Oral Health

  • Silvia Maria Rocha Piedade Damasceno
  • Marly Kimie Sonohara Gonzalez
  • Renata Bastos Del Hoyo Fernandes
  • Vera Lucia Gramuglia


In sports medicine, oral health is one of the cornerstones of an athlete’s global health because it has direct and bidirectional relationship with dynamic body balance and athletic performance. Therefore, a periodical evaluation is fundamental to verify and monitor oral health quality and also to examine the presence of local and secondary oral lesions caused by nutritional deficiencies and systemic diseases. This assessment favors early diagnosis and approach, contributing to a shorter removal from training and competitions while minimizing the occurrence of more serious lesions and sequelae. Seven essential points for a systematic assessment of an athlete’s oral health are presented and discussed in this chapter.


Oral health Oral exam Oral manifestations Sports nutrition Athletic performance Athlete health 


  1. 1.
    Reed RV. Origin and early history of the dental mouthpiece. Br Dent J. 1994;176:478–80.CrossRefGoogle Scholar
  2. 2.
    Needleman I, Ashley P, Fine P, Haddad F, Loosemore M, de Medici A, et al. Consensus statement: oral health and elite sport performance. Br Dent J. 2014;217:587–90.CrossRefGoogle Scholar
  3. 3.
    Rosa AF, Costa SB, Silva PRS, Roxo CDMN, Machado GS, Teixeira AAA, et al. Estudo descritivo de alterações odontológicas verificadas em 400 jogadores de futebol. Rev Bras Med Esporte. 1999;5:55–8.CrossRefGoogle Scholar
  4. 4.
    Needleman I, Ashley P, Petri A, Fortune F, Turner W, Jones J, et al. Oral health and impact on performance of athletes participating in the London 2012 Olympic Games: a cross-sectional study. Br J Sports Med. 2013;47:1054–8.CrossRefGoogle Scholar
  5. 5.
    Manir M. Nações de IDH mais baixo aproveitam a policlínica do Rio-2016. 2016. Accessed 7 May 2018.
  6. 6.
    Condutas do Inca. Salivary gland tumors. Rev Bras Cancerologia. 2002;48:9–12.Google Scholar
  7. 7.
    Sailors ME. Evaluation of sports-related temporomandibular dysfunctions. J Athl Train. 1996;31:346–50.PubMedPubMedCentralGoogle Scholar
  8. 8.
    Badel T, Jerolimov V, Pandurić J. Dental/orofacial trauma. Kinesiology. 2007;39:97–105.Google Scholar
  9. 9.
    Lobbezoo F, Naeije M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil. 2001;28:1085–91.CrossRefGoogle Scholar
  10. 10.
    Manfredini D, Lobbezoo F. Role of psychosocial factors in the etiology of bruxism. J Orofac Pain. 2009;23:153–66.PubMedGoogle Scholar
  11. 11.
    Morree HM, Marcora SM. The face of effort: frowning muscle activity reflects effort during a physical task. Biol Psychol. 2010;85:377–82.CrossRefGoogle Scholar
  12. 12.
    Huang D, Chou S, Chen Y, Chiou W. Frowning and jaw clenching muscle. Activity reflects the perception of effort during incremental workload cycling. J Sports Sci Med. 2014;13:921–8.PubMedPubMedCentralGoogle Scholar
  13. 13.
    Hellmann D, Giannakopoulos NN, Blaser R, Eberhard L. The effect of various jaw motor tasks on body sway. J Oral Rehabil. 2011;38:729–36.CrossRefGoogle Scholar
  14. 14.
    Okuro RT, Morcillo AM, Sakano E, Schivinski CIS, Ribeiro MAGO, Ribeiro JD. Exercise capacity, respiratory mechanics and posture in mouth breathers. Braz J Otorhinolaryngol. 2011;77:656–62.CrossRefGoogle Scholar
  15. 15.
    Greenberg VA, Schlosser BJ, Mirowski GW. Diseases of the lips. Clin Dermatol 2017;35:e1–14. Accessed 20 May 2018.CrossRefGoogle Scholar
  16. 16.
    De Souza Lucena EE, Costa DC, Da Silveira EJ, Lima KC. Prevalence and factors associated to actinic cheilitis in beach workers. Oral Dis. 2012;18:575–9.CrossRefGoogle Scholar
  17. 17.
    Jurge S, Kuffer R, Scully C, Porter SR. Mucosal disease series. Number VI. Recurrent aphthous stomatitis. Oral Dis. 2006;12:1–21.CrossRefGoogle Scholar
  18. 18.
    Patton LL. Oral lesions associated with human immunodeficiency virus disease. Dent Clin N Am. 2013;57:673–98.CrossRefGoogle Scholar
  19. 19.
    Regezi J, Sciubba JJ, Jordan RCK. Patologia oral, correlações clinicopatológicas. 7th ed. Amsterdam: Elsevier; 2017.
  20. 20.
    Moretti A, Vitullo F, Augurio A, Pacella A. Surgical management of lip cancer. Acta Otorhinolaryngol Ital. 2011;31:5–10.PubMedPubMedCentralGoogle Scholar
  21. 21.
    Abreu L, Kruger E, Tennant M. Lip cancer in Western Australia, 1982-2006: a 25-year retrospective epidemiological study. Aust Dent J. 2009;54:130–5.CrossRefGoogle Scholar
  22. 22.
    Balasubramaniam R, Kuperstein AS, Stoopler ET. Update on oral herpes virus infections. Dent Clin N Am. 2014;58:265–80.CrossRefGoogle Scholar
  23. 23.
    Medeiros M Jr, Ml A, Bacellar O, ACS B, Pereira CB, Guimarães NS. Clinical evaluation of the lip swelling. Rev Bras Alerg Imunopatol. 2000;23:92–8.Google Scholar
  24. 24.
    Vasconcelos FMN, Vieira SCM, Colares V. Erosão dental: diagnóstico, prevenção e tratamento no âmbito da saúde bucal. Rev Bras Ciências Saúde. 2010;14:59–64.CrossRefGoogle Scholar
  25. 25.
    Mathew T, Casamassimo PS, Hayes JR. Relationship between sports drinks and dental erosion in 304 university athletes in Columbus, Ohio, USA. Caries Res. 2002;36:281–7.CrossRefGoogle Scholar
  26. 26.
    Walsh NP, Bishop NC, Blackwell J, Wierzbicki SG, Montague JC. Salivary IgA response to prolonged exercise in a cold environment in trained cyclists. Med Sci Sports Exerc. 2002;34:1632–7.CrossRefGoogle Scholar
  27. 27.
    Milosevic A, O’Sullivan E. Diagnosis, prevention and management of dental erosion: summary of an updated national guideline. Prim Dent Care. 2008;15:11–2.CrossRefGoogle Scholar
  28. 28.
    Piccininni P, Clough A, Padilla R, Piccininni G. Dental and orofacial injuries. Clin Sports Med. 2017;36:369–405.CrossRefGoogle Scholar
  29. 29.
    Herrera, et al. The periodontal abscess: a review. J Clin Periodontol. 2000;27:377–86.CrossRefGoogle Scholar
  30. 30.
    Amy E. Oro-facial injuries in Central American and Caribbean sports games: a 20 year experience. Dent Traumatol. 2005;21:127–30.CrossRefGoogle Scholar
  31. 31.
    McNutt M, Partrick M, Shugars DA, Phillips C, White RP Jr. Impact of symptomatic pericoronitis on health-related quality of life. J Oral Maxillofac Surg. 2008;66:2482–7.CrossRefGoogle Scholar
  32. 32.
    Malek R, Gharibi A, Khlil N, Kissa J. Necrotizing ulcerative gingivitis. Contemp Clin Dent. 2017;8:496–500.CrossRefGoogle Scholar
  33. 33.
    Rowland RW. Necrotizing ulcerative gingivitis. Ann Periodontol. 1999;4:65–73.CrossRefGoogle Scholar
  34. 34.
    McCord C, Johnson L. Oral manifestations of hematologic disease. Atlas Oral Maxillofac Surg Clin N Am. 2017;25:149–62.CrossRefGoogle Scholar
  35. 35.
    Berberi A, Aoun G. Oral lesions associated with human immunodeficiency virus in 75 adult patients: a clinical study. J Korean Assoc Oral Maxillofac Surg. 2017;43:388–94.CrossRefGoogle Scholar
  36. 36.
    Lankarani KB, Sivandzadeh GR, Hassanpour S. Oral manifestation in inflammatory bowel disease: a review. World J Gastroenterol. 2013;19:8571–9.CrossRefGoogle Scholar
  37. 37.
    Mejia LM. Oral manifestations of gastrointestinal disorders. Atlas Oral Maxillofac Surg Clin N Am. 2017;25:93–104.CrossRefGoogle Scholar
  38. 38.
    Vasovic M, Gajovic N, Brajkovic D. The relationship between the immune system and oral manifestations of inflammatory bowel disease: a review. Cent Eur J Immunol. 2016;41:302–10.CrossRefGoogle Scholar
  39. 39.
    Danoso-Hofer F. Oral lesions associated with human immunodeficiency virus disease in adult patients, a clinical perspective. Rev Chilena Infectol. 2016;33:27–35.CrossRefGoogle Scholar
  40. 40.
    Kumaraswamy KL, Vidhya M. Human papilloma virus and oral infections: an update. J Cancer Res Ther. 2011;7:120–7.CrossRefGoogle Scholar
  41. 41.
    Feller L, Lemmer J, Wood NH, Jadwat Y, Raubenheimer EJ. HIV-associated oral Kaposi sarcoma and HHV-8: a review. J Int Acad Periodontol. 2007;9:129–36.PubMedGoogle Scholar
  42. 42.
    Nunes LAS, Macedo DV. Saliva as a diagnostic fluid in sports medicine: potential and limitations. J Bras Patol Med Lab. 2013;49:247–55.CrossRefGoogle Scholar
  43. 43.
    Ueda AJZ. Determination of testosterone and cortisol levels in the saliva of high performance athletes. 2017. Accessed 20 May 2018.
  44. 44.
    Koibuchi E, Suzuki Y. Exercise upregulates salivary amylase in humans (Review). Exp Ther Med. 2014;7:773–7.CrossRefGoogle Scholar
  45. 45.
    Pastore GU, Moreira M, Bastos R, Galotti M, Leonardi MFP. Sports dentistry – an innovative proposal. Rev Bras Med Esporte. 2017;23:147–51.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2019

Authors and Affiliations

  • Silvia Maria Rocha Piedade Damasceno
    • 1
  • Marly Kimie Sonohara Gonzalez
    • 2
  • Renata Bastos Del Hoyo Fernandes
    • 3
  • Vera Lucia Gramuglia
    • 3
  1. 1.Odontology CenterMaringáBrazil
  2. 2.Odontology CenterRosarioArgentina
  3. 3.Odontology CenterBotucatuBrazil

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