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At least 757 records · Page 42Linked to original sources
PubMed1981

The prevention of orofacial sports injuries in the adolescent.

Custom-made mouthguards are effective in reducing orofacial injuries to junior players. A significant reduction or total elimination of these injuries can be expected when mouthguards are used. An acceptable custom-made mouthguard can be constructed for every adolescent; therefore, they can and should be used in contact sport at junior level. This will help young people to become accustomed to these protective devices at an early age. It is important that first mouthguards are comfortable and that adaptations are done whenever needed to ensure that the recipients will want to continue to use these devices. Sports bodies and coaches should do more to enforce the use of mouthguards at all levels. The high incidence of injuries to the oral region makes their use essential. The time has now come for the use of mouthguards to be made compulsory by contact sports authorities, first, for all senior teams, and subsequently for high school and even primary school pupils. Most parents and many dentists are still unaware of injury hazards and (more importantly) the protection available. A team dentist, where there is a possibility of dental injury, is the ideal situation. One dentist can easily be the team dentist for a number of teams, acting as professional adviser, fitting and adjusting mouthguards and ensuring that trauma (or dental disease) is treated by the player's own dentist.

Adolescent↗
PubMed1983

Dental problems in athletes.

The high performance standards required of an Olympic athlete can only be attained by a totally healthy individual. Optimal dental health is a necessary element. The universality of dental disease can be altered by modern prevention modalities and self-administered hygiene. Nonetheless, any dental or medical program of care should be prepared for the treatment of dental disease and trauma. Suggested is a program of prevention and treatment grounded in modern basic science and dealing with the overlay of the sociopsychological phenomena, which is an essential part of effective health care.

Adolescent↗
PubMedDate not supplied

Occlusal therapy in the management of chronic orofacial pain.

Review of the literature indicates that most routine orofacial dysfunctions are characterized by deep pain. Various disorders of the masticatory systems, particularly musculoskeletal conditions, are thought to be triggered by occlusal disharmonies. The pain component develops following a pattern of bruxism, muscle hyperactivity, fatigue and spasm. Treatment for most disorders has been to modify the occlusion, although the rational for doing so appears questionable.CRITICAL ISSUES IN THE FIELD OF OCCLUSION RELATED TO OROFACIAL PAIN ARE REVIEWED: occlusal disharmonies, coincidence of retruded-intercuspal contact positions, non-working side interferences, maximum intercuspation of teeth, occlusal adjustment, and occlusal appliances.The studies reviewed fail to support the clinical objective of obtaining equal contact at retruded and intercuspal positions and that the lateral pterygoid muscles stabilize the temporomandibular joint. The relationship between non-working side interferences and pain dysfunction is also not readily supported by controlled studies. Occlusal adjustment appears to be unsatisfactory as a modality for management of pain: not all patients improved following treatment, some relapse occurs even with the most stable contacts, and other treatments such as intra-articular injections of corticosteroids reduced symptoms more readily. Occlusal splints seem to reduce most clinical signs and symptoms on both a short-term and long-term basis. Placement of mandibular orthopedic repositioning appliances results in reduction of pain in some patients, but usually this treatment is followed by extensive rehabilitation.Six major areas are suggested for clinical studies that attempt to relate occlusion to management of orofacial pain. These include: establishment of an ideal jaw position, sequencing of symptoms in the pain history, relationship of pain to other symptoms, development of physiological methods to assess how occlusal modification affects pain perception and pain tolerance, and determination of which treatment modalities produce the most effective relief of pain.

Chronic Disease↗