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运动员常见牙齿损伤的处理

Common Dental Injury Management in Athletes.

作者信息

Young Eliot J, Macias C Roger, Stephens Lindsay

机构信息

CHRISTUS Santa Rosa Primary Care Sports Medicine Fellowship/Sports Medicine Associates of San Antonio, San Antonio, Texas.

San Antonio Rampage AHL Hockey, San Antonio, Texas.

出版信息

Sports Health. 2015 May;7(3):250-5. doi: 10.1177/1941738113486077.

Abstract

CONTEXT

Orofacial and dental trauma continues to be a commonly encountered issue for the sports medicine team. All sports have some risk for dental injury, but "contact sports" presumably incur more risk. Immediate evaluation and proper management of the most common injuries to dentition can result in saving or restoration of tooth structure. Despite the growing body of evidence, mouth guard use and dental protection have not paralleled the increase in sports participation.

EVIDENCE ACQUISITION

A PubMed search from 1960 through April 2012 was conducted, as well as a review of peer-reviewed online publications.

RESULTS

Common dental injuries in sports include tooth (crown) fractures; tooth intrusion, extrusion, and avulsion; and temporomandibular joint dislocation. Mouth guards help prevent most injuries and do not significantly affect ventilation or speech if fitted properly.

CONCLUSION

A working knowledge of the presentation as well as management of commonly encountered dental trauma in sports is essential to the immediate care of an athlete and returning to play. Mouth guard use should be encouraged for athletes of all ages in those sports that incur significant risk.

摘要

背景

口腔颌面部及牙齿创伤仍然是运动医学团队经常遇到的问题。所有运动都存在一定的牙齿损伤风险,但“接触性运动”的风险可能更高。对牙列最常见损伤进行及时评估和妥善处理可保留或修复牙齿结构。尽管证据越来越多,但护齿器的使用和牙齿保护并未随着运动参与人数的增加而相应增加。

证据获取

检索了1960年至2012年4月的PubMed数据库,并对同行评议的在线出版物进行了综述。

结果

运动中常见的牙齿损伤包括牙(冠)折;牙齿嵌入、脱出和脱位;以及颞下颌关节脱位。如果佩戴合适,护齿器有助于预防大多数损伤,且不会显著影响通气或言语。

结论

了解运动中常见牙齿创伤的表现及处理方法对于运动员的即时护理和重返赛场至关重要。对于所有从事有显著风险运动的各年龄段运动员,都应鼓励使用护齿器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c31a/4482297/752698c59cbd/10.1177_1941738113486077-fig1.jpg

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