Dudde Florian, Giese Manfred, Schuck Oliver, Krüger Christina
Department of Oral and Maxillofacial Surgery, Army Hospital Hamburg, 22049 Hamburg, Germany.
Department of Neurology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
J Clin Med. 2024 Nov 22;13(23):7066. doi: 10.3390/jcm13237066.
: The purpose of this study was to examine how the COVID-19 pandemic influenced the patterns, distribution, and circumstances of dental trauma (DT) cases at a German cranio-maxillofacial trauma center. This retrospective analysis compared DT cases from the PreCovid (PC) period (February 2019-January 2020) with those from the IntraCovid (IC) period (February 2020-January 2021). It included an examination of baseline characteristics, types of DT, circumstances leading to DT, and the treatment approaches applied. : In the IC period, there was an increase in the number of DT, a significant increase in uncomplicated crown fractures, crown-root fractures, subluxations, avulsions, alveolar fractures, combined tooth fractures and dislocations, and concomitant soft tissue injuries. There were no differences regarding the location of DT. During the IC period there was a significant reduction in sports accidents, road traffic accidents, interpersonal violence, and alcohol-related DT. Simultaneously, there was a marked increase in falls, syncopal episodes, home accidents, and DT incidents occurring on weekdays. Furthermore, during the IC period, the number of cases of DT increased in the morning and decreased at nighttime. : The COVID-19 pandemic significantly affected the types of DT, the treatment approaches, and the circumstances under which DT occurred. Investigating these impacts can help to predict the effects of a future pandemic on DT and/or maxillofacial trauma and possibly reduce these effects through establishing appropriate preventive measures.
本研究的目的是探讨新冠疫情如何影响德国一家颅颌面创伤中心的牙外伤（DT）病例的模式、分布和情况。这项回顾性分析将新冠疫情前（PC）时期（2019年2月至2020年1月）的DT病例与新冠疫情期间（IC）（2020年2月至2021年1月）的病例进行了比较。分析内容包括对基线特征、DT类型、导致DT的情况以及所采用的治疗方法的检查。在IC时期，DT病例数量增加，单纯冠折、冠根折、牙半脱位、牙脱位、牙槽突骨折、联合牙折和脱位以及伴发的软组织损伤显著增加。DT的发生部位没有差异。在IC时期，运动事故、道路交通事故、人际暴力和与酒精相关的DT显著减少。同时，跌倒、晕厥发作、家庭事故以及工作日发生的DT事件显著增加。此外，在IC时期，DT病例数量在上午增加，夜间减少。新冠疫情显著影响了DT的类型、治疗方法以及DT发生的情况。研究这些影响有助于预测未来疫情对DT和/或颌面创伤的影响，并可能通过制定适当的预防措施来减轻这些影响。
