Evaluation of Oral Condition and the Effect of Dental Treatment on Physical Parameters of Athletes

Study Overview
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Brief Summary
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It is essential that athletes have perfect general health. Oral health plays an important role in this healthy framework necessary so that the results that must be achieved by athletes are not influenced. Inflammatory and / or infectious processes such as periodontal disease, caries, or even joint problems such as temporomandibular joint dysfunction can affect performance or impair participation in training and competitions.

Detailed Description
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The objective of this longitudinal clinical study will be to evaluate the effect of dental treatment on individuals who practice physical activities through physical parameters of strength, speed and resistance. According to an initial survey, about 120 individuals should be examined. Clinical parameters such as decayed, lost and / or filled dental index and periodontal parameters such as probing depth (PS), clinical level of insertion (NCI), plaque index (IP) and bleeding index (IS) will be evaluated . Physical tests of strength, speed and resistance should be performed and periodontal therapy should be performed according to the needs presented by each individual. After 90 days, new clinical examinations and physical tests should be performed. The results obtained should be tabulated and analyzed. The investigators believe that individuals with oral inflammation / infection, the physical performance should be higher after performing periodontal therapy. Pro inflammatory cytokines present in high concentrations in the presence of periodontal disease can influence fatigue and difficulty in recovering from injuries, variables so important in an athlete's life.

Official Title
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Evaluation of Oral Condition and the Effect of Dental Treatment on Physical Parameters of Athletes

Conditions
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Periodontal Diseases, Inflammation Gum, Caries,Dental

Intervention / Treatment
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* Procedure: Dental Scaling
* Other: Oral hygiene instruction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Athletes from all sports, Individuals with systemic pathologies, smokers, should be included in the study Exclusion Criteria: pregnancy or lactation, use of antibiotics in the last 3 months, phenytoin, calcium antagonists, cyclosporine or anti-inflammatory drugs one month before the initial consultation, use of oral or replacement contraceptives hormonal, periodontal treatment in the 6 months prior to the start of the study.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The groups of participants should be divided by the oral condition of the participants (with oral problems and without oral problems)
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Athletes with oral problems<br>Athletes with periodontal diseases or gingivitis | Procedure: Dental Scaling<br>* The individuals will be treated by a single periodontist and the scaling and root planing procedures will be performed on all teeth as follows: local anesthetic infiltrative type of the areas to be treated, dental and root scaling using Grace 5/6 carbon steel curettes, 11/12, 13/14 and MacCall 13/14, 17/18 curettes, according to their therapeutic indications. Polishing the quadrants treated with abrasive paste; oral hygiene instructions including Bass toothbrushing, dental floss and sometimes inter-dental brush.<br>Other: Oral hygiene instruction<br>* Oral hygiene instructions should be given to all study participants. Guidance on the most appropriate toothbrush, toothpaste and interproximal cleaning method.<br>|
| No Intervention: Athletes without oral problems<br>Athletes diagnosed without oral problems | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Probing depth | Evaluation of Probing depth, from the gingival margin to the end of the periodontal sulcus | 90 days | 
| Clinical attachment level | evaluation of clinical attachment level, from the enamel cementum junction to the end of the periodontal sulcus | 90 days | 
| Gingival index | evaluation of bleeding on probing | 90 days | 
| Plaque index | evaluation of the accumulation of bacterial plaque around the teeth | 90 days | 
| DMF index | evaluation of teeth decayed, missed or filled | 90 days | 
| Aerobic running performance evaluation test | Run of 100 meters and time obtained in seconds and thousands of a second | 90 days | 
| critical speed in swimming | swim 25 meters, time measured in minutes and seconds | 90 days | 
| Body mass index | The BMI calculation must be done using the following mathematical formula: Weight ÷ height x height. | 90 days | 
| Muscle strength through the 1RM test on the bench press | It is the maximum amount of weight lifted once while performing a standardized weightlifting exercise. To test 1 RM of a muscle group, such as elbow flexors or knee extensors, a weight is chosen at the exercise device, but below the individual's maximum lifting capacity. If a repetition is completed, weight is added to the exercise device. Until the maximum lifting capacity is launched. | 90 days | 
| short-term heart rate variability at rest | To measure heart rate variability, we will use Polar S810i® frequency meter to obtain RR interval series for each individual, at rest, for 5 minutes; posteriorly, analysis will be performed using linear and non-linear indices. | 90 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Periodontal Diseases, Athletes, Caries, dental, Periodontal index