Barotrauma and barodontalgia in Aviation
DOI:
https://doi.org/10.35954/SM2022.41.1.3.e402Keywords:
Aviation; Barodontalgia; Barotrauma; Military Medicine; Dentistry; Military Dentistry; Atmospheric Pressure.Abstract
Introduction: the importance of pressure changes and their consequences on the human body has been widely studied. Two important concepts arise from this: barotrauma, which is defined as the damage produced by changes in atmospheric pressure; and barodontalgia, which is defined as dental pain produced by variations in barometric pressure, for example when gases are trapped in restorations or in the pulp chamber and/or root canal. These concepts are based on the gas laws: the Law of Gaseous Diffusion, Dalton's Law, Boyle's Law, Charles' Law and Henry's Law.
Discusion: the study and prevention of barodontalgia is of utmost importance, since although it is not highly prevalent among aviators, its onset is sudden and of high intensity, which can cause physical and mental incapacity in the pilot, increasing the risk of accidents.
Conclusions: this review brings together the recommended strategies to prevent its occurrence.
Received for review: June 2021.
Accepted for publication: January 2022.
Correspondence: Escuela Militar de Aeronáutica. Ruta 101, km 31. Pando. Canelones. Tel: (+598) 22885670 / 2288 3314.
Contact e-mail: mainesaraujo@gmail.com
Downloads
References
(1) De Bernadi Muñoz L. Odontología en aviación. En: Fuerza Aérea de Chile. Centro de Medicina Aeroespacial. Conceptos Básicos de Fisiología de Aviación. 2004. p. 73-76. Disponible en: https://cua.cl/descarga/MANUAL%20FISIOLOGIA%20DE%20VUELO-CURSOS%20BASICOS%20(2007).pdf [Consulta 12/03/2021]
(2) Robichaud R, Mc Nally ME. Barodontalgia as a Differential Diagnosis: Symptoms and Findings. J Can Dent Assoc 2005; 71(1):41-42. PMID: 15649340.
(3) Roberts HW, Kirkpatrick TC. Intracanal molar barometric pressure differentials ar simulated altitude conditions - proof or concept Study. Int Endod J 2016; 49(8):783-9. doi: 10.1111/iej.12514.
(4) García-Rebollar R, Vega del Barrio JM, Lorenzo-Bueno JC. Barodontalgias. Estudio experimental en perros. RCOE 2006; 11(2):161-173.
(5) Zadik Y, Drucker S. Diving dentistry: a review of the dental implications of scuba diving. Aust Dent J 2011; 56(3):265-71. doi: 10.1111/j.1834-7819.2011.01340.x.
(6) Morlang WM. Fundamentals of aerospace medicine. En: Davis JR, Johnson R, Stepanek J, Fogarty JA, Eds. Dental considerations in aerospace medicine. Cap. 20. Philadelphia : Lippincott Williams&Wilkins, 2008, pp. 447-452.
(7) Sánchez Montiel G, Izzedin Abou R. La barodontalgia como entidad clínica. Rev Cub Med Mil 2016; 45(3):365-371. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572016000300011&lng=es [Consulta 20/04/2021]
(8) Marceliano-Alvez MFV, Andrade Junior CV, Verma S, Ron Pérez, A, Rodríguez Ferreira Alves F. Apical Surgery as cystic lesion treatment for barodontalgia prevention: a case report. Rev Fac Odontol Univ Antioq 2018; 29(2):1-9. https://doi.org/10.17533/udea.rfo.v29n2a10
(9) Alowohaibi DM, Alohali LM, Al-Takroni GS, Al-Abdulwahab B. El-Metwally A, Dental and Orofacial Barotraumas among Saudi Military Naval Divers in King Abdul Aziz Naval Base Armed Forces in Jubail, Saudi Arabia: A Cross-sectional Study. J Int Soc Prev Community Dent 2020; 10(5):643-651. doi: 10.4103/jispcd.JISPCD_165_19.
(10) Nakdimon I, Zadik Y. Barodontalgia Among Aircrew and Divers, Aerospace. Aerosp Med Hum Perform 2019; 90(2):128-131. doi: 10.3357/AMHP.5183.2019.
(11) González Santiago MM, Martinez-Sahuquillo Marquez A, Bullón Fernández P. Prevalencia de las barodontalgias y su relación con el estado bucodental en el personal con responsabilidad de vuelo militar. Med Oral Patol Oral Cir Bucal (Ed.impr.) [Internet]. 2004 Abr [citado 2021 Mar 29]; 9(2):92-105. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1698-44472004000200001&lng=es
(12) Lima Nogueira M,Venderoscki AC, Hemkemeier C, Bosco MD, Rodriguez Do Nascimento V, Tomazinho LF. Barodontalgia: Literature Review. J Sur Clin Dent 2016; 10(1):5-8.
(13) Kumar S, Kumar PS, John J, Patel R. Barotrauma: tooth under Pressure. N Y State Dent J 2015; 81(3):22-6. Erratum in: N Y State Dent J 2015; 81(4):8. PMID: 26094359.
(14) Stoetzer M , Kuehlhorn C, Ruecker M, Ziebolz D, Gellrich NC, von See C. Pathophysiology of Barodontalgia: a case report and review of the literature. Case Rep Dent 2012; 2012:453415. doi: 10.1155/2012/453415.
(15) Shafigh E, Fekrazad R, Beglou A. Impact of various pressures on fracture resistance and microleakage of amalgam and composite restorations. Diving Hyperb Med 2018; 48(3):168-172. doi: 10.28920/dhm48.3.168-172.
(16) Lakshmi DSS. Aviation Dentistry. J Clin Diag Res 2014; 8(3):288-290. doi: 10.7860/JCDR/2014/7232.4189.
(17) Zanotta C, Dagassan-Brendt D, Nussberger P, Waltimo T, Filippi A. Barodontalgias, dental and orofacial barotraumas: a survey in Swiss divers and caisson workers. Swiss Dent J 2014; 124(5):510-9.
(18) Mocquot C, Cabrera A, Colon P, Bosco J, Grosgogeat B, Pradelle-Plasse N. Effect of a hyperbaric environment (diving conditions) on adhesive restorations: an in vitro Study. Br Dent J 2017; 223(5):347-351. doi: 10.1038/sj.bdj.2017.764.
(19) Zadik Y. Aviation dentistry: current concepts and practice. Br Dent J 2009; 206(1):11-16. doi: 10.1038/sj.bdj.2008.1121.
(20) Khanna A. Crown Cementing Strategy for Naval Divers. Med J Armed Forces India 2010; 66(1):46-9. doi: 10.1016/S0377-1237(10)80092-9.
(21) Livingstone DM, Lange B. Rhinologic and oral-maxillofacial complications from scuba diving: a systematic review with recomendations. Diving and Hyperbaric Medicine 2018; 48(2):79-83. doi: 10.28920/dhm48.2.79-83.
(22) Varela Orduz JF, Marulanda Corredor RP. Bruxismo una enfermedad de altura. Ciencia y Poder Aéreo 2018; 13(2):18-27. https://doi.org/10.18667/cienciaypoderaereo.599
(23) Nota A, Tecco S, Cioffi C, Beraldi A, Padulo J, Baldini A, et al. Oclussion time analysis in military pilots affected by bruxism. Sci Rep 2019; 9(1408):1- 4. https://doi.org/10.1038/s41598-018-38166-2
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 María Inés Araújo. The author retains her copyright and grants the journal the right of first publication of her work, which will be simultaneously subject to the Creative Commons 4.0 International License that allows sharing the work, provided that the initial publication in this journal is indicated.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Until 2024 we use the Creative Commons Attribution/NonCommercial Attribution 4.0 International License https://creativecommons.org/licenses/by-nc/4.0/deed.es. Which states that: you are free to share, copy and redistribute the material in any medium or format, as well as to adapt, remix, transform and build upon the material. Under the following terms:
Attribution: you must give proper credit , provide a link to the license, and indicate if changes have been made . You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is endorsed by the licensor.
NonCommercial: you may not use the material for commercial purposes.
As of 2025 authors retain their copyright and assign to the journal the right of first publication of their work, which shall simultaneously be subject to the license https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es that permits sharing, copying and redistribution of the material in any medium or format provided that initial publication in this journal is indicated. Adapt, remix, transform and build upon the material. If you remix, transform, or build from the material, you must distribute your contribution under the same license as the original and may not make use of the material for commercial purposes.
Under the following terms:
1. Attribution: you must give proper credit, provide a link to the license, and indicate whether changes have been made. You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is endorsed by the licensor.
2. NonCommercial: you may not use the material for commercial purposes.
3. ShareAlike: if you remix, transform or build upon the material, you must distribute your contribution under the same license as the original.
PlumX Metrics
/
