Harvard School of Dental Medicine, Boston, Massachusetts, USA.
Department of Oral and Maxillofacial Surgery, University of Pennsylvania, School of Dental Medicine, Philadelphia, Pennsylvania, USA.
Dent Traumatol. 2024 Apr;40(2):144-151. doi: 10.1111/edt.12894. Epub 2023 Oct 11.
BACKGROUND/AIM: Oral injuries such as oral soft tissue lacerations and contusions can occur in basketball by mechanisms such as running into other players or falling. Given a high enough impact force, dental injuries such as tooth fractures and avulsions can occur. Previous research has studied the different types of oral injuries as well as the mechanisms that cause them. Yet, the mechanisms resulting in dental injuries have remained unexplored. The aims of this study were to investigate the distribution of different oral injuries within each injury mechanism and evaluate which mechanisms were most likely to lead to a dental injury.
This is a retrospective cohort study using the National Electronic Injury Surveillance System (NEISS). Subjects who experienced oral injuries from basketball between January 1, 2003 and December 31, 2022 were included in this study. The independent variable was the injury mechanism. The dependent variable was the dental injury outcome (yes/no). Multivariate logistic regression was used to measure the association between the injury mechanism and the dental injury outcome. A p < .05 was considered statistically significant.
This study included 4419 subjects who experienced oral injuries (national estimate, 138,980). Approximately 14.7% of oral injuries were dental injuries. Subjects experiencing collisions with objects such as walls or the basketball hoop (odds ratio (OR), 4.39; p < .001), falls (OR, 3.35; p < .001), or contact with the basketball (OR, 1.77; p = .006) had significantly higher odds of sustaining a dental injury relative to those experiencing contact with another player.
Basketball players experiencing contact to the mouth have high odds of sustaining a dental injury. An understanding of injury mechanisms is important for medical teams to manage these injuries and for coaches to educate athletes on safe and proper playing styles. Furthermore, healthcare providers and basketball staff should encourage athletes to wear mouthguards to reduce the risk of traumatic dental injuries.
背景/目的：篮球运动中可能会发生口腔软组织撕裂伤和挫伤等口腔损伤，其发生机制可能是与其他球员相撞或摔倒。如果撞击力足够大，可能会发生牙齿损伤，如牙折和牙脱位。既往研究已经研究了不同类型的口腔损伤以及导致这些损伤的机制。然而，导致牙齿损伤的机制仍未得到探索。本研究的目的是调查每种损伤机制中不同口腔损伤的分布，并评估哪些机制最有可能导致牙齿损伤。
这是一项使用国家电子伤害监测系统（NEISS）的回顾性队列研究。本研究纳入了 2003 年 1 月 1 日至 2022 年 12 月 31 日期间因篮球而发生口腔损伤的受试者。自变量为损伤机制，因变量为牙齿损伤结局（是/否）。多变量逻辑回归用于测量损伤机制与牙齿损伤结局之间的关联。p<0.05 被认为具有统计学意义。
本研究共纳入 4419 名发生口腔损伤的受试者（全国估计值为 138980 人）。约 14.7%的口腔损伤为牙齿损伤。与与其他球员发生接触的受试者相比，与墙壁或篮球篮等物体发生碰撞（比值比（OR），4.39；p<0.001）、摔倒（OR，3.35；p<0.001）或与篮球发生接触（OR，1.77；p=0.006）的受试者发生牙齿损伤的可能性显著更高。
篮球运动员发生口腔接触时，发生牙齿损伤的可能性较高。了解损伤机制对于医疗团队管理这些损伤以及教练教育运动员安全和正确的比赛风格非常重要。此外，医疗保健提供者和篮球工作人员应鼓励运动员佩戴口腔防护用具，以降低创伤性牙齿损伤的风险。
