It is hard to find a sport in which there is no danger of oral trauma. In contact sports, for example, the athlete is subject to different kinds of traumas in different levels of complexity. Oral trauma may cause from a simple wound in soft tissues (specially the lips), to more severe fractures to even avulsions (loss of teeth). In a simple way, dental trauma can be classified according to the tissue involved: the tooth itself or the surrounding tissues.
Teeth can be affected in different levels: only the enamel, enamel and dentine, fracture involving the pulp and even root. The supporting tissue can also be affected, causing different types of luxation or even dental avulsion, when the tooth is expelled completely. The several different traumatic situations demand different therapeutic conducts.
The consequences of the trauma vary according to the severity of the lesion. Mild dental trauma demand simple cementation of a fragment or restoration, with little aesthetic damage. Traumas involving dental pulp demand, normally, endodontic treatment followed by a restorative or prosthetic approach. More complex situations, such as the dislocation of a tooth from its original location, may lead to tooth loss in the most complex cases.
Post-traumatic care consists in the recovery of the dental fragment and the assessment of the condition, at first, by the athlete himself/herself. In cases where there is a substantial damage (bone trauma with luxation or loss of an important part of the tooth), it is recommended to contact a dentist immediately, taking the fragment to the professional in a glass of water, milk or saline solution to keep it hydrated. At the office, the professional will take the necessary conduct, which may be from the simple cementation of the fragment to a stabilization or even a re-implantation of the tooth.
Prevention – Normally, athletes may protect themselves from oral trauma through the so-called “sportive mouthguards”. Those devices are usually worn for contact sports and can be divided into three types: a) stock or universal protectors; b) pre-manufactured protectors and c) custom-made protectors. The first are sold at sports stores, consisting in standard-sized biteplates, and do not offer any individual adjustment. The second type is similar to the first, except for the fact that they are plates that are thermoformed, or rather, can be plasticized in warm water and take the shape of the teeth of the individual when positioned over them. The third type is more individualized, made at the dentist’s office by the professional and his prosthesis lab technician. It is capable of copying the teeth and arcade of the athlete for maximum comfort and protection, minimizing the negative effects on speech and breathing. Always when beginning a sports practice, the athlete should consult a dentist for him to prescribe the best option.
– Dr. Bruno Lippmann, orthodontics specialist
– Drª Rafaella Ronchi Zinelli – endodontics specialist
-Dr. Rafael Cury Cecato – periodontics specialist and graduate student in implantodontics
With headquarters in Joinville (Santa Catarina, Brazil), FGM manufactures dentistry solutions for Brazil and countries in Europe, Latin America, Middle East, Africa and Asia, besides supplying for an average of 30 thousand dentists per year with continuing education courses. Over the last 20 years, FGM Dental Products has conquered 80% of the domestic market of dental bleachers and has already helped improve millions of smiles with its solutions for aesthetics and oral health. Get more information on the company and its products at 18.104.22.168