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A prevalência de cárie dentária e o risco erosivo em atletas : revisão sistemática
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Abstract(s)
Objetivos: 1) Reunir e analisar o conhecimento atual sobre a prevalência da cárie dentária e risco erosivo em atletas e 2) determinar o papel da alimentação e da prática desportiva nestes processos patológicos, para esta população.
Métodos: A pesquisa foi realizada nas bases de dados universais: Pubmed, Cochrane Library e B-on. A análise dos resultados da pesquisa foi realizada de forma qualitativa e descritiva. Os estudos foram selecionados com base em critérios de inclusão e exclusão fechados, nomeadamente estudos que incluíam como forma de análise da prevalência de cárie o índice cariados perdidos e obturados por dente/superfície (CPOD/CPOS) e/ou o índice Internacional Caries Detection and Assessment (ICDAS) e estudos que analisavam o risco erosivo através do índice Basic Erosive Wear Examination (BEWE).
Resultados: Nos estudos incluídos na nossa análise os valores de prevalência de cárie dentária estabeleceram-se entre os 36,9% e os 92,5% e os valores de erosão dentária entre os 40% e os 53,1% associado a um risco de erosão dentária moderado. Não se verificou uma relação significativa entre a prevalência de cárie e o risco erosivo com a alimentação dos atletas.
Conclusão: A prática desportiva tem impacto na saúde oral dos atletas manifestando-se nos valores de prevalência de cárie dentária e no risco erosivo que esta população apresenta. Constitui-se como essencial a padronização dos métodos de avaliação da prevalência de cárie dentária, risco erosivo e do comportamento alimentar dos atletas, a fim de ser possível uma efetiva comparação entre os estudos.
Objectives: 1) To gather and analyze current knowledge on the prevalence of dental caries and erosive risk in athletes and 2) to determine the role of nutrition and sports practice in these pathological processes, for this population. Methods: The research was been conducted in the universal databases: Pubmed, Cochrane Library and B-on. The analysis of the research results was carried out in a qualitative and descriptive way. The studies were selected on the basis of closed inclusion and exclusion criteria, namely studies that included as a form of analysis of the prevalence of caries through the Decayed, Missing or Filled index per tooth or surface (DMFT/DMFS) and/or the International Index Caries Detection and Assessment (ICDAS) and studies that analyzed erosive risk through the Basic Erosive Wear Examination (BEWE) index. Results: In the studies included the prevalence values of dental caries were established between 36.9% and 92.5% and the values of dental erosion between 40% and 53.1% associated with moderate erosion risk. There was no significant relationship between the prevalence of caries and the erosive risk with the athletes' diet. Conclusion: Sports practice has impact on athlete’s oral health, manifesting itself in the prevalence values of dental caries and the erosive risk that this population presents. It is essential to standardize the methods of evaluation of the prevalence of dental caries, erosive risk and alimentary risk in athletes, in order to allow an effective comparison between studies.
Objectives: 1) To gather and analyze current knowledge on the prevalence of dental caries and erosive risk in athletes and 2) to determine the role of nutrition and sports practice in these pathological processes, for this population. Methods: The research was been conducted in the universal databases: Pubmed, Cochrane Library and B-on. The analysis of the research results was carried out in a qualitative and descriptive way. The studies were selected on the basis of closed inclusion and exclusion criteria, namely studies that included as a form of analysis of the prevalence of caries through the Decayed, Missing or Filled index per tooth or surface (DMFT/DMFS) and/or the International Index Caries Detection and Assessment (ICDAS) and studies that analyzed erosive risk through the Basic Erosive Wear Examination (BEWE) index. Results: In the studies included the prevalence values of dental caries were established between 36.9% and 92.5% and the values of dental erosion between 40% and 53.1% associated with moderate erosion risk. There was no significant relationship between the prevalence of caries and the erosive risk with the athletes' diet. Conclusion: Sports practice has impact on athlete’s oral health, manifesting itself in the prevalence values of dental caries and the erosive risk that this population presents. It is essential to standardize the methods of evaluation of the prevalence of dental caries, erosive risk and alimentary risk in athletes, in order to allow an effective comparison between studies.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Medicina dentária desportiva Atletas Cárie dentária Erosão dentária Nutrição desportiva