Orofacial trauma in Brazilian basketball players and level of information concerning trauma and mouthguards.

Orofacial injuries are increasingly considered a public health problem in high impact sports. The purposes of this study were: to assess orofacial trauma (OT) history in basketball players, in relation to wearing mouthguards (MG), facial types, presence of mouth breathing and player's position in the game, also to check athletes' level of knowledge about trauma and MGs. Questionnaires were given to category A-1 adult athletes registered in 2006/07 in the State of São Paulo and Brazilian Basketball Confederation Championships, and National Team members. Of the total sample (n=388), 50% of athletes sustained orofacial injuries; dental trauma accounted for 69.7%, with emphasis on maxillary central incisors, followed by soft tissue (60.8%), in which lip injuries were the most prevalent. No relationship was found between trauma history and player's position (P=0.19), facial type (P=0.97), presence of mouth breathing (P=0.98), but there was statistically significant association between the prevalence of OT and lack of MG use (P≤0.0001). Of all the athletes affected, only 1% wore a MG at the time of the trauma, 26.5% did not know about the MGs and 10.6% did not know their functions. When trauma occurred, 79.6% replied one must look for the tooth at the accident site, 50% knew it must be stored in liquid, as replantation was possible (62.3%) and 75.8% believed elapsed time could influence prognosis. Basketball is a high impact sport with high prevalence of OT, particularly maxillary central incisor and lip injuries, but athletes did not use MGs. There should be more educational campaigns to inform players about orofacial injuries and their prevention in Brazilian basketball.

Traumatismo orofacial durante a prática de basquetebol e nível de informação sobre trauma e protetor bucal / Orofacial injury during basketball practice and level of information about trauma and mouthguard

O traumatismo orofacial é considerado um problema de saúde pública e sua incidência está em ascensão nos esportes de contato. Este estudo teve como objetivo avaliar a prevalência de traumatismo orofacial em jogadores de basquetebol do gênero masculino e sua relação com a posição de jogo, perfil facial, presença de respiração bucal e uso de protetor bucal, além de verificar o nível de informação dos atletas e técnicos sobre atitudes diante de um trauma, uso de protetor bucal e em relação a importância de um cirurgião-dentista na equipe A coleta dos dados foi feita por meio de dois tipos de questionários previamente testados: o primeiro, distribuído a todos os atletas (n=445) integrantes das equipes inscritas nos Campeonatos Paulista e Brasileiro da Confederação Brasileira de Basquetebol, da Seleção Paulista Cadete e Seleções Brasileira Adulta, Juvenil e Cadete nos anos 2006/2007 e o outro, entregue aos respectivos técnicos das equipes (n=36). A amostra final foi constituída por 35 técnicos (97,3%) e 388 atletas (87,9%). Após tabulação e análise dos dados verificou-se que 50% (n=194) dos atletas sofreram injúrias orofaciais, sobretudo nos lábios (53,1%, n=103) e incisivos centrais superiores (48,5%, n=94). Não houve associação entre o relato de trauma orofacial e a posição de jogo (2=6,1744; p=0,1865), tipo de perfil facial (2=0,0536; p=0,9736) e presença de respiração bucal (2=0,0005; p=0,9818), porém verificou-se que o relato de trauma está associado ao não uso do protetor bucal (2=21,0580; p≤0,0001). Quanto ao nível de conhecimento dos atletas e técnicos sobre o uso de protetor bucal, respectivamente 26,5% (n=103) e 8,6% (n=3) não conhecem os diferentes tipos de protetores e apenas 10,6% (n=41) e 2,9% (n=1) não sabem as suas funções. Quanto a como agir diante de um trauma, as respostas dos atletas e técnicos...

Orofacial injuries are considered a public health problem on the increase in contact sports. The aim of this study was to assess the prevalence of orofacial injuries in men’s basketball players and their relationship with the athlete’s position in the game, facial profile, presence of mouth breathing and use of mouthguard; in addition to verifying the level of athletes’ and coaches’ knowledge attitude regarding orofacial trauma and mouthguard use and if the presence of a dentist in the team structure is important. Data was collected by means of two types of previously tested questionnaires: the first, given to adult members (n=445) of teams registered in the São Paulo and Brazilian championships in the Adult Category A-1 category, and Adult, Juvenile, Cadet Brazilian National teams, São Paulo State cadet teams in the year 2006/07 and the other given to the coaches of the respective teams. The final sample consisted of 35 coaches and 388 athletes, with a non-reply rate of 2.7% for coaches, and 12.1% for the athletes. After tabulating and analyzing the data, it was verified that 50% of the athletes (n=194) suffered orofacial injuries, particularly in the lips (53,1%, n=103) and maxillary central incisors (48.5%, n=94). There was no association between the report of orofacial trauma and player’s position (c2=6,1744; p=0,1865), types of profile facial (c2=0,0536; p=0,9736) and mouth breathing (c2=0,0005; p=0,9818), but there was statistically significant association between the prevalence of orofacial trauma and mouthguard use (2=21,0580; p<=0,0001). With regard to the level of knowledge about the mouthguard, 26.5% (n=103) and 8.6% (n=3) of the coaches did not know the types of mouthguard, and only 10.6% (n=41) and 2.9% respectively did not know what its function was. As regards how to act when faced with injury, the athletes’ and coaches’ replies...

Levantamento epidemiológico de cárie dentária – Barão Geraldo – Campinas – SP / Dental caries epidemiological survey – Barão Geraldo – Campinas - SP

Objetivos: Verificar a prevalência de cárie e dimensionar as necessidades de tratamento e o acesso à assistência odontológica de escolares de duas Unidades de Ensino Público. Métodos: Foi realizado um levantamento epidemiológico transversal de Saúde Bucal em 273 escolares, de 6 a 12 anos, matriculados em duas Escolas Públicas Estaduais com características econômico-demográficas semelhantes, porém localizadas em áreas distintas, uma na área urbana e outra na área rural do distrito de Barão Geraldo, município de Campinas (São Paulo). As crianças foram examinadas por uma equipe de dez dentistas, previamente treinados e calibrados. Resultados: Obteve-se o índice CPO-D médio igual a 0,50 (±0,99) na escola urbana e 0,75 (±1,30) na escola rural (Mann Whitney, p = 0,3311) e, para dentição decídua, o índice ceo-d médio 2,77 (±2,85) e 2,63 (±2,66), (Mann Whitney, p = 0,8920). Pode-se verificar que os componentes cariado (C, c), perdido (P, e) e obturado (O, o) apresentaram participação no índice semelhante nas escolas urbana e rural respectivamente, C = 68% e 69,3%, O = 30% e 29,33%, c = 70,03% e 69,58%, o = 28,16% e 22,81%. Conclusão: Conclui-se que a história de cárie nas populações avaliadas foi semelhante, tendo atingido a meta da OMS para ano 2000 (CPO-D ≤ 3), entretanto, as ações desenvolvidas pela Unidade Básica de Saúde, que fornece o acesso à assistência odontológica destes escolares, têm se mostrado parcialmente eficazes, observada seja a alta prevalência do componente cariado.

Objectives: Verify the prevalence of caries, the need of treatment and the access to dental assistance of students of two public education units. Methods: Transversal study conducted through epidemiological survey of oral health in 273 students aged 6 to 12 years old, registered in two public schools at Barão de Geraldo (Campinas City district in São Paulo State) with similar economic and demographic characteristics, one inurban area and other in the rural. The children were examined by a team of 10 dentists previously trained and calibrated. Results: The DMFT index found was 0.50 (± 0.99) at urban area and 0.75 (± 1.30) at rural (Mann Whitney, P=0.3311), and, for deciduous dentition the dmft average index was 2.7(± 2.85) and 2.63 (± 2.66), (Mann Whitney, P=0.8920). It was possible to verify that the decayed (D/d), missing (M/m) and Filled (F/f) components showed the same participation at the DMFT/dmft index at both urban and rural schools, D= 68% (urban) and 69.3% (rural), M= 30% (urban) and 29.33% (rural) and F= 28,16% (urban) and 22,81% (rural).Conclusion: The history of caries in the evaluated population was similar, both reaching the WHO goal for the year 2000 (DMFT <=3), however, the so far developed actions by basic health units that supplies the access to dental assistance for these students shows partial efficiency once it was observed a high prevalence of caries.