Fogorvosi szemle, 2020 (113. évfolyam, 1-4. szám)

2020-03-01 / 1. szám

FOGORVOSI SZEMLE

113. évf. 1. sz. 2020.n

11 to patients. J Am Dent Assoc 1985; 110,634–636. https://doi.org/

10.1016/S0002-8177(15)30015-5

6. ZADIK Y, CHAPNIK L, GOLDSTEIN L: In-flight barodontalgia: analysis of 29 cases in military aircrew. Aviat Space Environ Med

2007; 78 (6), 593–596.

7. KOLLMANN W: Incidence and possible causes of dental pain during simulated high altitude flights. J Endod

1993; 19, 3, 154–159. https://doi.org/10.1016/S0099-2399(06)80512-1

8. HOLOWATYJ RE: Barodontalgia among flyers: a review of seven cases. J Can Dent Assoc

1996; 62 (7), 578–584.

9. REINKE CH: Barodontalgia – Toothache triggered by hypobaric and hyperbaric conditions https://military-medicine.com/article/

3102-barodontalgia-toothache-triggered-by-hypobaric-hyperbaric -conditions.html Retr.: 2019.03.13.

10. FERJENTSIK E, AKER F: Barodontalgia: a system of classification. Mil Med 1982; 147, 4, 299, 303–304. https://doi.org/10.1093/milmed/

147.4.299

11. ZADIK Y: Barodontalgia. J Endod

2009; 35, 4, 481–485. https://

doi.org/10.1016/j.joen.2008.12.004

12. ZADIK Y: Barodontalgia: what have we learned in the past decade? Oral Surg Oral Med Oral Pathol Oral Radiol Endod

2010; 109 (4) https://doi.org/10.1016/j.tripleo.2009.12.001

13. SCHMID M, SCHÄDELIN S, KÜHL S, et al: Head and dental injuries or other dental problems in alpine sports Clin Exp Dent Res

2018; 4, 125–131. https://doi.org/10.1002/cre2.121

14. YASA D: The effects of flying on your body explained Escape

, 2018. Feb. 2. https://www.escape.com.au/

Retr: 2019.05.15.

15. ZADIK Y: Aviation dentistry: current concepts and practice British Dental Journal 2009; 206, 11–16. https://doi.org/10.1038/sj.bdj.

2008.1121

16. PHELAN JR: Otolaringology in aerospace medicine In.: D

AVIS JD, JOHNSON R, STEPANEK J: eds. Fundamentals of Aerospace Medi

cine, 4h. Ed. 2008, Philadelphia, Wolters Kluwer/Lippincott Wil

liams & Wilkins

17. BRYAN B: Flying after dental implant surgery? What are the rules? https://www.bauersmiles.com/2016/09/flying-after-dental-implantsurgery.html/ Retr: 2019.05.14.

18. KEDJAVUNE U, LEGGAT PA: Dental Precautions For Travelers J Travel Med 1997; 4, 38–40. https://doi.org/10.1111/j.1708-8305.1997.

tb00771.x

FELKAI P, FELKAI T, RÓZSA N

Pretravel advice – dentists’ approach

Taking into consideration two main factors: the general poor condition of dental health of the population and that elderly people are becoming more and more active in traveling one can draw the conclusion that pretravel advice must contain dental issues too. Authors suggests some travel related medical problems such as infection control, a reliable dental service abroad, the proper way of cleaning teeth and prosthesis where safe water isn’t available, failures with the dentures and braces.

However the more important issue is the timing of air travel after dental interventions in order to avoid barodontalgia. Unfortunately, the international literature hardly mentions this kind of problem, although it would be useful both for dentists and for the general practitioners and travel medicine professionals. There is no evidence based rules for the optimal duration between the dental intervention and air-travel so authors collect the relevant professionals’ opinion. According to their approach the minimum waiting time should be 24 hours after filling and dental extraction, in the case of implantation without complication it is 24–48 hours, while in case of more difficult interventions connecting to implantation this time can take up to 2 weeks and root canal manipulation requires at least 72 hours but a week proved to be more safe etc.

The determining of optimal time of air travel after dental interventions requires more detailed surveys but hopefully the time-suggestions of this paper is good for a rough estimation. The exact timing should be decided by the treating doctor and it is depended on the patient’s condition and the type of the intervention.

Keywords: dentist, travel medicine, pretravel advice, barodontalgia, air travel, dental tourism

Clinical trial