Rashid Junaid, Sritharan Rajeevan, Wu Sophie, McMillan Kevin
Dental Core Trainee, Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Birmingham, B15 2GW, UK.
Junior Specialist Dentist, Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Birmingham, B15 2GW, UK.
Br Dent J. 2024 May 1. doi: 10.1038/s41415-024-7345-4.
Introduction In June 2020, the United Kingdom (UK) published guidance on electric scooter (e-scooter) use to ease transport congestion and reduce pollution. This study aims to examine dental injuries sustained during the two years following initiation of the trial.Methods The research was conducted at a UK, Level 1, supra-regional major trauma centre. All eligible patient records were analysed to identify e-scooter-related dental injuries to the following regions: teeth, periodontium, alveolus, palate, tongue, floor of mouth, frenum, buccal mucosa and lips. To assess significant associations between recorded variables, a Pearson's chi-square test was utilised.Results Of the 32 patients who experienced a total of 71 dental injuries, 46.5% (n = 33) affected teeth, predominantly upper central incisors (n = 17). 'Lacerations' (n = 32) and 'lips' (n = 30) were the most common type and site of soft tissue injuries, respectively. Unprovoked falls by riders accounted for 53.1% (n = 17) of the injuries. There was an overall increase in e-scooter-related dental injuries throughout the two-year period.Conclusion E-scooters have introduced an additional source of dental trauma. It is imperative health care professionals can also identify signs of head and non-dental injuries when managing such patients. Further studies are warranted allowing for better informed and optimised dental public health interventions.
引言 2020年6月，英国发布了关于电动滑板车使用的指南，以缓解交通拥堵并减少污染。本研究旨在调查试验开始后两年内发生的牙齿损伤情况。
方法 该研究在英国一家一级区域重大创伤中心进行。分析所有符合条件的患者记录，以确定电动滑板车相关的以下区域牙齿损伤情况：牙齿、牙周组织、牙槽、腭部、舌头、口腔底部、系带、颊黏膜和嘴唇。为评估记录变量之间的显著关联，采用了Pearson卡方检验。
结果 在总共经历71次牙齿损伤的32名患者中，46.5%（n = 33）累及牙齿，主要是上颌中切牙（n = 17）。“撕裂伤”（n = 32）和“嘴唇”（n = 30）分别是最常见的软组织损伤类型和部位。骑行者无故摔倒占损伤的53.1%（n = 17）。在整个两年期间，电动滑板车相关的牙齿损伤总体上有所增加。
结论 电动滑板车带来了额外的牙齿创伤来源。医疗保健专业人员在处理此类患者时，识别头部和非牙齿损伤的迹象也至关重要。有必要进行进一步研究，以便制定更明智和优化的牙齿公共卫生干预措施。
