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Doença periodontal e lesões músculo-esqueléticas em atletas de competição
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Authors
Abstract(s)
Objetivos: Investigar a possível relação entre saúde músculo-esquelética e saúde periodontal em atletas de competição, assim como determinar a associação da concentração de biomarcadores salivares inflamatórios específicos, nomeadamente a IL-1β e IL-6, com a saúde músculo-esquelética e periodontal.
Materiais e métodos: Foram convidados a participar neste estudo observacional atletas de competição que frequentaram a Consulta de Medicina Dentária Desportiva da Clínica Dentária Egas Moniz, no período de fevereiro de 2022 a junho de 2022. Os participantes incluídos foram divididos em três grupos (saudáveis, com gengivite e com periodontite) após a análise e registo dos parâmetros clínicos: Índice de Higiene oral, Hemorragia à sondagem, Profundidade de sondagem, Nível de inserção periodontal e Índice periodontal comunitário. Para avaliar a saúde músculo-esquelética dos atletas, foi aplicado um questionário de auto-perceção de lesões músculo-esqueléticas. Foram obtidas as amostras de saliva e as concentrações de IL-1β e IL-6 foram quantificadas através do método Enzyme-Linked Immunosorbent Assay (ELISA).
Resultados: Foram incluídos neste estudo 41 atletas de competição, dos quais 70,7% apresentaram gengivite, 14,6% periodontite e 14,6% eram saudáveis. Os atletas com periodontite apresentaram um maior número de lesões músculo-esqueléticas comparativamente com os outros grupos, apesar das diferenças não serem estatisticamente significativas. Relativamente aos níveis de IL-1β e IL-6, estavam ambos aumentados nos indivíduos com periodontite, ainda que sem significância estatística. Não foram encontradas correlações significativas entre os níveis de IL-1β e IL-6 e os parâmetros periodontais avaliados.
Conclusão: Este grupo de atletas de competição mostrou uma prevalência de doença periodontal alarmante e os atletas com periodontite apresentaram mais lesões e níveis de IL-1β e IL-6 mais elevados. Mais estudos são necessários para avaliar a possível relação destas citoquinas pró-inflamatórias na patogénese da periodontite e no desenvolvimento de lesões músculo-esqueléticas.
Aims: To investigate the possible relationship between musculoskeletal health and periodontal health in competitive athletes, as well as to determine the association between the concentration of specific inflammatory salivar biomarkers, namely IL-1β e IL-6, with musculoskeletal and periodontal health. Materials and methods: Competitive athletes who attended The Sports Dental Medicine Consultation of the Egas Moniz Dental Clinic, from February 2022 to June 2022, were invited to participate in this observational study. The participants were divided into three groups (healthy, with gingivitis and with periodontitis) after analyzing and recording the clinical parameters: Oral Hygiene Index, Bleeding on probing, Probing depth, Clinical attachment loss and Community periodontal index. To assess the athletes' musculoskeletal health, a musculoskeletal injury self-perception questionnaire was applied. Saliva samples were obtained and IL-1β and IL-6 concentrations were quantified using the Enzyme-Linked Immunosorbent Assay (ELISA) method. Results: 41 competitive athletes were included in this study, 70.7% of whom had gingivitis, 14.6% had periodontitis and 14.6% were healthy. Athletes with periodontitis showed a greater number of musculoskeletal injuries compared to the other groups, although the differences were not statistically significant. Regarding the levels of IL-1β and IL-6, they were both increased in subjects with periodontitis, although without statistical significance. No significant correlations were found between the levels of IL-1β and IL-6 and the periodontal parameters evaluated. Conclusion: This group of competitive athletes showed an alarming prevalence of periodontal disease and athletes with periodontitis had more lesions and higher IL-1β and IL-6 levels. More studies are needed to evaluate the possible relationship of these pro-inflammatory cytokines in the pathogenesis of periodontitis and the development of musculoskeletal injuries.
Aims: To investigate the possible relationship between musculoskeletal health and periodontal health in competitive athletes, as well as to determine the association between the concentration of specific inflammatory salivar biomarkers, namely IL-1β e IL-6, with musculoskeletal and periodontal health. Materials and methods: Competitive athletes who attended The Sports Dental Medicine Consultation of the Egas Moniz Dental Clinic, from February 2022 to June 2022, were invited to participate in this observational study. The participants were divided into three groups (healthy, with gingivitis and with periodontitis) after analyzing and recording the clinical parameters: Oral Hygiene Index, Bleeding on probing, Probing depth, Clinical attachment loss and Community periodontal index. To assess the athletes' musculoskeletal health, a musculoskeletal injury self-perception questionnaire was applied. Saliva samples were obtained and IL-1β and IL-6 concentrations were quantified using the Enzyme-Linked Immunosorbent Assay (ELISA) method. Results: 41 competitive athletes were included in this study, 70.7% of whom had gingivitis, 14.6% had periodontitis and 14.6% were healthy. Athletes with periodontitis showed a greater number of musculoskeletal injuries compared to the other groups, although the differences were not statistically significant. Regarding the levels of IL-1β and IL-6, they were both increased in subjects with periodontitis, although without statistical significance. No significant correlations were found between the levels of IL-1β and IL-6 and the periodontal parameters evaluated. Conclusion: This group of competitive athletes showed an alarming prevalence of periodontal disease and athletes with periodontitis had more lesions and higher IL-1β and IL-6 levels. More studies are needed to evaluate the possible relationship of these pro-inflammatory cytokines in the pathogenesis of periodontitis and the development of musculoskeletal injuries.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Doença periodontal Lesões músculo-esqueléticas Atletas de competição Interleucinas