THE SURVEY ON ORAL HEALTH AND MAXILLOFACIAL TRAUMA INCIDENCE OF THE SPORTS PLAYERS IN KOREA

운동선수들의 구강 악 안면 영역에서의 스포츠 외상에 관한 설문조사

  • Park, Neung-Seog (Department of Prosthodontics and Institute of Oral Biology, School of Dentistry, Kyung-Hee University) ;
  • Woo, Yi-Hyung (Department of Prosthodontics and Institute of Oral Biology, School of Dentistry, Kyung-Hee University) ;
  • Bak, Jin (Department of Prosthodontics and Institute of Oral Biology, School of Dentistry, Kyung-Hee University) ;
  • Choi, Dae-Gyun (Department of Prosthodontics and Institute of Oral Biology, School of Dentistry, Kyung-Hee University)
  • 박능석 (경희대학교 치과대학 치과보철학교실, 경희대학교 구강생물학 연구소) ;
  • 우이형 (경희대학교 치과대학 치과보철학교실, 경희대학교 구강생물학 연구소) ;
  • 백진 (경희대학교 치과대학 치과보철학교실, 경희대학교 구강생물학 연구소) ;
  • 최대균 (경희대학교 치과대학 치과보철학교실, 경희대학교 구강생물학 연구소)
  • Published : 2007.08.31

Abstract

Statement of problem: In spite of increasing sports injury, there was no collected data on the rate and type of dental injuries for athletes in Korea. Purpose: The purpose of this study was to investigate the occurrence of maxillofacial injuries and attitude of college sports player in Korea towards mouthguard. Material and methods: Total 617 athletes answered a series of questionnaire concerning their sports injury and using mouthguard. Results: 1. 81%(502) of athletes had, playing or training a sports, suffered an injury. Female athletes suffered an injury more than male athletes(p<0.05). Contact sports athletes were injured more than non contact sports athletes(p<0.05). 2. 335 athletes(54.8%) had suffered maxillofacial injuries while playing or training. 81.8% of athletes suffered an maxillofacial injury in contact sports(p<0.05). 3. Laceration of oral area, wrick in neck, fracture or avulsion on upper incisors, concussion, TMJ injury, fracture or avulsion on lower incisors, fracture or avulsion on lower molars were frequently injured area. 4. 67.2% of athletes answered that mouthguard could prevent sports injury especially high in contact sports(p<0.05). But only 39.1% of athletes required mouthguard while playing. 44.6% of athletes showed their intention of using mouthguard. Conclusion: This study shows that the incidence of maxillofacial injuries is very high while the actual use of mouthguard is very low. To prevent sports injury, a dentist must inform sports players and coaches of accurate information about mouthguard so that they can use it well. A dentist also has to provide them with better mouthguard on the basis of user's complaint.

Keywords

References

  1. Adegbesan OA. Onyeaso CO. Perception of Nigerian athletes of the use of mouth guards to prevent the stresses of sports injury. Br J Sports Med 2004: 38: 685-689 https://doi.org/10.1136/bjsm.2003.004838
  2. Krizek TJ. Management of maxillofacial trauma. Advances in Trauma. vol 2. Chicago. Yearbook Medical Publishers. 1987:131-162
  3. Reed R. Origin and early history of the dental mouthpiece. Br Dent J 1994:77:478-90
  4. Takeda T, Ishigami K, Hoshina S, et al. Can mouthguards prevent mandibular bone fractures and concussions? A laboratory study with an artificial skull model. Dent Traumatol 2005:21:134-40 https://doi.org/10.1111/j.1600-9657.2005.00320.x
  5. Chapman P. The prevalence of orofacial injuries and the use of mouthguards in Rugby league. Aust J Sci Med sport 1985:17:15-18
  6. Kay EJ, Kakarla P, Macleod DA. McGlashan TP, Orofacial and dental injuries in club rugby union players. Br J Sports Med 1990:24:271-3 https://doi.org/10.1136/bjsm.24.4.271
  7. deLoes M, Goldie I. Incidence rate of injuries during sport activity and physical exercise in a rural Swedish municipality: Incidence rates in 17 sports. Int J Sports Med 1988:9:461-467 https://doi.org/10.1055/s-2007-1025052
  8. Hulkko A. Stress fractures in athletes. University of Oulu, Oulu 1988
  9. James SL. Injuries to runners. Am J Sports Med 1978:6:40-50 https://doi.org/10.1177/036354657800600202
  10. Cathcart J. Mouthprotaction for contact sports. Dental Digest 1951:57:346-348
  11. Mouth protecters. Report of the Joint Committee of the American Association for Health, Physical Education and Recreation and ADA. Chicago, 1962
  12. Feriencik K. Trends in ice hockey injuries: 1965-1977. Physician and Sportsmedicine, 1979:7:81-84
  13. Greenberg MS, Cohen SG, Springer P, Kotwick JE, Vegso JJ. Mandibular position and upper body strength: a controlled clinical trial. J Am Dent Assoc 1981:103:576-9 https://doi.org/10.14219/jada.archive.1981.0306
  14. An SJ, Lee SB. The effect on appendage muscle strength due to increase in occlusal vertical dimmension. Korea J Stomato Func Occl 2001:17:232-244
  15. Jang JM, Choi DG, Lee SB. A qualitative and quantitative study on occlusal conditions in health volunteers and athletes with normal occlusion. J Korean Acad Prosthodont 1998:36:302-322
  16. Lee Y, Choi DG, Lee SB. Effect of occlusal balance on center of gravity in body. Korea J Stomato Func Occl 2003:19:57-67
  17. Kang NH. Choi DG. Finite element analysis of the effects of mouth guard material properties on the head and brain under mandibular impact. PhD. thesis. Kyung Hee University 2006
  18. Kim IH, Choi DG. Finite element analysis of the effects of mouthguard on stress distribution of facial bone and skull under mandibular impact. PhD. thesis. Kyung Hee University 2006
  19. Yasuhiko Tanaka. Yoshihiko Konomi. Survey of the Use of the mouthguards among High school rugby players in Nagasaki prefecture. Journal of Sports Dentistry 2002:5:41-48
  20. Ferrari CH, de Mederios J, Marcelo F. Dental trauma and level of information; Mouthguard use in different contact sports. Dent Traumatology 2002:18:144-147 https://doi.org/10.1034/j.1600-9657.2002.00017.x
  21. Yang YJ, Lee JH, Lee MJ, Suh JT, Ha KI. Injuries and illness of Korean Athletes during 2002 Busan Asian Games. Kor J Sports Med 2004:22:135-143
  22. Bemelmanns P, Pfeiffer P. Incidence of dental. mouth. and jaw injuries and the efficacy of mouthguards in top ranking athletes. Sportverletz Sportschaden 2000:14:139-43 https://doi.org/10.1055/s-2000-8950
  23. Yukio S, Goshi K, Toshiaki U, Youske S, Hisashi T, Takashi O, Hiroshi C, Mihoko H. Mouthguards used by amateur High school boxers in Japan. Journal of Sports Dentistry 2000:3:18-24
  24. Yamada T, Sawaki Y, Tomida S, Tohnai I, Ueda M. Oral injury and mouthguard usage by athletes in Japan, Endod Dent Traumatol 1998:14:84-7 https://doi.org/10.1111/j.1600-9657.1998.tb00816.x
  25. Maestrello-deMoya MG, Primosch RE. Orofacial trauma and mouth-protector wear among high school varsity basketball players. ASDC J Dent Child 1989:56:36-9
  26. Kvittem B, Hardie NA, Roettger M, Conry J. Incidence of orofacial injuries in high school sports. J Public Health Dent 1998;58:288-93 https://doi.org/10.1111/j.1752-7325.1998.tb03011.x
  27. Kececi AD, Eroglu E, Baydar ML. Dental trauma incidence and mouthguard use in elite athletes in Turkey. Dent Traumatol 2005:21:76-9 https://doi.org/10.1111/j.1600-9657.2004.00302.x
  28. Shin DW, Yoon YS. Incidence and pattern of injury of Asian youth soccer player during match. Kor J Sports Med 2003:21:145-150
  29. Covassin T, Swanik CB, Sachs ML. Sex differences and incidence of concussions among collegiate athletes. J Athl Train 2004:38:238-244