Effect of endurance training on dental erosion, caries, and saliva

The aim of this investigation was to give insights into the impact of endurance training on oral health, with regard to tooth erosion, caries, and salivary parameters. The study included 35 triathletes and 35 non‐exercising controls. The clinical investigation comprised oral examination, assessment...

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Bibliographic Details
Published in:Scandinavian journal of medicine & science in sports 2015-06, Vol.25 (3), p.e319-e326
Main Authors: Frese, C., Frese, F., Kuhlmann, S., Saure, D., Reljic, D., Staehle, H. J., Wolff, D.
Format: Article
Language:English
Subjects:
Adult
Caries risk
Case-Control Studies
Dental Caries - epidemiology
Exercise
Female
Humans
Hydrogen-Ion Concentration
Male
Middle Aged
Oral Hygiene - statistics & numerical data
Physical Endurance
saliva
Saliva - chemistry
Surveys and Questionnaires
tooth erosion
Tooth Erosion - epidemiology
Young Adult
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Summary:The aim of this investigation was to give insights into the impact of endurance training on oral health, with regard to tooth erosion, caries, and salivary parameters. The study included 35 triathletes and 35 non‐exercising controls. The clinical investigation comprised oral examination, assessment of oral status with special regard to caries and erosion, saliva testing during inactivity, and a self‐administered questionnaire about eating, drinking, and oral hygiene behavior. In addition, athletes were asked about their training habits and intake of beverages and sports nutrition. For saliva assessment during exercise, a subsample of n = 15 athletes volunteered in an incremental running field test (IRFT). Athletes showed an increased risk for dental erosion (P = 0.001). No differences were observed with regard to caries prevalence and salivary parameters measured during inactivity between athletes and controls. Among athletes, a significant correlation was found between caries prevalence and the cumulative weekly training time (r = 0.347, P = 0.04). In athletes after IRFT and at maximum workload, saliva flow rates decreased (P = 0.001 stimulated; P = 0.01 unstimulated) and saliva pH increased significantly (P = 0.003). Higher risk for dental erosions, exercise‐dependent caries risk, and load‐dependent changes in saliva parameters point out the need for risk‐adapted preventive dental concepts in the field of sports dentistry.
ISSN:0905-7188
1600-0838
DOI:10.1111/sms.12266