Skip to main content Skip to main navigation menu Skip to site footer
  • Register
  • Login
  • Menu
  • Home
  • Current
  • Archives
  • Announcements
  • About
    • About the Journal
    • Submissions
    • Editorial Team
    • Privacy Statement
    • Contact
  • Register
  • Login

Quality in Sport

The impact of barometric pressure changes on oral health in light aircraft pilots: literature review
  • Home
  • /
  • The impact of barometric pressure changes on oral health in light aircraft pilots: literature review
  1. Home /
  2. Archives /
  3. Vol. 44 (2025) /
  4. Health Sciences

The impact of barometric pressure changes on oral health in light aircraft pilots: literature review

Authors

  • Julia Dąbrowska https://orcid.org/0009-0009-0903-3603
  • Katarzyna Puto So-Med, Kazimierza Tumidajskiego 24 02-495 Lublin https://orcid.org/0009-0000-0130-0345
  • Julia Petlik Corten Dental Elite, Młynarska 26/38 01-205 Warszawa https://orcid.org/0009-0002-7396-7450
  • Małgorzata Skura Neodent, Wallenroda 15 20-400 Lublin https://orcid.org/0009-0004-6836-0704
  • Beata Wnuk Corten Dental, Etiudy Rewolucyjnej 48 02-635 Warszawa https://orcid.org/0009-0001-9063-6445
  • Maria Sikora https://orcid.org/0000-0001-9931-3864
  • Oskar Ptak Medicover stomatologia, Wołoska 22a 02-675 Warszawa https://orcid.org/0009-0007-5687-5622
  • Anna Redos Fundacja Zdrowie i Medycyna 2000, A. Wierzejewskiego 12 05-510 Konstancin-Jeziorna https://orcid.org/0009-0006-0411-4875
  • Maciej Zając Fundacja Zdrowie i Medycyna 2000, A. Wierzejewskiego 12 05-510 Konstancin-Jeziorna https://orcid.org/0009-0006-4166-8623
  • Karolina Zalisz Uniwerysteckie Centrum Stomatologii, Bienieckiego 6 04-927 Warszawa https://orcid.org/0009-0003-0152-3188
  • Piotr Suski Corten Dental ul. Makolągwy 21, 02-811 Warszawa, https://orcid.org/0009-0003-6339-9143

DOI:

https://doi.org/10.12775/QS.2025.44.62994

Keywords

barodontalgia, barotrauma, dental pain, barosinusitis, baroparesis

Abstract

Introduction:
Flights in light aircraft without pressurized cabins expose the human body to rapid changes in atmospheric pressure, which may negatively affect dental health. Due to its structure and gas content, the oral cavity is particularly susceptible to hypobaric conditions occurring at high altitudes.

Materials and Methods:
This study is based on a review of the literature available in the PubMed, Google Scholar, Medline, and ClinicalTrials.gov databases. Scientific publications from 1996 to 2024 concerning barodontalgia and dental materials subjected to pressure changes were included.

Results:
Barodontalgia may pose a significant risk to pilots and passengers of small aircraft. Changes in atmospheric pressure can lead to tooth, sinus, ear, and facial pain, as well as micro-damage to fillings and prosthetic restorations. Additionally, the presence of undetected inflammatory foci increases the risk of pain symptoms.

Conclusions:
Flights in non-pressurized cabin conditions can adversely affect the oral cavity and surrounding structures. Regular dental check-ups are recommended for individuals exposed to barodontalgia, as well as avoiding flights shortly after dental treatment and using durable materials resistant to pressure changes.

References

1. Zadik Y. (2010). Barodontalgia: what have we learned in the past decade?. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 109(4), e65–e69. https://doi.org/10.1016/j.tripleo.2009.12.001

2. Robichaud, R., & McNally, M. E. (2005). Barodontalgia as a differential diagnosis: symptoms and findings. Journal (Canadian Dental Association), 71(1), 39–42.

3. Gonzalez Santiago, M.delM., Martinez-Sahuquillo Marquez, A., & Bullón-Fernández, P. (2004). Incidence of barodontalgias and their relation to oral/ dental condition in personnel with responsibility in military flight. Medicina oral : organo oficial de la Sociedad Espanola de Medicina Oral y de la Academia Iberoamericana de Patologia y Medicina Bucal, 9(2), 98..

4. Laval-Meunier, F., Bertran, P. E., Arrivé, E., Paris, J. F., Monteil, M., Nguyen, S., Moussu, C., Rouas, A., & Catros, S. (2013). Frequency of barodontalgia among military or civilian pilots and aircrew members. Aviation, space, and environmental medicine, 84(10), 1055–1060. https://doi.org/10.3357/asem.3584.2013

5. Ben-Ari, O., Zadik, Y., & Nakdimon, I. (2024). Facial and trigeminal nerves neuropathy induced by atmospheric pressure changes: A meta-analysis. American journal of otolaryngology, 45(4), 104311. https://doi.org/10.1016/j.amjoto.2024.104311

6. Zadik Y. (2009). Aviation dentistry: current concepts and practice. British dental journal, 206(1), 11–16. https://doi.org/10.1038/sj.bdj.2008.1121

7. Gulve, M. N., & Gulve, N. D. (2013). Provisional Crown Dislodgement during Scuba Diving: A Case of Barotrauma. Case reports in dentistry, 2013, 749142. https://doi.org/10.1155/2013/749142

8. Jagger, R. G., Shah, C. A., Weerapperuma, I. D., & Jagger, D. C. (2009). The prevalence of orofacial pain and tooth fracture (odontocrexis) associated with SCUBA diving. Primary dental care : journal of the Faculty of General Dental Practitioners (UK), 16(2), 75–78. https://doi.org/10.1308/135576109787909463

9. Holowatyj RE. Barodontalgia among flyers: a review of seven cases. J Can Dent Assoc. 1996;62(7):578–584. PMID: 8764677.

10. Nakdimon, I., & Zadik, Y. (2019). Barodontalgia Among Aircrew and Divers. Aerospace medicine and human performance, 90(2), 128–131. https://doi.org/10.3357/AMHP.5183.2019

11. Valian, A., & Allahdadi, M. (2022). The effect of atmospheric pressure on the bond strength of composites. Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc, 49(4), 415–423. https://doi.org/10.22462/07.08.2022.2

12. Latif, A. R., & Vorobyeva, Y. B. (2023). The strength of restorations of hard tooth tissues with changes in atmospheric pressure, in vitro studies. Russian Military Medical Academy Reports, 42(2), 125-130.

13. Segev, Y., Landsberg, R., & Fliss, D. M. (2003). MR imaging appearance of frontal sinus barotrauma. AJNR. American journal of neuroradiology, 24(3), 346–347. PMID: 12637280

14. Ulanovski, D., Barenboim, E., Raveh, E., Grossman, A., Azaria, B., & Shpitzer, T. (2008). Sinusitis in pilots of different aircraft types: is allergic rhinitis a predisposing factor?. American journal of rhinology, 22(2), 122–124. https://doi.org/10.2500/ajr.2008.22.3158

15. Puglisi, S., Privitera, S., Maiolino, L., Serra, A., Garotta, M., Blandino, G., & Speciale, A. (2011). Bacteriological findings and antimicrobial resistance in odontogenic and non-odontogenic chronic maxillary sinusitis. Journal of medical microbiology, 60(Pt 9), 1353–1359. https://doi.org/10.1099/jmm.0.031476-0

16. Misirovs, R., & Mohamad, S. (2020). Reverse Squeeze Maxillary Sinus Barotrauma. Ear, nose, & throat journal, 99(1), NP9–NP10. https://doi.org/10.1177/0145561319825556

17. Schulze, R. K. W., & Drage, N. A. (2020). Cone-beam computed tomography and its applications in dental and maxillofacial radiology. Clinical radiology, 75(9), 647–657. https://doi.org/10.1016/j.crad.2020.04.006

18. Chen, J., Wang, H., Zhang, C., Shi, L., Zhang, Q., Song, X., Wang, D., Hu, L., Yu, H., & Sun, X. (2023). Comparative short-term efficacy of endoscopic sinus surgery and biological therapies in chronic rhinosinusitis with nasal polyps: A network meta-analysis. Clinical and translational allergy, 13(6), e12269. https://doi.org/10.1002/clt2.12269

19. Topbaş, C., Şirin, D. A., Gezeravcı, H., Özçelik, F., Erdem Hepşenoğlu, Y., & Erşahan, Ş. (2024). Relationships among barodontalgia prevalence, altitude, stress, dental care frequency, and barodontalgia awareness: a survey of Turkish pilots. PeerJ, 12, e17290. https://doi.org/10.7717/peerj.17290

20. Jamil RT, Cooper JS. Sinus Squeeze. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. PMID: 29763210; Bookshelf ID: NBK500034

21 Rutten, M. H., & Kunst, H. P. (2010). Facial nerve palsy in aviation facial baroparesis. J Int Adv Otol, 6(2), 277-281.

22. Vaezeafshar, R., Psaltis, A. J., Rao, V. K., Zarabanda, D., Patel, Z. M., & Nayak, J. V. (2017). Barosinusitis: Comprehensive review and proposed new classification system. Allergy & rhinology (Providence, R.I.), 8(3), 109–117. https://doi.org/10.2500/ar.2017.8.0221

23. Lyons, K. M., Rodda, J. C., & Hood, J. A. (1999). Barodontalgia: a review, and the influence of simulated diving on microleakage and on the retention of full cast crowns. Military medicine, 164(3), 221–227. https://doi.org/10.1093/milmed/164.3.221

24. Mocquot, C., Cabrera, A., Colon, P., Bosco, J., Grosgogeat, B., & Pradelle-Plasse, N. (2017). Effect of a hyperbaric environment (diving conditions) on adhesive restorations: an in vitro study. British dental journal, 223(5), 347–351. https://doi.org/10.1038/sj.bdj.2017.764

25. Felkai, P. P., Nakdimon, I., Felkai, T., Levin, L., & Zadik, Y. (2023). Dental tourism and the risk of barotrauma and barodontalgia. British dental journal, 234(2), 115–117. https://doi.org/10.1038/s41415-023-5449-x

Quality in Sport

Downloads

  • PDF

Published

2025-08-10

How to Cite

1.
DĄBROWSKA, Julia, PUTO, Katarzyna, PETLIK, Julia, SKURA, Małgorzata, WNUK, Beata, SIKORA, Maria, PTAK, Oskar, REDOS, Anna, ZAJĄC, Maciej, ZALISZ, Karolina and SUSKI, Piotr. The impact of barometric pressure changes on oral health in light aircraft pilots: literature review. Quality in Sport. Online. 10 August 2025. Vol. 44, p. 62994. [Accessed 15 December 2025]. DOI 10.12775/QS.2025.44.62994.
  • ISO 690
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
Download Citation
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

Issue

Vol. 44 (2025)

Section

Health Sciences

License

Copyright (c) 2025 Julia Dąbrowska, Katarzyna Puto, Julia Petlik, Małgorzata Skura, Beata Wnuk, Maria Sikora, Oskar Ptak, Anna Redos, Maciej Zając, Karolina Zalisz, Piotr Suski

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Stats

Number of views and downloads: 560
Number of citations: 0

Search

Search

Browse

  • Browse Author Index
  • Issue archive

User

User

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo

Information

  • For Readers
  • For Authors
  • For Librarians

Newsletter

Subscribe Unsubscribe

Tags

Search using one of provided tags:

barodontalgia, barotrauma, dental pain, barosinusitis, baroparesis
Up

Akademicka Platforma Czasopism

Najlepsze czasopisma naukowe i akademickie w jednym miejscu

apcz.umk.pl

Partners

  • Akademia Ignatianum w Krakowie
  • Akademickie Towarzystwo Andragogiczne
  • Fundacja Copernicus na rzecz Rozwoju Badań Naukowych
  • Instytut Historii im. Tadeusza Manteuffla Polskiej Akademii Nauk
  • Instytut Kultur Śródziemnomorskich i Orientalnych PAN
  • Instytut Tomistyczny
  • Karmelitański Instytut Duchowości w Krakowie
  • Ministerstwo Kultury i Dziedzictwa Narodowego
  • Państwowa Akademia Nauk Stosowanych w Krośnie
  • Państwowa Akademia Nauk Stosowanych we Włocławku
  • Państwowa Wyższa Szkoła Zawodowa im. Stanisława Pigonia w Krośnie
  • Polska Fundacja Przemysłu Kosmicznego
  • Polskie Towarzystwo Ekonomiczne
  • Polskie Towarzystwo Ludoznawcze
  • Towarzystwo Miłośników Torunia
  • Towarzystwo Naukowe w Toruniu
  • Uniwersytet im. Adama Mickiewicza w Poznaniu
  • Uniwersytet Komisji Edukacji Narodowej w Krakowie
  • Uniwersytet Mikołaja Kopernika
  • Uniwersytet w Białymstoku
  • Uniwersytet Warszawski
  • Wojewódzka Biblioteka Publiczna - Książnica Kopernikańska
  • Wyższe Seminarium Duchowne w Pelplinie / Wydawnictwo Diecezjalne „Bernardinum" w Pelplinie

© 2021- Nicolaus Copernicus University Accessibility statement Shop