Role of environmental and occupational factors in fall‐related maxillofacial fractures

Sattar, Nigam; Gillani, Syeda Rabia Rahat; Erkin, Mahwish; Khan, Muslim; Abbas, Muhammad; khattak, Nimrah Khurshid

doi:10.1002/cre2.545

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…Understanding the risk factors of fracture is the key to developing effective preventive measures. To date, epidemiological studies have identified a series of risk factors for fracture, including family history ( 7 ), genetic susceptibility ( 8 ), physical activity ( 9 ), and environmental factors ( 10 ). Researchers have also explored the potential effects of air pollutants on bone health.…”

Section: Introductionmentioning

confidence: 99%

Risk of ozone exposure-induced fracture

Lü

Gong

et al. 2023

Front. Public Health

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IntroductionOzone (O3) is known to induce oxidative stress that influences various cells and tissues, which may further lead to diminished bone mineral density. Nevertheless, few studies have investigated the association between O3 exposure and fractures. Considering the similar growing trends of O3 concentrations and fracture morbidity in recent years, in the present study, we aimed to examine whether O3 exposure is associated with the fracture morbidity.MethodsUsing a retrospective cohort study design, we analyzed the records of 8,075 patients with fracture admitted in the warm season to Beijing Jishuitan Hospital from 2014 to 2019 and matched them to the corresponding exposure time and concentration of O3.ResultsThe results showed that increased odds of fracture were associated with increased O3 concentrations, presumably because O3 induces oxidative stress (OS) that leads to bone mineral density (BMD) loss.DiscussionOur findings suggest that O3 exposure is a risk factor for fractures, providing new evidence of the adverse health effect induced by air pollution. We can conclude that more intensive air pollution control is needed for the prevention of fracture occurrence.

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Section: Introductionmentioning

confidence: 99%

Risk of ozone exposure-induced fracture

Lü

Gong

et al. 2023

Front. Public Health

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“…The fracture site can be the mandible midline, paramedian, body, angle, or condyle [7]. Among the primary causes were reported: assaults and falls, but also occupational factors or sports [8,9]. Males were more affected than females (60% vs. 39.4%) [8,10].…”

Section: Introduction 1backgroundmentioning

confidence: 99%

“…Among the primary causes were reported: assaults and falls, but also occupational factors or sports [8,9]. Males were more affected than females (60% vs. 39.4%) [8,10].…”

Section: Introduction 1backgroundmentioning

confidence: 99%

Three-Dimensional Finite Element Analysis on Mandibular Biomechanics Simulation under Normal and Traumatic Conditions

Hedeșiu

Pavel

Almășan

et al. 2022

Oral

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The main objective was to examine the biomechanical behavior of the mandible under standardized trauma and to develop models of biomechanical responses when the mandible is subjected to various simulated impacts. A homogenous model based on the bone’s average mechanical properties was used. To simulate external loads on the mandible, forces on the chin, forces in an anteroposterior direction, and forces from the basilar edge were applied. To simulate mandibular biomechanics, we employed a model created in the ANSYS v19.0 software. The skull with the temporomandibular joint (TMJ) from the Grabcad website was used as the geometric mandibular model. We attempted to simulate the stresses developed in the mandible by impact forces. The amount of force (F) corresponded to the fall of a five-kilogram body (the head), from a height of two meters (F = 6666.7 N). The impact force was applied perpendicular to an arbitrary surface of an area of 10−3 m2. Impact on the chin region and lateral impact on the mandible, from the basilar edge to the gonion were examined. The investigated clinical situations were mandibular complete dentition; jaw with missing mandibular molars; missing third molar and first and second premolars; missing canine, third molar, first and second premolars, and complete edentation. In a normal bite, the highest stress was on the TMJ area. In case of impact on the chin, in complete edentation, a mandibular fracture occurred; in case of impact on the gonion, all stress values exceed the limit value above which the mandible in the condyle area may fracture.

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Role of environmental and occupational factors in fall‐related maxillofacial fractures

Sattar

Gillani

Erkin

et al. 2022

Clinical & Exp Dental Res

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The duration of study was 3 years from January 1, 2017 to December 31, 2019. Demographic data such as age, gender and data environmental or occupational etiology of falls and pattern of fractures was noted in a customized Performa after detailed history, clinical and radiographic examination. Patients of maxillofacial fractures resulting due to falls with age ranging from 16 to 64 years were included. Those cases of falls that presented with systemic diseases or had chances of pathological fractures were excluded from the study.Results: Male population was affected more than females (60% vs. 39.4%). The mean age was 32.39 SD ± 16.031. Falls due to environmental factors were more common than occupational factors (81.5% vs 18.5%). Fracture of midface was more common (57.1%) than fracture of mandible (36.7%) in patients of falls. 5.5% had both midface and mandible fractures. Conclusion:We concluded that Environmental and work-related facial fractures in falls are common in third and fourth decade of life. Falls due to stumbling, tripping and slipping, falls from height and falls from stairs most commonly result in midface fractures. Mandible fractures are commonly seen in sportsmen and laborers.Preventive strategies shall be adopted to prevent morbidity and mortality associated with such injuries.

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Role of environmental and occupational factors in fall‐related maxillofacial fractures

Cited by 5 publications

References 23 publications

Risk of ozone exposure-induced fracture

Risk of ozone exposure-induced fracture

Three-Dimensional Finite Element Analysis on Mandibular Biomechanics Simulation under Normal and Traumatic Conditions

Role of environmental and occupational factors in fall‐related maxillofacial fractures

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