04/03/2026
Elite athletes are some of the fittest people on earth. But their teeth often tell a different story.
A 2026 review published in the British Dental Journal reports that good oral health is uncommon in elite athletes. Dental caries, gum disease, and erosive tooth wear are frequently observed. In some studies, levels of tooth decay appear higher than in non-athlete populations.
This is not simply a brushing issue. Elite athletes often consume carbohydrates frequently to fuel training, competition, and recovery. Sports drinks, energy gels, and acidic beverages expose teeth to repeated sugar and acid challenges throughout the day. Reduced saliva flow during intense exercise and mouth breathing may further increase risk.
Oral disease in athletes is not trivial. Pain, inflammation, and infection can affect sleep, concentration, and overall wellbeing. Even low-grade oral inflammation contributes to systemic inflammatory burden, which may influence recovery and performance in high-demand settings.
The authors, led by Ian Needleman, emphasize that elite sport operates within a structured ecosystemâcoaches, dietitians, physicians, and federations. Oral health strategies must involve this entire system. Risk mitigation, structured dental screening, fluoride-based prevention, and behaviour change science are key components.
The message is clear: oral health is part of performance health. Protecting athletesâ teeth and gums is not cosmeticâit supports wellbeing, longevity in sport, and responsible duty of care.
đ Source: Needleman I, Gallagher J, Ashley P. What do we know about elite athlete oral health? British Dental Journal. 2026;240:217â222.