Mizuhashi Fumi, Koide Kaoru
Department of Removable Prosthodontics, School of Life Dentistry at Niigata, The Nippon Dental University, Niigata, Japan.
Dent Traumatol. 2018 Feb;34(1):41-45. doi: 10.1111/edt.12368. Epub 2017 Nov 16.
BACKGROUND/AIM: Mouthguard thickness is important for the prevention of orofacial trauma during sports. However, it is difficult to maintain the necessary thickness after forming the mouthguard. The aim of this study was to evaluate a pressure-forming method using a single-mouthguard sheet.
A mouthguard sheet of 3.8 mm ethylene vinyl acetate was prepared by cutting 3 mm from the anterior margin of the sheet holder with a length of 7 mm and with the width being from the buccal cusp of the upper right first premolar to the buccal cusp of the upper left first premolar and compared with the original sheet. The sheets were pressure-formed when the sheet was heated until the centre was displaced by 15 mm from baseline. The thickness of the mouthguard was measured at the labial surface of the central incisor, and the buccal and occlusal surfaces of the first molar. The fit of the mouthguard was examined at the right central incisor and right first molar by measuring the distance between the mouthguard and the cervical margin of the working model. Differences in the thickness and the fit of the mouthguards between the sheet conditions and the measured regions were analysed by two-way analysis of variance.
Mouthguard thickness varied among the measured regions of the central incisors and first molars (P < .01). The greatest thickness was found at the labial surface of the central incisor in mouthguards fabricated using the cut sheet (P < .01). Mouthguard fit did not differ between the two sheets.
The results suggest that a useful mouthguard with proper thickness and fit can be produced with the pressure-forming method using a single-mouthguard sheet by cutting the anterior part of the sheet.
背景/目的:运动护齿厚度对于预防口面部创伤很重要。然而,在制作好护齿后很难保持所需的厚度。本研究的目的是评估一种使用单护齿片的压力成型方法。
制备一张3.8毫米厚的乙烯-醋酸乙烯酯护齿片,从长度为7毫米的片架前缘切下3毫米,宽度从右上第一前磨牙的颊尖到左上第一前磨牙的颊尖,然后与原始片材进行比较。当片材加热至中心相对于基线位移15毫米时进行压力成型。在中切牙唇面、第一磨牙颊面和咬合面测量护齿厚度。通过测量护齿与工作模型颈缘之间的距离,在右中切牙和右第一磨牙处检查护齿的贴合度。采用双向方差分析来分析片材状态和测量区域之间护齿厚度及贴合度的差异。
中切牙和第一磨牙的测量区域之间护齿厚度有所不同(P <.01)。在使用切割片材制作的护齿中,中切牙唇面的厚度最大(P <.01)。两种片材的护齿贴合度没有差异。
结果表明,通过切割片材前缘,采用单护齿片压力成型方法可以制作出具有合适厚度和贴合度的有用护齿。