An investigation on the radiological findings of dental and bone diseases related to jaw trauma in combat sports
Yıl 2016,
Cilt: 18 Sayı: 3, 12 - 17, 31.12.2016
Musa Con
,
Mehmet Yalcin Tasmekteplıgıl
,
Taner Tunc
Yesim Denız
Öz
This study was designed to examine the prevalence
of previously experienced maxillofacial injuries
in athletes engaging in combat sports and to investigate any possible
radiologic findings of dental and bone pathology that can be caused by
repetitive head (jaw) impacts. Thirty-two boxers
and thirty-two taekwondo athletes and sex-
and age-matched non-athletes control group participated in the study. A special questionnaire was used with questions on previously experienced maxillofacial trauma and mouthguard use.
Temporomandibular dysfunctions were also examined. Panoramic radiographs of the athletes and control group were examined by two radiologists. Both
athlete groups experienced significantly more dental (p < 0.059), temporomandibular
joint (TMJ) (p<0.05) and nasal (p<0.05)injury than non-athletes. In
addition, boxers experienced more TMJ (p<0.05)and nasal injury (p<0.05)
than taekwondo players. Although most of the athletes (96.9%) wore mouthguards
in sports competitions, few of them (9.4%) used the guards while training. Temporomandibular dysfunction (TMD) was mostly examined in combat sport athletes
(p<0.05; X2=10.494).There was no statistically significant
difference between the athletes and the control group for the possible
radiologic findings of dental and bone pathology that could be caused by the repetitive head (jaw) impacts on panoramic radiographs (p>0.05). Athletes
engaging in combat sports, especially boxers, have
significantly more maxillofacial injuries. Therefore, they should be
educated to use more safety and protective guards not only in competitions but
also in training to prevent maxillofacial
injury. This is the first report of panoramic findings on dental and bone
pathology that could be caused by repetitive head (jaw) impacts.
Kaynakça
- American Academy of Pediatric Dentistry University of Texas Health Science Center at San Antonio Dental School. Treatment of temporomandibular disorders in children: summary statements and recommendations. The Journal of the American Dental Association, 1990; 120: 265-269.
- Andrade RA, Evans PL, Almeida AL, da Silva Jde J, Guedes AM, Guedes FR, Ranalli DN, Modesto A, Tinoco EM. Prevalence of dental trauma in Pan American games athletes. Dental Traumatology, 2010; 26: 248-53.
- Caglar E, Kargul B, Tanboga I. Dental trauma and mouth guard usage among ice hockey players in Turkey premier league. Dental Traumatology, 2005; 21: 29–31.
- Carmada AJ, Deschamps C, Forest D. Stylohyoid chain ossification: A discussion of etiology. Oral surgery, oral medicine, oral pathology, 1989; 67: 508–14.
- Chapman PJ. Mouth guards and the role of sporting team dentists. Australian Dental Journal, 1989; 34: 36-42.
- Cohen JE, Margolin E, Moscovici S, Paldor I, Itshayek E. Life-threatening massive subarachnoid hemorrhage after Taekwondo-associated head trauma. Isr Med Assoc J, 2010; 12(8): 509-510.
- Cynarski WJ, Kudłacz M. Injuries in martial arts and combat sports – a comparative study. Archives of Budo, 2008; 4: 91-97.
- El Ashker S. Technical and tactical aspects that differentiate winning and losing performances in boxing. International Journal of Performance Analysis in Sport 2011; 11: 356-64.
- Fife GP, O'Sullivan D, Pieter W. Biomechanics of head injury in olympic taekwondo and boxing. Biology of Sport 2013; 30: 263-268.
- Fife GP, O’Sullivan DM, Pieter W, et al. The effects of taekwondo kicks on head accelerations and head injury: a pilot study. International Journal of Sports Medicine 2013; 14: 53-66.
- Fife GP, O’Sullivan DM, Pieter W, et al. Effects of olympic style taekwondo kicks on an instrumented head-form and resultant injury measures. British Journal of Sports Medicine, 2013; 47: 1161-1165.
- Gardiner DM, Ranalli DN. Attitudinal factors influencing mouth guard utilization. Dental Clinics of North America, 2000; 44: 53–65.
- Gartland S, Malik MH, Lovell ME. Injury and injury rates in muaythai kick boxing. British Journal of Sports Medicine, 2001; 35: 308-13.
- Grimm S, Fraza˜o P, Antunes JLF, et al. Dental injury among Brazilian school children in the state of Sa˜oPaulo. Dental Traumatology, 2004; 20: 134–8.
- Hamasha AA, Al-Khateeb T, Darwazeh A. Prevalence of dilaceration in Jordanian adults. International Endodontic Journal, 2002; 35: 910-912.
- Hanson O, O’Sullivan DM. A study on the effects of rule changes on defensive and offensive behaviors form the 2001 to 2009 world taekwondo championship final matches. Proceedings of the 3rd international symposium for taekwondo studies: Keimyung University, Gyeongju, Republic of Korea, 2011; 108-11.
- Kazemi M, Shearer H, Choung YS. Pre-competition habits and injuries in taekwondo athletes. BMC Musculoskeletal Disorders 2005; 6: 26.
- Kececi AD, Eroglu E, Baydar ML. Dental trauma incidence and mouth guarduse in elite athletes in Turkey. Dental Traumatology 2005; 21: 76–9.
- Lieger O, VonArx T. Orofacial/cerebral injuries and the use of mouth guards by Professional athletes in Switzerland. Dental Traumatology, 2006; 22: 1–6.
- MacDonald-Jankowski DS. Calcification of the stylohyoid complex in Londoners and Hong Kong Chinese. Dentomaxillofacial Radiology, 2001; 30: 35–9.
- McKee AC, Cantu RC, Nowinski CJ, et al. Chronic traumatic encephalopathy in athletes: progressive tauopathy following repetitive head injury. Journal of Neuropathology & Experimental Neurology, 2009; 68: 709-735.
- McKee AC, Brandon E, Gavett RA, et al. TDP-43 proteinopathy and motor neuron disease in chronic traumatic encephalopathy. Journal of Neuropathology & Experimental Neurology, 2010; 69: 918-929.
- Neville B, Damm DD, Allen CM, et al. Oral and maxillofacial pathology. 3rd ed. Saunders Elsevier, China; 2009.
- O'Sullivan DM, Fife GP, Pieter W, et al. Safety performance evaluation of taekwondo headgear. British Journal of Sports Medicine, 2013; 47: 447-51.
- Pieter W, Bercades LT. Heijmans J. Injuries in young and adult taekwondo athletes. Kinesiology, 1998; 30: 22-30.
- Pieter W, Van Ryssegem G. Serious injuries in karate and taekwondo. Journal of Asian Martial Arts, 1998; 7: 10-27.
- Ranalli DN. Sports dentistry and dental traumatology. Dental Traumatology, 2002; 18: 231–6.
- Sandalli N, Cildir S, Guler N. Clinical investigation of traumatic injuries in Yeditepe University, Turkey during the last 3 years. Dental Traumatology, 2005; 21: 188–94.
- Sane J, Lindqvist C, Kontio R. Sports-related maxillofacial fractures in a hospital material. International Journal of Oral and Maxillofacial Surgery, 1988; 17: 122–24.
- Shirani G, Kalantar Motamedi MH, Ashuri A, et al. Prevalence and patterns of combat sport related maxillo facial injuries. Journal of Emergencies, Trauma and Shock, 2010; 3: 314-7.
- Smith WS, Kracher CM. Sports-related dental injuries and sports dentistry. Dent Assist, 1998; 67: 12-16.
- Stojsih S, Boitano M, Wilhelm M, Bir C. A prospective study of punch biomechanics and cognitive function for amateur boxers. British Journal of Sports Medicine 2010; 44: 725-30.
- Tuli T, Hachl O, Hohlrieder M, et al. Dentofacial trauma in sport accidents. General Dentistry, 2001; 50: 274–279.
- Tulunoglu I, Ozbek M. Oral trauma, mouth guard awareness, and use in two contact sports in Turkey. Dental Traumatology, 2006; 22: 242–246.
- Viano DC, Pellman EJ, Bir CA, et al. Concussion in professional football: comparison with boxing head impacts – part 10. Neurosurgery, 2005; 57-6: 1154-1172.
- White SC, Pharoah MJ. Oral radiology principles and interpretation. 7th ed. Elsevier Health Sciences; Canada, 2014.
- World Taekwondo Federation Competition Rules & Interpretation. Duration of Contest 2012; 7: 16-22.
Yıl 2016,
Cilt: 18 Sayı: 3, 12 - 17, 31.12.2016
Musa Con
,
Mehmet Yalcin Tasmekteplıgıl
,
Taner Tunc
Yesim Denız
Kaynakça
- American Academy of Pediatric Dentistry University of Texas Health Science Center at San Antonio Dental School. Treatment of temporomandibular disorders in children: summary statements and recommendations. The Journal of the American Dental Association, 1990; 120: 265-269.
- Andrade RA, Evans PL, Almeida AL, da Silva Jde J, Guedes AM, Guedes FR, Ranalli DN, Modesto A, Tinoco EM. Prevalence of dental trauma in Pan American games athletes. Dental Traumatology, 2010; 26: 248-53.
- Caglar E, Kargul B, Tanboga I. Dental trauma and mouth guard usage among ice hockey players in Turkey premier league. Dental Traumatology, 2005; 21: 29–31.
- Carmada AJ, Deschamps C, Forest D. Stylohyoid chain ossification: A discussion of etiology. Oral surgery, oral medicine, oral pathology, 1989; 67: 508–14.
- Chapman PJ. Mouth guards and the role of sporting team dentists. Australian Dental Journal, 1989; 34: 36-42.
- Cohen JE, Margolin E, Moscovici S, Paldor I, Itshayek E. Life-threatening massive subarachnoid hemorrhage after Taekwondo-associated head trauma. Isr Med Assoc J, 2010; 12(8): 509-510.
- Cynarski WJ, Kudłacz M. Injuries in martial arts and combat sports – a comparative study. Archives of Budo, 2008; 4: 91-97.
- El Ashker S. Technical and tactical aspects that differentiate winning and losing performances in boxing. International Journal of Performance Analysis in Sport 2011; 11: 356-64.
- Fife GP, O'Sullivan D, Pieter W. Biomechanics of head injury in olympic taekwondo and boxing. Biology of Sport 2013; 30: 263-268.
- Fife GP, O’Sullivan DM, Pieter W, et al. The effects of taekwondo kicks on head accelerations and head injury: a pilot study. International Journal of Sports Medicine 2013; 14: 53-66.
- Fife GP, O’Sullivan DM, Pieter W, et al. Effects of olympic style taekwondo kicks on an instrumented head-form and resultant injury measures. British Journal of Sports Medicine, 2013; 47: 1161-1165.
- Gardiner DM, Ranalli DN. Attitudinal factors influencing mouth guard utilization. Dental Clinics of North America, 2000; 44: 53–65.
- Gartland S, Malik MH, Lovell ME. Injury and injury rates in muaythai kick boxing. British Journal of Sports Medicine, 2001; 35: 308-13.
- Grimm S, Fraza˜o P, Antunes JLF, et al. Dental injury among Brazilian school children in the state of Sa˜oPaulo. Dental Traumatology, 2004; 20: 134–8.
- Hamasha AA, Al-Khateeb T, Darwazeh A. Prevalence of dilaceration in Jordanian adults. International Endodontic Journal, 2002; 35: 910-912.
- Hanson O, O’Sullivan DM. A study on the effects of rule changes on defensive and offensive behaviors form the 2001 to 2009 world taekwondo championship final matches. Proceedings of the 3rd international symposium for taekwondo studies: Keimyung University, Gyeongju, Republic of Korea, 2011; 108-11.
- Kazemi M, Shearer H, Choung YS. Pre-competition habits and injuries in taekwondo athletes. BMC Musculoskeletal Disorders 2005; 6: 26.
- Kececi AD, Eroglu E, Baydar ML. Dental trauma incidence and mouth guarduse in elite athletes in Turkey. Dental Traumatology 2005; 21: 76–9.
- Lieger O, VonArx T. Orofacial/cerebral injuries and the use of mouth guards by Professional athletes in Switzerland. Dental Traumatology, 2006; 22: 1–6.
- MacDonald-Jankowski DS. Calcification of the stylohyoid complex in Londoners and Hong Kong Chinese. Dentomaxillofacial Radiology, 2001; 30: 35–9.
- McKee AC, Cantu RC, Nowinski CJ, et al. Chronic traumatic encephalopathy in athletes: progressive tauopathy following repetitive head injury. Journal of Neuropathology & Experimental Neurology, 2009; 68: 709-735.
- McKee AC, Brandon E, Gavett RA, et al. TDP-43 proteinopathy and motor neuron disease in chronic traumatic encephalopathy. Journal of Neuropathology & Experimental Neurology, 2010; 69: 918-929.
- Neville B, Damm DD, Allen CM, et al. Oral and maxillofacial pathology. 3rd ed. Saunders Elsevier, China; 2009.
- O'Sullivan DM, Fife GP, Pieter W, et al. Safety performance evaluation of taekwondo headgear. British Journal of Sports Medicine, 2013; 47: 447-51.
- Pieter W, Bercades LT. Heijmans J. Injuries in young and adult taekwondo athletes. Kinesiology, 1998; 30: 22-30.
- Pieter W, Van Ryssegem G. Serious injuries in karate and taekwondo. Journal of Asian Martial Arts, 1998; 7: 10-27.
- Ranalli DN. Sports dentistry and dental traumatology. Dental Traumatology, 2002; 18: 231–6.
- Sandalli N, Cildir S, Guler N. Clinical investigation of traumatic injuries in Yeditepe University, Turkey during the last 3 years. Dental Traumatology, 2005; 21: 188–94.
- Sane J, Lindqvist C, Kontio R. Sports-related maxillofacial fractures in a hospital material. International Journal of Oral and Maxillofacial Surgery, 1988; 17: 122–24.
- Shirani G, Kalantar Motamedi MH, Ashuri A, et al. Prevalence and patterns of combat sport related maxillo facial injuries. Journal of Emergencies, Trauma and Shock, 2010; 3: 314-7.
- Smith WS, Kracher CM. Sports-related dental injuries and sports dentistry. Dent Assist, 1998; 67: 12-16.
- Stojsih S, Boitano M, Wilhelm M, Bir C. A prospective study of punch biomechanics and cognitive function for amateur boxers. British Journal of Sports Medicine 2010; 44: 725-30.
- Tuli T, Hachl O, Hohlrieder M, et al. Dentofacial trauma in sport accidents. General Dentistry, 2001; 50: 274–279.
- Tulunoglu I, Ozbek M. Oral trauma, mouth guard awareness, and use in two contact sports in Turkey. Dental Traumatology, 2006; 22: 242–246.
- Viano DC, Pellman EJ, Bir CA, et al. Concussion in professional football: comparison with boxing head impacts – part 10. Neurosurgery, 2005; 57-6: 1154-1172.
- White SC, Pharoah MJ. Oral radiology principles and interpretation. 7th ed. Elsevier Health Sciences; Canada, 2014.
- World Taekwondo Federation Competition Rules & Interpretation. Duration of Contest 2012; 7: 16-22.