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Publication
Medicina dentária desportiva : da ideologia à necessidade de uma triagem multidisciplinar e integrada : uma revisão sistemática
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Abstract(s)
Objetivos: Investigar quais os fatores de risco que se encontram relacionados com doenças ou lesões prejudiciais para o rendimento desportivo dos atletas associadas à saúde oral e, categorizar as especialidades com ênfase na prevenção e tratamento destas lesões de modo a oferecer ao atleta um acompanhamento integrado, pertinente, célere e completo.
Métodos: Estudo de revisão sistemática com meta-análise em que a pesquisa foi realizada nas bases de dados Pubmed, Web Of Science, Scielo, Cochrane Library e Embase. Os estudos foram analisados e selecionados com base em critérios de inclusão e exclusão, nomeadamente estudos que incluíam a análise da prevalência e da gravidade dos fatores de risco e doenças orais que mais afetam a saúde oral do atleta, meios de diagnóstico e tratamento.
Resultados: Nos 40 estudos incluídos, a prevalência de cárie dentária foi de 36.5% e a de erosão dentária de 44.6%. No âmbito da doença periodontal, a prevalência de gengivite variou entre 32% e 77% enquanto que os valores de periodontite variaram dos 8% aos 21.6%. Os valores de prevalência para os distúrbios temporomandibulares, estabeleceram-se entre 9.5% e 29%. A prevalência da maloclusão situou-se entre os 3% e os 29%. Já os valores de traumatismo, a prevalência de traumatismo ósseo foi de 30.9%, a do traumatismo orofacial de 42.6%, a prevalência de traumatismo dos tecidos moles foi de 24.6% e a do dentário foi de 22.4%.
Conclusão: A prática desportiva tem impacto na saúde oral dos atletas manifestando-se nos valores de prevalência das diversas patologias orais e fatores de risco apresentados por esta população comparativamente à população em geral. Concluiu-se ainda que é imperativa a uniformização dos métodos de avaliação da saúde oral de modo a tornar possível uma comparação eficaz entre os resultados dos estudos.
Objectives: Researching the risk factors related to diseases or injuries identified as harmful to athletes' sporting performance associated with oral health and categorizing them as specialities with an emphasis on preventing and treatment in order to offer the athletes an integrated, relevant, rapid, complete follow-up. Methods: The research was carried out in Pubmed, Web Of Science, Scielo, Cochrane Library and Embase databases. The studies were analyzed and selected based on inclusion and exclusion criteria, namely studies that included the analysis of the prevalence and severity of risk factors and oral diseases that most affect the athletes oral health, highlighting the various means of diagnosis and treatment. Results: In the 40 included studies, the prevalence of dental caries was 36.5% e and that of dental erosion was 44.6%. Within the scope of periodontal disease, the prevalence of gingivitis ranged from 32% to 77% while periodontitis values ranged from 8% to 21.6%. For temporomandibular disorders, the prevalence values were established between 9.5% and 29%. The prevalence values of malocclusion ranged from 3% to 29%. As for trauma values, the prevalence of bone trauma was 30.9%, orofacial trauma was 42.6%, the prevalence of soft tissue trauma was 24.6% and dental trauma was 22.4% Conclusion: Sports practice has an impact on the oral health of athletes, manifesting itself in the prevalence values of various oral pathologies and risk factors presented by this population compared to the general population. It was concluded that it is imperative to standardize the evaluation methods of all aspects analyzed in order to make an effective comparison between the studies possible.
Objectives: Researching the risk factors related to diseases or injuries identified as harmful to athletes' sporting performance associated with oral health and categorizing them as specialities with an emphasis on preventing and treatment in order to offer the athletes an integrated, relevant, rapid, complete follow-up. Methods: The research was carried out in Pubmed, Web Of Science, Scielo, Cochrane Library and Embase databases. The studies were analyzed and selected based on inclusion and exclusion criteria, namely studies that included the analysis of the prevalence and severity of risk factors and oral diseases that most affect the athletes oral health, highlighting the various means of diagnosis and treatment. Results: In the 40 included studies, the prevalence of dental caries was 36.5% e and that of dental erosion was 44.6%. Within the scope of periodontal disease, the prevalence of gingivitis ranged from 32% to 77% while periodontitis values ranged from 8% to 21.6%. For temporomandibular disorders, the prevalence values were established between 9.5% and 29%. The prevalence values of malocclusion ranged from 3% to 29%. As for trauma values, the prevalence of bone trauma was 30.9%, orofacial trauma was 42.6%, the prevalence of soft tissue trauma was 24.6% and dental trauma was 22.4% Conclusion: Sports practice has an impact on the oral health of athletes, manifesting itself in the prevalence values of various oral pathologies and risk factors presented by this population compared to the general population. It was concluded that it is imperative to standardize the evaluation methods of all aspects analyzed in order to make an effective comparison between the studies possible.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Medicina dentária desportiva Atletas Cárie dentária Erosão dentária Doença periodontal Maloclusão Distúrbios temporomandibulares Trauma e bruxismo