Department of Dentistry, Brazilian Centre for Evidence-Based Research (COBE), Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.
Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.
Dent Traumatol. 2021 Aug;37(4):546-556. doi: 10.1111/edt.12661. Epub 2021 Apr 1.
BACKGROUND/AIMS: As the popularity of sports activities grows, so do the number of sport-related injuries. Furthermore, sports that use equipment or vehicles that modify the speed of the player can present more serious injuries. The aim of this systematic review was to identify the overall prevalence of orofacial trauma in wheeled non-motor sports athletes.
The search strategy was applied in eight electronic databases (Embase, LILACS, Livivo, PEDro, PubMed, Scopus, SportDiscus, and Web of Science). Additionally, a complementary search of the gray literature (Google Scholar, OpenGrey, and ProQuest Dissertations & Theses Global), reference lists of included articles, and studies indicated by experts on the subject was done. The included articles were observational studies with sufficient data of orofacial trauma (type and anatomical site) in wheeled non-motor sport athletes, regardless of the competition level. Risk of bias was assessed by using the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data. The meta-analysis was performed using R Statistics software, and the strength of cumulative evidence was assessed by The Grading of Recommendations Assessment, Development, and Evaluation.
From 4042 identified studies, after the removal of duplicates and phase one of selection (title and abstracts screening), 251 studies remained for phase two (full-text screening). Five articles were finally included. One study was considered to have a low risk of bias and four had a moderate risk of bias. The cumulative prevalence of orofacial injuries in wheeled non-motor sport athletes was 21.7% (CI: 8.7-34.7; I :97.6%) and the prevalence of dental injuries in these sports was 7.5% (CI:4.3-10.7; I :61.9%). The certainty in cumulative evidence was considered to be very low.
About 22% of the wheeled non-motor sport athletes have suffered orofacial injuries. The most prevalent type of injury was classified as dental trauma.
背景/目的：随着体育活动的普及，运动相关损伤的数量也在增加。此外，使用改变运动员速度的设备或车辆的运动可能会导致更严重的损伤。本系统评价的目的是确定轮式非动力运动运动员口腔颌面创伤的总体发生率。
搜索策略应用于八个电子数据库（Embase、LILACS、Livivo、PEDro、PubMed、Scopus、SportDiscus 和 Web of Science）。此外，还对灰色文献（Google Scholar、OpenGrey 和 ProQuest Dissertations & Theses Global）、纳入文章的参考文献列表以及该领域专家指出的研究进行了补充搜索。纳入的文章为观察性研究，有足够的数据记录轮式非动力运动运动员的口腔颌面创伤（类型和解剖部位），无论比赛水平如何。使用 Joanna Briggs 研究所的流行数据报告研究的关键评估清单评估偏倚风险。使用 R 统计软件进行荟萃分析，使用推荐评估、制定和评估分级评估累积证据的强度。
从 4042 项已识别的研究中，在去除重复项并进行第一阶段（标题和摘要筛选）后，仍有 251 项研究进入第二阶段（全文筛选）。最终有 5 篇文章被纳入。一项研究被认为具有低偏倚风险，四项研究具有中度偏倚风险。轮式非动力运动运动员口腔颌面损伤的累积发生率为 21.7%（CI：8.7-34.7；I ：97.6%），这些运动中的牙齿损伤发生率为 7.5%（CI：4.3-10.7；I ：61.9%）。累积证据的确定性被认为非常低。
约 22%的轮式非动力运动运动员遭受过口腔颌面损伤。最常见的损伤类型为牙外伤。
