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潜水员中的气压性牙痛和牙科气压伤。

Barodontalgia and Dental Barotrauma Among Scuba Divers.

机构信息

Université de Lorraine, Faculté d’odontologie, F-54505 Vandœuvre-lès-Nancy, France

出版信息

Aerosp Med Hum Perform. 2022 May 1;93(5):539. doi: 10.3357/AMHP.6045.2022.

Abstract

Barometric pressure variation during dives may induce barodontalgia and barotrauma. Barodontalgia refers to oral pain resulting from a change in ambient pressure. The aim of this study was to investigate the occurrence of barodontalgia and dental barotrauma among French civilian scuba divers. A nationwide cross-sectional internet-based survey was conducted among French scuba divers over 18 yr of age registered by the French Federation of Underwater Sports (FFESSM). The online questionnaire was distributed from October to December 2020. It contained questions regarding general characteristics of participants, barodontalgia and dental barotrauma occurrences, and relationship of the diver with his/her dentist. There were 684 scuba divers (65.4% men; aged 48 ± 12 yr) who participated in the study. Barodontalgia was reported by 18.7%, with some respondents reporting more than one episode. Most barodontalgia affected posterior (81.2%) and upper teeth (55.2%) with dental filling (50.0%). At least one dental barotrauma was reported by 10.1% of respondents, including mainly loss or fracture of a dental filling (4.2%). The occurrence of dental barotrauma was significantly higher among men (12.3%) than women (5.9%) and increased significantly with the age, the years of diving and the diving qualification. Information should be provided to divers on the importance of routine dental checkups.

摘要

潜水时气压变化可能会引起气压性牙痛和气压创伤。气压性牙痛是指由于环境压力变化而引起的口腔疼痛。本研究旨在调查法国民间水肺潜水员中气压性牙痛和牙科气压创伤的发生情况。一项在全国范围内进行的、基于互联网的、针对年龄在 18 岁以上的法国水肺潜水员的横断面调查,由法国水下运动联合会(FFESSM)注册的潜水员参加。在线问卷调查于 2020 年 10 月至 12 月进行。问卷包含了参与者的一般特征、气压性牙痛和牙科气压创伤的发生情况以及潜水员与牙医的关系等问题。共有 684 名水肺潜水员(65.4%为男性;年龄 48 ± 12 岁)参加了这项研究。18.7%的人报告有气压性牙痛,有些受访者报告有多次发作。大多数气压性牙痛影响到后牙(81.2%)和上牙(55.2%),涉及牙填充物(50.0%)。10.1%的受访者报告至少有一次牙科气压创伤,主要包括牙填充物的损失或断裂(4.2%)。男性(12.3%)的牙科气压创伤发生率明显高于女性(5.9%),并且随着年龄、潜水年限和潜水资格的增加而显著增加。应该向潜水员提供关于常规牙科检查重要性的信息。

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