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Evidence-based review of prevention of dental injuries

机译：预防牙齿损伤的循证审查

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Despite efforts in reducing the number of dental traumas, most current studies indicate that the incidence of dental trauma remains unchanged and is at a relatively high level for children and young adults. When reviewing the literature on prevention, it is clear that until now the main focus has been on making and promoting mouthguards. The majority of the published studies on mouthguards have focused on materials used and how those behave and protect in vitro. The few epidemiologic studies that have been published on the possible protectiveness of the mouthguards in vivo are mostly of low level of evidence, and even those studies do not all agree on how much they actually protect the dentition. To compound the problem is the fact that the proportional ratio of dental trauma in organized sports is low compared with injuries that occur during children's play or leisure activities. It could be argued that the best strategic measure for preventing dental and oral injuries is education on both how to avoid them and what to do if an injury occurs. The demand of evidence-based dentistry and medicine calls for large prospective studies with randomized intervention to investigate the actual protection of mouthguards and faceguards. In addition, more emphasis should be placed on which is the best and most constructive way to educate youngsters and teenagers on how to avoid traumatic injuries to their teeth by using contemporary means like the Internet and apps.
机译：尽管为减少牙齿外伤的数量做出了努力，但大多数最新研究表明，牙齿外伤的发生率保持不变，并且对于儿童和年轻人来说是相对较高的水平。在回顾有关预防的文献时，很明显，到目前为止，重点一直放在制作和推广护齿上。关于护齿的大多数已发表研究都集中在所用材料以及这些材料在体外的行为和保护方面。关于口腔保护套在体内可能具有保护作用的几项流行病学研究大多证据不足，甚至那些研究也都未就其对牙本质的实际保护程度达成共识。使问题复杂化的事实是，与儿童游戏或休闲活动中发生的伤害相比，有组织的体育活动中牙齿创伤的比例低。可以说，预防牙齿和口腔受伤的最佳战略措施是对如何避免牙齿伤害以及发生伤害时的处理方法进行教育。循证牙科和医学的需求要求进行大规模的前瞻性研究，并进行随机干预，以研究护齿器和面罩的实际保护。此外，应该更加强调哪种方法是最好的和最具建设性的方法，以通过使用互联网和应用程序等现代手段来教育青少年如何避免牙齿遭受外伤。

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