{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:39:03Z","timestamp":1787027943871,"version":"build-2736575974"},"reference-count":54,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100020469","name":"Universidad Cient\u00edfica del Sur","doi-asserted-by":"crossref","award":["Directoral Resolution No. 013-DGIDI-CIENTIFICA-2023-2"],"award-info":[{"award-number":["Directoral Resolution No. 013-DGIDI-CIENTIFICA-2023-2"]}],"id":[{"id":"10.13039\/100020469","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Background: Oral health problems are common among elite athletes, yet the evidence remains fragmented and inconsistent. Objectives: To estimate the prevalence and severity of oral conditions in elite athletes through a systematic review and meta-analysis. Methods: Studies published in English, Spanish, or Portuguese, with observational design, available in PubMed, Embase, CINAHL, Web of Science, Scopus, Dentistry &amp; Oral Science Source, and LILACS databases until 5 January 2025, were included. A narrative synthesis was used to describe the studies, and a meta-analysis of prevalences was performed using a random-effects model. Study quality assessment was performed using the Joanna Briggs Institute Critical Appraisal tools. Results: A total of 10 articles were included in the systematic review and meta-analysis. The overall combined prevalence of caries was found to be 44.4% (95%CI: 33.9\u201355.1%), the prevalence of dental erosion was 36.5% (95%CI: 22.6\u201351.7%), the prevalence of gingivitis was 41.4% (95%CI: 14.7\u201371%), the prevalence of pericoronitis was 18.7% (95%CI: 2.3\u201345.4%), the prevalence of periodontitis was 10.8% (95%CI: 2.7\u201323.3%) and the prevalence of orofacial trauma was 15.6% (95%CI: 5.3\u201329.7%). High heterogeneity was observed across studies. Most studies presented limitations related to participant recruitment and sample size adequacy. Conclusions: Dental caries, gingivitis, and dental erosion are highly prevalent among elite athletes, underscoring the importance of integrating oral health assessments into sports medicine care. High heterogeneity across studies limits the precision of prevalence estimates, emphasizing the need for standardized methodologies in future research.<\/jats:p>","DOI":"10.3390\/dj13120589","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T15:30:07Z","timestamp":1765207807000},"page":"589","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence and Severity of Oral Conditions in Elite Athletes: A Systematic Review and Meta-Analysis"],"prefix":"10.3390","volume":"13","author":[{"given":"F\u00e1tima","family":"Campana Zamudio","sequence":"first","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Cient\u00edfica del Sur, Lima 15842, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor Sebasti\u00e1n","family":"Aleman Soto","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Cient\u00edfica del Sur, Lima 15842, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1375-8788","authenticated-orcid":false,"given":"Diego","family":"Aza\u00f1edo","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Cient\u00edfica del Sur, Lima 15842, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1431-2526","authenticated-orcid":false,"given":"Akram","family":"Hern\u00e1ndez-V\u00e1squez","sequence":"additional","affiliation":[{"name":"Centro de Excelencia en Investigaciones Econ\u00f3micas y Sociales en Salud, Vicerrectorado de Investigaci\u00f3n, Universidad San Ignacio de Loyola, Lima 15024, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1046\/j..2003.com122.x","article-title":"The World Oral Health Report 2003: Continuous Improvement of Oral Health in the 21st Century\u2014The Approach of the WHO Global Oral Health Programme","volume":"31","author":"Petersen","year":"2003","journal-title":"Community Dent. Oral Epidemiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1038\/sj.bdj.2016.865","article-title":"The Oral Microbiome\u2014An Update for Oral Healthcare Professionals","volume":"221","author":"Kilian","year":"2016","journal-title":"Br. Dent. J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0140-6736(19)31146-8","article-title":"Oral Diseases: A Global Public Health Challenge","volume":"394","author":"Peres","year":"2019","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S0140-6736(19)31133-X","article-title":"Ending the Neglect of Global Oral Health: Time for Radical Action","volume":"394","author":"Watt","year":"2019","journal-title":"Lancet"},{"key":"ref_5","unstructured":"World Health Organization (2022). Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030, World Health Organization. [1st ed.]."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1159\/000455383","article-title":"Chapter 14: Impact of Oral Health on Diet\/Nutrition","volume":"Volume 28","author":"Zohoori","year":"2020","journal-title":"Monographs in Oral Science"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.det.2020.05.002","article-title":"Common Dental and Periodontal Diseases","volume":"38","author":"Laudenbach","year":"2020","journal-title":"Dermatol. Clin."},{"key":"ref_8","first-page":"207","article-title":"Salivary Parameters of Competitive Swimmers at Gas-Chlorinated Swimming-Pools","volume":"12","author":"Bretz","year":"2013","journal-title":"J. Sports Sci. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1136\/bjsports-2014-093804","article-title":"Oral Health and Elite Sport Performance","volume":"49","author":"Needleman","year":"2015","journal-title":"Br. J. Sports Med."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Tripodi, D., Cosi, A., Fulco, D., and D\u2019Ercole, S. (2021). The Impact of Sport Training on Oral Health in Athletes. Dent. J., 9.","DOI":"10.3390\/dj9050051"},{"key":"ref_11","first-page":"e436","article-title":"Study of the Effect of Oral Health on Physical Condition of Professional Soccer Players of the Football Club Barcelona","volume":"16","author":"Ardevol","year":"2011","journal-title":"Med. Oral"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1136\/bjsports-2013-092891","article-title":"Oral Health and Impact on Performance of Athletes Participating in the London 2012 Olympic Games: A Cross-Sectional Study","volume":"47","author":"Needleman","year":"2013","journal-title":"Br. J. Sports Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1136\/bjsports-2014-093617","article-title":"Oral Health of Elite Athletes and Association with Performance: A Systematic Review","volume":"49","author":"Ashley","year":"2015","journal-title":"Br. J. Sports Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2008","DOI":"10.1001\/jama.283.15.2008","article-title":"Meta-Analysis of Observational Studies in EpidemiologyA Proposal for Reporting","volume":"283","author":"Stroup","year":"2000","journal-title":"JAMA"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1097\/XEB.0000000000000054","article-title":"Methodological Guidance for Systematic Reviews of Observational Epidemiological Studies Reporting Prevalence and Cumulative Incidence Data","volume":"13","author":"Munn","year":"2015","journal-title":"Int. J. Evid. Based Healthc."},{"key":"ref_17","unstructured":"Shulman, J.D., and Cappelli, D.P. (2008). Epidemiology of Dental Caries. Prevention in Clinical Oral Health Care, Elsevier."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1902\/jop.1967.38.6_part2.610","article-title":"The Gingival Index, the Plaque Index and the Retention Index Systems","volume":"38","year":"1967","journal-title":"J. Periodontol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1111\/j.1875-595X.2011.00018.x","article-title":"Indices for Measuring Periodontitis: A Literature Review","volume":"61","author":"Dhingra","year":"2011","journal-title":"Int. Dent. J."},{"key":"ref_20","first-page":"6","article-title":"What Does \u2018Elite\u2019Mean in Sport and Why Does It Matter","volume":"51","author":"Williams","year":"2017","journal-title":"Sport Exerc. Sci."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s12662-021-00737-3","article-title":"Defining \u201cElite\u201d Status in Sport: From Chaos to Clarity","volume":"52","author":"McAuley","year":"2022","journal-title":"Ger. J. Exerc. Sport Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"240","DOI":"10.3163\/1536-5050.104.3.014","article-title":"De-Duplication of Database Search Results for Systematic Reviews in EndNote","volume":"104","author":"Bramer","year":"2016","journal-title":"J. Med. Libr. Assoc."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan\u2014A Web and Mobile App for Systematic Reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst. Rev."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1136\/jech-2013-203104","article-title":"Meta-Analysis of Prevalence","volume":"67","author":"Barendregt","year":"2013","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/j.jclinepi.2014.03.003","article-title":"In Meta-Analyses of Proportion Studies, Funnel Plots Were Found to Be an Inaccurate Method of Assessing Publication Bias","volume":"67","author":"Hunter","year":"2014","journal-title":"J. Clin. Epidemiol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1136\/ebmental-2019-300117","article-title":"How to Perform a Meta-Analysis with R: A Practical Tutorial","volume":"22","author":"Balduzzi","year":"2019","journal-title":"Evid. Based Ment. Health"},{"key":"ref_27","first-page":"95","article-title":"The Dental Condition of Olympic Games Contestants\u2014A Pilot Study, 1968","volume":"20","author":"Forrest","year":"1969","journal-title":"Dent. Pract. Dent. Rec."},{"key":"ref_28","first-page":"44","article-title":"The Prevalence of Oral Health Problems in Participants of the 1992 Olympic Games in Barcelona","volume":"44","author":"Batchelor","year":"1994","journal-title":"Int. Dent. J."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1111\/j.1600-9657.2010.00884.x","article-title":"Prevalence of Dental Trauma in Pan American Games Athletes","volume":"26","author":"Andrade","year":"2010","journal-title":"Dent. Traumatol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1136\/bjsports-2015-094953","article-title":"Poor Oral Health Including Active Caries in 187 UK Professional Male Football Players: Clinical Dental Examination Performed by Dentists","volume":"50","author":"Needleman","year":"2016","journal-title":"Br. J. Sports Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1111\/cdoe.12392","article-title":"Oral Health and Performance Impacts in Elite and Professional Athletes","volume":"46","author":"Gallagher","year":"2018","journal-title":"Community Dent. Oral Epidemiol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1080\/00913847.2018.1546105","article-title":"Oral Health among Dutch Elite Athletes Prior to Rio 2016","volume":"47","author":"Kragt","year":"2019","journal-title":"Physician Sportsmed."},{"key":"ref_33","first-page":"49","article-title":"Oral Health in Young Elite Swimmers","volume":"27","author":"Cardoso","year":"2020","journal-title":"Trends Sport Sci."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"De la Parte, A., Monticelli, F., Toro-Rom\u00e1n, V., and Pradas, F. (2021). Differences in Oral Health Status in Elite Athletes According to Sport Modalities. Sustainability, 13.","DOI":"10.3390\/su13137282"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1038\/s41405-021-00078-1","article-title":"Oral Health Problems in High-Performance Athletes at 2019 Pan American Games in Lima: A Descriptive Study","volume":"7","year":"2021","journal-title":"BDJ Open"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Khan, K., Qadir, A., Trakman, G., Aziz, T., Khattak, M.I., Nabi, G., Alharbi, M., Alshammari, A., and Shahzad, M. (2022). Sports and Energy Drink Consumption, Oral Health Problems and Performance Impact among Elite Athletes. Nutrients, 14.","DOI":"10.3390\/nu14235089"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"297","DOI":"10.4103\/ijdr.IJDR_764_18","article-title":"Estimated Prevalence of Dental Caries in Athletes: An Epidemiological Systematic Review and Meta-Analysis","volume":"31","author":"Azeredo","year":"2020","journal-title":"Indian J. Dent. Res."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"870","DOI":"10.31729\/jnma.7807","article-title":"Dental Caries among Adult Population of a Municipality: A Descriptive Cross-Sectional Study","volume":"60","author":"Khapung","year":"2022","journal-title":"J. Nepal Med. Assoc."},{"key":"ref_39","unstructured":"World Health Organization (2013). Oral Health Surveys: Basic Methods, World Health Organization."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e538","DOI":"10.4317\/medoral.15.e538","article-title":"Oral Health Survey of the Adult Population of the Valencia Region (Spain)","volume":"15","author":"Eustaquio","year":"2010","journal-title":"Med. Oral"},{"key":"ref_41","first-page":"2050","article-title":"Evaluation of Oral Health Status Based on the Decayed, Missing and Filled Teeth (DMFT) Index","volume":"48","author":"Moradi","year":"2019","journal-title":"Iran. J. Public Health"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Nijakowski, K., Zdrojewski, J., Nowak, M., Podg\u00f3rski, F., and Surdacka, A. (2022). Regular Physical Activity and Dental Erosion: A Systematic Review. Appl. Sci., 12.","DOI":"10.3390\/app12031099"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"E69","DOI":"10.1055\/a-1964-8538","article-title":"The Significance of Oral Inflammation in Elite Sports: A Narrative Review","volume":"6","author":"Merle","year":"2022","journal-title":"Sports Med. Int. Open"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1002\/cre2.15","article-title":"Oral Health Practices and Prevalence of Dental Plaque and Gingivitis among Indian Adults","volume":"2","author":"Sreenivasan","year":"2016","journal-title":"Clin. Exp. Dent. Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"2482","DOI":"10.1016\/j.joms.2008.07.005","article-title":"Impact of Symptomatic Pericoronitis on Health-Related Quality of Life","volume":"66","author":"McNutt","year":"2008","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Schulze, A., and Busse, M. (2024). Sports Diet and Oral Health in Athletes: A Comprehensive Review. Medicina, 60.","DOI":"10.3390\/medicina60020319"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1136\/bjsm.2010.075283","article-title":"Dental Service in 2008 Summer Olympic Games","volume":"45","author":"Yang","year":"2011","journal-title":"Br. J. Sports Med."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/00913847.1983.11708561","article-title":"Dental Trauma and Disease in 34 Professional Athletes","volume":"11","author":"Randell","year":"1983","journal-title":"Physician Sportsmed."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1055\/s-0031-1277192","article-title":"Elite Athletes and Oral Health","volume":"32","author":"Bryant","year":"2011","journal-title":"Int. J. Sports Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/j.adaj.2018.04.023","article-title":"Periodontitis in US Adults: National Health and Nutrition Examination Survey 2009\u20132014","volume":"149","author":"Eke","year":"2018","journal-title":"J. Am. Dent. Assoc."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"e10200231","DOI":"10.1590\/s1980-6574202000020231","article-title":"Prevalence of Facial Trauma in Contact Sports Practitioners in the Federal District of Brazil","volume":"26","author":"Pinheiro","year":"2020","journal-title":"Mot. Rev. Educ. Fis."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"223","DOI":"10.4034\/PBOCI.2012.122.11","article-title":"Ocorr\u00eancia de Inj\u00farias Orofaciais Em Praticantes de Esportes de Luta","volume":"12","author":"Cavalcanti","year":"2012","journal-title":"Pesqui. Bras. Em Odontopediatria E Cl\u00ednica Integr."},{"key":"ref_53","first-page":"e11","article-title":"Traumatic Dental Injuries\u2019 Prevalence across Diverse Healthcare Settings: A Systematic Review and Meta-Analysis","volume":"13","author":"Tanasiewicz","year":"2024","journal-title":"Arch. Acad. Emerg. Med."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1136\/bjsports-2024-108663","article-title":"Mouthguards for the Prevention of Orofacial Trauma in Sport: The Faculty of Sport and Exercise Medicine (UK) Position Statement","volume":"58","author":"Ahmed","year":"2024","journal-title":"Br. J. Sports Med."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/12\/589\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T05:21:10Z","timestamp":1765344070000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/12\/589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,8]]},"references-count":54,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["dj13120589"],"URL":"https:\/\/doi.org\/10.3390\/dj13120589","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,8]]}}}