Department of Oral & Maxillofacial Surgery, Special Dental Care and Orthodontics, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Br J Sports Med. 2016 Mar;50(5):298-304. doi: 10.1136/bjsports-2015-094896. Epub 2015 Oct 28.
Dentofacial injuries are a risk while playing field hockey. Wearing mouthguards is recommended.
To synthesise findings on the prevalence and characteristics of dentofacial injuries sustained by field hockey players. We also investigated the prevalence of regular mouthguard use and players' attitude towards use of mouthguard.
A literature search was performed using PubMed, EMBASE, OvidSP, Web of Science, Cochrane and Cinahl databases. Eligible studies were identified based on the title, abstract and full text of articles. If applicable, a random effects model was used to calculate the overall effect size; otherwise, pooled prevalence was reported.
11 studies were eligible for the analysis. The average proportion of field hockey players who had sustained at least one dentofacial injury varied from 12.7% (95% CI 8.5% to 17.0%) among junior and senior players to 45.2% (95% CI 39.3% to 51.0%) among elite players. We did not observe any significant differences with respect to gender. In the 2000s, a significantly higher proportion of players regularly wore a mouthguard, 84.5% (95% CI 69.3% to 99.7%) as compared with players 20 years ago, 31.4% (95% CI 22.7% to 40.1%). The most common complaints about the mouthguard were that it was unnecessary and uncomfortable.
Dentofacial injuries pose a serious problem in field hockey and a substantial number of players do not regularly wear a mouthguard. Greater use of mouthguards would be expected to reduce dentofacial injuries in field hockey.
在曲棍球运动中存在发生牙颌面损伤的风险。建议佩戴防护牙套。
综合分析曲棍球运动员发生牙颌面损伤的发生率和特征。我们还研究了防护牙套的常规使用率以及运动员对使用防护牙套的态度。
通过 PubMed、EMBASE、OvidSP、Web of Science、Cochrane 和 Cinahl 数据库进行文献检索。根据文章的标题、摘要和全文确定符合条件的研究。如果适用，采用随机效应模型计算总体效应量；否则，报告汇总患病率。
11 项研究符合分析标准。初级和高级球员中至少发生过一次牙颌面损伤的曲棍球运动员的平均比例为 12.7%（95%CI 8.5%至 17.0%），而精英球员中的这一比例为 45.2%（95%CI 39.3%至 51.0%）。我们没有观察到性别方面的任何显著差异。在 2000 年代，定期佩戴防护牙套的运动员比例显著更高，为 84.5%（95%CI 69.3%至 99.7%），而 20 年前这一比例为 31.4%（95%CI 22.7%至 40.1%）。对防护牙套最常见的抱怨是它不必要且不舒服。
牙颌面损伤是曲棍球运动中的一个严重问题，有相当数量的运动员没有定期佩戴防护牙套。如果更广泛地使用防护牙套，预计会减少曲棍球运动中的牙颌面损伤。
