Dental Traumatology最新文献

{"title":"Influence of COVID-19 pandemic on mandible fracture patterns in a German cranio-maxillofacial trauma center: PreCOVID (2019) versus IntraCOVID (2020)","authors":"Florian Dudde,&nbsp;Oliver Schuck,&nbsp;Johannes Schunk,&nbsp;Barbarewicz Filip","doi":"10.1111/edt.12949","DOIUrl":"10.1111/edt.12949","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aims</h3>\u0000 \u0000 <p>The COVID-19 (Coronavirus Disease-2019) pandemic confronted the global healthcare system with a variety of challenges. The pandemic and the associated lockdowns also had an impact on multiple medical disciplines (i.e. delay of surgery, change of hospital admissions). The aim of this study was to analyze the impact of the COVID-19 pandemic on mandible fracture patterns/distributions and circumstances in a German cranio-maxillofacial trauma center.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This retrospective study compared the mandible fracture patterns of patients in the PreCOVID (PC) era (February 2019–January 2020) with patients in the IntraCOVID (IC) era (February 2020–January 2021). In addition to baseline characteristics, the number/type of mandible fractures, location of the mandible fracture, circumstances leading to mandible fracture, and hospital admissions/treatments were analyzed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 127 patients was included in this study. In the IC period, the absolute frequencies of mandible fractures decreased (PC = 72 vs. IC = 55). There were minor changes in the mandible fracture locations. An increase of concomitant facial soft tissue injuries (IC = 69.1% vs. PC = 58.3%), as well as higher rates of traumatic tooth loss (IC = 32.7% vs. PC = 22.2%), was observed. Regarding the causes/accidents leading to mandible fractures, there were significant increases in falls and significant decreases in sports accidents as well as interpersonal violence during the IC period. A significant increase in accidents at home and domestic violence during the COVID-19 pandemic, with a simultaneous decrease in weekend and night-time trauma leading to mandible fractures was observed. Furthermore, a significant increase in days from trauma to surgery was recorded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The COVID-19 pandemic had a significant impact on mandibular fracture patterns. The locations and types of mandibular fractures changed slightly. However, significant differences in the circumstances leading to mandible fractures (increased falls, decreased interpersonal violence) were recorded.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140561091","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":"Traumatic dental injuries in child, adult and elderly: Domestic violence—physical abuse hidden in plain sight","authors":"Hamdi Cem Güngör","doi":"10.1111/edt.12948","DOIUrl":"10.1111/edt.12948","url":null,"abstract":"<p>In its 2002 report, the World Health Organization (WHO) has indicated the dramatic worldwide increase in the incidence of intentional injuries affecting people of all ages and both sexes, but especially children, women, and elderly. The report also suggested that most physical abuse (e.g., 90% of the cases in children) went unnoticed despite extensive efforts. Hence, raising awareness and reducing its prevalence are global challenges.</p><p>Any kind of non-accidental injury inflicted in an individual is defined as physical abuse. Child physical abuse is an important and constant problem. The largest data compiled and published by the United Nations Children's Fund (UNICEF) suggested that around 6 in 10 children between the ages of 2 and 14 worldwide (almost a billion) are subjected to physical punishment by their caregivers on a regular basis. Particular attention must be directed to children with disabilities, as the records indicate they are three times more likely to be abused than their able-bodied counterparts.</p><p>In the <i>Global Status Report on Violence Prevention by the WHO (2014)</i>, it was stated that a quarter of all adults report having been physically abused as children; one in three women had been a victim of physical or sexual violence by an intimate partner at some point in their lifetime; and one in seventeen older adults reported abuse in the past month.</p><p>Whether the violence occurs in the family, school, institution, or workplace, dental professionals can be one of the front-line responders. Dental professionals are in a unique position for not only to treat but also to diagnose and report cases of dental trauma resulting from physical abuse.<span>¹</span> Valuable information and assistance can be provided to physicians about oral and dental aspects of physical abuse, especially in vulnerable population groups.</p><p>Studies show that almost 50% of all physical abuse is related to injuries in the head and orofacial region.<span>²</span> The relationships between traumatic dental injuries and interpersonal violence, namely child maltreatment, youth violence, intimate partner violence, and elder abuse have long been recognized by the dental community. Hence, Dental Traumatology has sought to increase the dental knowledge base by adding systematic reviews, research, and case series in this regard. I am pleased that the researchers from various disciplines have responded positively to the call and contributed to this special issue of Dental Traumatology which now includes reports on orofacial and dental trauma and its recognition by the dentist<span>^{1, 2}</span>; injuries in physically abused children<span>³</span>; oro-dental and facial manifestations of physical abuse in adults<span>^4-7</span>; sexual abuse<span>⁸</span>; medicolegal aspects of dental trauma in children,<span>⁹</span> and the Munchausen syndrome by proxy.<span>¹⁰<","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12948","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144720","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":"Dental Traumatology research and education—Foundations for a better tomorrow","authors":"Lea Budak,&nbsp;Liran Levin","doi":"10.1111/edt.12943","DOIUrl":"10.1111/edt.12943","url":null,"abstract":"<p>\u0000 \u0000 </p><p>\u0000 \u0000 </p><p>An avulsed permanent tooth is a serious traumatic dental injury (TDI), which should be dealt with immediately.<span>^{1, 2}</span> The prognosis is very much dependent on decisions at the place of the accident and the time immediately after the avulsion has taken place.<span>²</span> The preferred treatment for an avulsed permanent tooth is replanting the avulsed tooth back into its socket, which should be carried out as soon as possible to have the best outcome.<span>^{2, 3}</span> If the tooth cannot be replanted immediately, it must be stored.<span>^{3, 4}</span> According to the guidelines of the International Association of Dental Traumatology (IADT), saline, saliva, and milk are considered physiological media that preserve the periodontal ligament before replantation.<span>⁵</span> In this Issue, Gul et al. performed a long-term clinical assessment of the risks of ankylosis-related resorption in different storage conditions.<span>⁶</span> Avulsed teeth were divided into three groups: immediately replanted teeth, teeth stored in physiologic media, and the control group dry stored teeth. The storage media used in the physiological storage group in this study were saliva and saline. The storage conditions are of great importance and impact the prognosis of the avulsed teeth.</p><p>Basketball is a contact sport with risks of oral injuries, defined as injuries to the teeth, periodontium, and surrounding soft tissues such as the lips and tongue.<span>^{7, 8}</span> Common basketball-related oral injuries include soft tissue lacerations and contusions.<span>⁸</span> Given a high-enough impact force, traumatic dental injuries such as tooth fractures and avulsions can occur.<span>^{7, 8}</span> In this Issue, Liang et al. investigated the distribution of different oral injuries within each injury mechanism and evaluated which mechanisms were most likely to lead to a dental injury.<span>⁹</span> Understanding the mechanisms of dental injuries in basketball and other sports is imperative for medical teams to acutely manage and treat these injuries. Furthermore, information regarding the mechanisms leading to severe dental injuries will help basketball staff educate athletes on prevention and safer playing techniques.</p><p>TDIs occur frequently and at any age, although the peak incidence is during childhood.<span>^{10, 11}</span> It is known that the quality of immediate emergency treatment positively influences the outcome of any TDI.<span>^{11, 12}</span> It is reasonable to expect that a dental practitioner would have the knowledge and skills to manage a dental emergency with the same confidence as a medical emergency as a result of basic education during their professional training.<span>^{12, 13}</span> In this Issue, O'Connell and Olegário investigated teaching","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12943","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133285","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":"Munchausen syndrome by proxy: A narrative review and update for the dentist and other healthcare professionals","authors":"Ruixiang Yee,&nbsp;Sarah Ying Sim,&nbsp;Wen Hann Chow,&nbsp;Kumudhini Rajasegaran,&nbsp;Catherine Hsu Ling Hong","doi":"10.1111/edt.12946","DOIUrl":"10.1111/edt.12946","url":null,"abstract":"<p>Munchausen syndrome by proxy (MSbP) is a form of abuse in which a caregiver with Factitious Disorder Imposed on Another (FDIA) fabricates or induces signs or symptoms in a person under their care to satisfy a self-serving psychological need. Unnecessary clinical evaluations, procedures, and treatments that are initiated based on falsification by the abuser inadvertently add to the trauma experienced by the victim. It is a form of abuse and the impact on victims can be severe, sometimes fatal, and far-reaching such as prolonged neglect and extension to affected siblings. The long-term exposure to MSbP may predispose the victim to eventually developing factitious disorder imposed on self (FDIS). While MSbP often involves child victims, elderly, adults, and pets have also been reported as victims. MSbP can be a diagnostic challenge, and the important keys to timely identification of MSbP include the ability to detect deception by caregivers through awareness, clinical suspicion, and careful review of available health records; it also involves collecting collaborative information from other relevant healthcare providers including dentists, schoolteachers, and social workers. To date, there are limited published cases of MSbP with oral findings. This paper provides a narrative review of the current understanding of MSbP with a section on cases with oral findings. This paper aims to increase awareness about the clinical presentations and management considerations for MSbP among dentists and other healthcare professionals.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12946","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066292","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":"Traumatic dental injuries: Knowledge assessment of dentists in the Norwegian Public Dental Service of Vestland","authors":"Andjelka Cvijic,&nbsp;Anne Åstrøm,&nbsp;Monika Kvernenes,&nbsp;Georgios Tsilingaridis,&nbsp;Athanasia Bletsa","doi":"10.1111/edt.12945","DOIUrl":"10.1111/edt.12945","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Most children and adolescents in Norway attend the Public Dental Service (PDS) where they are treated free-of-charge until the age of 19 years. Thus, general dentists employed in the PDS are the primary care providers for traumatic dental injuries (TDI) in young patients. This cross-sectional study assessed the knowledge of PDS general dentists on the acute management and follow-up of TDI and its socio-demographic and attitudinal covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>All general dentists employed in the Vestland County PDS, Western Norway, (N = 170) received an online questionnaire. Socio-demographic and professional profiles of respondents as well as attitudinal indicators were queried. Clinical case scenarios on emergency treatment and further follow-ups of TDI were used to calculate a dental trauma knowledge score (DTKS; range: 0–21). Mann–Whitney <i>U</i> tests and Kruskal–Wallis tests determined differences between the demographic subgroups. Logistic regressions determined the potential of single factors in explaining the variability in dental trauma knowledge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The response rate was 46%. Most participants (60.5%) had not participated in a TDI course after graduation but would like such a course (84.2%). Mean DTKS was 13.82 (±2.6). Knowledge scores differed significantly between age groups (<i>p</i> = .014) and years since graduation (<i>p</i> = .0018). Younger dentists and recently graduated dentists scored highest. Dentists under the age of 30 years scored higher than 30–39- and 40–49-year-old dentists in these areas: emergency treatment of crown fractures with pulp exposure, identification of complications after avulsion, and management of severe intrusive luxation injury.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Younger dentists had a higher theoretical knowledge of TDI. Continuing professional development among dentists in the Norwegian PDS is needed for emergency treatment and complication management after TDI.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066293","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":"Changes in oral functions and speech when using custom-fitted mouthguards: An uncontrolled before-and-after study","authors":"Muhammad Khiratti Mat Zainal,&nbsp;Amy Kia Cheen Liew,&nbsp;Dalia Abdullah,&nbsp;Eason Soo,&nbsp;Badrulzaman Abdul Hamid,&nbsp;Roza Anon Mohd Ramlee","doi":"10.1111/edt.12939","DOIUrl":"10.1111/edt.12939","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Mouthguards are crucial for protecting athletes against orofacial injuries, yet concerns persist regarding their potential impact on oral functions. This study aimed to investigate the effects of sports mouthguards on oral functions and speech over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>Thirty national rugby players received custom-fitted mouthguards. Questionnaire responses and speech recordings were collected before mouthguard use and at various intervals after using mouthguards: immediately, 1 week, 2 month, and 6 months. Spectrographic analysis was performed to measure voice onset time (VOT) for /<i>p</i>, <i>b</i>, <i>t</i>, <i>d</i>/ phonemes. Questionnaire responses were assessed with Friedman's test, while VOT changes were examined using one-way repeated measure analysis of variance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compliance with mouthguard use improved during training and competitions, with consistent wear reported during matches. Over time, speaking difficulties and lisping decreased significantly (<i>p</i> &lt; .001). The perception of nausea improved (<i>p</i> &lt; .001), stabilizing after 1 month (<i>p</i> = .414). Sensations of bulkiness declined (<i>p</i> &lt; .001). Mouth dryness reduced steadily, with no occurrences reported by all players by the end of the study. None of the participants reported bad breath, ulcers, or redness in the mouth. VOT changed immediately after wearing mouthguards (<i>p</i> &lt; .001), gradually regressing toward the baseline, although not completely reaching it. Players held a favorable view of mouthguard use, with comfort and support for mandatory use increasing over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Custom-fitted mouthguards do not lead to significant long-term disruptions in oral functions. Athletes generally adapt to mouthguard use, reporting improved comfort and greater support for their use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066237","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":"Enhancing mouthguard longevity: Impact of surface treatment against aging from brushing and disinfectant exposure","authors":"Larissa Haddad e Borro,&nbsp;Talita Suelen de Queiroz,&nbsp;Beatriz Serralheiro da Cruz,&nbsp;Amir Mohidin Demachkia,&nbsp;Alexandre Luiz Souto Borges,&nbsp;João Paulo Mendes Tribst,&nbsp;Tarcisio Jose de Arruda Paes Junior","doi":"10.1111/edt.12941","DOIUrl":"10.1111/edt.12941","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aims</h3>\u0000 \u0000 <p>The study aimed to assess the surface characteristics of sports mouthguards under mechanical stresses during cleaning, either by brushing or immersion in disinfectant solutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>Ethylene-vinyl acetate samples, 4 mm thick, were randomly assigned to cleaning methods: control (C—no cleaning), brushing with water (B.W), brushing with neutral liquid soap (B.S), brushing with toothpaste (B.T), immersion in distilled water for 10 min (I.W), immersion in 2.25% sodium hypochlorite solution for 10 min (I.SH), and immersion in sodium bicarbonate solution for 5 min (I.SB). All cleaning methods were applied for 28 days. Surface roughness average (Ra) and wettability were measured at baseline for the control group (<i>n</i> = 9), and after cleaning for all the other groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One-way ANOVA with Tukey tests (5% significance) indicated significant differences among groups (<i>p</i> &lt; .05). The I.SB group had higher surface roughness than B.S and B.T (<i>p</i> &lt; .05). B.W showed the lowest wettability, significantly lower than B.T, I.W, and I.SB (<i>p</i> &lt; .05). I.SB exhibited the highest wettability, significantly different from sodium hypochlorite, neutral liquid soap, brushing with water, and control groups (<i>p</i> &lt; .05). The sodium bicarbonate immersion group (I.SB) demonstrated greater statistical variation, displaying higher susceptibility to aging compared to brushing with neutral liquid soap.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Cleaning mouthguards with a toothbrush, water, and neutral liquid soap emerged as the most promising method, causing minimal surface changes in the material.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066238","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":"A cross-sectional study of the impact of the COVID-19 lockdown on domestic violence-related oral and maxillofacial injuries","authors":"Ochbayar Naran-Ochir,&nbsp;Tsetsegkhen Narantsetseg,&nbsp;Batzorig Bayartsogt,&nbsp;Batzorig Batbileg,&nbsp;Batbold Gan-Ochir,&nbsp;Munkhdul Altannamar,&nbsp;Enkh-Orchlon Batbayar","doi":"10.1111/edt.12944","DOIUrl":"10.1111/edt.12944","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>During the COVID-19 lockdown, more domestic violence-related traumas were reported. In this study, we investigated and compared the incidence of domestic violence-related injuries—in particular oral and maxillofacial injuries—in Ulaanbaatar, Mongolia, before and during the COVID-19 lockdown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>We conducted a cross-sectional study based on 3974 domestic violence cases registered at the Public Health Department, National Traumatology and Orthopedics Research Center of Mongolia between 2018 and 2022. Descriptive and binary logistic regression analyses were conducted. The victims were categorized according to their age (child, adult, and elderly).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of the victims was children 9.7 ± 5.4 years, adults 34.8 ± 8.3 years, and elderly 64.3 ± 8.7 years. Binary logistic regression analysis (no/yes) showed that oral and maxillofacial injuries during the lockdown increased 1.3 times (OR = 1.3; CI 95% = 1.0–1.6; <i>p</i> = .003) in adults and 2.5 times in children (OR = 2.5; CI 95% = 1.7–3.9; <i>p</i> = .001). Additionally, injuries to upper limbs increased 4.6 times (OR = 4.6; CI 95% = 3.5–6.1; <i>p</i> = .001) in adults and 5.2 times in elderly patients (OR = 5.2; CI 95% = 1.8–16.2; <i>p</i> = .01). Additionally, thorax injury in children increased 3.1 times (OR = 3.1; CI 95% = 1.7–5.7; <i>p</i> = .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>During the lockdown, injury to oral and maxillofacial regions increased in adult and child victims of domestic violence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066236","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":"Intraradicular reinforcement of traumatized immature anterior teeth after MTA apexification","authors":"Kanet Chotvorrarak,&nbsp;Supatra Danwittayakorn,&nbsp;Danuchit Banomyong,&nbsp;Warattama Suksaphar","doi":"10.1111/edt.12947","DOIUrl":"10.1111/edt.12947","url":null,"abstract":"<p>This review article describes the methods and clinical recommendations for reinforcing traumatized anterior immature teeth with pulp necrosis treated with mineral trioxide aggregate (MTA) apexification. Traumatic injury can cause pulp necrosis and incomplete root formation in immature teeth. MTA apexification is the treatment of choice for necrotic immature teeth, particularly during the middle or late stages of root development. MTA apexification has a high success rate; however, failures due to cervical or root fractures occasionally occur. The risk of fracture is higher in immature teeth with thin root dentin, particularly those with external root resorption. Furthermore, the loading force from any parafunctional habit also increases fracture risk. Therefore, intra-radicular reinforcement may be necessary after MTA apexification. In vitro, intraradicular restoration with a resin composite/core build-up material or a prefabricated fiber post demonstrated better root reinforcement than root canal obturation materials (i.e., gutta-percha and sealer). However, the root-reinforcement effect of MTA orthograde filling in the entire root canal remains unclear. In vivo, the survival of fractured teeth with intraradicular restorations (resin composite/core build-up material or prefabricated fiber posts) is extremely high. Moreover, the survival of teeth with gutta-percha/sealer obturation or MTA orthograde filling and restoration with resin composite extending into the cervical third of the root canal approximately 1–2 mm below the cemento-enamel junction is acceptably high. Based on this evidence, the remaining tooth/root structure and loading force should be carefully examined when considering intra-radicular reinforcement of immature anterior teeth treated with MTA apexification.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066291","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":"Factors influencing traumatic brain injuries in maxillofacial fractures: A 12-year retrospective analysis of 2841 patients","authors":"Jingjing Mao,&nbsp;Jiawen Xue,&nbsp;Yunlong Li,&nbsp;Qi Zhou,&nbsp;Shuo Zhou,&nbsp;Zhongwei Zhou","doi":"10.1111/edt.12942","DOIUrl":"10.1111/edt.12942","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Results of studies investigating the association between traumatic brain injury (TBI) and maxillofacial fractures (MFs) have varied considerably. The present study aimed to evaluate the correlation between TBIs and MFs, as well as the impact of age, sex, trauma mechanism, and season on TBIs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This 12-year retrospective study of 2841 patients used univariate and multivariate logistic regression to assess the association between MFs and other factors impacting TBIs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 2841 patients, 1978 TBIs occurred in 829 (29.2%), with intracranial injuries (<i>n</i> = 828) is the most common. Of 829 patients with TBIs, 688 were male and 141 were female, corresponding to a male-to-female ratio of 4.9:1.0. The most common age group was 40–49 years (24.6%). Vehicles (including motor vehicles and electric vehicles) accidents were the primary causes of injuries. Multivariate regression analyses revealed an increased risk for TBIs among males (odds ratio [OR] 0.632, <i>p</i> &lt; 0.001). Patients &gt;40 years of age were at higher risk for TBIs, especially those ≥70 years (OR 3.966, <i>p</i> = 0.001). Vehicle accidents were a high-risk factor for TBIs (OR 6.894, <i>p</i> &lt; 0.001), and winter was the most prevalent season for such injuries (OR 1.559, <i>p</i> = 0.002). Risk for TBI increased by 136.4% in combined midfacial and mandibular fractures (<i>p</i> = 0.016) and by 101.6% in multiple midfacial fractures (<i>p</i> = 0.045). TBIs were less common in single mandibular fractures, notably in single-angle fractures, with a risk of only 0.204-fold.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>TBIs in MFs were significantly correlated with sex, age, aetiology, season and fracture location. Maxillofacial surgeons and emergency physicians must be aware of the possible association between TBIs and MFs to assess and manage this complicated relationship in a timely manner.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12942","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066290","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}