PDF(Pubmed)
Abstract：
Ultra-endurance runners are particularly exposed to caries risk factors due to the continuous intake of sugars in liquid or sticky forms during long-distance exercise. The risk of caries increases due to a failure to perform oral hygiene during races. Ultra-endurance runners had good oral health status despite these particularities. Our hypothesis is that high compliance with preventive oral health recommendations (toothbrushing and preventive or regular dental visits) counterbalance the risks associated with their exposure to caries. We aimed to gain a better understanding of preventive dental behaviors in ultra-endurance runners. We then studied the determinants of two major recommendations: (1) visiting a dentist for preventive check-ups and (2) visiting a dentist during the year. 37% of the total sample reported patterns of both preventive dental visits and recent visits. Early visits (ORa = 4.8***), good oral health (ORa = 8.8**) and tooth brushing (ORa = 2.2**) were associated with preventive dental visits, but there was no significant influence of snacking or weekly work hours. The ultra-endurance race frequency was associated with early dental visits despite equal needs. Most risk-control behaviors were associated with each other, indicating that they are all-or-nothing behaviors. Individual prevention strategies implemented at the dental office may not be as effective as they predominantly target individuals who are already aware of and interested in preventive care. Instead, developing targeted primary prevention strategies that are accessible at race venues, such as stands, villages, or food supply points, could be more effective.
摘要：
由于在长距离运动中连续摄入液体或粘性形式的糖，超耐力跑步者特别容易受到龋齿危险因素的影响。由于在比赛期间未能进行口腔卫生，龋齿的风险增加。尽管有这些特殊性，但超耐力跑步者的口腔健康状况良好。我们的假设是，高度遵守预防性口腔健康建议（刷牙和预防性或定期牙科就诊）可以抵消与暴露于龋齿相关的风险。我们旨在更好地了解超耐力跑步者的预防性牙科行为。然后，我们研究了两个主要建议的决定因素：（1）去看牙医进行预防性检查，以及（2）在一年中去看牙医。总样本的37%报告了预防性牙科就诊和最近就诊的模式。早期访问（ORa=4.8***），良好的口腔健康（ORa=8.8**）和刷牙（ORa=2.2**）与预防性牙科就诊相关，但是吃零食或每周工作时间没有显着影响。尽管需求相同，但超耐力比赛频率与早期牙科就诊有关。大多数风险控制行为都是相互关联的，表明它们是全有或全无的行为。在牙科诊所实施的个人预防策略可能不如主要针对已经意识到并对预防保健感兴趣的个人那样有效。相反，制定有针对性的初级预防策略，可在比赛场地使用，如立场，村庄,或者食物供应点，可以更有效。
