ABSTRACT
BACKGROUND/AIMS: The evidence that mouthguards prevent dental trauma is inconsistent. The aim of this study was to determine, through a systematic review and meta-analysis (MA), the impact of mouthguards (MG) on the prevalence of dento-alveolar trauma (DT) among athletes of contact sports. MATERIAL AND METHODS: Searches were performed at Medline, Scopus, Web of Science, Lilacs, Cochrane Library, and SIGLE without restriction of language or publication date. After the application of eligibility criteria, studies were evaluated regarding their methodology quality and risk of bias. Two meta-analyses (MA) were performed considering: studies free of problems or with minor problems (MA1) and only free of problems studies (MA2). DT prevalence (events) and total number of athletes from each group (use of MG and non-use of MG) were used for odds ratio calculation (α = 5%). The evidence was quality tested using the GRADE approach. RESULTS: A total of 256 articles were identified. After applying the eligibility criteria, 14 studies were selected for qualitative synthesis, and 11 were used in quantitative synthesis. Meta-analyses showed that 73% (MA1) and 83% (MA2) of mouthguard users have a lower prevalence of DT. In MA1 (eight studies), DT prevalence among MG users was 7.75% (n = 183), while non-users had 48.31% (n = 974) (OR = 0.18, 95% CI = 0.07-0.45, P < 0.001). In MA2 (three studies), DT prevalence among MG users was 7.5% (n = 160), while DT prevalence among non-users was 59.48% (n = 750) (OR = 0.10, 95% CI = 0.05-0.08, P < 0.001), with moderate evidence quality level. CONCLUSION: Mouthguards contribute to a lower prevalence of dento-alveolar trauma among athletes of contact sports.
Subject(s)
Athletic Injuries/prevention & control , Mouth Protectors/statistics & numerical data , Sports , Tooth Injuries/prevention & control , Athletes , Equipment Design , Humans , PrevalenceABSTRACT
O objetivo do presente estudo é relatar o caso do paciente, que necessitava de tratamento endodôntico radical de um dente que sofreu trauma dentário com fratura corono-radicular do incisivo central superior direito permanente com raiz incompleta por meio do tratamento de regeneração pulpar.Este estudo clínico se observou que houve um crescimento radicular considerável do elemento dentário 11, principalmente quando comparado com o elemento dentário 21. O que reforça a ideia do tratamento de regeneração pulpar para dentes com ápice aberto que necessitam por algum motivo de tratamento endodôntico oferecendo ao cirurgião-dentita clínico um tratamento promissor, que evita a apiceficação tradicional realizada com trocas da pasta de hidróxido de cálcio ou a criação de uma barreira apical com agradado trioxido de mineral (MTA). Além de ser uma alternativa para a substituição dos tratamentos citados acima, a regeneração pulpar pode ajudar a resgatar dentes jovens infectados através do reforço fisiológico das paredes dentinárias da raiz
The objective of this study is to report the case of a patient that needed a radical endodontic treatment of a tooth that suffered a dental trauma with fracture of the permanent central superior right incisive with incomplete root because of a pulp regeneration treatment.In this clinical study, there was a considerable root growth of the dental element 11, specially when it's compared to the dental element 21. This reinforces the idea of the pulp regeneration treatment for teeth with open apex that need, for some reason, endodontic treatment, offering the clinical dental surgeon a promising treatment that avoids the traditional solicitation with exchanges of calcium hydroxide paste or the criation of an apical barrier with MTA. On top of that, it's an alternative for the substitution of the reported treatments, the pulp regenaration can help to rescue infected young teeth through physiological reinforcement of the root dental walls
Subject(s)
Humans , Male , Child , Root Canal Therapy/statistics & numerical data , Tooth Fractures/therapy , Tooth Injuries/diagnosis , Tooth Injuries/therapyABSTRACT
Conservation of deciduous teeth with pulp alterations caused by caries or trauma is a major therapeutic challenge in pediatric dentistry. It is essential that the sanitizers used in root canal procedures perform well in eliminating bacteria. Antimicrobial photodynamic therapy (PDT) is an emerging and promising adjuvant therapy for endodontic treatment in an attempt to eliminate microorganisms persistent after chemomechanical preparation. This paper reports the case of a five-year-old male with type I diabetes mellitus, presenting the need for pulp therapy in maxillary primary left central incisor due to injury. The proposed treatment included the use of PDT for decontamination of root canals with the application of 50 µg/mL of methylene blue dye for 3-5 minutes and 40 J/cm(2) as energy density, taking into account the need for tissue penetration and effec-tiveness of PDT inside the dentinal tubules.
ABSTRACT
Este estudo epidemiológico teve por objetivo investigar a prevalência de injúria orofacial em dois grupos de atletas. O primeiro grupo foi de atletas integrantes do Fluminense Futebol Clube, em Xerém, e o segundo de atletas praticantes do jiu-jitsu em diferentes academias ou que participaram do Campeonato Brasileiro em 2011, no Rio de Janeiro. Um examinador calibrado, auxiliado por um assistente, preencheu os questionários com todos os atletas, seguido do exame clínico de todos. Grupo I: 260 atletas do Fluminense Futebol Clube com idade média de 14,08 (DP ± 2,71) anos de idade, todos do gênero masculino. Grupo II: 315 atletas de diversas academias de jiu-jitsu com idade média de 26,86 (DP ± 8,99), dentre esses indivíduos, apenas 10 eram do gênero feminino. A prevalência de injúrias orofaciais encontrada para o Grupo I foi de 47% (n=122; IC 95% 40,94% a 52,99%) e no Grupo II de 74,6% (n=235; IC 95% 69,52% a 79,09%). Considerando-se a prevalência de trauma apenas no elemento dentário, a prevalência diminuiu de 147 injúrias para 57 traumas dentais no futebol e de 289 injúrias para 93 traumas dentais no jiu-jitsu. Foi observada uma menor prevalência de injúria orofacial nos goleiros quando comparados aos outros jogadores de futebol. A maior parte das injúrias ocorreu durante o período do treino (n=42; IC 95% 26,59% a 43,22%) e apenas 4 desses atletas usavam protetor bucal. Por outro lado, no jiu-jitsu, a prevalência de injúria variou de acordo com a cor da faixa do uniforme do atleta. Os atletas da faixa preta exibiram mais injúrias (n=83). Atletas que treinavam de 7 a 15 horas por semana, sofreram mais injúria (n=109). A maioria das injúrias ocorreu durante o treino. Somente 28,57% dos atletas (IC 95% 23,86% a 33,79%) usavam protetor bucal. Nos dois esportes, a maioria dos atletas sofreu apenas uma injúria, sendo o tipo mais frequente em tecido mole. O dente mais atingido foi o incisivo central superior. Estes dados ressaltam ...
This epidemiological study aimed to investigate the prevalence of orofacial injury of two groups of athletes. The first group included athletes who were part of the Fluminense Soccer Club in Xerém, and the second group included athletes from different brazilian jiu-jitsu academies or who participated in the Brazilian Championship in 2011, in Rio de Janeiro. One calibrated examiner, with the help of the assistant, completed the forms of all athletes followed by the clinical examination of them. Group I: 260 male athletes from the Fluminense Soccer Club, mean age of 14.08 (SD ± 2.71). Group II: 315 athletes from a variety of brazilian jiu-jitsu academies, mean age of 26.86 (SD ± 8.99), among these individuals, only 10 of them were female. The prevalence of orofacial injuries found for Group I was 47% (n=122; IC 95% 40,94%; 52,99%) and for Group II was 74,6% (n=235; IC 95% 69,52%, 79,09%). When the prevalence of trauma was evaluated individually per tooth, it decreased from 147 injuries to 57 dental traumas in soccer and from 289 injuries to 93 dental traumas in brazilian jiu-jitsu. A lower prevalence of orofacial injuries in goalkeepers was observed when compared to the others soccer players. Most injuries occurred during the training period (n=42; IC 95% 26,59%; 43,22) and only 4 athletes used to wear mouthguard. The prevalence of injury in brazilian jiu-jitsu varied according to their uniform belt colour. Black belt athletes suffered more injuries (n=83). Athletes who trained between 7 to 15 hours per week experienced more injury (n=109). Most injuries occurred during training. Only 28,57% of the athletes (IC 95% 23,86%; 33,79%) used to wear mouthguard. In both sports, most of the athletes have suffered only one injury, and the most frequent type was in soft tissue. The tooth that was injured the most was the maxillary central incisor. These data reveal the importance of encouraging the use of mouthguards ...
Subject(s)
Humans , Male , Female , Child , Adolescent , Young Adult , Adult , Athletic Injuries , Soccer/injuries , Mouth Protectors , Periodontics , Tooth Injuries/epidemiology , BrazilABSTRACT
O objetivo deste trabalho é realizar um levantamento epidemiológico observacional transversal de trauma dental e hipersensibilidade dentinária em quatro populações diferentes: crianças inseridas em um projeto social esportivo, em Guadalupe, chamado Bola para Frente (BPF); crianças da Escola República Argentina (ERA), em Vila Isabel; e atletas participantes dos jogos Pan-americanos (PAN) e Parapan-americanos (PARAPAN) de 2007, no Rio de Janeiro. A avaliação foi feita através do preenchimento de um questionário, seguido de exame clínico em cadeira odontológica, realizado por três examinadores calibrados. As populações examinadas foram: a) no BPF 294 indivíduos de 6 a 17 anos, sendo 57,48% do sexo masculino; b) no ERA, foram examinadas 281 crianças, entre 6 e 18 anos, sendo 48,75% do sexo masculino; c) no PAN, 424 atletas, sendo 55,42% homens, com idade de 13 a 49 anos; d) no PARAPAN, 121 atletas, sendo 78,15% homens, com idade de 13 a 58 anos. As prevalências de hipersensibilidade no BPF, ERA, PAN e PARAPAN, foram respectivamente de 41%, 43%, 40% e 54% através do questionário, e 7% , 7%, 17% e 27 % através do teste do jato de ar. Não houve diferença estatisticamente significativa entre sexos com relação à hipersensibilidade. Na população adulta, no PAN e PARAPAN, 47,79% (IC 95% ± 8,4) e 73,24% (IC 95% ± 10,3) dos dentes com sensibilidade tinham algum grau de recessão. Em relação ao trauma as prevalências foram de 27,21% (IC 95% ± 5,09) no BPF, 28,11% (IC 95% ± 5,26) no ERA, 49,63% (IC 95% ± 4,85) no PAN e 47,50% (IC 95% ± 8,93) no PARAPAN. Dentre os atletas de alto rendimento, participantes do PAN, a maior prevalência de trauma estava associada ao treinamento ou competição. As modalidades com maior prevalência foram basquete (70,59%; IC 95% ± 21,66), lutas (83,33%; IC 95% ± 21,09) e boxe (73,68%; IC 95% ± 19,8)...
The aim of this study was to do a cross-sectional epidemiological survey on dental trauma and dentine hypersensitivity in four distinct populations: children who are enrolled in a social project, in Guadalupe, Bola para Frente (BPF); children who attend the Escola República Argentina (ERA); and athletes competing at the Pan American Games (PAN) and the Parapanamerican Games (PARAPAN), that took place in Rio de Janeiro in 2007. The evaluation was done through a questionnaire filled in by the participant, followed by a clinical exam, performed by three calibrated examiners at a dental chair. The examined populations were: a) at BPF, 294 volunteers aged from 6 to 17, being 57,48% male; b) at ERA, were examined 281 children, aged from 6 to 18, being 48,75% male; c) at PAN, 424 athletes, being 55,42% male, aged from 13 to 49; d) at PARAPAN, 121 athletes, being 78,15% male, aged from 13 to 58. The prevalences of hypersensitivity obtained with questionnaire at BPF, ERA, PAN and PARAPAN, were, respectively, 41%, 43%, 40% and 54%, and with the clinical exam , 7% , 7%, 17% and 27 %. There was not a statistically significant difference between males and females concerning hypersensitivity. 47,79% (CI 95% ± 8,4) and 73,24% (CI 95% ± 10,3) of the athletes at PAN and PARAPAN showed hypersensitive teeth with some degree of recession. In relation to trauma, the prevalences were 27,21% (CI 95% ± 5,09) at BPF, 28,11% (CI 95% ± 5,26) at ERA, 49,63% (CI 95% ± 4,85) at the PAN and 47,50% (CI 95% ± 8,93) at the PARAPAN. Among high performance athletes competing at PAN, most of the injuries were related to the sport, either during training or competition. The sports with higher prevalence were basketball (70,59%; CI 95% ± 21,66), wrestling (83,33%; CI 95% ± 21,09) and boxing (73,68%; CI 95% ± 19,8). In all four populations, the most common injury was enamel fracture and the most affected teeth were the upper central incisors...