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ÇOCUKLAR VE ADOLESANLARDA SPOR AKTİVİTELERİNDE MEYDANA GELEN MAKSİ LLOFASİYAL YARALANMALAR VE MOUTHGUARD KULLANIMI: Doğu Anadoluda Bir Anket Araştırması

MAXILLOFACIAL INJURIES AND MOUTHGUARD USE DURING SPORT ACTIVITIES IN CHILDREN AND ADOLESCENTS : A survey investigation in East Anatolia, Turkey

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Abstract (2. Language): 
Purpose: The purpose of this study was to evaluate the occurrence of maxillofacial injuries and awareness and use of mouthguards in children and adolescents during sport activities. Methods: A total of 745 students who are attending preschool, primary school, secondary school and high school were included in the study. A questionnaire was administered regarding the type of sport activity practiced and history of sport related maxillofacial injuries, and the use and awareness of the mouthguards. Results: The total number of oral and maxillofacial injuries experienced during all sport activities was 223, affecting 29.9% of the participants. The majority of the participants who had history of at least one maxillofacial injury suffered from soft tissue laceration (44.4%), followed by dental fractures (13.9%), multiple injuries (12.1%), nasal injuries (10.8%), alveolar fractures (7.2%), TMJ injuries (5.8%), avulsion (3.6%) and mandibular fractures (2.2%). The injuries mostly resulted from soccer, followed by basketball, and skiing. The highest incidence was in the 16-18 year age group with male propensity. Only 20.27% of the participants were aware of the mouthguard. Conclusions: These results show that there is a high risk of maxillofacial injury during sport activities in children and adolescents. The knowledge of the reasons and awareness for protective devices use such as mouthguard were not high. It must be intensified.
Abstract (Original Language): 
Amaç: Bu çalışma spor aktivitelerinde çocuk ve adolesentlerda maksillofasiyal yaralanmaları ve mouthguard kullanımını araştırmak amacıyla yapıldı. Metot: Anaokulu, ilkokul, ortaokul ve lise öğrencilerinden oluşan toplam 745 öğrenci çalışmaya dahil edildi. Hangi tür spor aktivitesi yapıldığı, sporla ilişkili geçirilmiş olan maksillofasiyal yaralanmalar ve mouthguard kullanımını içeren anket formları katılımcılara uygulandı. Bulgular: Tüm spor aktivitelerine katılanların %29.9 unu etkileyen toplam 223 maksillofasiyal yaralanma tespit edildi. Maksillofasiyal yaralanmaya maruz kalanların çoğu sırasıyla yumuşak doku laserasyonu (%44.4), dental fraktürler (%13.9), multiple yaralanmalar (%12.1), burun yaralanmaları (%10.8), alveoler fraktürler (%7.2), temporomandi-bular eklem yaralanmalarına (%5.8), diş avulsiyonu (%3.6) ve mandibular yaralanmalara (%2.2) maruz kalmıştı. Yaralanmalar sıklıkla futbol, basketbol ve kayak esnasında oluşmuştu. 16-18 yaş grubunda ve erkeklerde yaralanma insidansı daha fazla idi. Katılımcıların sadece %20.27 si koruyucu mouthguard kullanımından haberdardı. Sonuç: Bu bulgular çocuk ve adolesanların maxillofasiyal yaralanmaya maruz kalmalarında yüksek bir risk bulunduğunu göstermektedir. Öğrencilerin mouthguard gibi koruyucu ekipman bilgisine sahip olma ve kullanınım oranı oldukça düşüktür. Bu durum iyileştirilmelidir.
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Atatürk Üniv. Diş Hek. Fak. Derg.
Cilt:19, Sayı: 1, Yıl: 2009, Sayfa: 20-25
TOZOĞLU, ÇAĞLAROĞLU,
TOZOĞLU
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