kerstin Gritsch, Arnaud Lafon","doi":"10.1111/edt.13044","DOIUrl":"https://doi.org/10.1111/edt.13044","url":null,"abstract":"<p><p>An 18-year-old female patient presented to emergency dental clinic for avulsion of maxillary left central incisor (#21) in a car accident. In the presence of an immature left maxillary microdontic third molar (#28), a preplanned virtual autotransplantation using an implant planification software was chosen to replace #21. A guided osteotomy using a 3D printed thermoplastic replica was performed to reduce the extra-oral time to < 1 min. Indirect restorations with lithium disilicate veneers were made for both central incisors. After 4 years, the esthetic integration remained satisfactory. The case presented, involving the replacement of an avulsed #21 with an immature microdontic third molar #28, illustrates the possibilities of extending the indications for autotransplantation using virtually planned surgery.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722515","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}

{"title":"Microbial Loads in Traumatized Immature Teeth and Their Impact on the Treatment Outcomes of Regenerative Endodontic Treatment: A Randomized Clinical Trial Comparing Chlorhexidine and Calcium Hydroxide.","authors":"Alina Wikström, Olena Rakhimova, Pavel Călin, Georgios Tsilingaridis, Malin Brundin, Nelly Romani Vestman","doi":"10.1111/edt.13062","DOIUrl":"https://doi.org/10.1111/edt.13062","url":null,"abstract":"<p><strong>Introduction: </strong>Regenerative endodontic treatment (RET) aims to promote root maturation in necrotic immature teeth, where effective microbial disinfection is crucial for treatment success. This study evaluated the effect of calcium hydroxide (CH) and 2% chlorhexidine gluconate (CHD) as intracanal medicaments and their impact on bacterial loads and RET outcomes.</p><p><strong>Methods: </strong>The material consisted of bacterial samples from 41 patients who participated in a previously conducted randomized controlled clinical trial comparing CH and CHD during RET. A total of 123 microbial samples were analyzed using real-time quantitative polymerase chain reaction (qPCR). Bacterial loads were assessed at three time points: before root canal disinfection (S1), after root canal disinfection (S2), and after intracanal dressing (S3). The microbial composition was evaluated at the kingdom (Eubacteria), phylum (Actinomycetota), and species (Enterococcus faecalis) levels.</p><p><strong>Results: </strong>Significant reductions in bacterial loads were observed after root canal disinfection (S2) in both CH and CHD subgroups, regardless of treatment outcome. Further reductions after intracanal dressing (S3) occurred exclusively in the successful cases. Actinomycetota loads significantly decreased after root canal disinfection in the successful cases but remained unchanged after intracanal medication. The presence of E. faecalis after intracanal dressing was associated with failed RET (OR = 9.778; p = 0.0432), although no significant differences in the effectiveness of the intracanal medicaments were found.</p><p><strong>Conclusion: </strong>Both CH and CHD effectively reduced bacterial loads, with greater reductions linked to successful outcomes. The association between E. faecalis and failed RET suggests that this species may play a role in treatment outcomes. Further research, including microbiome profiling, is desirable to identify potential prognostic markers for failed RET.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733307","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}

{"title":"Reinforcement Positioning in Custom-Made Mouthguards for Maxillofacial Trauma Protection: A Combined In Vitro and In Silico Analyses.","authors":"Talita Suelen de Queiroz, João Paulo Mendes Tribst, Larissa Haddad E Borro, Guilherme da Rocha Scalzer Lopes, Alexandre Luiz Souto Borges, Tarcisio Jose de Arruda Paes Junior","doi":"10.1111/edt.13060","DOIUrl":"https://doi.org/10.1111/edt.13060","url":null,"abstract":"<p><strong>Background/aim: </strong>This study evaluated the dentoalveolar responses of central incisors to anterior maxillary trauma in vitro and in silico using mouthguards (MGs) reinforced with polyamide mesh at three distinct positions.</p><p><strong>Material and methods: </strong>Forty 4-mm thick MGs were categorized based on mesh location: Group MG1 + 3 (reinforcement 1 mm from the vestibular limit), Group MG2 + 2 (2 mm), Group MG3 + 1 (3 mm), and a control group without reinforcement. A 3D-printed skull model (Spin Red Resin, Quanton 3D) simulated the dentoalveolar complex, with Resilab Clear resin (Wilcos) for teeth and addition-cured silicone for the periodontal ligament. This setup was connected to a custom impact device to ensure forces remained within the materials' elastic limits. Microstrains were measured using four strain gauges placed on the vestibular surfaces of the central incisors and the alveolar process of the maxilla. The impact was applied at Ep = 0.5496 J, parallel to the ground, using a 35-mm diameter steel sphere. For the in silico test, the setup was modeled in CAD software (Rhinoceros 7.0) and analyzed in CAE software (Ansys 2021 R1) through explicit dynamic simulation. All materials were assumed homogeneous, isotropic and linearly elastic. A 1 m/s impact was simulated using a 7.8 g/cm³ steel sphere. Physical contact conditions were defined as frictional and glued, with tetrahedral mesh elements applied after a 10% convergence test to ensure accuracy.</p><p><strong>Results: </strong>The maximum principal strains and stresses in teeth and maxilla were presented through colorimetric graphs. Statistical analysis (Shapiro-Wilk, Kruskal-Wallis, and Dunn's tests, 5% significance) revealed significant differences for the non-reinforced group (p = 6.8 × 10^-5) but none between impact zones (p = 0.879), confirming uniform stress distribution.</p><p><strong>Conclusions: </strong>Reinforcement systems significantly improved impact absorption in oral tissues, enhancing protection. However, the reinforcement location did not significantly affect absorption. Finite element analysis validated the in vitro results supporting both theoretical and practical models for further study and future improvements.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722508","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}

{"title":"Evaluation of the Knowledge and Experience of the Brazilian Orthodontists in the Handling of Traumatized Teeth: A Quantitative Study.","authors":"Livia Salgado, Davy de Melo Mendes, Fernanda Campos Machado, Flávia Almeida Ribeiro Scalioni, Camila Faria Carrada, Robert Willer Farinazzo Vitral, Marcio José da Silva Campos","doi":"10.1111/edt.13056","DOIUrl":"https://doi.org/10.1111/edt.13056","url":null,"abstract":"<p><strong>Aim: </strong>This is the quantitative part of a study that aimed to evaluate the knowledge and experience of orthodontists in managing the orthodontic treatments of traumatized teeth.</p><p><strong>Material and method: </strong>The study was divided into 4 stages: first, a structured interview; second, face validity; third, test-retest; and fourth, administering the questionnaire. The first three stages aimed at developing the questionnaire, while the fourth consisted of the application of the instrument in a sample of 395 orthodontists properly licensed with the Regional Councils of Dentistry of Brazil. The questionnaire was sent to these orthodontists through the social media platform Instagram.</p><p><strong>Results: </strong>It was found that the majority of participants had encountered this type of emergency in their offices, had moderate knowledge of the subject, and were successful in their orthodontic treatments. Furthermore, almost all professionals recognized the importance of additional training, and only a small portion of them were familiar with any care protocols for these cases.</p><p><strong>Conclusion: </strong>It can be concluded that the orthodontists had limited experience and a moderate knowledge about the orthodontic management of traumatized teeth.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626918","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}

{"title":"Emerging Insights in Dental Trauma: Exploring Potential Risk Factors, Innovations, and Preventive Strategies","authors":"Ana Beatriz Cantao,&nbsp;Liran Levin","doi":"10.1111/edt.13053","DOIUrl":"https://doi.org/10.1111/edt.13053","url":null,"abstract":"&lt;p&gt;Several factors are associated with dental trauma (DT) occurrence, and these factors are well-established in the literature [&lt;span&gt;1, 2&lt;/span&gt;]. However, new studies and hypotheses suggest that a lack of balance is positively associated with falls in children and older individuals [&lt;span&gt;3, 4&lt;/span&gt;]. In this issue Lunardelli et al. investigated the relationship between orthostatic balance and the occurrence of DT in 6-year-old school children in Brazil [&lt;span&gt;5&lt;/span&gt;]. The study emphasizes the connection between reduced orthostatic balance and an increased risk of falls, identifying it as a factor in the etiology of DT in children. This highlights the need for preventive measures focused on creating safer environments, particularly in schools, and involving a multidisciplinary team to support school-aged children in minimizing the risk of falls and dental trauma.&lt;/p&gt;&lt;p&gt;Traumatic dental injuries (TDI) are highly prevalent during childhood, particularly in the primary dentition [&lt;span&gt;6, 7&lt;/span&gt;]. Although TDI is recognized as a common issue, the factors influencing its prevalence in preschool-aged children have been poorly understood [&lt;span&gt;8, 9&lt;/span&gt;]. In this issue, Rivera López et al. investigated these factors through a cohort study involving 4-year-old children from South Brazil [&lt;span&gt;10&lt;/span&gt;]. Using directed acyclic graphs (DAGs), the researchers developed a theoretical model to explore the complex relationships among potential risk factors, including demographic, behavioral, and environmental variables. This study provides insights into the multifactorial nature of TDI in young children, offering a foundation for targeted prevention and early intervention strategies. By applying advanced analytical techniques, Rivera López et al. contribute to a deeper understanding of dental trauma causes and its broader implications for pediatric oral health.&lt;/p&gt;&lt;p&gt;Autotransplanted teeth have demonstrated a remarkable survival rate of over 95% [&lt;span&gt;11-13&lt;/span&gt;]. However, the lack of standardization and precision in quantifying root development results in inconsistent findings and impedes comparisons between studies. Traditional analysis methods based on two-dimensional radiographs shows significant limitations, such as image overlap, patient positioning challenges, and low measurement accuracy. Cone-beam computed tomography (CBCT) might provide a more accurate and detailed analysis, particularly in regions like the periapical areas [&lt;span&gt;14&lt;/span&gt;]. In this issue, Beltrame et al. proposed a methodology for assessing root development and measuring root length using CBCT in 12 patients [&lt;span&gt;15&lt;/span&gt;]. This study highlighted CBCT's superiority over conventional radiography for evaluating root development after autogenous tooth transplants. This method, as any radiographic tool, should be assessed in terms of radiation risks vs. the suggested benefits.&lt;/p&gt;&lt;p&gt;Advances in CBCT and 3D-printed replicas have demonstrated improvements in the effici","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"41 2","pages":"129-132"},"PeriodicalIF":2.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.13053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612590","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}

{"title":"Histopathologic Features of Pulp Following Uncomplicated Crown Fracture of an Immature Tooth With Concomitant Subluxation Seven Days After the Injury. A Case Report.","authors":"Giorgos N Tzanetakis, Styliani Papanakou, Despina Koletsi, Nikolaos Katsoulas","doi":"10.1111/edt.13058","DOIUrl":"https://doi.org/10.1111/edt.13058","url":null,"abstract":"<p><p>Reports on the histopathologic features of pulp tissue following traumatic injuries are scarce. The aim of the present clinical and histological report was to provide some novel insights about the histological condition of the pulp tissue of an immature permanent tooth, shortly after a combined injury of uncomplicated crown fracture with concomitant subluxation. A seven-year-old male patient presented with a localized buccal swelling apically on tooth #21 and with a radiographic app. One week earlier, the patient had suffered an uncomplicated crown fracture, and the referral dentist had solely performed a permanent restoration by rebonding the fracture fragment of the crown. The diagnosis was pulp necrosis, and a regenerative endodontic procedure was decided due to the wide-open apex of the injured tooth. After access cavity preparation was performed, it was evident that no degeneration of the pulp had occurred, so the tissue was removed using a sterile barbed broach and processed for histopathologic examination. A whitish tissue specimen of soft consistency, 0.8 cm in length and 5 μm thick, was processed for histologic evaluation. An extensive coagulative necrosis of the pulp tissue was revealed with dense aggregates of neutrophils along with areas of abscess formation. Some scattered lymphocytes were observed as well, together with areas of dystrophic calcifications. Finally, no bacteria were observed in any section of the specimen. Pulp necrosis may occur shortly after a combined traumatic injury of uncomplicated crown fracture with subluxation. In such cases, pulpal inflammation and the arise of symptoms may not be necessarily associated with the presence of bacteria. The present histological observation demonstrates that some kinds of inflammatory processes, after traumatic dental injuries, may initiate and evolve potentially without the presence of bacteria at the inflammatory site.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607263","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}

{"title":"Premolar Autotransplantation to the Anterior Maxilla Region-Aesthetic Outcome and Patient Satisfaction.","authors":"Romy Doomen, Dick Barendregt, Liesbeth Temmerman, Noëmi De Roo, Guy De Pauw","doi":"10.1111/edt.13057","DOIUrl":"https://doi.org/10.1111/edt.13057","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to assess the aesthetic results and patient satisfaction of premolars transplanted to the maxillary incisor region.</p><p><strong>Material and methods: </strong>In this multicenter study, 192 patients were included, with a minimum follow-up of 3 years. The aesthetic evaluation comprised two parts: Assessment of the PES/WES score using standardized intraoral photographs. Patient's perspective (VAS questionnaire).</p><p><strong>Results: </strong>The mean PES score was 6.94 (range, 2-10), and the mean WES score was 7.44 (range, 2-10). Most patients' aesthetic results were clinically acceptable (64.6%) to nearly perfect (9.4%). Significant correlations were found between PES and the orientation of the transplant at the receptor site (p = 0.038) and the level of oral hygiene (p < 0.001). A rotated orientation of the transplanted premolar at the receptor site and a poor/moderate level of oral hygiene are associated with lower PES scores. For the WES, there was a significant correlation with the restorative dentist (p < 0.001); if the restorative dentist was based at Center A instead of Center B, this is associated with higher WES scores. The response rate for the VAS questionnaire was 61.9%. 84.8% of the patients perceived the aesthetic outcome of the transplanted premolar the same as other teeth, 15.9% were not satisfied with the restorative treatment, and 12.6% were not satisfied with the surrounding tissues.</p><p><strong>Discussion: </strong>Autotransplantation is a viable treatment option in cases with missing upper front teeth; PES/WES scores were at least comparable but mostly higher than those found in implant studies evaluating single-tooth replacement in the anterior maxilla. The VAS questionnaire showed that patients were satisfied with their transplanted tooth, which was consistent with the results of previous studies.</p><p><strong>Conclusion: </strong>The aesthetic outcomes of premolars transplanted to the maxillary incisor region are predominantly favorable.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607224","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}

{"title":"Custom-Made Mouthguard: Personalized Solution for Injury Prevention Secondary to Bruxism During Physical Activity.","authors":"Lívia Maria Sales Pinto Fiamengui, Luana Pinheiro Guerra Fontoura, João Felipe Barboza de Oliveira, Karina Miranda Lieuthier, Vinícius Rabelo Freire de Oliveira, Maria Laura Marreiro Mesquita, Carolina Ortigosa Cunha, Karina Matthes de Freitas Pontes","doi":"10.1111/edt.13052","DOIUrl":"https://doi.org/10.1111/edt.13052","url":null,"abstract":"<p><p>The natural dynamics of the jaw during physical activity and its physiological mechanisms are not fully understood. However, teeth clenching during certain sports activities may be associated with increased strength, power, flexibility, and performance. This behavior is termed awake bruxism (AB) and can lead to intraoral damage, highlighting the importance of patient education and management. This work describes the fabrication of a custom mouthguard (MG) idealized to prevent oral injuries secondary to AB during sports practice and discusses its indications, benefits, and guidelines for future research. A 3-mm Ethylene Vinyl Acetate (EVA) soft plate was selected as the material for MG fabrication, which was designed to fit the mandibular arch with an occlusal coverage thickness of 1.5-2 mm, vestibular and lingual extensions up to 3-4 mm away from the gingival margin, and an anterior connecting rod thickness of 3-5 mm. The proposed MG is intended to provide comfort, aesthetics, and protection against AB injuries for athletes who may experience neuromuscular benefits when clenching their teeth. For amateur and recreational athletes, promoting cognitive and behavioral changes for AB control is also suggested. Future in vitro and clinical studies are necessary to investigate the mechanical properties and clinical performance of the proposed MG.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598560","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}

{"title":"A Retrospective Study of Dental Trauma in Israel Military Personnel.","authors":"Yael Arbel, Yael Permut, Yehuda Zadik, Nir Tsur","doi":"10.1111/edt.13054","DOIUrl":"https://doi.org/10.1111/edt.13054","url":null,"abstract":"<p><strong>Background: </strong>Traumatic dental injuries (TDIs) are a significant public health concern, especially prevalent among active populations like military personnel, where the causes and consequences of such injuries can be particularly severe due to the nature of their duties. This study aimed to investigate the patterns, associated injuries, and complications experienced by military personnel who sustained dental trauma.</p><p><strong>Methods: </strong>This retrospective observational study utilized data from the Israel Defense Forces Trauma Registry, examining incidents from January 1997 through December 2018. The focus was on military personnel with injuries localized to the head, neck, and maxillofacial regions, analyzing the prevalence, types, and management of dental trauma.</p><p><strong>Results: </strong>Out of 672 documented cases, 71 (10.5%) involved dental injuries. The most common injuries were tooth loss (5.2%), followed by tooth crown fractures (3.4%) and periodontal ligament (PDL) injuries (1.9%). Incisors were the most frequently injured teeth. Temporomandibular joint disorder (TMD) was identified in 10.2% of the subjects, with a notable 42.9% of TMD patients sustaining dental injuries as well.</p><p><strong>Discussion: </strong>The study highlights the unique challenges of managing TDIs in military settings, emphasizing the need for early and effective treatment to prevent long-term consequences. Comparisons with civilian data reveal higher rates of severe injuries in military personnel, underscoring the importance of specialized training for military dentists in trauma management.</p><p><strong>Conclusion: </strong>Dental injuries in the military require a focused approach due to the severe nature of the traumas involved. Effective management of these injuries is crucial to ensure the personnel's rapid recovery and continued operational readiness. The findings recommend implementing specialized training for military dentists and introducing mouthguard policies to mitigate dental injuries in combat scenarios.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558827","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}