Barodontalgia -
Barodontalgia is a condition of toothache and pain that is often caused by a change in ambient air pressure. This pain is usually felt above or below ground level and disappears at ground level. Changes in barometric pressure during this condition can cause damage to the teeth. It is also called aerodynamic trauma or bronchial trauma.
Sometimes, this external pressure not only causes pain but also damages the teeth. When the external pressure is low or high, the system inside the body fails to balance this external pressure and as a result, there are chances of the tooth mould-breaking or being affected. This condition is more common in divers or aviators who experience pressure changes during their activity.
Rapid changes can increase this pressure. In pilots, the flight may be affected due to barodontalgia. In such a situation, pre-flight prevention and precautionary measures are necessary. Identifying pain during a change in pressure makes the diagnosis process easier for the physician.
Barodontalgia is actually a symptom of various dental diseases.
For example, tooth decay, defective teeth,
Tooth decay, inflammation of the brain
There are a few diseases that can cause barodentalgia.
There is also a hypothesis that there is a pain in barodontalgia which is felt in the teeth as referral pain.
Both of these diseases are actually caused by changes in external pressure.
If the overall statistics of Barodentalgia are examined, there is a lack of actual flight statistics and the available data is taken from higher altitude flights. According to these figures, the rate was between 0.7% and 2% in the 1940s, and 0.3% in the 1960s.
Similarly, Luftwaffe, a welfare branch of the Combined German Air Force during World War II, reported 0.3% of cases of barodontalgia in high-altitude chambers. The Israeli Air Force reported one case per 100 flights. Thus, during World War II, one in ten US Air Force pilots experienced more than one symptom of barodentalgia.
In a recent study, 8.2% of pilots in the Israeli Air Force's 331 air crews experienced symptoms of barodontalgia at least once.
Another international study of in-flight damage due to in-flight Barodentalgia pain was conducted in 2010 in France. The purpose was to test the frequency of barodontilgia in French military and civilian aircraft.
In this regard, a questionnaire was given to the pilots, crew, and 5 civilian pilots and aircrew of 10 medical units of the French Air Force and Navy. Out of 1475, 1184 people answered. Of those, 6.6 per cent (74) had the problem at least once in their careers. Among them were 43 Air Force members and 31 civilians. 5.5% of 10 people noted moderate-intensity barodontalgia.
This discomfort was mostly felt during landing. Below 8,000 meters, there was a further increase in intensity. 13.5 per cent, the pilots said, during bardontelgia, can fly safely.
The study was conducted on civilian as well as military pilots due to the methodology devised to assess the statistics of Barodentology in Pakistan.
Not all participants in this survey were sick. Questionnaires were given to all participants. In which the question was written whether there is a complaint of toothache during the flight or not?
What is the severity of the pain? Has the pain ever been treated in the past? Does the pain occur during each flight?
When the results of this survey were reviewed, it was revealed that all civilian and military pilots had been diagnosed with barodontalgia at least once during their careers, and a total of 88% of the pilots complained of toothache, and all of them were civilians.
But when they consulted a physician, they were not diagnosed as having a case of barodyntalgia. Everyday routines are severely affected and it has often been noted that many pilots have had a number of air accidents due to this discomfort.
If you look at the overall analysis, studies from 2001 to 2010 found this serious danger in 5 out of a thousand flight attendants each year. In aerospace, this number is noted to be the same in maxillary and mandibular teeth, but divers The maxillary teeth are more affected, which makes it clear that barodontology plays a more important role in the maxillary teeth than in the mandibular.
The positive and salient aspect of this study is that no case has been reported in Pakistan Air Force in this regard and this is due to better precautionary measures during flight or diving, complete flight fitness check which is in accordance with NATO StangG ( There is a strict and high standard of fitness for pre-flight), excellent quality of diagnosis and treatment and excellent training steps.
In addition, the lack of statistics can be a major reason.
In view of these factors, the Fédération dentaire international has been classified into four classes of barodontalgia organized by barodontalgias. This classification is based on symbols. Accordingly, the path for treatment has been determined. At the same time, it is suggested that prevention programs be developed to minimize the frequency and potential damage of barodontology in order to protect flights.
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