Useful design of custom-made mouthguard for athletes undergoing orthodontic treatment with brackets and wires.

Mouthguard Orthodontics Shock absorption

Journal

Journal of dental sciences
ISSN: 2213-8862
Titre abrégé: J Dent Sci
Pays: Netherlands
ID NLM: 101293181

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 24 02 2021
revised: 20 03 2021
entrez: 14 1 2022
pubmed: 15 1 2022
medline: 15 1 2022
Statut: ppublish

Résumé

Custom-made mouthguards (MGs) are strongly recommended for athletes during sports activities to prevent dental injuries. Athletes undergoing orthodontic treatment and wearing brackets require specially designed MGs for better protection and to create more space that will not hinder the planned orthodontic tooth movement. The purpose of this study was to fabricate effective, specially designed, custom-made MGs for patients or athletes with ongoing orthodontic treatment and to evaluate the shock absorption abilities of these MGs by an Three different types of specially designed, double-layered MGs, (i) creating inter bracket space inside the MG, (ii) embedding silicon wax inside the MG, and (iii) creating a buffer space with additional hard insertion, were fabricated from a simulated bracket attached model. Impact test was performed using a free-falling object on a vertical rod, and the strain-gauge system was used to assess the strain on the dentition with the MGs for the comparison of the shock absorption abilities of the three types. Analysis of variance at a significance level of 5% and multiple comparisons were performed for statistical analysis. The strains on the dentition with the MG creating buffer space with hard insertion were significantly lower than those with the other two types of MG (P < 0.001). Insertion of a hard material and ensuring buffer space between the MG and the teeth and/or appliance was more effective than other methods of fabricating custom-made MGs to prevent sports-related traumatic dental injuries in athletes undergoing orthodontic treatment.

Sections du résumé

BACKGROUND/PURPOSE OBJECTIVE
Custom-made mouthguards (MGs) are strongly recommended for athletes during sports activities to prevent dental injuries. Athletes undergoing orthodontic treatment and wearing brackets require specially designed MGs for better protection and to create more space that will not hinder the planned orthodontic tooth movement. The purpose of this study was to fabricate effective, specially designed, custom-made MGs for patients or athletes with ongoing orthodontic treatment and to evaluate the shock absorption abilities of these MGs by an
MATERIALS AND METHODS METHODS
Three different types of specially designed, double-layered MGs, (i) creating inter bracket space inside the MG, (ii) embedding silicon wax inside the MG, and (iii) creating a buffer space with additional hard insertion, were fabricated from a simulated bracket attached model. Impact test was performed using a free-falling object on a vertical rod, and the strain-gauge system was used to assess the strain on the dentition with the MGs for the comparison of the shock absorption abilities of the three types. Analysis of variance at a significance level of 5% and multiple comparisons were performed for statistical analysis.
RESULTS RESULTS
The strains on the dentition with the MG creating buffer space with hard insertion were significantly lower than those with the other two types of MG (P < 0.001).
CONCLUSION CONCLUSIONS
Insertion of a hard material and ensuring buffer space between the MG and the teeth and/or appliance was more effective than other methods of fabricating custom-made MGs to prevent sports-related traumatic dental injuries in athletes undergoing orthodontic treatment.

Identifiants

pubmed: 35028052
doi: 10.1016/j.jds.2021.03.010
pii: S1991-7902(21)00052-0
pmc: PMC8740395
doi:

Types de publication

Journal Article

Langues

eng

Pagination

308-315

Informations de copyright

© 2021 Association for Dental Sciences of the Republic of China. Publishing services by Elsevier B.V.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest associated with this manuscript.

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Auteurs

Ruman Uddin Chowdhury (RU)

Department of Orthodontics, Dental Unit, Kumudini Women's Medical College, Dhaka University, Dhaka, Bangladesh.

Hiroshi Churei (H)

Department of Sports Medicine/Dentistry, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.

Gen Tanabe (G)

Department of Sports Medicine/Dentistry, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.

Yuriko Yoshida (Y)

Department of Special Care Dentistry, Hiroshima University, Hiroshima, Japan.

Kairi Hayashi (K)

Department of Sports Medicine/Dentistry, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.

Hidekazu Takahashi (H)

Department of Oral Biomaterials Development Engineering, Graduate School of Medical and Dental, Tokyo Medical and Dental University, Tokyo, Japan.

Takahiro Wada (T)

Department of Advance Biomaterial, Graduate School of Medical and Dental, Tokyo Medical and Dental University, Tokyo, Japan.

Motohiro Uo (M)

Department of Advance Biomaterial, Graduate School of Medical and Dental, Tokyo Medical and Dental University, Tokyo, Japan.

Takahiro Mizobuchi (T)

Harimayabashi Mizobuchi Dental Clinic, Kochi, Japan.

Nafees Uddin Chowdhury (NU)

Department of Orthodontics, Dental Unit, Kumudini Women's Medical College, Dhaka University, Dhaka, Bangladesh.

Toshiaki Ueno (T)

Department of Sports Medicine/Dentistry, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.

Classifications MeSH