{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:08:40Z","timestamp":1788847720245,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"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":["Dental Traumatology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Scuba diving exposes teeth, dental restorations and prosthetic devices to substantial hyperbaric mechanical stress. Dental barotrauma (pressure\u2010induced structural injury) and barodontalgia (pressure\u2010induced dental pain) are oral complications that remain underdiagnosed in routine dental practice, despite their capacity to cause acute pain, restoration failure and in\u2010water emergencies. Gas entrapped within defective restorations, incompletely obturated root canals or poorly adapted prostheses responds to pressure change according to Boyle's law, generating forces that can fracture tooth structure or displace restorations, while barodontalgia reflects the activation of pressure\u2010sensitive nociceptors within inflamed pulpal or periapical tissue. This comprehensive review, reported with attention to the SANRA quality criteria, synthesises current evidence on the pathophysiology, clinical manifestations, risk factors, epidemiology and preventive and restorative management of these conditions. Reported barodontalgia prevalence ranges from roughly 10%\u201319% in civilian and recreational diver surveys to markedly higher rates of dental or orofacial pain in some military naval cohorts. Epidemiological data are sparse, particularly from low\u2010 and middle\u2010income countries, and no international dental professional body has issued clinical practice guidelines for divers. Evidence\u2010based management centres on pre\u2010dive dental assessment, durable restorative seals and structured post\u2010procedure diving\u2010restriction protocols. In patients who actively dive, particularly those presenting with unexplained pressure\u2010associated dental pain or recurrent restorative complications, dental practitioners should consider diving exposure as part of the clinical history and apply targeted preventive and restorative measures. Prospective studies and, in due course, consensus guidance would help reduce the burden of diving\u2010related dental complications.<\/jats:p>","DOI":"10.1111\/edt.70131","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:55:38Z","timestamp":1788846938000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dental Barotrauma and Barodontalgia in Divers: A Comprehensive Review for Dental Practitioners"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7333-1965","authenticated-orcid":false,"given":"Adjaratou Wakha","family":"Aidara","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Pharmacy and Odonto\u2010Stomatology, Department of Conservative Dentistry and Endodontics Cheikh Anta Diop University  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1658-3450","authenticated-orcid":false,"given":"Samy","family":"Kassir","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Pharmacy and Odonto\u2010Stomatology, Department of Conservative Dentistry and Endodontics Cheikh Anta Diop University  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9925-1226","authenticated-orcid":false,"given":"Mor Nguirane","family":"Diene","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Pharmacy and Odonto\u2010Stomatology, Department of Conservative Dentistry and Endodontics Cheikh Anta Diop University  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6335-2703","authenticated-orcid":false,"given":"El Hadj Cyre","family":"Diop","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Pharmacy and Odonto\u2010Stomatology, Department of Conservative Dentistry and Endodontics Cheikh Anta Diop University  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5552-259X","authenticated-orcid":false,"given":"Fatou","family":"Leye\u2010Benoist","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Pharmacy and Odonto\u2010Stomatology, Department of Conservative Dentistry and Endodontics Cheikh Anta Diop University  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_19_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2017.11.011"},{"issue":"4","key":"e_1_2_19_3_1","first-page":"354","article-title":"Dental Barotrauma","volume":"22","author":"Zadik Y.","year":"2009","journal-title":"International Journal of Prosthodontics"},{"key":"e_1_2_19_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2009.12.001"},{"key":"e_1_2_19_5_1","doi-asserted-by":"publisher","DOI":"10.3357\/AMHP.4197.2015"},{"key":"e_1_2_19_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834\u20107819.2011.01340.x"},{"issue":"1","key":"e_1_2_19_7_1","first-page":"39","article-title":"Barodontalgia as a Differential Diagnosis: Symptoms and Findings","volume":"71","author":"Robichaud R.","year":"2005","journal-title":"Journal of the Canadian Dental Association"},{"key":"e_1_2_19_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12574"},{"key":"e_1_2_19_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12578"},{"key":"e_1_2_19_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0300\u20105712(83)90116\u20101"},{"key":"e_1_2_19_11_1","doi-asserted-by":"publisher","DOI":"10.3357\/asem.3592.2013"},{"key":"e_1_2_19_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2010.449"},{"key":"e_1_2_19_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2008.12.004"},{"issue":"6","key":"e_1_2_19_14_1","first-page":"654","article-title":"Dental Fractures on Acute Exposure to High Altitude","volume":"77","author":"Zadik Y.","year":"2006","journal-title":"Aviation, Space, and Environmental Medicine"},{"key":"e_1_2_19_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2008.1121"},{"key":"e_1_2_19_16_1","doi-asserted-by":"publisher","DOI":"10.61872\/sdj\u20102014\u201005\u201001"},{"key":"e_1_2_19_17_1","doi-asserted-by":"publisher","DOI":"10.3357\/AMHP.6045.2022"},{"key":"e_1_2_19_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1553541"},{"issue":"10","key":"e_1_2_19_19_1","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1093\/milmed\/154.10.491","article-title":"Barodontalgia and Barotrauma in the Human Teeth: Findings in Navy Divers, Frogmen, and Submariners of the Federal Republic of Germany","volume":"154","author":"Goethe W. 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