Common Dental Injury Management in Athletes

Young, E.; Macias, C. Roger; Stephens, Lindsay

doi:10.1177/1941738113486077

Cited by 35 publications

(41 citation statements)

References 29 publications

(93 reference statements)

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“…Third, our questionnaire did not include a query about the use of mouthguards. Although mouthguards markedly reduce the incidence of sports-related dental injuries among athletes [ 12 , 14 – 17 ], the use of mouthguards, especially among young athletes, probably depends on the coaching quality. Since the prevalence of sports-related dental injuries remains high (more than one-eighth of young athletes), there must be other strategies for the prevention of sports-related dental injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Sports experts including dentists recommend that mouthguards be worn to prevent sports-related dental injuries. Mouthguards markedly reduce the incidence of sports-related dental injuries among athletes, especially those playing full-contact sports such as rugby and football [ 12 , 14 – 17 ]. However, because the wearing of mouthguards is not mandatory for young athletes participating in sports with less contact [ 12 , 17 , 18 ], the prevalence of sports-related dental injuries remains high [ 11 , 12 , 14 – 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…Mouthguards markedly reduce the incidence of sports-related dental injuries among athletes, especially those playing full-contact sports such as rugby and football [ 12 , 14 – 17 ]. However, because the wearing of mouthguards is not mandatory for young athletes participating in sports with less contact [ 12 , 17 , 18 ], the prevalence of sports-related dental injuries remains high [ 11 , 12 , 14 – 18 ]. Furthermore, tooth eruption and jaw growth in mixed dentition can mean that the fit of mouthguards is impermanent and will tend to be worn less often by young athletes, as a result [ 12 , 16 – 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with sports-related dental injuries among young athletes: a cross-sectional study in Miyagi prefecture

Tsuchiya

Momma

et al. 2017

BMC Oral Health

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BackgroundSports-related dental injuries, such as tooth fracture, loosening, and avulsion, are a major concern among young athletes because they directly impair oral function. Although the preventive efficacy of mouthguards has been well established, the prevalence of sports-related dental injuries remains high among young athletes. The aim of this study is to identify the variables contributing to the risk of sports-related dental injuries by conducting a survey on large population of young athletes in Miyagi prefecture.MethodsA cross-sectional study was conducted with school-aged athletes (aged 6–15 years, n = 5735) using a self-reported questionnaire. The questionnaire examined general variables, including sex, age, and body mass index; sports-related variables, including sports-type, team level, activity schedule, break time, and verbal/physical abuse by coaches; and lifestyle variables related to free time, including screen-time and sleep duration. Their associations with sports-related dental injuries were examined using multivariate logistic regression models.ResultsThe prevalence of sports-related dental injuries was 13.3% (763 of 5735 young athletes) and was higher in males (14.3%, 592 of 4132) than in females (10.7%, 171 of 1603; adjusted odds ratios [ORs] and 95% confidence intervals [CIs]: 1.48 [1.22–1.79], p < 0.001). After stratification according to sex, significant associations with the prevalence of sports-related dental injuries were evident for three variables—insufficient break time, verbal abuse, and physical punishment—in males (adjusted ORs [95% CI]: 1.35 [1.03–1.77], p = 0.032; 1.31 [1.05–1.62], p = 0.015; and 1.36 [1.06–1.75], p = 0.016, respectively) but not in females (adjusted ORs [95% CI]: 0.88 [0.53–1.47], p = 0.623; 1.29 [0.87–1.91], p = 0.206; and 0.97 [0.57–1.63], p = 0.894, respectively).ConclusionsAlthough our results might be based on the individual athlete’s self-perception to the sports-related variables, our results suggest that insufficient break time, verbal abuse, and physical punishment from coaches are positively associated with the prevalence of sports-related dental injuries in young male athletes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors associated with sports-related dental injuries among young athletes: a cross-sectional study in Miyagi prefecture

Tsuchiya

Momma

et al. 2017

BMC Oral Health

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“…Basketball, football, hockey, martial arts, and boxing carry the highest risk of dental injuries [1]. Thus, the use of mouthguards during sports is a commonly encouraged procedure by dental surgeons and sports technicians [2,3].…”

Section: Introductionmentioning

confidence: 99%

Simulation of mouthguard use in preventing dental injuries caused by different impacts in sports activities

2018

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Purpose Due to recurring doubts by athletes regarding the effectiveness of mouthguards (MG), this study evaluated the stress distribution in the skull and teeth as a consequence of different impacts. Methods Two human skulls were created using modeling software: one in maximum intercuspidal position and the other with a MG. Next, a boxing glove was allocated into each of the coordinate axes (x, y and z) to represent a boxing punch (1000N): Jab (x), Cross (y) or Uppercut (z). The six models were imported to the analysis software and the geometries were subdivided into a specific number of elements. The bonded contacts simulated a situation in which the athlete would not lose their MG during impact. The system constriction was in the foramen magnum region. The results were presented in stress maps and graphs. Results A higher stress concentration in teeth was shown for the model without a MG under direct impact on the upper central incisors. According to von Mises stress, each punch resulted in stress being produced in distinct areas of the skull. The displacement was proportional to the Maximum Principal Stress result. MG use decreased the jaw movement relative to the maxilla and reduced the stress magnitude during impact in all situations. Conclusions MG use is beneficial for all simulated impacts and assists in dampening the generated stresses. Direct impacts on tooth regions showed the higher stress values and the most efficacy in protection was evidenced when using a MG.

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“…This study has shown how traumatic dento-alveolar injuries progressed over time in a group of 30 young athletes aged between 8 and 20. Recovery time in sports after an injury to the body is a much debated subject in the relevant literature [ 31 ], but there is an evident lack of studies on the recovery time needed after traumas affecting mouth and teeth [ 32 ], and consequently a lack of protocols and procedures to follow in such cases [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Traumatic Dental Injuries Resulting from Sports Activities; Immediate Treatment and Five Years Follow-Up: An Observational Study

Spinas¹,

Mameli²,

Giannetti³

2018

TODENTJ

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Background:Traumatic dental injuries (TDIs) represent 18-30% of all oral pathologies and a considerable number of these are sports related. It is very important to treat sports-related injuries and prevent complications. However, very few studies investigate the most expedient therapeutic strategies for the treatment of dental trauma correlated to sports.Objective:The aim of this work was to focus on the average recovery time for different lesions, to assess adequate times for each athlete, to identify any association with complications and to investigate whether or not the use of mouth-guards interfered with a full recovery to normal health.Methods:This study involved a group of 30 athletes (15 male and 15 female) who had dental injuries of varying severity.For the purposes of data collection, two classifications were taken into account: a classification for hard tissue trauma and another for periodontal lesions. The athletes were subdivided in “type of lesion’ groups”.They were then treated depending on their individual lesions and followed up for 5 years. A statistical analysis was carried out to study the association between recovery time, lesion types and occurrence of complications.Results:The time for recovery was different for each type of lesion and ranged from 3-5 days (only uncomplicated fractures) to 14 days (all hard-periodontal tissue traumas). The total number of recorded pulp complications amounted to 6 cases. Among 30 athletes, 20 had begun and maintained, during the five-year follow-up period, the habit of using mouth-guards when practicing their sport activities.Conclusions:Recovery time and the severity of lesions are statistically associated: the more serious the injury, the more time an athlete needs to recover and return to competitive sports events. Furthermore, recovery time and precautionary measures (mouth-guards) did not influence the onset of complications. The subjects’ habit of wearing a mouth guard continued even after the end of the therapy and follow-up periods.

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Common Dental Injury Management in Athletes

Cited by 35 publications

References 29 publications

Factors associated with sports-related dental injuries among young athletes: a cross-sectional study in Miyagi prefecture

Factors associated with sports-related dental injuries among young athletes: a cross-sectional study in Miyagi prefecture

Simulation of mouthguard use in preventing dental injuries caused by different impacts in sports activities

Traumatic Dental Injuries Resulting from Sports Activities; Immediate Treatment and Five Years Follow-Up: An Observational Study

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