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Correlação de saúde oral autorreportada e dor em futebolistas profissionais
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Abstract(s)
Contexto: Atletas de elite enfrentam uma elevada prevalência de doenças orais, cuja baixa literacia para a saúde oral e rigorosas rotinas de treino dificultam um acompanhamento médico-dentário adequado. Assim, manter uma boa saúde oral, frequentemente negligenciada, é crucial para não interferir com o desempenho desportivo. Considerando que a correlação dos níveis de saúde oral de atletas com a qualidade de vida relacionada com a saúde oral, stress e limiares de dor muscular permanece por estudar, este estudo visou analisar estas correlações.
Materiais e Métodos: Este estudo utilizou dados retrospetivos de 44 futebolistas profissionais recolhidos na pré-temporada 2022/23. Foram utilizados dados de questionários sobre xerostomia, perceção de stress, saúde periodontal e qualidade de vida relacionada com a saúde oral (QdVRSO) através do questionário Oral Health Impact Profile 14 (OHIP-14). O índice de dentes cariados perdidos e obturados (CPO) reportou o nível de experiência de cárie dentária. A presença de periodontite foi avaliada a partir do questionário de aturo-reporte validado. O questionário Oral Health Values Scale mediu os níveis de valorização de saúde oral. A avaliação da algometria nos músculos massetéricos explorou os limiares de dor da região orofacial. Os resultados foram correlacionados com a avaliação clínica intraoral através do teste de Spearman.
Resultados: Esta amostra de atletas jovens (média de 25.3 anos, com desvio padrão de 4.6), apresentou cerca de 16% de casos de periodontite auto-reportada e uma experiência de cárie de, em média, 8 dentes. Os resultados mostraram correlação moderada entre sensibilidade à dor no músculo masséter e níveis de stress percebidos (p<0.05), mas não entre sensibilidade à dor e impacto na saúde oral. A presença de dentes cariados, perdidos e obturados correlacionou-se com a QdVRSO (p<0.05). A xerostomia apresentou uma correlação significativa com dor física, desconforto psicológico, incapacidade física e social (P<0.05).
Conclusões: Esta amostra de atletas evidenciou uma deterioração da saúde oral e com correlações significativas com o bem-estar físico, psicológico e limiar propriocetivo algométrico do músculo masséter. Estes resultados servirão de base para estudos prospetivos e de maior dimensão amostral de forma a comprovar os resultados preliminares obtidos.
Context: Elite athletes face a high prevalence of oral diseases, whose low oral health literacy and rigorous training routines hinder adequate medical-dental follow-up. Thus, maintaining good oral health, often neglected, is crucial in order not to interfere with sports performance. Considering that the correlation of athletes' oral health levels with oral health-related quality of life, stress and muscle pain thresholds remains to be studied, this study aimed to analyse these correlations. Materials and Methods: This study used retrospective data from 44 professional footballers collected in the 2022/23 pre-season. Questionnaire data on xerostomia, perceived stress, periodontal health and oral health-related quality of life (OHRQoL) using the Oral Health Impact Profile 14 (OHIP-14) questionnaire were used. The index of decayed teeth lost and filled (CPO) reported the level of dental caries experience. The presence of periodontitis was assessed from the validated aturo-report questionnaire. The Oral Health Values Scale questionnaire measured the levels of oral health valuation. Algometry assessment in the masseteric muscles explored the pain thresholds of the orofacial region. The results were correlated with the intraoral clinical evaluation using Spearman's test. Results: This sample of young athletes (mean age 25.3 years, standard deviation 4.6), had about 16% self-reported periodontitis and a caries experience of, on average, 8 teeth. The results showed moderate correlation between pain sensitivity in the masseter muscle and perceived stress levels (p<0.05), but not between pain sensitivity and impact on oral health. The presence of decayed, lost and filled teeth correlated with OHRQoL (p<0.05). Xerostomia showed a significant correlation with physical pain, psychological discomfort, physical disability and social disability (P<0.05). Conclusions: This sample of athletes showed a deterioration of oral health and with significant correlations with physical and psychological well-being and masseter muscle algometric proprioceptive threshold. These results will serve as a basis for prospective studies with a larger sample size in order to confirm the preliminary results obtained.
Context: Elite athletes face a high prevalence of oral diseases, whose low oral health literacy and rigorous training routines hinder adequate medical-dental follow-up. Thus, maintaining good oral health, often neglected, is crucial in order not to interfere with sports performance. Considering that the correlation of athletes' oral health levels with oral health-related quality of life, stress and muscle pain thresholds remains to be studied, this study aimed to analyse these correlations. Materials and Methods: This study used retrospective data from 44 professional footballers collected in the 2022/23 pre-season. Questionnaire data on xerostomia, perceived stress, periodontal health and oral health-related quality of life (OHRQoL) using the Oral Health Impact Profile 14 (OHIP-14) questionnaire were used. The index of decayed teeth lost and filled (CPO) reported the level of dental caries experience. The presence of periodontitis was assessed from the validated aturo-report questionnaire. The Oral Health Values Scale questionnaire measured the levels of oral health valuation. Algometry assessment in the masseteric muscles explored the pain thresholds of the orofacial region. The results were correlated with the intraoral clinical evaluation using Spearman's test. Results: This sample of young athletes (mean age 25.3 years, standard deviation 4.6), had about 16% self-reported periodontitis and a caries experience of, on average, 8 teeth. The results showed moderate correlation between pain sensitivity in the masseter muscle and perceived stress levels (p<0.05), but not between pain sensitivity and impact on oral health. The presence of decayed, lost and filled teeth correlated with OHRQoL (p<0.05). Xerostomia showed a significant correlation with physical pain, psychological discomfort, physical disability and social disability (P<0.05). Conclusions: This sample of athletes showed a deterioration of oral health and with significant correlations with physical and psychological well-being and masseter muscle algometric proprioceptive threshold. These results will serve as a basis for prospective studies with a larger sample size in order to confirm the preliminary results obtained.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Atletas Dor Stress Saúde oral