Pedodontics & Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
Department of Pediatric Dentistry, The University of Texas, Health Sciences Centre at Houston, Houston, TX, USA.
Dent Traumatol. 2021 Apr;37(2):196-207. doi: 10.1111/edt.12629. Epub 2020 Dec 5.
BACKGROUND/AIMS: Sports-related dental injuries can cause pain, disfigurement, and broken teeth which may affect the athlete's well-being and psychological status. Such injuries may also lead to the fear of re-injury and other problems. Since a delay in adequate emergency treatment can have adverse effects, it is imperative that athletes and coaches have sufficient awareness of emergency treatment options. Hence, the aim of this systematic review was to evaluate the global status of knowledge among athletes and coaches regarding the prevention and emergency management of traumatic dental injuries.
The protocol was designed using the PRISMA guidelines and registered in PROSPERO (CRD42020184956). A broad-based search using text words and MeSH terms was performed in established databases according to a predefined strategy without any distinction of language and year of publication. Studies without details of the questionnaire, knowledge score, validity, and reliability were excluded. Data extraction was performed and risk-of-bias assessment was done by means of the Joanna Briggs Institute's critical appraisal tool.
Nine studies published between 2005 and 2020 were included for qualitative synthesis. They were primarily from Asia with none from North America and Australia. Most of them were cross-sectional, used convenience sampling, and were interview-based. Less than 10% of the participants in two studies had adequate knowledge of the immediate emergency management of tooth avulsion, while only 2.4% of basketball players and coaches knew that it was necessary to collect the avulsed tooth or broken tooth fragments. The overall level of knowledge was reported as poor or insufficient in all studies, with moderate or high risk-of-bias in six studies.
The knowledge regarding emergency management of TDI was found to be low globally. Along with the choice of the sport, there was a high level of variability in the study design and sampling characteristics.
背景/目的：与运动相关的牙科损伤会导致疼痛、毁容和牙齿断裂，从而影响运动员的健康和心理状态。此类损伤还可能导致对再次受伤的恐惧和其他问题。由于及时进行适当的急救治疗至关重要，因此运动员和教练必须充分了解急救选择。因此，本系统评价的目的是评估运动员和教练对创伤性牙外伤的预防和紧急管理的全球知识状况。
该方案使用 PRISMA 指南设计，并在 PROSPERO（CRD42020184956）中进行了注册。根据预先确定的策略，使用文本词和 MeSH 术语在已建立的数据库中进行了广泛的搜索，而不分语言和出版年份。排除了没有问卷详细信息、知识评分、有效性和可靠性的研究。通过 Joanna Briggs 研究所的批判性评估工具进行数据提取和偏倚风险评估。
纳入了 2005 年至 2020 年期间发表的 9 项研究进行定性综合分析。它们主要来自亚洲，没有来自北美和澳大利亚的研究。其中大多数是横断面研究，使用便利抽样和基于访谈的研究。只有不到 10%的两项研究的参与者对牙齿脱位的即时急救管理有足够的了解，而只有 2.4%的篮球运动员和教练知道有必要收集脱位的牙齿或折断的牙齿碎片。所有研究报告的总体知识水平都很差或不足，6 项研究存在中度或高度偏倚风险。
全球范围内，对 TDI 急救管理的知识发现很低。除了运动的选择外，研究设计和抽样特征也存在很大的差异。
