The Effect of Chronic Dental Lesions on Muscle Strength in Athletes

Yıl 2021, Cilt: 8 Sayı: 2, 109 - 113, 31.08.2021

Tuğba Kocahan , Osman Hamamcılar , Aydin Balcı , Bihter Akınoğlu , Hürriyet Nevres Aydoğan , Adnan Hasanoğlu

Öz

It has been reported that chronic dental lesions such as dental caries, tooth erosions, periodontal diseases, occlusion disorders, temporomandibular joint disorders, and orofacial injuries are common in athletes and this situation negatively affects both general health and sports performance. Our study aims to compare the isokinetic muscle strength of the knee joint in athletes with and without periapical lesions which are chronic dental lesions in the mouth. 32 athletes with periapical lesions (n=16; study group), same gender, similar demographic characteristics, and no periapical lesions(n=16; control group) were included in the study. All athletes were examined by the same dentist using a disposable examination set and evaluated with panoramic radiography. Athletes with periapical lesions after examination and radiological evaluation as the study group; athletes without periapical lesions were determined as the control group. Then, the muscle strength of the knee joint flexor and extensor muscles of the athletes was evaluated concentrically with the IsoMed 2000 isokinetic dynamometer. Isokinetic muscle strength comparisons of the study and control groups were analyzed according to the distribution status by Independent Samples T-test, Mann Whitney-U test. The level of significance was taken as p<0.05. Concentric isokinetic muscle strengths of knee joint flexor and extensor muscles were found to be similar at 60º/sec and 180º/sec angular velocities of study and control group athletes(p>0.05). We can say that the concentric isokinetic muscle strength of the knee joint of athletes with periapical lesions in the mouth and without periapical lesions was not affected negatively.

Anahtar Kelimeler

Tooth , Isokinetic , Performance , Periapical lesions , Sports

Sporcularda Kronik Dental Lezyonların Kas Kuvvetine Etkisi

Öz

Sporcularda diş çürükleri, diş erozyonları, periodontal hastalıklar, oklüzyon bozuklukları, temporomandibular eklem bozuklukları ve orofasial yaralanmalar gibi kronik dental lezyonların yaygın görüldüğü ve bu durumun hem genel sağlığı hem de spor performansını olumsuz etkilediği bildirilmektedir. Çalışmamızın amacı ağız içinde kronik dental lezyonlardan periapikal lezyonu olan ve olmayan sporcularda diz eklemi izokinetik kas kuvvetini karşılaştırmaktır. Çalışmaya periapikal lezyonu olan (n=16; çalışma grubu) ve aynı spor branşında, aynı cinsiyette ve benzer demografik özelliklere sahip ve periapikal lezyonu olmayan (n=16; kontrol grubu) toplam 32 sporcu dâhil edildi. Tüm sporcular aynı diş hekimi tarafından tek kullanımlık muayene seti ile muayene edildi ve panoramik radyografi ile değerlendirildi. Muayene ve radyolojik değerlendirme sonrası periapikal lezyonu olan sporcular çalışma grubu olarak; periapikal lezyonu olmayan sporcular kontrol grubu olarak belirlendi. Daha sonra sporcuların diz eklemi fleksör ve ekstansör kaslarının kas kuvveti IsoMed 2000 izokinetik dinamometre ile konsantrik olarak değerlendirildi. Çalışmada ve kontrol grubunun izokinetik kas kuvveti karşılaştırmaları dağılım durumuna göre Independent Samples T test ve Mann Whitney-U testi ile analiz edildi. Anlamlılık düzeyi p<0.05 olarak alındı. Çalışma ve kontrol grubu sporcularının 60º/sn ve 180º/sn açısal hızlarda diz eklemi fleksör ve ekstansör kaslarının konsantrik izokinetik kas kuvvetinin benzer olduğu belirlendi (p>0.05). Ağız içinde periapikal lezyonu olan ve olmayan sporcuların diz eklemi konsantrik izokinetik kas kuvvetinin olumsuz etkilenmediğini söyleyebiliriz.

Anahtar Kelimeler

Diş , İzokinetik , Performans , Periapikal Lezyonlar , Spor

Kaynakça

• 1. Dörfer C, Benz C, Aida J, et al. The relationship of oral health with general health and NCDs: a brief review. Int Dent J. 2017;67(2):14-8.
• 2. Segura-Egea JJ, Martín-González J, Castellanos-Cosano L. Endodontic medicine: connections between apical periodontitis and systemic diseases. Int Endod J. 2015;48(10):933-51.
• 3. Teng YTA, Taylor GW, Scannapieco F, et al. Periodontal health and systemic disorders. J Can Dent Assoc. 2002;68(3):188-92.
• 4. Otomo-Corgel J, Pucher JJ, Rethman MP, et al. State of the Science: Chronic Periodontitis and Systemic Health. J Evid Based Dent Pract. 2012;12(3):20-8.
• 5. Sopi M, Meqa K. Association of dental foci of infection and rosacea: a case report. Gen Dent. 2019;67(6):52-54.
• 6. Mensch K, Nagy G, Nagy Á, et al. Characteristics, diagnosis and treatment of the most common bacterial diseases of the oral cavity. Orv Hetil. 2019;160(19):739-46.
• 7. Karunakaran JV, Abraham CS, Karthik AK, et al. Successful Nonsurgical Management of Periapical Lesions of Endodontic Origin: A Conservative Orthograde Approach. J Pharm Bioallied Sci. 2017;9(1):246-51.
• 8. Stamos A, Mills S, Malliaropoulos N, et al. The European Association for Sports Dentistry, Academy for Sports Dentistry, European College of Sports and Exercise Physicians consensus statement on sports dentistry integration in sports medicine. Dent Traumatol. 2020;36(6):680-4.
• 9. Gay-Escoda C, Vieira-Duarte-Pereira D-M, Ardèvol J, et al. Study of the effect of oral health on physical condition of professional soccer players of the Football Club Barcelona. Med Oral Patol Oral Cir Bucal. 2011;16 (3):436-9.
• 10. Gallagher J, Ashley P, Petrie A, et al. Oral health-related behaviours reported by elite and professional athletes. Br Dent J. 2019;227(4):276-80.
• 11. Fiorillo L, Musumeci G. TMJ Dysfunction and Systemic Correlation. J Funct Morphol Kinesiol. 2020;5(1):20.
• 12. Bryant S, McLaughlin K, Morgaine K, et al. Elite athletes and oral health. Int J Sports Med. 2011;32(9):720-4.
• 13. Sirimaharaj V, Messer LB, Morgan MV. Acidic diet and dental erosion among athletes. Aust Dent J. 2002;47(3):228-36.
• 14. Needleman I, Ashley P, Meehan L, et al. Poor oral health including active caries in 187 UK professional male football players: clinical dental examination performed by dentists. Br J Sports Med. 2016;50(1):41-4.
• 15. Patti A, Bianco A, Messina G, et al. The influence of the stomatognathic system on explosive strength: a pilot study. J Phys Ther Sci. 2016;28(1):72-5.
• 16. Needleman I, Ashley P, Petrie A, 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(16):1054-8.
• 17. Moye ZD, Zeng L, Burne RA. Fueling the caries process: carbohydrate metabolism and gene regulation by Streptococcus mutans. J Oral Microbiol. 2014;5:6.
• 18. Dartevelle JL, Goupy L, Frey A. Dental Medicine. In: Krutsch W, Mayr HO, Musahl V, Della Villa F, Tscholl PM, Jones H, eds. Injury and Health Risk Management in Sports. A Guide to Decision Making. 2020; 287-289. Berlin, Germany: © ESSKA Heidelberger Platz, ISBN 978-3-662-60751-0 ISBN 978-3-662-60752-7 (eBook).
• 19. Hamamcılar O, Akınoğlu B, Kocahan T, ve ark. Sporcularda Maksilla-Mandibuler Çene Posterior Bölge Dental Ekstraksiyonunun Quadriceps Kas Kuvveti Üzerine Etkisi. Turkiye Klin J Sports Sci. 2018;10(1):37-43.
• 20. Needleman I. Consensus statement: Oral health and elite sport performance. Br Dent J. 2014;217(10):587-90.
• 21. Akınoğlu B, Kocahan T, Özsoy H, ve ark. Kadın ve Erkek Voleybol Sporcularında Diz Eklemi Kas Kuvveti ve Kas Kuvvet Dengesinin Karşılaştırılması. Turkiye Klin J Sports Sci. 2019;11(2):67-73.
• 22. Hamamcılar O, Nefes A, Kocahan T, ve ark. Sporcularda Basit Şeker Tüketiminin Ağız ve Diş Sağlığına Etkisinin İncelenmesi. Turkiye Klin J Sports Sci. 2020;12(1):58-64.
• 23. Hamamcılar O, Akınoğlu B, Kocahan T, ve ark. Sporcularda Diş Çürüğünün Quadriceps Kas Gücü ile İlişkisi. Turkiye Klin J Sports Sci. 2018;10(2):51-6.
• 24. Hamamcılar O, Kocahan T, Akınoğlu B, et al. Effect of dental caries and the consequential variation in blood parameters on the anaerobic performance of rowing athletes. Med J Islamic World Acad Sci. 2019;27(2):55-60.
• 25. Hamamcılar O, Kocahan T, Akınoğlu B, et al. Effect of poor oral health on respiratory functions and hence sportive performance. Med J Islamic World Acad Sci. 2018;26(3):74-79.
• 26. Baltzopoulos V, Brodie DA. Isokinetic dynamometry. Applications and limitations. Sports Med. 1989;8(2):101-16.
• 27. Ismail PMS, Apoorva K, Manasa N, et al. Clinical, radiographic, and histological findings of chronic inflammatory periapical lesions-A clinical study. J Family Med Prim Care. 2020;9(1):235-8.
• 28. Solleveld H, Goedhart A, Bossche LV. Associations between poor oral health and reinjuries in male elite soccer players: a cross-sectional self-report study. BMC Sports Sci Med Rehabil. 2015;7:11.
• 29. Calvo AM, Brozoski DT, Giglio FPM, et al. Are antibiotics necessary after lower third molar removal? Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114(5):199-208.
• 30. Roubenoff R. Physical activity, inflammation, and muscle loss. Nutr Rev. 2007;65 (12 Pt 2):208-12.