Özgür Doğan, Hayriye Sönmez, Suat Serhan Altıntepe Doğan
{"title":"Comfort and wearability properties of custom-made and boil-and-bite mouthguards among basketball players: A randomized parallel arm clinical trial","authors":"Özgür Doğan, Hayriye Sönmez, Suat Serhan Altıntepe Doğan","doi":"10.1111/edt.12918","DOIUrl":"10.1111/edt.12918","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Thermoplastic mouthguards have been a reliable means of protection against impacts and shocks for a century. Although orofacial injuries are prevalent among basketball players, many athletes still avoid using mouthguards due to concerns regarding impaired breathing, speech interference, and nausea. This study aims to compare basketball players' subjective assessments of two different thicknesses of custom-made mouthguards (MGs) with boil-and-bite MGs (B&B MG).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>A total of 60 systematically healthy male professional basketball players, without active orthodontic treatment, were enrolled and randomly assigned to three groups: Group 1 (received B&B MGs; <i>n</i> = 20), Group 2 (received custom-made MGs with a 3 mm thickness [ethyl vinyl asetat]; <i>n</i> = 20), and Group 3 (received custom-made MGs with a 5 mm thickness; <i>n</i> = 20). To evaluate MG comfort and usability, 12 key factors, including comfort, fit, stability, tiredness, thirsting, oral dryness, nausea, speaking, breathing, drinking, ease of wear and removal, and inclination to chew, were assessed. The athletes were made to rate these factors using a 10 cm-long Visual Analog Scale, measured at three-time intervals, and the values for both inter-group and intra-group were compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data from 48 basketball players were retrieved, and data analysis revealed that B&B MGs had the least favorable parameter values. Among the B&B MG group, stability was reported to be poorer during the initial measurement (<i>p</i> < .05). In the second measurement, B&B MGs showed significantly lower values for comfort, stability, tiredness, speaking, and inclination to chew (<i>p</i> < .05). During the third measurement, the B&B MG group exhibited significantly reduced values for comfort, breathing, drinking, and speaking (<i>p</i> < .05). In contrast, no statistically significant difference was observed between 3 and 5 mm thickness MGs in these measurements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Custom-made MGs with different thicknesses consistently outperformed B&B MGs in all measurements, indicating the potential to tailor MG thickness based on sport, age, professional level of athlete, and presence of other protective equipment. While custom-made mouthguards are considered the gold standard, dentists who provide B&B MGs can lead to cost savings while maintaining protection and encouraging athletes to use high","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12918","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486834","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":"Effect of root immaturity and depth of intrusion on spontaneous re-eruption and healing complications: A retrospective analysis","authors":"Ruchi Singhal, Shefali Negi, Ritu Namdev, Anisha Kakran","doi":"10.1111/edt.12921","DOIUrl":"10.1111/edt.12921","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aims</h3>\u0000 \u0000 <p>Dental trauma resulting in tooth intrusion is a severe injury of permanent dentition, with a prevalence of 0.5%–1.9% among traumatic dental injuries. Currently, treatment guidelines for intruded permanent teeth depend on root development and the degree of intrusion. However, the categorization of tooth maturity as mature or immature simplifies a complex continuum of root development stages. This study aims to investigate the impact of various stages of root development on the success of spontaneous re-eruption (SRE) of intruded teeth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This retrospective study analysed data from 80 children (125 teeth) aged 6–12 years who experienced dental intrusion between 2018 and 2022. Root maturation was classified based on Cvek's classification, eight were categorized as stage 1, 29 as stage 2, 44 as stage 3, 25 as stage 4, and 19 as stage 5. Intruded teeth with immature roots (Cvek's class 1–4) underwent SRE, while mature teeth (Cvek's class 5) were treated with SRE, orthodontic repositioning, or surgical repositioning based on the degree of intrusion. Primary outcome measures were successful re-eruption and secondary outcomes included observed complications during follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Regression analysis revealed that the patient's age, degree of root maturation, and degree of intrusion significantly affected spontaneous re-eruption (<i>p</i> < .05). SRE was more successful in teeth with Cvek's stages 1 and 2 compared to stages 3 and 4. Complications were associated with the treatment method, degree of root immaturity, and degree of intrusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study demonstrates that as root maturation progresses, the likelihood of re-eruption decreases, and the risk of pulp necrosis and infection increases. Therefore, teeth in later stages of immaturity (Cvek stage 4) should be repositioned orthodontically or surgically without waiting for spontaneous re-eruption.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486786","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}
Ana Beatriz Carvalho de Souza Cantão, Thiago César da Silva Lima, Marina Izabelle Avelar Pires Fernandes, Venkateshbabu Nagendrababu, Juliana Vilela Bastos, Liran Levin
{"title":"Prevalence of dental, oral, and maxillofacial traumatic injuries among domestic violence victims: A systematic review and meta-analysis","authors":"Ana Beatriz Carvalho de Souza Cantão, Thiago César da Silva Lima, Marina Izabelle Avelar Pires Fernandes, Venkateshbabu Nagendrababu, Juliana Vilela Bastos, Liran Levin","doi":"10.1111/edt.12922","DOIUrl":"10.1111/edt.12922","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aims</h3>\u0000 \u0000 <p>Domestic violence (DV) encompasses a series of abusive behaviors, perpetrated in a family environment, against individuals of all ages and genders. Injuries to the head, neck, and face are frequent findings among victims of abuse, negatively impacting their quality of life. Although oral and maxillofacial injuries (OMFI) and traumatic dental injuries (TDI) are commonly diagnosed among DV victims, their prevalence is still unknown. This systematic review was aimed to assess the prevalence of OMFI and TDI among victims of DV.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The protocol of the review was registered in PROSPERO (CRD42023424235). Literature searches were performed in eight electronic databases, up to August 7th, 2023. Observational studies published in the Latin-roman alphabet and reporting the prevalence of OMFI and/or TDI were included. The Joanna Briggs Institute's critical appraisal tool, checklist for prevalence studies, was used for quality assessment. Results were presented as qualitative and quantitative syntheses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen studies, totaling 12,375 victims of domestic violence, were included. Meta-analyses showed an overall prevalence of 29% (95% CI: 15%–48%, <i>I</i><sup>2</sup> = 99%) and 4% (95% CI: 1%–10%, <i>I</i><sup>2</sup> = 98%) for OMFI and TDI, respectively. Higher pooled prevalence for OMFI (41%, 95% CI: 13%–46%, <i>I</i><sup>2</sup> = 99%) was demonstrated in samples with only women. OMFI was less prevalent (20%) among DV victims under 18, while TDI was lower among adults (1%). Hospital samples presented higher pooled prevalence of OMFI (32%), and forensic data from fatal victims presented higher prevalence of TDI (8%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The overall prevalence of OMFI and TDI in DV victims was 29% and 4%, respectively. Women victims of DV presented higher rates of OFMI (41%) and TDI (6%).</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12922","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139426125","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":"Fragment rehydration, splinting, and autotransplantation: A journey to better treatment for traumatized teeth","authors":"Lea Budak, Simran Kaur Sarao, Liran Levin","doi":"10.1111/edt.12919","DOIUrl":"10.1111/edt.12919","url":null,"abstract":"<p>\u0000 \u0000 </p><p>\u0000 \u0000 </p><p>\u0000 \u0000 </p><p>Uncomplicated crown fractures make up 18%–22% of all traumatic dental injuries (TDIs).<span><sup>1</sup></span> The recommended treatment is rehydration and reattachment of the tooth fragment.<span><sup>1, 2</sup></span> Humidification is an alternative method for rehydration that has previously been shown to increase the force required for tooth fracture.<span><sup>2-4</sup></span> In this issue, Jhunjhunwala et al. compared and evaluated three materials for bonding after the rehydration of bovine teeth with reattached uncomplicated crown fractures in a humidification chamber.<span><sup>5</sup></span> The materials used for fragment reattachment after rehydration were light-cured glass ionomer cement, nano-hybrid composite, and micro-hybrid composite, with the control group being the non-rehydrated reattachments. The results have shown the possibilities of reducing the cost of fragment reattachment procedures and using different bonding materials for reattachment.</p><p>Severe TDIs can lead to tooth loss, but timely and appropriate treatment provided to traumatized teeth can significantly impact their prognosis.<span><sup>6-8</sup></span> The limited number of referral centers for TDIs, as well as their distance to other facilities may cause a delay in treating TDIs.<span><sup>9</sup></span> In this issue, an 8-year retrospective study was conducted at the Department of Pediatric Dentistry at the University Dental Clinic in Zagreb, Croatia. Šimunović et al. assessed the arrival time of TDIs according to the urgency of treatment, as well as place of residence.<span><sup>10</sup></span> The results of this study offer valuable insight that may help establish educational and preventive programs for TDIs in children and adolescents.</p><p>Early tooth loss in the anterior maxilla leads to the collapse of the alveolar bone along with changes in craniofacial growth.<span><sup>11, 12</sup></span> The replacement of the missing tooth is difficult and costly once the patient is fully grown, due to the extent of the defect.<span><sup>13</sup></span> Autotransplantation of premolars to the anterior maxilla might be a suitable solution especially when orthodontic indication for extraction exists.<span><sup>11, 14-17</sup></span> An observational retrospective analysis of 910 cases with autotransplanted premolars was carried out in a Periodontology Clinic in Rotterdam, Netherlands. In this issue, Louropoulou et al. evaluated the survival, success, and possible complications of transplanted premolars to the anterior region, depending on the development stage and the patient's age.<span><sup>18</sup></span> This article highlights the predictability of premolar autotransplantation to the anterior region over a 10-year follow-up period.</p><p>Interpersonal violence (IPV) is a public health concern, and the number of reported injuries is increasing.<span><sup>19-","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12919","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139426126","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":"Oro-dental trauma burden and mouthguard usage among contact sports players: A call for sports dentistry initiatives in Sri Lanka","authors":"Iresha Udayamalee, Hemantha Amarasinghe, Ping Zhang","doi":"10.1111/edt.12916","DOIUrl":"10.1111/edt.12916","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aim</h3>\u0000 \u0000 <p>Contact sports-related oro-dental trauma contributes to a significant proportion of sports injuries among school children. Oro-dental trauma imposes a detrimental impact on the oral health-related quality of life. However, the burden of oro-dental trauma among contact sports players and their practices of mouthguards remains a research gap in Sri Lanka. The current study bridges that while providing evidence for contextual changes such as initiating sports dentistry.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>The study was conducted among 1340 adolescent contact sports players in Colombo district, Sri Lanka; 63.1% males and 36.9% females (age 13–18), who were enrolled in football, rugby, hockey, boxing, basketball, and martial arts in the school setting. A checklist was administered to obtain demographic information, sports practices, and the use of mouthguards. An oral examination was conducted for those who experienced oro-dental trauma during the last 12 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Self-reported oro-dental trauma pooled prevalence of the contact sports players was 35.9% (95% CI = 33.3–38.5), with males' preponderance. Dental trauma was present in 23.8% (<i>n</i> = 319), while 15.8% were uncomplicated and 8% were complicated. Soft tissue injuries were present in 12.1% (<i>n</i> = 162). Oro dental trauma (ODT) was highly prevalent among boxing, rugby, and hockey players. Only 20.8% (<i>n</i> = 279) of players used mouthguards. However, 91.0% (<i>n</i> = 254) of them were using ready-made mouthguards. Mouthguard use and the type of mouthguard showed statistically significant associations across the type of oro-dental trauma among contact sports players.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Contact sports-related oro-dental trauma prevalence is as high as 35.9% among Colombo district school children in Sri Lanka. However, their level of mouthguard usage is shallow at 20.8%. Further research is necessary to investigate the reasons behind this, and national guidelines should be developed to prevent and manage sports-related accidental injuries.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12916","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138833117","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}
Fabiana Dantas Turino, Lucas Alves Jural, Leticia Lopes A. da Silva, Marcela Baraúna Magno, Luciane Cople Maia, Patrícia A. Risso
{"title":"World trends in publication for maxillofacial and dental trauma in the elderly","authors":"Fabiana Dantas Turino, Lucas Alves Jural, Leticia Lopes A. da Silva, Marcela Baraúna Magno, Luciane Cople Maia, Patrícia A. Risso","doi":"10.1111/edt.12917","DOIUrl":"10.1111/edt.12917","url":null,"abstract":"<p>Aging may increase the risk of maxillofacial and dentoalveolar trauma (MDT). This review assessed global trends in scientific publications on MDT in the elderly. Six databases were searched. Studies about MDT in the elderly (≥60 years old) were included in two text mining stages (S1 and S2). In S1, all studies with elderly subjects were included, while in S2 only studies in which the elderly were assessed in a separate set of data or in a subanalysis by age groups were included. In S1, relevant data were mined using VantagePoint™ software. In S2, data were descriptively analyzed. There were 2265 studies at S1 and 110 at S2. The publication dates spanned from 1963 to 2023. In S1, the most cited keywords and terms were aged (<i>n</i> = 1872), male (<i>n</i> = 1839), female (<i>n</i> = 1777), “mandible fracture” (<i>n</i> = 460), “orbit fracture” (<i>n</i> = 362), and “maxilla fracture” (<i>n</i> = 118). Thirty authors published 10 or more articles with visible collaboration networks. There was a progressive increase in publications, especially in Europe (<i>n</i> = 150). In S2, most studies were case reports/case series (<i>n</i> = 62). The primary etiology was accidental falls (<i>n</i> = 84), the most affected region was the middle third of the face (<i>n</i> = 65), and dental trauma was rarely reported (<i>n</i> = 15). Cone Beam computed tomography was the most used diagnostic tool (<i>n</i> = 67). Of the 81 articles that addressed therapy, 52 opted for surgical treatment. Although there has been an increase in the number of articles on MDT over the years, studies with the elderly population as a specific study group are still needed. Accidental falls were the most reported etiology, while the middle third of the face and the mandible were the anatomic region and bone most affected, respectively. The high number of case reports indicates the need for improvement in the available scientific evidence about MDT in the elderly.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/edt.12917","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138823734","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}
Catalina Opazo-Garcia, Christian Cardozo-Sanchez, Jeel Moya-Salazar, María Elena Gómez-Fett, Francisca Edwards-Toro, Francisca Gálvez-Bravo, Nora Elgue-Idoyaga, Hans Contreras-Pulache
{"title":"Use of mouthguards in Latin American field hockey athletes during the ODESUR 2022 Games","authors":"Catalina Opazo-Garcia, Christian Cardozo-Sanchez, Jeel Moya-Salazar, María Elena Gómez-Fett, Francisca Edwards-Toro, Francisca Gálvez-Bravo, Nora Elgue-Idoyaga, Hans Contreras-Pulache","doi":"10.1111/edt.12914","DOIUrl":"10.1111/edt.12914","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Aims</h3>\u0000 \u0000 <p>Athletes are susceptible to oral injuries. To reduce the incidence and severity of oral trauma, a custom-made mouthguard, a device positioned in the mouth to prevent damage to teeth and surrounding structures, is recommended. In field hockey, according to the international rules of this sport, using mouthguards is not mandatory, but it is recommended to wear them at all times while practicing this discipline. We aimed to determine characteristics and differences regarding mouthguard usage among field hockey players from different countries participating in the XII ODESUR Games.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a cross-sectional study that included 78 voluntary hockey athletes that met the inclusion criteria. The questionnaire used was validated by Panam Sports, collecting information on the type of mouthguard (custom-made or prefabricated), and the time of use of the mouthguard (range of 5 years).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the total number of athletes, 96% used mouthguards, of which 64% were custom-made type, and 32% were prefabricated (<i>p</i> < .001). Custom-made mouthguards were used by 100%, 89%, and 64% of athletes in Argentina, Chile, and Peru, respectively, while only 40% of athletes in Paraguay and Uruguay used them. It has also been observed that more than 50% of the individuals have not controlled and replaced their intraoral devices for more than 10 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our results reveal a problem with a public health dimension and thus invite the standardization of guidelines with an educational approach to promoting and adopting good sports practices. This report is the first on using mouthguards in high-performance athletes during an international multisport event.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138628237","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}
Dental TraumatologyPub Date : 2023-12-01Epub Date: 2023-06-21DOI: 10.1111/edt.12862
Marin Kasum, Lidia Gavic, Petra Mandic, Antonija Tadin
{"title":"Knowledge of traumatic dental injuries and mouthguard behavior among Croatian soccer players.","authors":"Marin Kasum, Lidia Gavic, Petra Mandic, Antonija Tadin","doi":"10.1111/edt.12862","DOIUrl":"10.1111/edt.12862","url":null,"abstract":"<p><strong>Objectives/aim: </strong>Sports-related dental injuries occur frequently among athletes due to inadequate knowledge and prevention measures. The aim of the study was to assess knowledge, attitudes, and practices of active soccer players from all leagues in Croatia regarding traumatic dental injuries and the use of mouthguards.</p><p><strong>Material and methods: </strong>393 respondents completed a questionnaire-based online survey from March 2022 to April 2022. The questionnaire consisted of 37 questions divided in four sections: demographic characteristics, experience with orofacial injuries, knowledge of emergency therapeutic procedures for dental injuries, and behaviors related to the use of a mouthguard.</p><p><strong>Results: </strong>Insufficient knowledge was confirmed by a total score of 2.8 ± 2.8 points, with a possible maximum of 11. Respondents' better knowledge can be associated with educational level (p = .002), playing position (p = .046), and personally experienced injuries to the face and jaw (p ≤ .001) and teeth (p = .022). Less than 40% of respondents suffered facial and jaw injuries while playing football and 18.6% suffered dental injuries. Although most respondents (93.9%) were familiar with mouthguards and 68.9% believed that they help prevent injuries while playing football, only 16% used them.</p><p><strong>Conclusion: </strong>The study revealed significant gaps in knowledge regarding dental injuries and the practice of mouthguard usage among Croatian soccer players. Therefore, it is evident that additional education is needed to prevent dental injuries and take proper procedures when taking care of them among the examined population.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9667284","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}
Dental TraumatologyPub Date : 2023-12-01Epub Date: 2023-07-21DOI: 10.1111/edt.12870
Chaitanya P Puranik, Kaci Pickett, Tracy de Peralta
{"title":"Evaluation of problem-based learning in dental trauma education: An observational cohort study.","authors":"Chaitanya P Puranik, Kaci Pickett, Tracy de Peralta","doi":"10.1111/edt.12870","DOIUrl":"10.1111/edt.12870","url":null,"abstract":"<p><strong>Background/aim: </strong>Problem-based learning (PBL) allows higher thinking among dental students and has improved first-time pass-rates in predoctoral pediatric dentistry education. The aim of this retrospective observational cohort study was to evaluate the impact of PBL-based, traumatic dental injuries case discussions on predoctoral dental trauma education.</p><p><strong>Materials and methods: </strong>Student performance and perceptions after receiving dental trauma curriculum with or without PBL-based dental trauma case discussions were evaluated. All the students challenged their simulated patient-based assessments. Three recall-based, objective structured clinical examinations, and critical thinking competencies assessed student knowledge about management of traumatic injuries affecting primary or permanent dentition including avulsion. The scores and number of attempts for each competency were compared between the study cohorts using t-tests. Student's self-perceived learning outcomes were measured through a voluntary, five-question survey. Mantel-Haenszel ordinal Chi-square tests were used to assess for differences in rates of agreement on survey responses from the students. Linear regression was used to assess effect of training on scores adjusting for student type (predoctoral or advanced standing). Pearson's correlations were used to assess association between scores. Significance was set at 0.05.</p><p><strong>Results: </strong>For the PBL cohort, there was a significant (p > 0.05) improvement in the first-time pass-rates and scores in three out of four competencies. A higher proportion of students in the PBL cohort perceived that their dental trauma education improved their radiographic and diagnostic skills compared to the cohort that did not receive PBL (p > 0.05). There was no correlation between recall-memory versus critical thinking competencies (r < 0.5).</p><p><strong>Conclusion: </strong>The PBL-based dental trauma case discussion had a positive impact on predoctoral student learning and perceived benefits while managing simulated traumatic dental injuries. Due to a lack of correlation between recall-memory and critical thinking assessments, evaluation of predoctoral student's dental trauma competencies should involve multi-model assessment.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9849322","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}
Dental TraumatologyPub Date : 2023-12-01Epub Date: 2023-08-18DOI: 10.1111/edt.12872
Venkateshbabu Nagendrababu, Clovis M Faggion, Vellore Kannan Gopinath, Srinivasan Narasimhan, Henry F Duncan, Liran Levin, Paul V Abbott, Paul M H Dummer
{"title":"Methodological assessment and overall confidence in the results of systematic reviews with meta-analyses focusing on traumatic dental injuries: A cross-sectional study.","authors":"Venkateshbabu Nagendrababu, Clovis M Faggion, Vellore Kannan Gopinath, Srinivasan Narasimhan, Henry F Duncan, Liran Levin, Paul V Abbott, Paul M H Dummer","doi":"10.1111/edt.12872","DOIUrl":"10.1111/edt.12872","url":null,"abstract":"<p><strong>Background/aims: </strong>High methodological quality is required to interpret results of systematic reviews (SRs) in a reliable and accurate manner. The primary aim of this study was to appraise the methodologic quality of SRs with meta-analysis within the field of traumatic dental injuries using the A MeaSurement Tool to Assess systematic Reviews (AMSTAR) 2 tool and assess overall confidence in their results. A secondary aim was to identify potential predictive factors associated with methodological quality.</p><p><strong>Materials and methods: </strong>SRs with meta-analyses published in English in the field of traumatic dental injuries from inception to March 2023 were identified. The methodological quality of the included reviews was assessed using the AMSTAR 2 checklist. Two independent evaluators scored each AMSTAR 2 item as \"yes\" if it was adequately addressed, \"partial yes\" if it was partially addressed, and \"no\" if it was not addressed. The overall confidence in the results of each review was classified as \"High,\" \"Moderate,\" \"Low,\" or \"Critically low.\" Using multiple regression, the relationship between five predictor variables (journal impact factor, year of publication, number of authors, journal adherence to Preferred Reporting Items for Systematic reviews and Meta-analyses [PRISMA] guidelines and a priori protocol registration) and the total AMSTAR 2 scores was analyzed. The p-value was 5%.</p><p><strong>Results: </strong>Forty-one SRs were included. The overall confidence in the results of 13 reviews was categorized as \"Critically low,\" 18 as \"Low,\" 3 as \"Moderate\" and 7 as \"High.\" Among the five predictor variables analyzed statistically, impact factor of the journal and year of publication significantly influenced the total AMSTAR 2 scores. The number of authors, adherence to PRISMA guidelines, and a priori protocol registration had no significant impact on AMSTAR 2 scores.</p><p><strong>Conclusion: </strong>The overall confidence in the results of SRs with meta-analysis within the field of traumatic dental injuries was \"Low\" or \"Critically Low\" in the vast majority of studies (31 of 41). SRs with meta-analyses published in journals with higher impact factors and more recent publications had significantly higher methodological quality.</p>","PeriodicalId":55180,"journal":{"name":"Dental Traumatology","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381576","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}