Sekulic Michel, Kühl Sebastian, Connert Thomas, Krastl Gabriel, Filippi Andreas
Center of Dental Traumatology and Department of Oral Surgery, Oral Radiology and Oral Medicine, University of Basel, Basel, Switzerland.
Center of Dental Traumatology and Department of Periodontology, Endodontology and Cariology, University of Basel, Basel, Switzerland.
Dent Traumatol. 2015 Dec;31(6):477-81. doi: 10.1111/edt.12205. Epub 2015 Jul 15.
The study deals with fighting-related dental injuries sustained by hooligans and the influence of wearing a mouthguard on fighting-related dental trauma.
From 2012 to 2013, standardized multiple-choice questionnaires were distributed via contacts in the hooligan scene in Switzerland. The survey was conducted with the guarantee of complete anonymity and investigated injury patterns in hooligans from different age groups, of different nationalities as well as educational and income levels.
Of the 95 hooligans surveyed, 82 had sustained a dental injury: 29 were minor and 53 were severe dental injuries. During violent confrontations, 37 of the 95 hooligans wore a mouthguard. The most commonly used mouthguards were custom-made (19/37) or boil-and-bite (10/37). The use of ready-made mouthguards without an individualized fit (6/37) was less frequent. Hooligans who wore a boil-and-bite or a custom-made mouthguard lost fewer teeth during fights than participants wearing a mouthguard without an individualized fit (P = 0.056).
The risk of trauma during violent confrontations between hooligans is very high, as expected. The injuries range from dental trauma to bruising, lacerations and even serious bone fractures of the face and the extremities. During violent clashes over a third of the hooligans wear a mouthguard that has usually been custom-made or at least individually fitted; this is a far higher frequency than for most contact sports.
本研究探讨流氓斗殴所致的牙齿损伤以及佩戴口腔防护器对斗殴相关牙齿创伤的影响。
2012年至2013年期间，通过瑞士流氓群体中的联系人发放标准化多项选择题问卷。调查在保证完全匿名的情况下进行，调查了不同年龄组、不同国籍以及不同教育和收入水平的流氓的损伤模式。
在接受调查的95名流氓中，82人有牙齿损伤：29人为轻伤，53人为重伤。在暴力冲突中，95名流氓中有37人佩戴了口腔防护器。最常用的口腔防护器是定制的（19/37）或煮沸咬合式的（10/37）。使用未个体化适配的成品口腔防护器的情况较少（6/37）。佩戴煮沸咬合式或定制口腔防护器的流氓在斗殴中掉牙的数量比佩戴未个体化适配口腔防护器的参与者少（P = 0.056）。
正如预期的那样，流氓之间暴力冲突时的创伤风险非常高。损伤范围从牙齿创伤到瘀伤、撕裂伤，甚至面部和四肢的严重骨折。在暴力冲突中，超过三分之一的流氓佩戴了通常是定制或至少是个体化适配的口腔防护器；这一比例远高于大多数接触性运动。
