在拳击活动期间,与对牙脸部区域的重复性冲击相关的内牙后
Sally McCarthy1, Kishor Gulabivala2, Geoffrey St George1
1Endodontics Department, Royal National ENT and Eastman Dental Hospital, London, UK.
International endodontic journal
|July 20, 2024
概括
拳击手经常经历牙面部创伤和内牙后果,临床评估显示的伤害比自我报告更多. 伤害风险与年龄,比赛频率和防御技能有关.
科学领域:
- 运动牙科 运动牙科
- 口腔和牙面部外科手术
- 牙周内科医院 牙周内科医院 牙周内科医院
背景情况:
- 在像拳击这样的接触体育运动中,牙面部创伤是一个重要的关注点.
- 了解这些伤害的患病率和后果对于运动员健康至关重要.
- 自我报告的数据可能低估了创伤的真实发生率及其后果.
研究的目的:
- 为了比较自我报告的牙和面部伤害与临床和放射性证据证明的后果.
- 在这个人群中识别与牙脸外伤及其内牙后果相关的风险因素.
主要方法:
- 对来自伦敦16个俱乐部的176名拳击手进行了验证问卷调查.
- 从队列中对61名拳击手进行了临床和放射性评估.
- 统计分析 (奇平方和t测试) 比较了问卷和临床数据.
主要成果:
- 91.8%的拳击手表现出临床/放射性证据显示了dentofacial创伤;68.9%的拳击手有牙或牙周内痕迹.
- 自我报告的创伤 (87.5%) 没有报告观察到的物理证据.
- 继发症的危险因素包括拳击手年龄增加,竞争频率和防守技巧;缺乏部重量训练与创伤有关.
结论:
- 拳击手中存在牙面部损伤和内牙后果的高患病率.
- 临床评估优于自我报告,用于检测硬组织损伤和亚临床后果.
- 预防伤害的策略应该考虑拳击手的年龄,比赛负载,防守战术和身体条件.
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