Lesiones cervicales no cariosas y factores de riesgo en deportistas brasileños: Estudio transversal

Autores/as

DOI:

https://doi.org/10.33448/rsd-v10i9.17859

Palabras clave:

Estudios transversales; Factores de riesgo; Odontología deportiva; Atletas; Sensibilidad dentinaria; Desgaste dental.

Resumen

Objetivo: Este estudio tuvo como objetivo evaluar la prevalencia de lesiones cervicales no cariosas (NCCL), hipersensibilidad dentinaria cervical (HDC) y recesión gingival (RG) y sus factores de riesgo asociados en deportistas. Metodología: se utilizó un cuestionario para obtener información básica. Un evaluador examinó clínicamente a todos los sujetos. El análisis estadístico se realizó mediante regresión múltiple de Poisson con varianza robusta, calculando la razón de prevalencia y los intervalos de confianza (95%). Resultados: La muestra final estuvo constituida por 264 deportistas de diferentes deportes (7285 dientes). La edad de los deportistas osciló entre los 17 y los 46 años (media: 20,33 años). La mayoría de los deportistas eran hombres (90,46%). Los dientes más afectados por NCCL fueron los primeros premolares superiores (29,35%), y la prevalencia de NCCL aumentó con la edad. CDH estaba presente en el incisivo central mandibular (20,13%) y el 56,52% de los atletas tenía uno o dos dientes con CDH. La prevalencia de NCCL, CDH y GR fue del 17,42%, 35,35% y 59,09%, respectivamente. La regresión lineal muestra que los factores de riesgo más importantes para NCCL fueron la edad, las horas de entrenamiento, el estrés, la fuerza excesiva de cepillado y el aparato de ortodoncia; para CDH fueron edad, educación, tipo de deporte, horas de entrenamiento y dieta ácida; y para RG fueron la edad, los ingresos, la educación, el tipo de deporte y el cepillado de dientes excesivo. Conclusión: Debe entenderse que la presencia de todos los elementos son factores capaces de desestabilizar la vida diaria del deportista. Los deportistas tienen factores de riesgo que están estrechamente relacionados con la aparición y progresión de la enfermedad. Es necesario que el dentista conozca las medidas para prevenir y minimizar los daños.

Citas

Alcântara, P. M., Barroso, N. F. F., Botelho, A. M., Douglas-de-Oliveira, D. W., Gonçalves, P. F., & Flecha, O. D. (2018). Associated factors to cervical dentin hypersensitivity in adults: a transversal study. BMC Oral Health, 18(1), 155. https://doi.org/10.1186/s12903-018-0616-1

Antunes, L. S., Veiga, L., Nery, V. S., Nery, C. C., & Antunes, L. A. (2017). Sports drink consumption and dental erosion among amateur runners. Journal of Oral Science, 59(4), 639–643. https://doi.org/10.2334/josnusd.16-0611

Bader, J. D., McClure, F., Scurria, M. S., Shugars, D. A., & Heymann, H. O. (1996). Case-control study of non-carious cervical lesions. Community Dentistry and Oral Epidemiology, 24(4), 286–291. http://www.ncbi.nlm.nih.gov/pubmed/8871039

Bartlett, D. W., & Shah, P. (2006). A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion. Journal of Dental Research, 85(4), 306–312. https://doi.org/10.1177/154405910608500405

Bonotto, D., Namba, E. L., Veiga, D. M., Wandembruck, F., Mussi, F., Afonso Cunali, P., Ribeiro Rosa, E. A., & Azevedo-Alanis, L. R. (2016). Professional karate-do and mixed martial arts fighters present with a high prevalence of temporomandibular disorders. Dental Traumatology, 32(4), 281–285. https://doi.org/10.1111/edt.12238

Borcic, J., Anic, I., Smojver, I., Catic, A., Miletic, I., & Ribaric, S. P. (2005). 3D finite element model and cervical lesion formation in normal occlusion and in malocclusion. Journal of Oral Rehabilitation, 32(7), 504–510. https://doi.org/10.1111/j.1365-2842.2005.01455.x

Borcic, J., Anic, I., Urek, M. M., & Ferreri, S. (2004). The prevalence of non-carious cervical lesions in permanent dentition. Journal of Oral Rehabilitation, 31(2), 117–123. http://www.ncbi.nlm.nih.gov/pubmed/15009594

Brandini, D. A., Pedrini, D., Panzarini, S. R., Benete, I. M., & Trevisan, C. L. (2012). Clinical evaluation of the association of noncarious cervical lesions, parafunctional habits, and TMD diagnosis. Quintessence International (Berlin, Germany : 1985), 43(3), 255–262. http://www.ncbi.nlm.nih.gov/pubmed/22299126

Brandini, D. A., Trevisan, C. L., Panzarini, S. R., & Pedrini, D. (2012). Clinical evaluation of the association between noncarious cervical lesions and occlusal forces. The Journal of Prosthetic Dentistry, 108(5), 298–303. https://doi.org/10.1016/S0022-3913(12)60180-2

Broad, E. M., & Rye, L. A. (n.d.). Do current sports nutrition guidelines conflict with good oral health? General Dentistry, 63(6), 18–23. Retrieved May 30, 2019, from http://www.ncbi.nlm.nih.gov/pubmed/26545270

Bryant, S., McLaughlin, K., Morgaine, K., & Drummond, B. (2011). Elite Athletes and Oral Health. International Journal of Sports Medicine, 32(09), 720–724. https://doi.org/10.1055/s-0031-1277192

Canadian Advisory Board on Dentin Hypersensitivity. (2003). Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. Journal (Canadian Dental Association), 69(4), 221–226. http://www.ncbi.nlm.nih.gov/pubmed/12662460

CSA, M., AC, M., PG, S., IO, C., AM, G., & PV, S. (2017). Analysis of hypersensitivity in teeth subjected to orthodontic movement - A pilot clinical study. Clinica - International Journal of Brazilian Dentistry, 13, 238.

DG, G. (2017). A New Perspective on Dentine Hypersensitivity – Guidelines for General Dental Practice. Dental Update, 44(1), 33–42. https://doi.org/10.12968/DENU.2017.44.1.33

Dörfer, C. E., Staehle, H. J., & Wolff, D. (2016). Three-year randomized study of manual and power toothbrush effects on pre-existing gingival recession. Journal of Clinical Periodontology, 43(6), 512–519. https://doi.org/10.1111/jcpe.12518

F, M., H, O., & SM, S. (2007). Nutrition for the young athlete. Journal of Sports Sciences, 25 Suppl 1(SUPPL. 1), 73–82. https://doi.org/10.1080/02640410701607338

Favaro Zeola, L., Soares, P. V., & Cunha-Cruz, J. (2019). Prevalence of dentin hypersensitivity: Systematic review and meta-analysis. Journal of Dentistry, 81, 1–6. https://doi.org/10.1016/j.jdent.2018.12.015

Frese, C., Frese, F., Kuhlmann, S., Saure, D., Reljic, D., Staehle, H. J., & Wolff, D. (2015). Effect of endurance training on dental erosion, caries, and saliva. Scandinavian Journal of Medicine & Science in Sports, 25(3), e319-26. https://doi.org/10.1111/sms.12266

Gallagher, J., Ashley, P., Petrie, A., & Needleman, I. (2018). Oral health and performance impacts in elite and professional athletes. Community Dentistry and Oral Epidemiology, 46(6), 563–568. https://doi.org/10.1111/cdoe.12392

Galvão, A. da M., Zeola, L. F., Moura, G. F., Teixeira, D. N. R., Gonzaga, R. C. de Q., da Silva, G. R., & Soares, P. V. (2019). A long-term evaluation of experimental potassium oxalate concentrations on dentin hypersensitivity reduction: A triple-blind randomized clinical trial. Journal of Dentistry, 89. https://doi.org/10.1016/j.jdent.2019.103180

Grippo, J. O., Simring, M., & Coleman, T. A. (2012). Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: a 20-year perspective. Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [et Al.], 24(1), 10–23. https://doi.org/10.1111/j.1708-8240.2011.00487.x

Henrique, P., & Spini, R. (n.d.). EFEITO DE MOVIMENTOS ORTODÔNTICOS NO COMPORTAMENTO BIOMECÂNICO DE PRÉ-MOLARES COM LESÕES CERVICAIS NÃO CARIOSAS. Tese de mestrado. 2016

Hong, D. wei, Lin, X. jiao, Wiegand, A., & Yu, H. (2020). Does delayed toothbrushing after the consumption of erosive foodstuffs or beverages decrease erosive tooth wear? A systematic review and meta-analysis. In Clinical Oral Investigations. Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s00784-020-03614-9

Kassab, M. M., & Cohen, R. E. (2003). The etiology and prevalence of gingival recession. Journal of the American Dental Association (1939), 134(2), 220–225. http://www.ncbi.nlm.nih.gov/pubmed/12636127

LF, Z., DNR, T., ADM, G., PG, S., & PV, S. (2020). Brazilian dentists’ perception of dentin hypersensitivity management. Brazilian Oral Research, 33. https://doi.org/10.1590/1807-3107BOR-2019.VOL33.0115

Löe, H., Anerud, A., & Boysen, H. (1992). The natural history of periodontal disease in man: prevalence, severity, and extent of gingival recession. Journal of Periodontology, 63(6), 489–495. https://doi.org/10.1902/jop.1992.63.6.489

Mathew, T., Casamassimo, P. S., & Hayes, J. R. (2002). Relationship between sports drinks and dental erosion in 304 university athletes in Columbus, Ohio, USA. Caries Research, 36(4), 281–287. https://doi.org/10.1159/000063927

Medeiros, T. L. M., Mutran, S. C. A. N., Espinosa, D. G., do Carmo Freitas Faial, K., Pinheiro, H. H. C., & D’Almeida Couto, R. S. (2020). Prevalence and risk indicators of non-carious cervical lesions in male footballers. BMC Oral Health, 20(1), 215. https://doi.org/10.1186/s12903-020-01200-9

Moazzez, R., Smith, B. G. N., & Bartlett, D. W. (2000). Oral pH and drinking habit during ingestion of a carbonated drink in a group of adolescents with dental erosion. Journal of Dentistry, 28(6), 395–397. https://doi.org/10.1016/S0300-5712(00)00020-8

Mulic, A., Tveit, A. B., Songe, D., Sivertsen, H., & Skaare, A. B. (2012). Dental erosive wear and salivary flow rate in physically active young adults. BMC Oral Health, 12(1). https://doi.org/10.1186/1472-6831-12-8

Nascimento, M. E. da S., Júnior, J. R. L. dos S., Lima, M. V. A., Almeida, N. M. S. de, Hora, S. L., & Cabral, L. L. (2020). Etiologia e tratamento da hipersensibilidade dentinária na atualidade: revisão integrativa. Research, Society and Development, 9(8), e661986192. https://doi.org/10.33448/rsd-v9i8.6192

Needleman, I, Ashley, P., Petrie, A., Fortune, F., Turner, W., Jones, J., Niggli, J., Engebretsen, L., Budgett, R., Donos, N., Clough, T., & Porter, S. (2013). Oral health and impact on performance of athletes participating in the London 2012 Olympic Games: a cross-sectional study. British Journal of Sports Medicine, 47(16), 1054–1058. https://doi.org/10.1136/bjsports-2013-092891

Needleman, Ian, Ashley, P., Meehan, L., Petrie, A., Weiler, R., McNally, S., Ayer, C., Hanna, R., Hunt, I., Kell, S., Ridgewell, P., & Taylor, R. (2016). Poor oral health including active caries in 187 UK professional male football players: clinical dental examination performed by dentists. British Journal of Sports Medicine, 50(1), 41–44. https://doi.org/10.1136/bjsports-2015-094953

PV, S., AC, M., LF, Z., PG, S., AM, G., TC, M., AG, P., BR, R., TA, C., & JO, G. (2015). Loading and composite restoration assessment of various non-carious cervical lesions morphologies - 3D finite element analysis. Australian Dental Journal, 60(3), 309–316. https://doi.org/10.1111/ADJ.12233

Que, K., Guo, B., Jia, Z., Chen, Z., Yang, J., & Gao, P. (2013). A cross-sectional study: non-carious cervical lesions, cervical dentine hypersensitivity and related risk factors. Journal of Oral Rehabilitation, 40(1), 24–32. https://doi.org/10.1111/j.1365-2842.2012.02342.x

Rios, F. S., Costa, R. S. A., Moura, M. S., Jardim, J. J., Maltz, M., & Haas, A. N. (2014). Estimates and multivariable risk assessment of gingival recession in the population of adults from Porto Alegre, Brazil. Journal of Clinical Periodontology, 41(11), 1098–1107. https://doi.org/10.1111/jcpe.12303

Rogerson, D. (2017). Vegan diets: Practical advice for athletes and exercisers. In Journal of the International Society of Sports Nutrition (Vol. 14, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12970-017-0192-9

Seong, J., Bartlett, D., Newcombe, R. G., Claydon, N. C. A., Hellin, N., & West, N. X. (2018). Prevalence of gingival recession and study of associated related factors in young UK adults. Journal of Dentistry, 76, 58–67. https://doi.org/10.1016/j.jdent.2018.06.005

Silva, M. S., Lima, A. N. de A. N., Pereira, M. M. A., Ferraz Mendes, R., & Prado Júnior, R. R. (2019). Prevalence and predictive factors of dentin hypersensitivity in Brazilian adolescents. Journal of Clinical Periodontology, 46(4), 448–456. https://doi.org/10.1111/jcpe.13097

Sirimaharaj, V., Brearley Messer, L., & Morgan, M. V. (2002). Acidic diet and dental erosion among athletes. Australian Dental Journal, 47(3), 228–236. http://www.ncbi.nlm.nih.gov/pubmed/12405463

Soares, P. V., Tolentino, A. B., Machado, A. C., Dias, R. B., & Coto, N. P. (2014). Sports dentistry: a perspective for the future. Revista Brasileira de Educação Física e Esporte, 28(2), 351–358. https://doi.org/10.1590/1807-55092014000200351

Soares, PV, & Grippo, J. (2017). Noncarious Cervical Lesions and Cervical Dentin Hypersensitivity: Etiology, Diagnosis, and Treatment.

Soares, P V, Souza, L. V, Veríssimo, C., Zeola, L. F., Pereira, A. G., Santos-Filho, P. C. F., & Fernandes-Neto, A. J. (2014). Effect of root morphology on biomechanical behaviour of premolars associated with abfraction lesions and different loading types. Journal of Oral Rehabilitation, 41(2), 108–114. https://doi.org/10.1111/joor.12113

Souza, L. A. de, Elmadjian, T. R., Brito e Dias, R., & Coto, N. P. (n.d.). Prevalence of malocclusions in the 13-20-year-old categories of football athletes. Brazilian Oral Research, 25(1), 19–22. Retrieved May 30, 2019, from http://www.ncbi.nlm.nih.gov/pubmed/21359447

Tanabe, M., Takahashi, T., Shimoyama, K., Toyoshima, Y., & Ueno, T. (2013). Effects of rehydration and food consumption on salivary flow, pH and buffering capacity in young adult volunteers during ergometer exercise. Journal of the International Society of Sports Nutrition, 10. https://doi.org/10.1186/1550-2783-10-49

Teixeira, D. N. R., Thomas, R. Z., Soares, P. V., Cune, M. S., Gresnigt, M. M. M., & Slot, D. E. (2020). Prevalence of noncarious cervical lesions among adults: A systematic review. In Journal of Dentistry (Vol. 95). Elsevier Ltd. https://doi.org/10.1016/j.jdent.2020.103285

Teixeira, D. N. R., Zeola, L. F., Machado, A. C., Gomes, R. R., Souza, P. G., Mendes, D. C., & Soares, P. V. (2018). Relationship between noncarious cervical lesions, cervical dentin hypersensitivity, gingival recession, and associated risk factors: A cross-sectional study. Journal of Dentistry, 76, 93–97. https://doi.org/10.1016/j.jdent.2018.06.017

WANG, Y., QUE, K., LIN, L., HU, D., & LI, X. (2012). The prevalence of dentine hypersensitivity in the general population in China. Journal of Oral Rehabilitation, 39(11), 812–820. https://doi.org/10.1111/j.1365-2842.2012.02334.x

West, N. X., Sanz, M., Lussi, A., Bartlett, D., Bouchard, P., & Bourgeois, D. (2013). Prevalence of dentine hypersensitivity and study of associated factors: A European population-based cross-sectional study. Journal of Dentistry, 41(10), 841–851. https://doi.org/10.1016/j.jdent.2013.07.017

Wiegand, A., Köwing, L., & Attin, T. (2007). Impact of brushing force on abrasion of acid-softened and sound enamel. Archives of Oral Biology, 52(11), 1043–1047. https://doi.org/10.1016/j.archoralbio.2007.06.004

Yang, J., Cai, D., Wang, F., He, D., Ma, L., Jin, Y., & Que, K. (2016). Non-carious cervical lesions (NCCLs) in a random sampling community population and the association of NCCLs with occlusive wear. Journal of Oral Rehabilitation, 43(12), 960–966. https://doi.org/10.1111/joor.12445

Yoshizaki, K. T., Francisconi-Dos-Rios, L. F., Sobral, M. A. P., Aranha, A. C. C., Mendes, F. M., & Scaramucci, T. (2017). Clinical features and factors associated with non-carious cervical lesions and dentin hypersensitivity. Journal of Oral Rehabilitation, 44(2), 112–118. https://doi.org/10.1111/joor.12469

Zuza, A., Racic, M., Ivkovic, N., Krunic, J., Stojanovic, N., Bozovic, D., Bankovic-Lazarevic, D., & Vujaskovic, M. (2019). Prevalence of non-carious cervical lesions among the general population of the Republic of Srpska, Bosnia and Herzegovina. International Dental Journal, idj.12462. https://doi.org/10.1111/idj.12462

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Publicado

03/08/2021

Cómo citar

TOLENTINO, A. B.; ZEOLA, L. F.; MACHADO, A. C.; SOARES, P. V.; ARANHA, A. C. C.; COTO, N. P. Lesiones cervicales no cariosas y factores de riesgo en deportistas brasileños: Estudio transversal . Research, Society and Development, [S. l.], v. 10, n. 9, p. e57210917859, 2021. DOI: 10.33448/rsd-v10i9.17859. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/17859. Acesso em: 22 nov. 2024.

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Ciencias de la salud