Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

1300-9044 2667-5161

Ataturk University

10.17567/ataunidfd.473843

Health Care Administration

Sağlık Kurumları Yönetimi

DİŞ HEKİMLERİNİN SPOR DİŞ HEKİMLİĞİNDE TRAVMA VE KORUYUCU YÖNTEMLER KONUSUNDA BİLGİ DÜZEYLERİNİN DEĞERLENDİRİLMESİ

https://orcid.org/0000-0003-1386-5954

Bayraklı

Merve

https://orcid.org/0000-0001-5088-4412

Bozkurt

Orçun Doğuş

https://orcid.org/0000-0002-6332-0330

Kasımoğlu

Yelda

https://orcid.org/0000-0002-4860-4490

Tabakçılar

Derya

https://orcid.org/0000-0001-6450-6869

Tuna-ince

Elif Bahar

10 14 2018

28 4 475 481 10 01 2017 03 13 2018

1986

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Amaç: Spor aktiviteleri ve karşılaşmalarında dentaltravma görülme sıklığı artmaktadır. Ağız koruyucusu kullanımı ile yaşanabilecektravmanın etkilerinin en aza indirildiği bilinmektedir.  Bu çalışmanın amacı, diş hekimlerinin spordiş hekimliği ve dental travmalar ile ilgili bilgi düzeylerinin ölçülmesi,davranış ve tutumlarının belirlenmesidirGereç ve yöntem: 23 sorudan oluşan tanımlayıcı nitelikteki anket İstanbulilinde kamu kuruluşunda veya özel sektörde çalışan diş hekimlerine basılı veyainternet üzerinden ulaştırıldı. Anketi yanıtlayan 346 diş hekimi çalışmayadahil edildi ve elde edilen yanıtlar kaydedildi.  Verilerin değerlendirilmesinde; ki-Kareanalizi, Fisher Exact testi ve parametrik olmayan Sperman korelasyon değerlerikullanıldı. Sonuçlar p<0,05 düzeyinde değerlendirildi.Bulgular: Çalışmaya katılan hekimlerin %94,80’ünün spor aktivitelerisırasında ağız koruyucusu kullanımının travma karşısında koruyucu olduğunudüşündüğü belirlenmiştir. Ancak hekimlerin sadece klinikte %13,8’i hastalarınaağız koruyucusu uygulaması yapmaktadır. Hekimlerin ağız koruyucusu uygulamamanedenleri; %38,15’i herhangi bir eğitim almadığı için, %5,78’i hastalartarafından yüksek maliyetli bulunduğu için, %3,76’sı diş hekimliği alanınagirdiğini düşünmediği için, %42,77’si diğer sebepler olarak belirlenmiştir.Hekimlerin %62,43’ü ağız koruyucu uygulaması konusunda eğitim almamış iken; %29,48’üyalnızca teorik, %8,09’u hem teorik hem pratik eğitim almışlardır. Konuhakkında eğitim almayan hekimlerin %84,1’i eğitim almak istediklerinibelirtmiştir.Sonuç: Çalışmamızın sonuçlarına göre, İstanbul ilinde çalışan dişhekimleri ağız koruyucusu kullanımının spor travmalarında etkili bir koruyucuuygulama olduğunu düşünmektedirler; ancak ağız koruyucusu uygulaması yapan dişhekimlerinin sayısı bu orana göre beklenildiği kadar yüksek bulunmamıştır.Anahtarkelimeler: Spor diş hekimliği, travma,ağız koruyucuEVALUATION OF KNOWLEDGE OFDENTISTS ABOUT TRAUMA AND PREVENTIVE METHODS IN SPORTS DENTISTRYAim: Sports activities and competitions increases the potential for possible dental trauma. It is known that the effects of trauma can be minimized with the use of mouthguards . The aim of this study is to evaluate the level of knowledge and behavior of dentists on sports dentistry and dental trauma.Material and Methods: In this study, the descriptive questionnaire including 23 questions was delivered via printed or internet to the dentists working in public or private clinics in Istanbul. 346 respondents who returned the completed data forms were included in the study. For statistical analysis, Chi-square test, Fisher’s exact test were used, and Sperman correlation were used for nonparametric tests. P value was set as 0.05. Results: It was determined that 94.80% of dentistsparticipating in the study believed that the use of mouthguards during sportsactivities was protective against trauma. However, only 13.8% of dentistsrecommended their patients to wear mouthguard. The reasons why doctors do notapply mouthguards; 38.15% did not have any education, 5.77% was found to becostly by patients, and 42.77% was stated other causes, because 3.76% did notthink it was belong to dentistry field. 62.43% of the dentists did not haveeducation on mouthguard application; 29,48% had only theoretical education,8,09% had both theoretical education and hands-on. 84.1% of dentists who didnot have education on the subject stated that they wanted to have furthereducation.Conclusion: As a result, this study shows that using mouthgards during sports activities is considered as an effective protective method by dentists in Istanbul. However, the percentage of dentists who apply mouthgards is not as high as expected.Keywords: sports dentistry, trauma, mouthgard

Spor diş hekimliği travma

1. Gassner R, Tuli T, Hachl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: A 10 year Review of 9,543 Cases with 21,067 Injuries. J Craniomaxillofac Surg 2003:51-61.

2. Gassner R, Tuli T, Hachl O, Moreira R, Ulmer H. Craniomaxillofacial Trauma in Children: A Review of 3,385 Cases with 6,060 Injuries in 10 years. J Oral Maxillofac Surg 2004:399– 407.

3. Singh G, Garg S, Damle SG, Dhindsa A, Kaur A, Singla S. A Study of Sports Related Occurence of Traumatic Orodental Injuries and Associated Risk Factors in High School Students in North India. Asian J Sports Med 2014:66.

4. Kumamoto D, Maeda Y. A Literature Review of Sports Related Orofacial Trauma. Gen Dent 2004:270-80.

5. Young EJ, Macias CR. Common Dental Injury Management in Athletes. Sports Health 2015:250-5.

6. Kumamoto D, Maeda Y. Global Trends and Epidemiology of Sports Injuries. J Pediatr Dent Care 2005:15-25.

7. Takeda T, Ishigami K, Nakajima K, et al. Are All Mouthguards the Same and Safe to Use? The Influence of Anterior Occlusion Against a Direct Impact on Maxillary Incisors. Dent Traumatol 2008:360-5.

8. Tsuchiya S, Tsuchiya M, Momma H, Sekiguchi T, Kuroki K, Kanazawa K, Koseki T, Igarashi K, Nagatomi R, Hagiwara Y. Factors Associated with Sports-related Dental Injuries Among Young Athletes: A Cross-sectional Study in Miyagi Prefecture. BMC Oral Health 2017:168.

9. Azami-Aghdash S, Ebadifard Azar F, Pournaghi Azar F, Rezapour A, Moradi-Joo M, Moosavi A, Ghertasi Oskouei S. Prevalance, Etiology and Types of Dental Trauma in Children and Adolescents: Systematic Review and Meta-analysis. Med J Islam Repub Iran 2015:234.

10. McKay D, Broderick C, Steinbeck K. The Adolescent Athlete: A Developmental Approach to Injruy Risk. Pediatr Exerc Sci 2016;1-33.

11. Ranalli DN. Prevention of Sports-related Traumatic Dental Injuries. Dent Clin North Am 2000:35-51.

12. Takeda T, Ishigami K, Jun H, Nakajima K, Shimada A, Ogawa T. The Influence of the Sensor Type on the Measured Impact Absorbsion of Mouthguard Material. Dent Traumatol 2004:29-35.

13. Çalışkan MK, Türkün MK. Clinical Investigation of Traumatic Injuries of Permanent Incisors in Izmir. Endod Dent Traumatol 1995:210–3.

14. Powers JM, Godwin WC, Heintz WD. Mouth Protectors and Sports Team Dentists. Bureau of Health Education and Audiovisual Services, Council on Dental Materials, Instruments and Equipment. J Am Dent Assoc 1984:84-7.

15. Labella CR, Smith BW, Sigurdsson A. Effect of Mouth Guards on Dental Injuries and Concussions in College Basketball. Med Sci Sports Exerc 2002:41-4.

16. ADA Council on Access, Prevention and Interprofessional Relations; ADA Council on Scientific Affairs. Using Mouthgards to Reduce the Incidence and Severity of Sports-related Oral Injuries. J Am Dent Assoc 2006:12-20.

17. Biagi R, Cardarelli F, Butti AC, Salvato A. Sports-related Dental Injuries: Knowledge of First Aid and Mouthgard Use in a Sample of Italian Children and Youngsters. Eur J Paediatr Dent 2010:66-70.

18. Vasconcellos LG, Brentel AS, Vanderlei AD, Vasconcellos LM, Valeria MC, Araujo MC. Knowledge of General Dentists in the Current Guidelines for Emergency Treatment of Avulsed Teeth and Dental Trauma Prevention. Dent Traumatol 2009: 578-83.

19. Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, Diangelis AJ, Kenny DJ, Sigurdsson A, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgrn B, Moule AJ, Tsukiboshi M. International Association of Dental Traumatology Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth. Dent Traumatol 2012:88-96.

20. Johnsen DC, Winters JE. Prevention of Intraoral Trauma in Sports. Dent Clin North Am 1991:657-67.

21. Garon MW, Merkle A, Wright JT. Mouth Protectors and Oral Trauma: A Study of Adolescent Football Players. J Am Dent Assoc 1986:663-5.

22. Stenger JM, Lawson EA, Wright JM, Ricketts J. Mouthgards: Protection Aganist Shock to Head, Neck and Teeth. J Am Dent Assoc 1964:735-40.

23. Craig RG, Godwin WC. Physical Properties of Materials for Custom-made Mouth protectors. J Mich Dent Assoc 1967:34-40.

24. Maestrello CL, Mourino AP, Farrington FH. Dentists’ Attitudes towards Mouthgard Protection. Pediatr Dent 1999:340-6.

25. Kumamoto DP, DiOrio LP. An Interprofessional Learning Experience in Sports Dentistry. J Dent Educ 1989:491-4.

26. Castaldi CR. Sport-related Oral and Facial Injuries in the Young Athlete: A New Challenge for the Pediatric Dentist. Pediatr Dent 1986:311-6.

27. Tulunoglu I, Ozbek M. Oral Trauma, Mouthguard Awareness, and Use in Two Contact Sports in Turkey. Dent Traumatol 2006:242-6.

28. Bergman L, Milardovic OS, Zarkovic D, Viskic J, Jokic D, Mehulic K. Prevalence of Dental Trauma and Use of Mouthgards in Professional Handball Players. Dent Traumatol 2017:199-204.

29. Tiryaki M, Saygi G, Yildiz SO, Yildirim Z, Erdemir U, Yucel T. Prevalence of Dental Injuries and Awareness Regarding Mouthgards Among Basketball Players and Coaches. J Sports Med Phys Fitness 2017:1541-47.