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Quantitatively Measuring In situ Flows using a Self-Contained Underwater Velocimetry Apparatus SCUVA
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Barodontalgia Among Aircrew and Divers.

Idan Nakdimon, Yehuda Zadik

    Aerospace Medicine and Human Performance
    |January 24, 2019
    PubMed
    Summary

    Barodontalgia, or dental pain from pressure changes, affects 8.2% of divers and aircrews. Divers and civilians experience higher rates, highlighting the need for dental care in aviation and diving safety.

    Area of Science:

    • Aviation Medicine
    • Dental Medicine
    • Baromedical Research

    Background:

    • Barodontalgia, pain caused by barometric pressure changes, poses a risk to diving and flight safety.
    • Previous reports indicate varying rates of barodontalgia among different populations exposed to pressure fluctuations.

    Purpose of the Study:

    • To systematically review and analyze the incidence of barodontalgia in military and civilian divers and aircrews.
    • To compare barodontalgia rates based on occupation (diving vs. flying), affiliation (military vs. civilian), and aircraft type (pressurized vs. non-pressurized).

    Main Methods:

    • A systematic review and data analysis of 4894 aircrew and diver cases from existing literature.
    • Statistical comparison using the Chi-squared test to evaluate differences in barodontalgia rates between groups.

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  • Analysis of rates concerning flight vs. diving, military vs. civilian status, and aircraft pressurization.
  • Main Results:

    • Overall, 402 out of 4894 individuals (8.2%) reported experiencing barodontalgia.
    • Divers (9.8%) had a higher incidence than aircrews (5.8%).
    • Civilian scuba divers (12.8%) and aircrews (6.5%) showed higher rates than their military counterparts (7.3% and 5.4%, respectively).
    • Barodontalgia was more prevalent in pressurized aircraft (7.3%) compared to non-pressurized (3.2%).

    Conclusions:

    • Greater barometric pressure variations in diving contribute to higher barodontalgia rates compared to flying.
    • Pressurized cabins may increase barodontalgia risk due to higher internal pressures.
    • Enhanced oral care and regular dental check-ups likely reduce barodontalgia incidence, particularly in military personnel.