Oral‐maxillofacial trauma of a geriatric population in a super‐ageing country

Ito, Ryohei; Kubota, Kosei; Inui, Akinari; Nakagawa, Hiroshi; Kon, Tomoya; Narita, N; Tamura, Yoshihiro; Oyama, Toshiaki; Satake, Anna; Furudate, Ken; Kobayashi, Wataru

doi:10.1111/edt.12371

Cited by 13 publications

(18 citation statements)

References 12 publications

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“…The present prospective, multicentre, epidemiological study of maxillofacial trauma in the elderly showed a mean incidence of injuries second only to the incidence reported by Ito et al 17 and similar to incidences reported by Zelken et al 21 and Li et al 16 (Table 7), but with proportions that ranged from 5.6% and 6.7% in Asian and African centres to 35% in Australian and Austrian centres (Table 3). Consistent with prior findings, a lower mean age (66.5 years) was observed in African and Asian centres than in European (74.7) and Australian (76.4) centres.…”

Section: Discussionsupporting

confidence: 88%

“…There have been numerous studies, generally monocentric and retrospective, regarding the epidemiology of maxillofacial fractures, but few have been focused on the population ≥60 years of age which tends to be increasingly dominant in global demography. 13,14,16,20,24 The present prospective, multicentre, epidemiological study of maxillofacial trauma in the elderly showed a mean incidence of injuries second only to the incidence reported by Ito et al 17 and similar to incidences reported by Zelken et al 21 and Li et al 16 (Table 7), but with proportions that ranged from 5.6% and 6.7% in Asian and African centres to 35% in Australian and Austrian centres (Table 3).…”

Section: Discussionsupporting

confidence: 85%

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A multicentric prospective analysis of maxillofacial trauma in the elderly population

Bojino

Roccia

Carlaw

et al. 2022

Dental Traumatology

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Background/Aims The growth of the global elderly population will lead to an increase in traumatic injuries in this group, including those affecting the maxillofacial area, with a heavier load on health systems. The aim of this multicentric prospective study was to understand and evaluate the incidences, causes and patterns of oral and maxillofacial injuries in patients aged over 60 years admitted to 14 maxillofacial surgical departments around the world. Methods The following data were collected: gender, cause and mechanism of maxillofacial fracture, alcohol and drug abuse at the time of trauma, fracture site, Facial Injury Severity Scale score, associated injury, day of trauma, timing and type of treatment and length of hospitalization. Statistical analyses were performed using non‐parametric and association tests, as well as linear regression. Results Between 30 September 2019 and 4 October 2020, 348 out of 2387 patients (14.6%), 197 men and 151 women (ratio 1.3:1; mean age 72.7 years), were hospitalized. The main causes of the maxillofacial fractures were falls (66.4%), followed by road traffic accidents (21.5%) and assaults (5.2%). Of the 472 maxillofacial fractures, 69.7% were in the middle third of the face, 28% in the lower third and 2.3% in the upper third. Patients with middle third fractures were on average 4.2 years older than patients with lower third fractures (95% CI 1.2–7.2). Statistical analysis showed that women were more involved in fall‐related trauma compared with males (p < .001). It was also shown that road traffic accidents cause more fractures in the lower third (p < .001) and in the middle third‐lower third complex compared with upper third (p < .001). Conclusions Maxillofacial fractures in the elderly were more frequent in European and Australian centres and affected men slightly more than women. Falls were the leading cause of fractures, especially among women. The middle third of the face was most often affected, and conservative treatment was the most common choice for the management of such patients.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 85%

A multicentric prospective analysis of maxillofacial trauma in the elderly population

Bojino

Roccia

Carlaw

et al. 2022

Dental Traumatology

View full text Add to dashboard Cite

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“…National and international studies examining CMF trauma in hospital departments have also observed similar results in general. [46][47][48][49] By age, higher hospitalization rates were found among younger (< 4 years) and older age groups (70+). Other studies have also observed similar trends.…”

Section: Discussionmentioning

confidence: 99%

Domestic Violence and Abuse Related Emergency Room Visits in Ontario, Canada

Singhal

Orr

Singh

et al. 2020

Preprint

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Background: Hospitals’ emergency rooms (ERs), are generally the first point of contact of domestic violence and abuse (DVA) victims to the health care system. For efficient management and resource allocation for ERs to manage DVA-related emergencies in Canada, it is important to quantify and assess the pattern of these visits.Methods: Aggregate DVA-related ER visits data, using relevant ICD-10-CA codes, from 2012 to 2016 were retrieved from IntelliHealth Ontario. The 2011 ON-Marg (Ontario Marginalization) indices were linked at the Dissemination Area level to ER data. Descriptive analyses including total number and rate of visits per 100,000 people were calculated, stratified by age and sex. The Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were also assessed. Results: From 2012-2016, 10,935 (81.2% by females and 18.8% by males) DVA-related visits were made to ERs in Ontario. An annual average of 25.5 visits per 100,000 females and 6.1 visits per 100,000 males was observed. Residential instability and deprivation were significant predictors of DVA-related ER visits. No particular site of injury was indicated in 38.5% of visits, 24.7% presented with cranio-maxillofacial (CMF) trauma in isolation, 28.9% presented with non-CMF injuries, and 7.9% visits presented with both CMF and non-CMF injuries.Conclusion: This study identified that the burden of DVA-related ER visits is large enough to warrant timely public health interventions, and observed that certain populations in Ontario experience more DVA and/or are more prone to its impact. Our findings have important implications for various stakeholders involved in planning and implementing relevant policies and programs.

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“…Oral diseases represent a significant health and economic problem, affecting about 3.5 billion people worldwide [ 1 ]. This burden is expected to increase as a direct consequence of the aging global population, of which more than 20% will be older than 65 by 2050 [ 2 , 3 ]. Among the different oral conditions, tooth loss has been recognized as one of the most common [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Towards 3D Multi-Layer Scaffolds for Periodontal Tissue Engineering Applications: Addressing Manufacturing and Architectural Challenges

et al. 2020

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Reduced periodontal support, deriving from chronic inflammatory conditions, such as periodontitis, is one of the main causes of tooth loss. The use of dental implants for the replacement of missing teeth has attracted growing interest as a standard procedure in clinical practice. However, adequate bone volume and soft tissue augmentation at the site of the implant are important prerequisites for successful implant positioning as well as proper functional and aesthetic reconstruction of patients. Three-dimensional (3D) scaffolds have greatly contributed to solve most of the challenges that traditional solutions (i.e., autografts, allografts and xenografts) posed. Nevertheless, mimicking the complex architecture and functionality of the periodontal tissue represents still a great challenge. In this study, a porous poly(ε-caprolactone) (PCL) and Sr-doped nano hydroxyapatite (Sr-nHA) with a multi-layer structure was produced via a single-step additive manufacturing (AM) process, as a potential strategy for hard periodontal tissue regeneration. Physicochemical characterization was conducted in order to evaluate the overall scaffold architecture, topography, as well as porosity with respect to the original CAD model. Furthermore, compressive tests were performed to assess the mechanical properties of the resulting multi-layer structure. Finally, in vitro biological performance, in terms of biocompatibility and osteogenic potential, was evaluated by using human osteosarcoma cells. The manufacturing route used in this work revealed a highly versatile method to fabricate 3D multi-layer scaffolds with porosity levels as well as mechanical properties within the range of dentoalveolar bone tissue. Moreover, the single step process allowed the achievement of an excellent integrity among the different layers of the scaffold. In vitro tests suggested the promising role of the ceramic phase within the polymeric matrix towards bone mineralization processes. Overall, the results of this study demonstrate that the approach undertaken may serve as a platform for future advances in 3D multi-layer and patient-specific strategies that may better address complex periodontal tissue defects.

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Oral‐maxillofacial trauma of a geriatric population in a super‐ageing country

Abstract: Oral-maxillofacial trauma in the geriatric population shows characteristic features in terms of aetiology, patterns and treatment modalities.

Cited by 13 publications

References 12 publications

A multicentric prospective analysis of maxillofacial trauma in the elderly population

A multicentric prospective analysis of maxillofacial trauma in the elderly population

Domestic Violence and Abuse Related Emergency Room Visits in Ontario, Canada

Towards 3D Multi-Layer Scaffolds for Periodontal Tissue Engineering Applications: Addressing Manufacturing and Architectural Challenges

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