Sneha Divekar*
National Sports Dentistry Committee, India
*Corresponding Author: Sneha Divekar, National Sports Dentistry Committee,
India.
Received: March 04, 2026; Published: March 30, 2026
Dr. Sneha Divekar Short Intro
Introduction
Sports dentistry is an emerging field focusing on the prevention, treatment, and management of oral health issues in athletes. There is a growing importance of all fields of sports science and sports medicine for improvement of athlete overall health and performance. With India’s decision to host international sports events and the desire to have a substantial increase in the medal tally, the importance of integration of various healthcare disciplines has come to the forefront. Part of the role of the sports medicine doctors is to help prepare elite athletes to reach the peak of their performance at the critical time, so that they win the event they have been preparing for. However, Sports Medicine doctors have very little knowledge about oral health and the implications of poor oral health on athletic performance. Sports Dentistry is a relatively new exciting branch of sports medicine which offers an increasing importance to Sports Medicine. Sports Dentistry is defined by the International Dental Federation (FDI) as an area “focused on preventing and treating oral cavity and stomatognathic system pathologies and injuries that arise from sports activities”. This is even more relevant based on the alarming levels of oral deterioration and oral health literacy reported among athletes over the past years which deteriorates and affects their performance. Thus, it is high time that a detail analysis is made as to how sports dentistry can be integrated into sports events at various levels in the country. A study of what is happening in terms of oral healthcare services at international sports events will help us gain understanding of what similar plans we can execute in India right from grassroot to the national level. How sports managers or sports management organizations and in general sports organizations can help integrate athlete oral health at various levels should be planned and discussed so that such activities can be planned in collaboration with dentists, sports administrators and sports science and medicine professionals. How CSR funding can help sports dentistry organizations achieve their goals of executing dental screenings, providing mouthguards and performing dental treatments at subsidized rates is an important point of discussion. In the end, we will discuss actual examples of National Sports Dentistry Committee, which is a national organization on sports dentistry under the Indian Society of Sports and Exercise Medicine. This organization has been conducting various events for athletes across the country and we will touch upon examples as to how Sports Management can join hands with Sports Dentistry for better oral health and general health of athletes.
Importance of sports dentistry integration into sports events by sports managers
Sports dentistry plays a crucial role in sports management events by focusing on the prevention, treatment, and management of oral health issues in athletes.
To compete successfully, at any level of sport, participants need to be well-trained, injury-free and healthy. Elite athletes, in particular, differ from the general population due to their greater levels of physical function, psychological function and perceived health. They rely on physical activity for their livelihood; therefore, the consequences of injury and illness are considerable. Elite athletes with oral health problems have consistently reported associated impacts on outcome measures, such as wellbeing, quality of life, training and performance. Problems such as acute dental infections or orofacial trauma can lead to time lost from training or competition but are reported infrequently. However, psychosocial impacts, including athlete-reported difficulties with eating, drinking, sleeping, relaxing and confidence, which have the potential to affect training quality, are more reported more often. Oral diseases can be prevented with simple interventions that have been proven to be effective. Screening that allows early recognition of disease is well-established in healthcare as the first step in prevention of disease and promotion of positive health behaviours. Thus, integration of sports dentistry into sports management enhances the overall wellbeing and performance of athletes, making it an essential aspect of sports medicine.
Current observation protocols in sports dentistry
In 2023, the European Association for Sports Dentistry (EA4SD) and the Academy for Sports Dentistry (ASD) in the USA, proposed a Universal Screening Protocol for Dental Examinations in Sports (USPDES). The USPDES is an inclusive protocol, comprises six sections and results in a final color-based (defined as green as “no pathological and/or functional findings”, yellow as “presence of at least one pathological or functional findings” and red as “multiple severe pathological and/or functional findings”) categorization that will render an eligibility authorization to practice sports based on a comprehensive and mostly oral-based inspection.
The four main goals of USPDES were: (i) to be brief and quick; (ii) to allow collecting the maximum amount of data about the overall health status of the stomatognathic system as well as to provide a more efficient version of data collection; (iii) to include basic information about the oral health conditions that will benefit the athlete and team; (iv) to adopt the instructions and codification of the FDI. Screening/early recognition of disease is well established in health care. Use of standard clinical indices such as the International Caries Detection and Assessment System (ICDAS), the Basic Periodontal Examination (BPE) and the Basic Erosive Wear Examination (BEWE) encourage greater clarity when reporting prevalence of disease for epidemiologic studies and when providing athlete feedback regarding individual risk.
Solutions for integrating dental screening and oral hygiene maintenance for athletes before and during sports events
As part of their pre-season preparation, elite athletes routinely undergo a periodic health examination (PHE) and the inclusion of regular oral health evaluation was recommended by the International Olympic Committee as far back as 2009. The PHE aims to assess each athlete’s current health status and identify their risk of future injury or disease. For many elite athletes, the PHE may be their initial contact with medical (and/or dental) personnel, and can also provide an opportunity for brief preventive interventions. Best practice in elite sport should filter down through all levels and this could encourage regular oral health checks related to the sporting environment. The PHE should ideally take place with enough time to manage any injuries, or medical or oral health problems well before the competition season starts. Furthermore, oral healthcare should be provided on a continuous basis and not, for example, just in the run up to and during major competitions.
Frequency of screening
As per Federation Dentaire International: Athletes should undergo dental screening at least once a year for amateur athletes and twice a year for elite athletes. This frequency is recommended to ensure that dental issues are detected and treated promptly, which can prevent further complications and maintain optimal athletic performance. Regular dental check-ups are essential for athletes to address any dental health concerns that could impact their performance and overall well-being.
Venue of screening
Athletes are a group who could benefit from an oral health screening program carried out at their place of training. Many athletes ignore symptoms associated with overuse injuries and continue to train and compete despite the presence of pain and reduced function; therefore, it is not surprising if they also disregard symptoms associated with oral health problems. When asked, two-thirds (62.1%) of elite and professional athletes reported that convenience was the most important factor to consider when arranging dental visits. In one research project, where oral health screening was offered to elite and professional athletes, eight out of ten attended. The PHE often takes place for a whole cohort at an athlete training venue and comprises a series of individual examinations/screening tests. It is therefore entirely possible for a relatively rapid oral health screening to be included.
Protocols for dental screening of athletes at venues
Athletes and their support team appreciate the convenience of oral health screening provided at athlete training venues. If the screening is undertaken away from a dental surgery, then a suitable room at the facility is required to ensure privacy and confidentiality for each athlete. As in the dental surgery, athletes should be examined in a fully supine position, and the dentist and assistant should be seated comfortably. A treatment bench is usually available if physiotherapy or other medical services are provided at the venue. Otherwise, a portable massage table can be brought. Adequate illumination is essential and can be provided from a mobile examination lamp or head torch. Figure 1 shows an oral health screening set up at a training venue. Ideally, compressed air from a portable dental unit would be used to dry the teeth, otherwise cotton wool rolls may be used. A high standard of infection control is essential. Surfaces should be disinfected and personal protective equipment changed between each athlete examination. A fresh set of sterile single-use instruments should be used for each athlete and protective eyewear should be provided for the athletes during examination.
These are basic protocols that need to be followed at each and every sporting venue/academy/ organization in the country. The types of athlete dental set-ups and services at sporting events vary a lot depending upon the level of the event and the amount of sports science and sports medicine integration overall seen in the event.
Oral care kits for athletes
Athletes should consider the following oral care essentials to maintain a healthy smile and support their performance. They should carry the following things to all their venues:
These oral care kits are designed to fit seamlessly into an athlete's daily routine, ensuring they can maintain a healthy smile and perform their best.
Emergency/First Aid Dental Kit for Athletes
[More things can be added to these 2 lists/kits with the consultation of the sports dentist].
Recommendations and sports dentistry inclusions at international sports events
The dental health of athletes is often poorer than that of the general population, and may result in acute or chronic problems that can compromise an athlete’s performance. The possibility of an athlete losing four hard years of training due to an avoidable dental illness or injury is unacceptable, and steps must be taken to prevent these occurrences. Access to adequate dental care is compromised in certain parts of the world, and a disproportionate amount of treatment has been sought at the Olympic Games by athletes from Eastern Europe and, in some cases, African nations. Further assessment of this problem must take place, and a system to help educate and deliver a better level of care to these athletes, through their NOCs, must be developed. A partnership with global bodies, such as the International Society for Dentistry and Sport, might help with this initiative.
Games organizers must establish dental programs that best meet the needs of the athletes, using the recommendations included in this report which are based on trends in the dental service that have been identified over the last 30 years.
These include:
Sports dentistry inclusion at national level and grassroot level events
Sports dentistry services at sports events in India are essential for athletes to maintain their oral health and perform at their best. Here are some key services offered by dental professional at sports events:
Research and collaboration
Dentists participate in research and collaborate with national and international organizations in sports dentistry.
These services are crucial for athletes to prevent dental injuries and ensure their smile is as strong as their game. Athletes can find dental care at sports events through platforms like National Sports Dentistry Committee.
Lack of dental awareness and solutions for dental services at grassroot sports level
Need for dental screenings in younger athletes
By incorporating dental screenings into their routine, young athletes can ensure they are not only performing at their best but also maintaining their overall health and well-being.
Thus, to help athletes deal with all these problems at a younger age and prevent development of further oral health diseases, regular intervention by the sports dentist is essential. That is why, a team dentist is needed at all levels of sports, whether it is grass root sports or international level games. Hence, it is advisable for the sporting community to have sports dentistry centers all over the various cities across India identified for a quick approach when needed. Millions of rupees are spent every year in treating dental trauma injuries caused due to sporting accidents. However, in India, only a few athletes wear mouthguards to prevent these injuries. In India, dental procedures regarding Sports Dentistry should be performed at reasonable costs with best of quality at various dental clinics situated in different cities. This is the aim of organizations like National Sports Dentistry Committee to keep a holistic approach for athletes’ oral health.
Targeting younger athletes for dental awareness through schools
It is important to reach young budding athletes, particularly at primary schools. Pupils need to acquire knowledge and skills that facilitate a healthy lifestyle and help them cope with social and peer pressure. Children are empowered to take control over their own health early in their lives and are encouraged to develop positive attitudes toward preventive measures. This is particularly crucial when they reach adolescence when they are challenged and exposed to risk factors such as tobacco and alcohol use and poor dietary practices. They become more mobile and travel independently in motor vehicles and bicycles, and engage more in sports and other high- risk activities that are more prone to craniofacial injuries. They may begin to experiment with sexual practices during this period, potentially subjecting themselves to infections that predispose to general and oral health problems. School policies and physical environment are also imperative in the attainment of optimal health. Policies on diet, particularly in relation to sugars and carbonated drinks, are necessary to enable the canteen and tuck shops to promote healthy eating and sensible sugar intake. Schools can provide a supportive environment for promoting oral health like the tooth brushing activities in schools. A safe physical environment in the playgrounds, and indeed throughout the school to reduce the risk of dental trauma with appropriate policies and practices to save the traumatized tooth/teeth, avoiding tooth loss and associated problems in later life. School policies and practices on healthy diet that ensure healthy foods and drinks, restraint on sugar intake, serve to promote healthy dietary behaviors from an early age. More importantly, schools may be the only place for children, who are at the highest risk of dental disease, to have access to oral health services. This is particularly true in India where children from deprived families have limited access to dental clinics. With adequate training, school teachers can play an important role in oral health activities.
Dental care services offered at School Level
Dental care awareness in coaches and sports professionals
The trend in the country and attitude towards dental care is slowly changing, especially among coaches and sports professionals, thanks to efforts taken by organizations like National Sports Dentistry Committee. Dentists need to collaborate and make coaches and sports professionals aware about many aspects regarding athlete dental care. They are now increasingly recognizing the importance of dental care in athletes' performance and overall health. Here are some key points regarding their awareness:
Key recommendations for athlete dental screenings at sports events at ALL LEVELS across India
Irrespective of whether it is a district level, state level or national level sports event, certain key recommendations should remain the same at all levels. Schools, colleges, sports academies and sports organizations should collaborate with Sports Management Organizations in different cities and Sports Dentistry Organizations like the National Sports Dentistry Committee and execute these recommendations, whether it is preventive screenings, mouthguard use or regular dental treatments.
These recommendations are essential for athletes to perform at their best and to prevent longterm dental problems and injuries. By following these guidelines, athletes can enjoy a healthier and more focused performance in their sports endeavors.
How sports management organizations/people help sports dentistry organizations
Sports Management can play a critical role in strengthening sports dentistry organizations by applying business, operational and strategic principles to the niche field of oral healthcare for athletes. It transforms dentistry from a reactive treatment model into a proactive, integrated component of sports medicine. Important ways by which sports management helps sports dentistry organizations:
Strategic integration into sports medicine
Operational efficiency and safety
Marketing, education and advocacy
Financial and administrative support
By managing these areas, sports dentistry organizations can ensure that athletes receive proper care, which directly reduces downtime and improves overall athletic performance.
Case study of national sports dentistry committee as part of sports events and collaboration with Various Sports Organizations
National Sports Dentistry Committee is a national body on Sports Dentistry in India formed in 2023. In 2020, Academy of Sports Dentistry (ASD), USA and European Association of Sports Dentistry (EA4SD) along with European College of Sports and Exercise Physicians (ECOSEP) released a consensus statement that IT IS NECESSARY TO INTEGRATE SPORTS DENTISTRY INTO SPORTS MEDICINE. Keeping this in mind, on occasion of World Trauma Day on 17th October, we announced the formation of the National Sports Dentistry Committee (NSDC) under the Indian Society of Sports and Exercise Medicine (ISSEM). ISSEM is a national-level registered society for Sports and Exercise Medicine. NSDC plans to conduct all activities and events with aims and objectives in sync with ISSEM.
Mission and vision of NSDC
Our mission
Our vision
About our supporting organization ISSEM
ISSEM is a national-level registered society for Sports and Exercise Medicine. The society has now been expanded to include all the professionals in the field of Sports-Exercise Medicine and Sciences, and related allied fields recognizing the multi- and inter-disciplinary nature of Sports and Exercise Medicine. ISSEM boasts to be the only national level society in the country by recognized specialists in the field of Sports and Exercise Medicine. The society was registered under Societies Registration Act XXI of 1860 on 9th July 2019 with the registration no. S-E/1633/Dist. South East/2019.
NSDC events
Education Programs for Dentists
(Figure 1)
Networking events
(Figure 2)
Dental screening and dental awareness programs for athletes
Dental partners of sports events at various levels
NSDC has been successful in becoming Dental or Oral Health Partners right from small events to bigger state and national level sports events/competitions in the country. Special mention would like to be made for contact sports like karate, taekwondo, boxing, etc. wherein athletes have been sensitized and delivered customized mouthguards. NSDC believes in working right from grassroot to international level for athletes and is taking steps in that direction.
(Figure 3)
NSDC volunteer/sports dentistry integration programs
NSDC has been successful, not just in creating awareness among athletes, but also catering to educating coaches, parents, teachers and schools and sports administrators thru NSDC Volunteer Programs which are basically Sports Dentistry Integration Program for Coaches and Performance Support Staff.
(Figure 4)
Dental screenings and mouthguard provisions
NSDC members have got a great experience of dental screenings and mouthguard awareness and delivery programs across many places in Pune, UP, Delhi, Nagpur, etc. NSDC has run Pan India Oral Health and Mouthguard Drive and many NSDC dentist members across the country have participated. Dental screenings have been provided at top sports institutes like Army Sports Institute, ISST Basketball Clubs, Vmax High Performance Centre and for events like Schoolympics (topmost school sports event in Pune), skating and multi-sport events for Bharat Sports Management Groups, AK Premiere Cricket League and many other such evens. That is why, we encourage more and more dentists to become our members so that we can have a nationwide spread of Athlete Dental Care and 1000s of Consultant Sports Dentists across the country working for athlete oral health and performance! We encourage collaborations of other sports science or sports management organizations or even sports foundations which work for athlete welfare so that together we can work for the betterment of athlete oral and general health.
(Figure 5)
Citation: Sneha Divekar. “Sports Dentistry and Sports Management Integration and Collaboration for Athlete Betterment". Acta Scientific Dental Sciences 10.4 (2026): 03-12.
Copyright: © 2026 Sneha Divekar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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