Evaluation of Oral Condition and the Effect of Dental Treatment on Physical Parameters of Athletes

It is essential that athletes have perfect general health. Oral health plays an important role in this healthy framework necessary so that the results that must be achieved by athletes are not influenced. Inflammatory and / or infectious processes such as periodontal disease, caries, or even joint problems such as temporomandibular joint dysfunction can affect performance or impair participation in training and competitions.

Study Overview

• Status: Enrolling by invitation
• Conditions: Periodontal Diseases; Caries,Dental; Inflammation Gum
• Intervention / Treatment: Procedure: Dental Scaling; Other: Oral hygiene instruction

Detailed Description

The objective of this longitudinal clinical study will be to evaluate the effect of dental treatment on individuals who practice physical activities through physical parameters of strength, speed and resistance. According to an initial survey, about 120 individuals should be examined. Clinical parameters such as decayed, lost and / or filled dental index and periodontal parameters such as probing depth (PS), clinical level of insertion (NCI), plaque index (IP) and bleeding index (IS) will be evaluated . Physical tests of strength, speed and resistance should be performed and periodontal therapy should be performed according to the needs presented by each individual. After 90 days, new clinical examinations and physical tests should be performed. The results obtained should be tabulated and analyzed. The investigators believe that individuals with oral inflammation / infection, the physical performance should be higher after performing periodontal therapy. Pro inflammatory cytokines present in high concentrations in the presence of periodontal disease can influence fatigue and difficulty in recovering from injuries, variables so important in an athlete's life.

• Study Type: Interventional
• Enrollment (Anticipated): 120
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Brazil
  • SP
    • Santos, SP, Brazil, 11015001
      • Caio Vinicius Gonçalves Roman Torres

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 60 years (ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Athletes from all sports,
• Individuals with systemic pathologies, smokers, should be included in the study

Exclusion Criteria:

• pregnancy or lactation, use of antibiotics in the last 3 months, phenytoin, calcium antagonists, cyclosporine or anti-inflammatory drugs one month before the initial consultation, use of oral or replacement contraceptives hormonal, periodontal treatment in the 6 months prior to the start of the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: NON_RANDOMIZED
• Interventional Model: PARALLEL
• Masking: NONE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Athletes with oral problems; Athletes with periodontal diseases or gingivitis	Procedure: Dental Scaling; The individuals will be treated by a single periodontist and the scaling and root planing procedures will be performed on all teeth as follows: local anesthetic infiltrative type of the areas to be treated, dental and root scaling using Grace 5/6 carbon steel curettes, 11/12, 13/14 and MacCall 13/14, 17/18 curettes, according to their therapeutic indications. Polishing the quadrants treated with abrasive paste; oral hygiene instructions including Bass toothbrushing, dental floss and sometimes inter-dental brush.; Other: Oral hygiene instruction; Oral hygiene instructions should be given to all study participants. Guidance on the most appropriate toothbrush, toothpaste and interproximal cleaning method.
NO_INTERVENTION: Athletes without oral problems; Athletes diagnosed without oral problems

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Probing depth	Evaluation of Probing depth, from the gingival margin to the end of the periodontal sulcus	90 days
Clinical attachment level	evaluation of clinical attachment level, from the enamel cementum junction to the end of the periodontal sulcus	90 days
Gingival index	evaluation of bleeding on probing	90 days
Plaque index	evaluation of the accumulation of bacterial plaque around the teeth	90 days
DMF index	evaluation of teeth decayed, missed or filled	90 days
Aerobic running performance evaluation test	Run of 100 meters and time obtained in seconds and thousands of a second	90 days
critical speed in swimming	swim 25 meters, time measured in minutes and seconds	90 days
Body mass index	The BMI calculation must be done using the following mathematical formula: Weight ÷ height x height.	90 days
Muscle strength through the 1RM test on the bench press	It is the maximum amount of weight lifted once while performing a standardized weightlifting exercise. To test 1 RM of a muscle group, such as elbow flexors or knee extensors, a weight is chosen at the exercise device, but below the individual's maximum lifting capacity. If a repetition is completed, weight is added to the exercise device. Until the maximum lifting capacity is launched.	90 days
short-term heart rate variability at rest	To measure heart rate variability, we will use Polar S810i® frequency meter to obtain RR interval series for each individual, at rest, for 5 minutes; posteriorly, analysis will be performed using linear and non-linear indices.	90 days

Collaborators and Investigators

• Sponsor: Universidade Metropolitana de Santos

Publications and helpful links

General Publications

• D'Ercole S, Tieri M, Martinelli D, Tripodi D. The effect of swimming on oral health status: competitive versus non-competitive athletes. J Appl Oral Sci. 2016 Apr;24(2):107-13. doi: 10.1590/1678-775720150324.
• Needleman I, Ashley P, Meehan L, Petrie A, Weiler R, McNally S, Ayer C, Hanna R, Hunt I, Kell S, Ridgewell P, Taylor R. Poor oral health including active caries in 187 UK professional male football players: clinical dental examination performed by dentists. Br J Sports Med. 2016 Jan;50(1):41-4. doi: 10.1136/bjsports-2015-094953. Epub 2015 Nov 2.
• Broad EM, Rye LA. Do current sports nutrition guidelines conflict with good oral health? Gen Dent. 2015 Nov-Dec;63(6):18-23.

Study record dates

Study Major Dates

• Study Start (ACTUAL): March 30, 2019
• Primary Completion (ACTUAL): November 10, 2020
• Study Completion (ANTICIPATED): December 30, 2022

Study Registration Dates

• First Submitted: January 23, 2020
• First Submitted That Met QC Criteria: January 30, 2020
• First Posted (ACTUAL): February 5, 2020

Study Record Updates

• Last Update Posted (ACTUAL): May 24, 2021
• Last Update Submitted That Met QC Criteria: May 21, 2021
• Last Verified: May 1, 2021

More Information

Terms related to this study

• Keywords: Athletes; Periodontal Diseases; Periodontal index; Caries, dental
• Additional Relevant MeSH Terms: Pathologic Processes; Infections; Stomatognathic Diseases; Mouth Diseases; Gingival Diseases; Tooth Demineralization; Tooth Diseases; Inflammation; Gingivitis; Dental Caries; Periodontal Diseases
• Other Study ID Numbers: SantosMU8

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No