Division of Sports Dentistry, Department of Oral Health and Clinical Science, Tokyo Dental Collage, Tokyo, Japan.
Division of Special Needs Dentistry and Orofacial Pain, Department of Oral Health and Clinical Science, Tokyo Dental Collages, Tokyo, Japan.
Dent Traumatol. 2020 Dec;36(6):654-661. doi: 10.1111/edt.12560. Epub 2020 May 11.
BACKGROUND/AIMS: Despite the use of conventional mouthguards, preventable sports-related dental injuries continue to occur. The authors have developed a two-layered ethylene polyvinyl acetate (EVA) mouthguard with a hard polyethylene terephthalate (PET) insert and a buffer space (H&SMG). However, adapting the PET onto the EVA layer requires skill. A light-cured Splint Resin (SRLC) and a glass fiber net (NET) reinforcement appear to resolve this issue. The aim of this study was to investigate whether SRLC with NET could replace PET and find a more practical application for NET.
A pendulum impact testing machine and a dental model with strain gages were used. Six types of mouthguards were made: one with two laminated EVA blanks (LAM-MG), a three-layer type with a PET insert and an intermediate space (PET-H&SMG), a H&SMG with SRLC insert (LC-H&SMG), and three other types with differential NET-SRLC reinforcement; NET on the outer surface of SRLC, NET on the inner surface of SRLC, and NET on both the outer and inner surfaces. Five mouthguards of each type were fabricated and tested ten times with impact distances of 15 and 30 cm. Forty more impacts were applied to all H&SMGs to confirm the durability of the hard inner layer.
All H&SMGs showed significant strain reduction compared to the LAM-MG. PET-H&SMG and the four types of LC-H&SMG exhibited an equally slight strain (approximately 95% shock absorbing ability) in all conditions. During the test against the smaller impact, all H&SMGs showed no cracks. When tested against the stronger impact, only the LC-H&SMG with the reinforced inner surface, the double NET-reinforced LC-H&SMG, and the PET-H&SMG remained intact.
The NET-reinforced SRLC can replace PET as an intermediate mouthguard material. The NET application, at least on the internal surface, is indispensable for the LC-H&SMG reinforcement.
背景/目的:尽管使用了传统的口腔防护用具,可预防的与运动相关的牙齿损伤仍在继续发生。作者开发了一种双层乙烯-醋酸乙烯共聚物(EVA)口腔防护用具,具有硬聚对苯二甲酸乙二醇酯(PET)插入物和缓冲空间(H&SMG)。然而,将 PET 适配到 EVA 层需要一定的技能。光固化夹板树脂(SRLC)和玻璃纤维网(NET)增强似乎可以解决这个问题。本研究旨在探讨 SRLC 与 NET 是否可以替代 PET,并为 NET 找到更实际的应用。
使用摆锤冲击试验机和带有应变片的牙模。制作了六种类型的口腔防护用具:一种是由两块层压 EVA 坯料组成的(LAM-MG),一种是具有 PET 插入物和中间空间的三层类型(PET-H&SMG),一种是具有 SRLC 插入物的 H&SMG(LC-H&SMG),以及另外三种具有不同 NET-SRLC 增强的类型;SRLC 外表面的 NET、SRLC 内表面的 NET 和内外表面的 NET。每种类型制作了 5 个口腔防护用具,每种类型进行了 10 次冲击测试,冲击距离为 15 和 30 厘米。对所有 H&SMG 进行了 40 多次冲击测试,以确认硬内层的耐久性。
所有 H&SMG 与 LAM-MG 相比,应变明显减少。在所有条件下,PET-H&SMG 和四种类型的 LC-H&SMG 表现出相同的轻微应变(约 95%的减震能力)。在较小冲击的测试中,所有 H&SMG 均未出现裂纹。在较强冲击的测试中,只有具有增强内表面的 LC-H&SMG、双 NET 增强的 LC-H&SMG 和 PET-H&SMG 保持完整。
NET 增强的 SRLC 可以替代 PET 作为中间口腔防护用具材料。NET 的应用,至少在内表面,对于 LC-H&SMG 的增强是必不可少的。