Amaç:Optimal spor performansına ulaşmak için yüksek karbonhidrat tüketiminin önerildiği sporcu beslenmesi, sporcuların ağız mikroflorasında hastalıklardan sorumlu olan bakterilerin artışına sebep olur. Bilinen en yaygın bulaşıcı olmayan kronik hastalık olan periodontal hastalık ve diş hastalıklarının cinsiyet ile ilişkisi araştırılmaktadır. Bu çalışmanın amacı, Türkiye'de olimpiyata hazırlan sporcuların ağız-diş sağlığı profilini ortaya koymak ve sporcularda cinsiyetler arası ağız-diş sağlığı profilini karşılaştırmaktır. Gereç ve Yöntemler: Çalışmamıza, farklı spor dallarından 314 kadın ve 584 erkek olmak üzere toplam 898 sporcu dâhil edildi. Sporcuların ağız-diş sağlığı profili diş hekimi muayenesi sonucu çürük diş, kayıp diş ve restore diş bilgileri kaydedilerek belirlenen çürük, kayıp, dolgulu dişler [decay, missing, filled teeth (DMFT)] indeksi ve toplum periodontal indeksi [community periodontal index (CPI)] ile değerlendirildi. Bulgular: Sporcuların DMFT değerinin Dünya Sağlık Örgütü (DSÖ) 2020 hedef değerinin üzerinde, CPI değerinin DSÖ 2020 hedef değerinin altında olduğu tespit edildi. Kadın ve erkek sporcuların çürük diş, eksik diş ve dolgulu diş sayıları arasında istatistiksel olarak anlamlı bir fark olmadığı belirlendi (p>0,05). Kadın sporcuların erkek sporculara göre daha az sıklıkta diş fırçaladıkları ve kadın sporcuların erkek sporculara göre daha sık diş hekimine gittikleri belirlendi (p<0,05). Cinsiyete göre periodontal hastalık varlığı karşılaştırıldığında ise kadınlarda periodontal hastalığın daha az olduğu tespit edildi (p<0,05). Sonuç: Ağızdiş sağlığının genel sağlık, antrenman ve sportif performans üzerine etkileri olduğu ve genel sağlığın önemli bir parçası olduğu, sportif performansın optimize edilmesi için periyodik ağız-diş muayeneleri yapılması gerektiği unutulmamalıdır. Sporcularda ağız-diş sağlığını korumaya yönelik eğitim programları ve tedavi edici yaklaşımların uygulanmasını önermekteyiz.
Anahtar Kelimeler: Sporcu; DMFT; endodonti; periodontit
Objective: In order to achieve optimal sports performance, athletic nutrition in which high carbohydrate consumption is recommended causes an increase in bacteria responsible for diseases in mouth microflora of athletes. The relationship between sex with most common non-communicable chronic disease, periodontal disease, and dental diseases is investigated. The aim of this study was prepared by Turkey in the oral health of olympic athletes reveal the gender profile athletes and to compare the oral health profile. Material and Methods: A total of 898 athletes, 314 females and 584 males, were included in the study. Oral-dental health profile of the athletes was evaluated by decay, lost a tooth and rested tooth and decay, missing, filled teeth (DMFT) index and community periodontal index (CPI) was determined. Results: DMFT value of the athletes was higher than World Health Organization (WHO) 2020 target value and CPI value was below the WHO 2020 target value. There was no statistically significant difference between male and female athletes in decayed teeth, missing teeth and filled teeth (p>0.05). It was determined, female athletes brushed their teeth less frequently than male athletes and female athletes went to the dentist more frequently than male athletes (p<0.05). When the presence of periodontal disease was compared with gender, the periodontal disease was found to be less in women (p<0.05). Conclusion: It should be kept in mind that oral and dental health has an impact on general health, training, and sportive performance and those periodic oral-dental examinations are needed to optimize sporting performance. We recommend implementation of training programs and therapeutic approaches to protect oral health in athletes.
Keywords: Athletes; DMFT; endodonti; periodontit
- Peres MA, Peres KG, Traebert J, Zabot NE, Lacerda JT. Prevalence and severity of dental caries are associated with the worst socioeconomic conditions: a Brazilian cross-sectional study among 18-year-old males. J Adolesc Health. 2005;37(2):103-9. [Crossref] [PubMed]
- Hopcraft M, Morgan MV. Dental caries experience in Australian Army recruits 2002-2003. Aust Dent J. 2005;5(1):16-20. [Crossref] [PubMed]
- Kamppi A, Tanner T, Pakkila J, Patinen P, Jarvelin MR, Tjaderhane L, et al. Geographical distribution of dental caries prevalence and associated factors in young adults in Finland. Caries Res. 2013;47(4):346-54. [Crossref] [PubMed]
- Kojima A, Ekuni D, Mizutani S, Furuta M, Irie K, Azuma T, et al. Relationships between self-rated oral health, subjective symptoms, oral health behavior and clinical conditions in Japanese university students: a cross-sectional survey at Okayama University. BMC Oral Health. 2013;13:62. [Crossref] [PubMed] [PMC]
- Mathur VP, Dhillon JK. Dental caries: a disease which needs attention. Indian J Pediatr. 2018;85(3):202-6. [Crossref] [PubMed]
- Lu HX, Wong MC, Lo EC, McGrath C. Risk indicators of oral health status among young adults aged 18 years analyzed by negative binomial regression. BMC Oral Health. 2013;13:40. [Crossref] [PubMed] [PMC]
- Levin L, Shenkman A. The relationship between dental caries status and oral health attitudes and behavior in young Israeli adults. J Dent Educ. 2004;68(11):1185-91.
- Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. Am J Orthod Dentofacial Orthop. 2017;151(2):229-31. [Crossref] [PubMed]
- Ioannidou E. The sex and gender intersection in chronic periodontitis. Front Public Health. 2017;5:189. [Crossref] [PubMed] [PMC]
- Sun L, Wong HM, McGrath CPJ. The factors that influence oral health-related quality of life in 15-year-old children. Health Qual Life Outcomes. 2018;16(1):19. [Crossref] [PubMed] [PMC]
- Vano M, Gennai S, Karapetsa D, Miceli M, Giuca MR, Gabriele M, et al. The influence of educational level and oral hygiene behaviours on DMFT index and CPITN index in an adult Italian population: an epidemiological study. Int J Dent Hyg. 2015;13(2):151-7. [Crossref] [PubMed]
- Dye B, Thornton-Evans G, Li X, Iafolla T. Dental caries and tooth loss in adults in the United States, 2011-2012. NCHS Data Brief. 2015;197:197.
- Touger-Decker R, Mobley CC. Position of the American Dietetic Association: oral health and nutrition. J Am Diet Assoc. 2003;103(5):615-5.
- Casazza GA, Tovar AP, Richardson CE, Cortez AN, Davis BA. Energy availability, macronutrient intake, and nutritional supplementation for improving exercise performance in endurance athletes. Curr Sports Med Rep. 2018;17(6):215-23. [Crossref] [PubMed]
- Murtaza N, Burke LM, Vlahovich N, Charlesson B, O'Neill HM, Ross ML, et al. Analysis of the effects of dietary pattern on the oral microbiome of elite endurance athletes. Nutrients. 2019;11(3). [Crossref] [PubMed] [PMC]
- Flink H. Studies on the prevalence of reduced salivary flow rate in relation to general health and dental caries, and effect of iron supplementation. Swed Dent J Suppl. 2007;(192):3-50.
- Mosca AC, Stieger M, Neyraud E, Brignot H, van de Wiel A, Chen J. How are macronutrient intake, BMI, ethnicity, age, and gender related to the composition of unstimulated saliva? A case study. J Texture Stud. 2019;50(1):53-61. [Crossref] [PubMed]
- Tanabe-Ikegawa M, Takahashi T, Churei H, Mitsuyama A, Ueno T. Interactive effect of rehydration with diluted sports drink and water gargling on salivary flow, pH, and buffering capacity during ergometer exercise in young adult volunteers. J Oral Sci. 2018;60(2):269-77. [Crossref] [PubMed]
- Ashle P, Di Iorio A, Cole E, Tanday A, Needleman I. Oral health of elite athletes and association with performance: a systematic review. Br J Sports Med. 2015;49(1):14-9. [Crossref] [PubMed] [PMC]
- Holde GE, Oscarson N, Trovik TA, Tillberg A, Jonsson B. Periodontitis prevalence and severity in adults: a cross-sectional study in Norwegian circumpolar communities. J Periodontol. 2017;88(10):1012-22. [Crossref] [PubMed]
- Ahrens G, Bublitz KA. [Periodontal diseases and treatment needs of the population of Hamburg. An epidemiological study with 11305 probands]. Dtsch Zahnarztl Z. 1987;42(5):433-7.
- Mengel R, Koch H, Pfeifer C, Flores-de-Jacoby L. Periodontal health of the population in eastern Germany (former GDR). J Clin Periodontol. 1993;20(10):752-5. [Crossref] [PubMed]
- Drachev SN, Brenn T, Trovik TA. Dental caries experience and determinants in young adults of the Northern State Medical University, Arkhangelsk, North-West Russia: a cross-sectional study. BMC Oral Health. 2017;17(1):136. [Crossref] [PubMed] [PMC]
- Koser C, Nalcaci A. [Approaches to the prevalance of dental caries and consept of cariogram]. Cumhuriyet Dent J. 2011;14(3):230-45.
- Zemaitiene M, Grigalauskiene R, Vasiliauskiene I, Saldunaite K, Razmiene J, Slabsinskiene E. Prevalence and severity of dental caries among 18-year-old Lithuanian adolescents. Medicina (Kaunas). 2016;52(1):54-60. [Crossref] [PubMed]
- Samorodnitzky GR, Levin L. Self-Assessed Dental Status, Oral Behavior, DMF, and Dental Anxiety. J Dent Educ. 2005;69:1385-9.
- Furuta M, Ekuni D, Irie K, Azuma T, Tomofuji T, Ogura T, et al. Sex differences in gingivitis relate to interaction of oral health behaviors in young people. J Periodontol. 2011;82:558-65. [Crossref] [PubMed]
- Kragt L, Moen MH, Van Den Hoogenband CR, Wolvius EB. Oral health among Dutch elite athletes prior to Rio 2016. Phys Sportsmed. 2019;47(2):182-8. [Crossref] [PubMed]
- Hamamcilar O. [14-17 age groups boxing and wrestling athletes decay prevalance]. BESBD 2009;4(4):151-5.
- El-Qaderi SS, Quteish Ta'ani D. Dental plaque, caries prevalence and gingival conditions of 14-15-year-old schoolchildren in jerash district, Jordan. Int J Dent Hyg. 2006;4(3):150-3. [Crossref] [PubMed]
- Garcia-Cortes JO, Medina-Solis CE, Loyola-Rodriguez JP, Mejia-Cruz JA, Medina-Cerda E, Pati-o-Marin N, et al. Dental caries' experience, prevalence and severity in Mexican adolescents and young adults. Rev Salud Publica (Bogota). 2009;11(1):82-91. [Crossref] [PubMed]
- Gallagher J, Ashley P, Petrie A, Needleman I. Oral health and performance impacts in elite and professional athletes. Community Dent Oral Epidemiol. 2018;46(6):563-8. [Crossref] [PubMed]
- Needleman I, Ashley P, Fine P, Haddad F, Loosemore M, de Medici A, et al. Oral health and elite sport performance. Br J Sports Med. 2015;49(1):3-6. [Crossref] [PubMed] [PMC]
- Matsui D, Yamamoto T, Nishigaki M, Miyatani F, Watanabe I, Koyama, et al. Validity of self-reported number of teeth and oral health variables. BMC Oral Health. 2017;17:17. [Crossref] [PubMed] [PMC]
- Tseveenjav B, Suominen AL, Hausen H, Vehkalahti MM. The role of sugar, xylitol, toothbrushing frequency, and use of fluoride toothpaste in maintenance of adults' dental health: findings from the Finnish National Health 2000 Survey. Eur J Oral Sci. 2011;119(1):40-7. [Crossref] [PubMed]
- Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim). 2017;11(2):72-80.
- Frese C, Wohlrab T, Sheng L, Kieser M, Krisam J, Frese F, et al. Clinical management and prevention of dental caries in athletes: a four-year randomized controlled clinical trial. Sci Rep. 2018;8(1):16991. [Crossref] [PubMed] [PMC]
- Gay-Escoda C, Vieira-Duarte-Pereira DM, Ardevol J, Pruna R, Fernandez J, Valmaseda-Castellon E. Study of the effect of oral health on physical condition of professional soccer players of the Football Club Barcelona. Med Oral Patol Oral Cir Bucal. 2011;16(3):e436-9. [Crossref] [PubMed]
- Needleman I, Ashley P, Petrie A, Fortune F, Turner W, Jones J, et al. Oral health and impact on performance of athletes participating in the London 2012 Olympic Games: a cross-sectional study. Br J Sports Med. 2013;47(16):1054-8. [Crossref] [PubMed] [PMC]
.: Process List