{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T20:07:35Z","timestamp":1789848455580,"version":"4.0.1"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical &amp; Exp Dental Res"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study estimated the career\u2010to\u2010date prevalence of self\u2010reported dental barotrauma and of pressure\u2010related dental pain consistent with barodontalgia among civilian scuba divers in Dakar, Senegal, and explored associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A STROBE\u2010compliant cross\u2010sectional study was conducted between March 15 and October 20, 2023 across the three organized civilian diving clubs of Dakar. An anonymous questionnaire, adapted into French from published instruments, was offered to the 360 registered divers, online and then on paper. Outcomes were self\u2010reported; no clinical examination was performed. Pain reported exclusively at constant depth was excluded from the primary case definition. Prevalences carry Wilson\u2010score 95% confidence intervals; exploratory models used Firth penalized regression. No adjustment was made for multiple comparisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 160 participants (118 men, 73.8%; mean age 34.9\u2009\u00b1\u200911.2 years), 24 reported dental barotrauma (15.0%; 95% CI: 10.3\u201321.3) and 21 reported pressure\u2010related dental pain (13.1%; 95% CI: 8.7\u201319.2), rising to 16.2% without the phase restriction; 36 divers (22.5%) reported at least one event. Most affected divers located an event at 20\u2009m or shallower. Posterior, maxillary, and previously restored teeth were each frequently reported. Barotrauma showed crude associations with longer experience (median 10 vs. 4 years;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006), older age (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048), more than 60 lifetime dives (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.029), and CMAS certification (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001); certification and club membership were almost entirely collinear and were never modeled together.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>About one respondent in five reported a pressure\u2010related dental event during their diving career, yet only half had told their dentist that they dive and fewer than one in five had received diving\u2010specific advice. Because outcomes were self\u2010reported and clinically unverified, these findings are hypothesis\u2010generating.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cre2.70451","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:50:42Z","timestamp":1789847442000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dental Barotrauma and Pressure\u2010Related Dental Pain Among Civilian Scuba Divers in Dakar, Senegal: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7333-1965","authenticated-orcid":false,"given":"Adjaratou Wakha","family":"Aidara","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Faculty of Medicine, Pharmacy and Odonto\u2010Stomatology (FMPOS) Cheikh Anta Diop University Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1658-3450","authenticated-orcid":false,"given":"S.","family":"Kassir","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Faculty of Medicine, Pharmacy and Odonto\u2010Stomatology (FMPOS) Cheikh Anta Diop University Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5552-259X","authenticated-orcid":false,"given":"F.","family":"Leye\u2010Benoist","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Endodontics, Faculty of Medicine, Pharmacy and Odonto\u2010Stomatology (FMPOS) Cheikh Anta Diop University Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,19]]},"reference":[{"issue":"5","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"643","DOI":"10.4103\/jispcd.JISPCD_165_19","article-title":"Dental and Orofacial Barotraumas Among Saudi Military Naval Divers in King Abdul Aziz Naval Base Armed Forces in Jubail, Saudi Arabia: A Cross\u2010Sectional Study","volume":"10","author":"Alwohaibi D.","year":"2020","journal-title":"Journal of International Society of Preventive and Community Dentistry"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.3357\/AMHP.6045.2022"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3357\/AMHP.4424.2016"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3357\/AMHP.4197.2015"},{"issue":"4","key":"e_1_2_13_6_1","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.injury.2003.08.020","article-title":"Barotrauma","volume":"35","author":"Hamilton\u2010Farrell M.","year":"2004","journal-title":"Injury"},{"issue":"3","key":"e_1_2_13_7_1","doi-asserted-by":"crossref","first-page":"158","DOI":"10.4103\/0976-433X.188811","article-title":"Barodontalgia: More Light on Less Known","volume":"7","author":"Khalekar Y.","year":"2016","journal-title":"SRM Journal of Research in Dental Sciences"},{"issue":"5","key":"e_1_2_13_8_1","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1038\/sj.bdj.2017.764","article-title":"Effect of a Hyperbaric Environment (Diving Conditions) on Adhesive Restorations: An In Vitro Study","volume":"223","author":"Mocquot C.","year":"2017","journal-title":"British Dental Journal"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10266-022-00714-8"},{"issue":"9","key":"e_1_2_13_10_1","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.14219\/jada.archive.2009.0338","article-title":"Dental Restoration Dislodgment and Fracture During Scuba Diving","volume":"140","author":"Peker I.","year":"2009","journal-title":"Journal of the American Dental Association"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2016.825"},{"issue":"4","key":"e_1_2_13_12_1","first-page":"204","article-title":"Effect of Pressure Changes on Fracture Resistance and Micro\u2010Leakage of Three Types of Composite Restorations During Simulated Dives and Flights","volume":"8","author":"Shafigh E.","year":"2018","journal-title":"Annals of Medical and Health Sciences Research"},{"issue":"1","key":"e_1_2_13_13_1","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1111\/edt.12704","article-title":"A Retrospective Study of Oral Pathoses in Israeli Military Divers and Non\u2010Divers: 2011\u20132020","volume":"38","author":"Tsur N.","year":"2022","journal-title":"Dental Traumatology"},{"issue":"3","key":"e_1_2_13_14_1","first-page":"181","article-title":"The Prevalence of Oro\u2010Facial Barotrauma Among Scuba Divers","volume":"45","author":"Yousef M. K.","year":"2015","journal-title":"Diving and Hyperbaric Medicine"},{"issue":"1","key":"e_1_2_13_15_1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1038\/sj.bdj.2008.1121","article-title":"Aviation Dentistry: Current Concepts and Practice","volume":"206","author":"Zadik Y.","year":"2009","journal-title":"British Dental Journal"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2009.12.001"},{"issue":"3","key":"e_1_2_13_17_1","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1111\/j.1834-7819.2011.01340.x","article-title":"Diving Dentistry: A Review of the Dental Implications of Scuba Diving","volume":"56","author":"Zadik Y.","year":"2011","journal-title":"Australian Dental Journal"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.61872\/sdj-2014-05-01"}],"container-title":["Clinical and Experimental Dental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.70451","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cre2.70451","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cre2.70451","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:50:44Z","timestamp":1789847444000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cre2.70451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,19]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/cre2.70451"],"URL":"https:\/\/doi.org\/10.1002\/cre2.70451","archive":["Portico"],"relation":{},"ISSN":["2057-4347","2057-4347"],"issn-type":[{"value":"2057-4347","type":"print"},{"value":"2057-4347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,19]]},"assertion":[{"value":"2026-05-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70451"}}