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

Abstract

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.

Extrusive Luxation Injuries in Young Patients: A Retrospective Study with 5-Year Follow-Up

“…The data collection chart reported, as per protocol, the patient’s age and sex, the etiology of trauma, the tooth involved and the type and severity of the injury [ 6 ]. In addition, it included a clinical description of the lesion, information on pulp sensitivity test responses, radiographic and photographic investigations, type of treatment and details of the long-term follow-up [ 27 , 28 ].…”

Use of Orthodontic Methods in the Treatment of Dental Luxations: A Scoping Review

“…Or was it the patient who sought treatment late?). Information on treatment delay is important, as this aspect can statistically influence both the pulp consequences observed [9,26] and the repositioning methods that can be used [50].…”

Traumatismo dentoalveolares, características clínicas e imagenológicas: Una revisión de la literatura

“…Los niños son más afectados que las niñas y la edad de incidencia de trauma fluctúa entre los 6 y los 15 años. Por este motivo, es muy importante que reciban el tratamiento lo antes posible, a fin de prevenir y evitar complicaciones relacionadas con la erupción dental, el desarrollo alveolar, la oclusión y el crecimiento facial (1,5,10,13,16,17,(20)(21)(22)(23)(24)(25)(26)(27). Además del dolor y la incomodidad de la lesión, la alteración en la apariencia del niño puede convertirlo en objeto de burla por parte de otros niños, por las posibles deformidades que puede causar el traumatismo (27,28).…”