Management of maxillofacial trauma in prisoners

Clark, Megan; Mitchell, Oliver; Downie, Ian

doi:10.1016/j.bjoms.2018.10.292

Cited by 4 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are several variables that contribute to the prevalence of mandible fractures within a population such as location, population size, socio-economic status, regional government, and culture [ 3 ]. Panesar and Susarla have identified various demographic and socioeconomic factors associated with mandibular trauma in the general population [ 3 ], but the literature has been scant regarding the incarcerated population [ 4 ]. This population is of particular interest as the incarcerated population is more likely to experience facial injuries than the general population due to the increased level of violence and assault.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Patterns and Demographics of Isolated Traumatic Mandibular Fracture Between Incarcerated and General Populations

Le,

LaGatta,

Lelis

et al. 2024

Cureus

View full text Add to dashboard Cite

Introduction The management of maxillofacial trauma can be challenging in different unique clinical presentations. While maxillofacial fractures vary in location based on the mechanism of injury, the mandibular fracture is noted to be one of the most common facial fractures. The objective of this study was to explore the differences in injury patterns, outcomes, and demographics of isolated traumatic mandibular fractures between incarcerated and general populations. Methods This retrospective study analyzed consecutive patients presenting for trauma care from January 1, 2010, to December 31, 2020, at the Arrowhead Regional Medical Center (ARMC). Patients 18 years and older were included in this study. Patients diagnosed with mandibular fracture as the primary diagnosis at admission and discharge were identified using the International Classification of Disease, Ninth and Tenth Revision (ICD-9, ICD-10) Code. Patient demographics were extracted from their electronic medical records and included race, marital status, and insurance status. Results A total of 1080 patients with confirmed mandibular fractures were included in the final analysis. Among these patients, 87.5% (n=945) were males, 40% (n=432) of the patients were Hispanic, and the average age was 31.55 years old. The most common mechanism of injury was blunt trauma secondary to assault. Compared to the general population with mandibular fracture, the incarcerated patients with mandibular fracture were more likely to be males (96.1% vs 86.1% for incarcerated population vs. general population respectively, p=0.0005). No other variables were statistically different between these two groups. Conclusion The evidence from this study suggests that the patterns, outcomes, and demographics of mandibular fracture in both incarcerated and general populations are similar.

show abstract

Section: Introductionmentioning

confidence: 99%

Comparison of Patterns and Demographics of Isolated Traumatic Mandibular Fracture Between Incarcerated and General Populations

Le,

LaGatta,

Lelis

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…3 Prison populations demonstrate a significantly higher burden of caries, 4 periodontal diseases, 5 and orofacial trauma. 6 Poor oral hygiene, 5 higher sugar consumption, 5 alcohol, and substance abuse, 5 smoking/tobacco use, 5 higher level of stress, 7 poor nutrition, 8 untreated chronic systemic conditions, 9 and risk factors for violence resulting in dental and orofacial trauma 10 are common among imprisoned people. Limited access to oral health services prior to and since incarceration results in higher unmet treatment needs.…”

Section: Introductionmentioning

confidence: 99%

“…Research consistently shows that the oral health status of imprisoned people is poor in comparison with non‐institutionalized individuals 3 . Prison populations demonstrate a significantly higher burden of caries, 4 periodontal diseases, 5 and orofacial trauma 6 . Poor oral hygiene, 5 higher sugar consumption, 5 alcohol, and substance abuse, 5 smoking/tobacco use, 5 higher level of stress, 7 poor nutrition, 8 untreated chronic systemic conditions, 9 and risk factors for violence resulting in dental and orofacial trauma 10 are common among imprisoned people.…”

Section: Introductionmentioning

confidence: 99%

Dental education and prison health: A scoping review

Wickramasinghe

Gray²,

Plugge

2022

Journal of Dental Education

View full text Add to dashboard Cite

Introduction: There is a huge oral disease burden among imprisoned people.Comprehensive guidelines are available on prison dentistry. Prison dental education is important to increase the quality and quantity of the dental workforce in prisons. It improves student perceptions about imprisoned people and gives students a sense of social responsibility and accountability. Objectives:The aim of the scoping review was to determine what is known in the literature about teaching pre-doctoral dental students about prison health. Methods:A literature search was conducted on seven databases accessed through the Public Health England knowledge and library services. These databases were AMED, Embase, Emcare, Medline, Social Care Institute for Excellence, Web of Science, and Social Care Online. Appraisal of quality was done for included studies.Results: Eleven papers were included in the review, all of which are based in the USA. Two articles looked at dental students as one group engaged in prison health education while five considered imprisoned people as one of the vulnerable populations focused on dental education. Only four articles solely looked at prison dental education. Program design with a collaborative approach between prisons and teaching institutions, and the positive impact of prison health education on dental students emerged as important. Conclusion:The evidence suggests prison dental education to be important in reducing the high burden of oral diseases among the incarcerated by influencing the present and future prison dental workforce. It also improves students' understanding of social determinants of health. Further studies are needed to determine the most effective teaching methods and models.

show abstract

“…The information available on dental trauma (DT) is even more scarce, as shown in Table 1. Considering that the incidence of general traumatic injuries in prisoners is reported as considerably higher than it is in the general population 10 and that the environment of incarceration is highly conducive to the occurrence of traumatic injuries, due to overcrowding, unhealthy conditions, and situations of physical violence, 11,12 it is necessary to increase and update the knowledge on this subject.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of dental trauma in inmates of the most highly populated Brazilian prison complex

Carvalho

Santos

Lins‐Filho

et al. 2021

Dental Traumatology

View full text Add to dashboard Cite

Background/Aim Due to the increase in incarceration rates, the prison community has attracted much concern in the recent past. Although people in prison are often socially disadvantaged and vulnerable to a range of health problems, there is a lack of information on the oral health conditions of prisoners. Thus, the aim of this study was to survey the oral problems of a sample of the male incarcerated population of Brazil, focusing on dental trauma. Material and Methods The research was undertaken over a three‐month period in 2017. It was a cross‐sectional study of 756 prisoners of the Curado Prison Complex, located in Recife, PE. Using a previously calibrated examiner, dental trauma was measured with the Andreasen index. Etiology of dental trauma and socio‐demographic data were collected with questions developed for this survey. Standard descriptive statistics were used to report frequency estimates. The chi‐square test, Fisher's exact test, and Mann–Whitney U‐test were used to compare groups. In addition, a binary logistic regression was performed to identify whether the studied variables could predict the occurrence of dental trauma. Results The prevalence of dental trauma in the sample was 10.8% and most of the cases (42.7%) occurred due to violent events. A higher frequency of violent etiology was observed in cases that occurred during imprisonment (p = 0.037). Individuals that suffered dental trauma during incarceration were more likely to have been incarcerated for longer periods of time (p = 0.043). The main type of injury found was enamel and dentin fracture without pulp exposure (68%). The most affected tooth was the upper right central incisor (40%). Conclusion These results underline the high prevalence of dental trauma experienced by men in prison.

show abstract

Management of maxillofacial trauma in prisoners

Cited by 4 publications

References 3 publications

Comparison of Patterns and Demographics of Isolated Traumatic Mandibular Fracture Between Incarcerated and General Populations

Comparison of Patterns and Demographics of Isolated Traumatic Mandibular Fracture Between Incarcerated and General Populations

Dental education and prison health: A scoping review

Evaluation of dental trauma in inmates of the most highly populated Brazilian prison complex

Contact Info

Product

Resources

About