Abstract

Dental accidents with the sport – prevention and behavior at the accident place

Prof. Dr. Andreas Filippi
Because of accidents 20-35% of all children and adolescents in Europe suffer dental injuries to their permanent teeth. Due to new sport activities like mountainbiking, inline skating and skateboarding, more aggressive spare time activities as well as increasing risk in contact sports the number of dental accidents increased in the last years. Due to their position upper front teeth suffer the most injuries (52-90%). Crown fractures without participation of the pulpa are the most frequent (44-62.5%). In professional sports the wearing of mouthguard is partly regulated in the statutes.
However for spare time and school sports activities such clear recommendations are rare. Not only dental accidents but also severe injuries like concussion, brain bleeding and injuries of the head-neck-area can be reduced by wearing mouthguard. There are different reasons for not wearing mouthguard. Most athletes think that there is no necessity for wearing one. Other reasons are communicative problems, weak retention, restriction of breathing and disagreeable esthetics .