The Importance of Periodic Oral and Dental Health Examination of Aircrew

Yıl 2023, , 310 - 316, 25.07.2023

Gürkan Raşit Bayar , Güneş Sanal , Dr. Öğr. Üyesi Şükrü Hakan Gündüz , Abdurrahman Engin Demir

https://doi.org/10.30518/jav.1275421

Cited By: 1

Öz

The importance given to aviation and space science has increased with the advanced technological breakthroughs that made the 21st century to be called the "Space Age". As the aviation industry evolved, it was found that exposure to flight conditions and atmospheric pressure alterations has a variety of adverse effects on the physiological and psychological states of aircrew. There are several disorders that might cause medical incapacitations and thus jeopardize flight safety in such conditions. Oral, dental, and maxillofacial diseases are among those that, although manifesting locally, affect all bodily systems. For this reason, the diagnosis and treatment of such disorders should be thoroughly evaluated and carried out in accordance with aeromedical concerns. The purpose of this review is to emphasize the importance of periodic aeromedical examinations for the prevention of potential oral and dental health-related diseases, as well as medical issues of aircrew that require special attention in terms of flight safety.

Anahtar Kelimeler

Aircrew, Oral and dental health, Periodic examination, Flight crew

Kaynakça

• Agackesen S. (2019). Barotrauma prevalence in commercial airline pilots and assessment of related factors. Ondokuz Mayıs University Faulty of Medicine, Department of Aerospace Medicine, Samsun, 29.
• Ahmedzai S., Balfour-Lynn I.M., Bewick T., Buchdahl R., Coker R.K., Cummin A.R., et al. (2011). Managing passengers with stable respiratorydisease planning air travel: British Thoracic Society recommenda-tions. Thorax, 66(Suppl 1):i1-i30.
• Al-Hajri W. and Al-Madi E. (2006). Prevalence of barodontalgia among pilots and divers in Saudi Arabia and Kuwait. Saudi Dent J, 18, 134-140.
• Ashish T., Agrawal P.K., Tanaya. (2022). “The Flying Tooth”- A Detailed Review of Aviation Dentistry. MAR Dental Scinces, 5 (5).
• Ata S.O., Akay C., Mumcu E., Ata N. (2022). Influence of atmospheric pressure changes on dentin bond strength of conventional, bulk-fill and single-shade resin composites. Diving Hyperb Med. 30;52(3):175-182.
• Aydıntug Y.S., Bayar G.R., Gülses A. and Sencimen M. (2011). Uçuş Fizyolojisi ve Diş Hekimliği. Turkiye Klinikleri Diş Hekimliği Bilimleri Dergisi, 17(3), 286-90.
• Bergin K.G. (1949). Aviation medicine: its theory and application. Baltimore: Williams and Wilkins.
• Boggia R. (1998). The ups and downs of barodontalgia. Br Dent J, 184(5), 209.
• Brannon R.B., Morlang W.M., Smith B.C. (2003). The gander disaster: dental identification in a military tragedy. J Forensic Sci. 48(6):1331-5.
• Dahal S., Agrawal N.K., Chaudhary G.K., Maharjan M.R., Walung E.D., Kadel T. (2023). Analysis of smiling photograph; Operation US-Bangla Air Crash. Med Leg J. 5:258172231151782.
• Ellingham H.K. (2002). Dentistry in the military, Br Dent J, 193(8), 427-428.
• Fairpo J.E.H. and Fairpo C.G. (1973). Heinemann Modern Dictionary for Dental Students (2nd ed.). London: William Heinemann Medical Boks Ltd.
• Geramipanah F., Sadighpour L., Assadollahi R. (2016). The effect of environmental pressure and resin cements on the push-out bond strength of a quartz fiber post to teeth root canals. Undersea Hyperb Med. 43(2):143- 50.
• Gonzalez Santiago Mdel M., Martinez-Sahuquillo Marquez A. and Bullon-Fernandez P. (2004). Incidence of barodontalgias and their relation to oral/dental condition in personnel with responsibility in military flight. Med Oral, 9, 98-105.
• Gradwell D.P. and Macmillan A.J.F. (2016). Oxygen systems, pressure cabin and clothing. Ernsting’s Aviation and Space Medicine (5th ed.). Editors: Gradwell D.P., Rainford D.J. Taylor & Francis Group, LLC, 79-130.
• Hanna H.H. and Thomas-Yarington C. (1985). Otolaryngology in aerospace medicine. Fundamentals of aerospace medicine. Editor: DeHart, R.L. Philadelphia: Lea and Febiger.
• Harvey W. (1947). Dental pain while flying or during decompression tests. Br Dent J, 82, 113-118.
• Hipskind J.E. (1993). A Prophylactic Program to Prevent Traveler's Diarrhea in United States Naval Personnel Comparing Doxycycline and Trimethoprim-Sulfamethoxazole, Military Medicine. 158 (3), 141–144.
• Holt R. and Wiseman J.B. (2002). Otolaryngology in aerospace medicine. Fundamentals of Aerospace Medicine (3rd ed.). Editors: DeHart, R.L., Davis, J.R., Philadelphia: Lippincott Williams & Wilkins.
• Hutchins H.C. and Reynold O.E. (1947). Experimental investigation of the referred pain of aerodontalgia. J Dent Res, 26, 3-8.
• JAA (2009). Manual of Civil Aviation Medicine. Colorado USA, Global Engineering Documents.
• Kamran B., Nakdimon I., Zadik Y. (2017). Military aviation dentistry. Refuat Hapeh Vehashinayim (1993). 34(2):42-47, 88.
• Kennebeck R., Knudtzon K.F. and Goldhush A.A. (1946). Symposium on problems of aviation dentistry. J Am Dent Assoc, 33, 827-844.
• Kollmann W. (1993). Incidence and possible causes of dental pain during simulated high-altitude flights. J Endod, 19, 154-159.
• Levy B.M. (1943). Aviation dentistry. Am J Orthodont Oral Surg, 29, 92-95.
• Lurie O., Zadik Y., Einy S., Tarrasch R., Raviv G. and Goldstein L. (2007). Bruxism in military pilots and nonpilots: tooth wear and psychological stress. Aviat Space Environ Med, 78(2), 137-139.
• Lyon K.M., Hood J.A.A. and Rodda J.C. (1999). Barodontalgia: a review, and the infl uence of simulated diving on microleakage and on the retention of full cast crowns. Mil Med, 164, 222-227.
• Mocquot C., Cabrera A., Colon P, Bosco J, Grosgogeat B, Pradelle-Plasse N. Effect of a hyperbaric environment (diving conditions) on adhesive restorations: an in vitro study. Br Dent J. 2017 Sep 8;223(5):347-351. doi: 10.1038/sj.bdj.2017.764.
• Mumford J.M. (1982). Pain from the periodontal tissues. Orofacial pain (3rd ed.). Edinburgh: Churchill Livingstone.
• Muntingh G.L. (2007). Drugs in Aviation - A Review. South African Family Practice. 49 (9), 44-49.
• Nambiar P., Jalil N., Singh B. (1997). The dental identification of victims of an aircraft accident in Malaysia. Int Dent J. 47(1):9-15.
• Neuhaus C. and Hinkelbein J. (2014). Cognitive responses to hypobaric hypoxia: implications for aviation training. Psychol Res Behav Manag. 10;7:297-302.
• Nielsen J.N. (1991). A comparison of the routine medical examination of pilots in 12 air forces. Aviat Space Environ Med, 62(11), 1090-5.
• Obafunwa J.O., Ogunbanjo V.O., Ogunbanjo O.B., Soyemi S.S., Faduyile F.A. (2015). Forensic odontological observations in the victims of DANA air crash. Pan Afr Med J. 4; 20:96.
• Orban B. and Ritchey B.T. (1945). Toothache under conditions stimulating high altitude flight. J Am Dent Assoc, 32, 145-180.
• Ozkan Ata S., Akay C., Mumcu E., Ata N. (2023). Adhesion of auto-mixed and manual-mixed self-adhesive resin cements to dentin on exposure to long-term high-altitude pressure. Aircraft Engineering and Aerospace Technology. 95(2). 323-331.
• Rayman R.B. (1996). Aircrew health care maintenance. Fundamentals of aerospace medicine (2nd ed.). Editor: DeHart, R.L. Philadelphia: Williams&Wilkins.
• Robichaud R. and McNally M.E. (2005). Barodontalgia as a Differential Diagnosis: Symptoms and Findings. Journal of the Canadian Dental Association, 71(1), 39 – 42.
• Rossi D.G. (1995). Health Policy Directive no. 411. Aviation and diving – dental considerations. Surgeon General, Australian Defence Force.
• Sadighpour L, Geramipanah F, Fazel A, Allahdadi M, Kharazifard MJ. (2018). Effect of Selected Luting Agents on the Retention of CAD/CAM Zirconia Crowns Under Cyclic Environmental Pressure. J Dent (Tehran). 15(2):97- 105.
• Senia E.S., Cunningham K.W. and Marx R.E. (1985). The diagnostic dilemma of barodontalgia: report of two cases. Oral Surg Oral Med Oral Pathol, 60(2), 212-7.
• Shah R., Dharne S., Mitra D., Talati M., Vijaykar H. and Jain C. (2018). Aviation Dentistry. International Journal for Research in Social Science and Humanities. 4(9),1-9.
• SHGM (2022). Havacılık Sağlık Talimatı (SHT-MED). Retrieved from: SHT-MED.pdf (shgm.gov.tr) on 1st April 2023.
• Shiller W.R. (1965). Aerodontalgia under hyperbaric conditions. Oral Surg Oral Med Oral Pathol, 20, 694-697.
• Sipahi C., Kar M.S., Durmaz C., Dikicier E., and Bengi U. (2007). Türk Hava Kuvvetleri Uçucu Personelinde Görülen Barodontalji Prevalansı. Gülhane Tıp Dergisi, 49, 1-4.
• Stanley H.R. and Weaver K.A. (1968). Technique for the preparation of human pulpal tissues. Biology of the dental pulp organ, a symposium. Editor: Finn, S.B. Alabama: University of Alabama Press.
• Stepanek J. and Webb J.T. (2008). Physiology of Decompressive Stress. Fundamentals of Aerospace Medicine (4th ed.). Editors: Davis, J.R., Stepanek J., Johnson R., Fogarty J.A. Philadelphia: Wolters Kluwer & Lippincott Williams & Wilkins.
• Stoetzer M., Kuehlhorn C., Ruecker M., Ziebolz D., Gellrich N.C., von See C. (2012). Pathophysiology of Barodontalgia: A Case Report and Review of the Literature. Case Rep Dent. 2012: 453415.
• Suzuki K. (1996). Forensic Odontology (3rd ed.), Kyoto, Japan: Nagasue syoten.
• Utsuno H. (2019). Victim identification in large-scale disasters using dental findings. IATSS Research, 43, 90– 96.
• Whittaker D.K. and MacDonald D.G. (1989). A Color Atlas of Forensic Dentistry, Ipswhich, England: Wolfe Medical Publications Ltd.
• Wilson G.A., Galle S. and Greene C. (1983). Subcutaneous emphysema after extraction of maxillary teeth:report of a case. J Am Dent Assoc, 106(6), 836-837.
• Yüce E., Koçer G. and Çini T.A. (2016). Current concepts of oral and maxillofacial rehabilitation and treatment in aviation. Gen Dent, 64(5), 44-8.
• Zadik Y. (2006). Barodontalgia due to odontogenic inflammation in the jawbone. Aviat Space Environ Med, 77, 864-866.
• Zadik Y. (2009). Aviation dentistry: current concepts and practice. Br Dent J, 206(1), 11-6.
• Zadik Y., Chapnick L., and Goldstein L. (2007). In-flight barodontalgia: analysis of 29 cases in military aircrew. Aviat Space Environ Med, 78, 593-596.
• Zadik Y. and Einy S. (2006). Aviation dentistry. Aviation Medicine. Editor: Goldstein, L., Tel Aviv: Israeli Ministry of Defense.