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A Systematic Review and Meta-Analysis of Oral and Maxillofacial Trauma

Cristiana Palmela Pereira, Rui Santos, Adriana Santos, Catarina Gonçalves, Diana Augusto, Ana Rodrigues, Francisco Salvado, Fátima Brilhante


Objective of work: The aim of this study was to determine the most frequent injuries and their relationship with gender, age and etiology.


Materials and Methods: An Epidemiologic Systematic Review was carried out, which included 78 oro-maxillofacial trauma related articles between 2010-2020. We used Joanna Briggs Institute Checklist to access the Risk of Bias and Grading of recommendations, assessment, development, and the evaluations (GRADE) method was applied to assess the quality of the evidence. The studies were distributed into five group of countries: Asia, Africa, Latin America, Europe and Muslin regions.


Results and Conclusions: The results show that road traffic accidents (55.37%) were the most frequent type of trauma, followed by assault (17.56%) and falls (10.21%). Fractures were the most prevalent injuries (84.3%). It was possible to establish an association between road traffic accidents and Asian countries. Assaults are more frequent in Africa, predominantly males, whilst falls increase with age, amongst women, in European countries. Fractures are usually observed in Muslin regions.


Trauma; Oro-maxillofacial; Injuries; Accidents; Epidemiology


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