Dental Traumatology最新文献

{"title":"Evaluation of Pediatric Oral Health-Related Quality of Life score in children with traumatic dental avulsion injury: A Questionnaire-Based Cross-Sectional survey","authors":"Peris Celikel,&nbsp;Nilay Ozturk,&nbsp;Aybike Bas,&nbsp;Fatih Sengul","doi":"10.1111/edt.12957","DOIUrl":"10.1111/edt.12957","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Dental avulsion injury, being one of the traumatic dental injuries, has negative impacts on children's life quality. This study aims to evaluate the Pediatric Oral Health-Related Quality of Life (POQL) scores of children with dental avulsion history from their perspective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>The population of this cross-sectional study comprises 40 patients, aged between 8 and 14, who have a history of dental avulsion, in comparison to 40 other healthy peers. A questionnaire including general questions (such as age, gender, loss of tooth due to dental avulsion, malocclusion) and POQL instrument, with subscales including physical function, social function, emotional function, and role function, were completed by these children. Mann–Whitney <i>U</i>-test is used when comparing the POQL scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The social scores (median: 47, interquartile range [IQR]: 17–95) and total score percentages (median: 30, IQR: 14–40) of children with a history of avulsion were higher than those of their healthy peers (<i>p</i> &lt; 0.05). The higher total POQL scores among girls (median: 37, IQR: 31–47) with a history of dental avulsion compared to boys (median: 19, IQR: 8–34) (<i>p</i> = .002) can be attributed to girls achieving higher scores in both social (median: 81, IQR: 39–100) and emotional (median: 35, IQR: 17–47) scores following dental avulsion (<i>p</i>_social = .02, <i>p</i>_emotional = .006). Whether the avulsed tooth is replanted or not, it has not made any visible impact on the POQL scores. However, the loss of replanted teeth over time has created a borderline significant difference in emotional scores (median: 21, IQR: 11–35, <i>p</i> = .055).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Within the limits of our study, avulsion injuries have negative effects on children's emotional, social, and total quality of life. Even though avulsion injuries may be inevitable, to prevent these negative effects, it is vital to provide appropriate psychological support in the treatment of these children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 5","pages":"567-572"},"PeriodicalIF":2.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140561181","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":"Epidemiological profile of luxations injuries with or without dental fractures in permanent teeth: A 10-years retrospective study","authors":"Ana Laura Lopes Amilcar,&nbsp;Walbert A. Vieira,&nbsp;Aline Cristine Gomes Matta,&nbsp;Brenda Paula Figueiredo de Almeida Gomes,&nbsp;Marina Angélica Marciano da Silva,&nbsp;José Flávio Affonso de Almeida,&nbsp;Caio Cézar Randi Ferraz,&nbsp;Eduardo César Almada Santos,&nbsp;Julio Vargas Neto,&nbsp;Adriana de Jesus Soares","doi":"10.1111/edt.12953","DOIUrl":"10.1111/edt.12953","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>This study assessed the epidemiology of luxation injuries with or without dental fractures in patients attending the outpatient clinic of a Brazilian dental school over the past decade.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>We reviewed clinical records from a specialized center for dental trauma care in Brazil, focusing on patients who experienced at least one traumatic dental injury (TDI) in a permanent tooth between 2012 and 2022. The extracted data included sex, age, etiology, time between trauma occurrence and the search for initial care, TDI classification, and the need for endodontic treatment. The statistical analysis involved Pearson's chi-squared and Fisher's exact tests at a 5% significance level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The 366 analyzed clinical records included 166 patients (350 teeth) with luxation injuries. Men (<i>n</i> = 102) showed a higher prevalence of luxation injuries than women (<i>n</i> = 64). Extrusive luxation prevailed (<i>n</i> = 99 patients and 208 teeth). Patients with luxation injuries sought care promptly after dental trauma incidents (<i>p</i> = .02) and demonstrated a higher incidence of endodontic treatment (<i>p</i> &lt; .0001) than those without luxation injuries. Lateral luxation was notably associated with traffic accidents (<i>p</i> &lt; .0001). The combination of luxation injuries and tooth fractures did not correlate with a higher need for endodontic treatment (<i>p</i> &gt; .05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Age and trauma etiology seemed to have influenced the epidemiological profile of luxation injuries. Additionally, these injuries affected the time to seek initial care and the need for endodontic treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 5","pages":"530-536"},"PeriodicalIF":2.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140561185","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":"Risk of pulp necrosis and related complications in the permanent anterior teeth with lateral luxation: A systematic review and meta-analysis","authors":"Nitesh Tewari,&nbsp;Eva Lauridsen,&nbsp;Mohammad Atif,&nbsp;Sukeshana Srivastav,&nbsp;Georgios Tsilingaridis,&nbsp;Partha Haldar,&nbsp;Lars Andersson","doi":"10.1111/edt.12956","DOIUrl":"10.1111/edt.12956","url":null,"abstract":"<p>This systematic review aimed to evaluate the evidence related to the occurrence of pulp necrosis and related complications in permanent anterior teeth with lateral luxation. It was envisaged to address the ambiguity related to the recommendation for pulp extirpation in teeth with mature root apex. An a priori protocol was formulated as per the best practices of evidence-based medicine and registered in PROSPERO. A comprehensive search was performed electronically in PubMed, LILACS, Web of Science, EMBASE, Scopus, and Cochrane on July 10,2023 without any restriction of language or year of publication. The screening of titles and abstracts and later the full-text articles were performed. Later, the data extraction was performed by using a self-designed sheet, risk of bias (ROB) assessment was done, meta-analysis was performed, and the GRADE approach was used to assess the quality of evidence. The qualitative synthesis was performed on 13 studies done from 1985 to 2020 in hospital settings. There was variability in the minimum and total observation periods, sample sizes, and characteristics of the sample population. The overall pooled prevalence of pulp necrosis was found to be 57% (95% CI: 42, 72%). It was 12% (95% CI: 8%, 18%, <i>I</i>² = 0%) in immature teeth, and 58% (95% CI: 42, 73%, <i>I</i>² = 86%) in mature teeth. The pooled prevalence of EIRR was found to be 11% (95% CI: 4, 27%, <i>I</i>² = 95%) with greater risk in teeth with mature root apex (RR: 1.26, 95% CI: 1.12, 1.42, <i>I</i>² = 0%). The ROB was moderate or high in nine studies and the GRADE of evidence was very low in 14 of 15 outcomes. There are greater chances of pulp necrosis in teeth with lateral luxation, especially with mature apex. However, it can still be less than 60% in most cases with the prevalence of EIRR less than 20%. Hence, an absolute recommendation for endodontic intervention in mature teeth with lateral luxation must be interpreted with slight caution.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 5","pages":"482-498"},"PeriodicalIF":2.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140561266","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":"Associations between traumatic dental injuries due to violence and various drinking behaviors in Korea: A cross-sectional study","authors":"Ji-Young Son,&nbsp;Jaehyung Lim,&nbsp;Dong-Hun Han","doi":"10.1111/edt.12954","DOIUrl":"10.1111/edt.12954","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aim</h3>\u0000 \u0000 <p>Various patterns of alcohol consumption are associated with trauma and violence. The aim of this study was to assess the association between traumatic dental injuries (TDI) due to violence and different patterns of alcohol consumption in Korean adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted with representative sample of Korean adults. Among the total participants, 11.8% (6489/58,999) experienced TDI, and 0.9% (520/58,999) experienced TDI due to violence. The associations between various types of alcohol consumption (frequency of drinking, frequency of binge drinking, age of first drinking) and TDI due to violence were assessed using logistic regression analyses. We confirmed differences in the prevalence experience of TDI due to violence with various types of alcohol consumption by confounders (socioeconomic status).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All types of drinking (frequency of drinking, frequency of binge drinking, age of first drinking) were strongly associated with TDI due to violence. After adjusting for confounders, those who started drinking at the age of 18 or younger and drank 4 or more days a week (OR: 2.86, 95% CI: 1.68–4.88), those who started drinking at the age of 18 or younger and drank 3 days or less a week (OR: 2.37, 95% CI: 1.40–4.02), and those who started drinking at the age of 18 or younger and binge drinking at least once a week (OR: 3.18, 95% CI: 1.79–5.65) had higher prevalence of TDI due to violence compared to those with no alcohol drinking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study presents evidence of an association between various types of alcohol consumption and TDI due to violence in Korean adults. These findings suggest the necessity for policies aimed at reducing alcohol consumption, frequency of drinking, and access to drinking especially in adolescent to reduce the prevalence experience of TDI due to violence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 5","pages":"537-545"},"PeriodicalIF":2.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140561968","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":"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":"40 4","pages":"425-434"},"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":"&lt;p&gt;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.&lt;/p&gt;&lt;p&gt;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.&lt;/p&gt;&lt;p&gt;In the &lt;i&gt;Global Status Report on Violence Prevention by the WHO (2014)&lt;/i&gt;, 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.&lt;/p&gt;&lt;p&gt;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.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Valuable information and assistance can be provided to physicians about oral and dental aspects of physical abuse, especially in vulnerable population groups.&lt;/p&gt;&lt;p&gt;Studies show that almost 50% of all physical abuse is related to injuries in the head and orofacial region.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; 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&lt;span&gt;&lt;sup&gt;1, 2&lt;/sup&gt;&lt;/span&gt;; injuries in physically abused children&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt;; oro-dental and facial manifestations of physical abuse in adults&lt;span&gt;&lt;sup&gt;4-7&lt;/sup&gt;&lt;/span&gt;; sexual abuse&lt;span&gt;&lt;sup&gt;8&lt;/sup&gt;&lt;/span&gt;; medicolegal aspects of dental trauma in children,&lt;span&gt;&lt;sup&gt;9&lt;/sup&gt;&lt;/span&gt; and the Munchausen syndrome by proxy.&lt;span&gt;&lt;sup&gt;10&lt;/sup&gt;&lt;","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 S2","pages":"1-2"},"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":"&lt;p&gt;\u0000 \u0000 &lt;/p&gt;&lt;p&gt;\u0000 \u0000 &lt;/p&gt;&lt;p&gt;An avulsed permanent tooth is a serious traumatic dental injury (TDI), which should be dealt with immediately.&lt;span&gt;&lt;sup&gt;1, 2&lt;/sup&gt;&lt;/span&gt; The prognosis is very much dependent on decisions at the place of the accident and the time immediately after the avulsion has taken place.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; 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.&lt;span&gt;&lt;sup&gt;2, 3&lt;/sup&gt;&lt;/span&gt; If the tooth cannot be replanted immediately, it must be stored.&lt;span&gt;&lt;sup&gt;3, 4&lt;/sup&gt;&lt;/span&gt; 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.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt; In this Issue, Gul et al. performed a long-term clinical assessment of the risks of ankylosis-related resorption in different storage conditions.&lt;span&gt;&lt;sup&gt;6&lt;/sup&gt;&lt;/span&gt; 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.&lt;/p&gt;&lt;p&gt;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.&lt;span&gt;&lt;sup&gt;7, 8&lt;/sup&gt;&lt;/span&gt; Common basketball-related oral injuries include soft tissue lacerations and contusions.&lt;span&gt;&lt;sup&gt;8&lt;/sup&gt;&lt;/span&gt; Given a high-enough impact force, traumatic dental injuries such as tooth fractures and avulsions can occur.&lt;span&gt;&lt;sup&gt;7, 8&lt;/sup&gt;&lt;/span&gt; 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.&lt;span&gt;&lt;sup&gt;9&lt;/sup&gt;&lt;/span&gt; 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.&lt;/p&gt;&lt;p&gt;TDIs occur frequently and at any age, although the peak incidence is during childhood.&lt;span&gt;&lt;sup&gt;10, 11&lt;/sup&gt;&lt;/span&gt; It is known that the quality of immediate emergency treatment positively influences the outcome of any TDI.&lt;span&gt;&lt;sup&gt;11, 12&lt;/sup&gt;&lt;/span&gt; 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.&lt;span&gt;&lt;sup&gt;12, 13&lt;/sup&gt;&lt;/span&gt; In this Issue, O'Connell and Olegário investigated teaching","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":"40 2","pages":"133-136"},"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":"40 S2","pages":"23-32"},"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":"40 4","pages":"398-409"},"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":"40 4","pages":"460-469"},"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}