Department of Removable Prosthodontics, The Nippon Dental University School of Life Dentistry at Niigata, Niigata, Japan.
Dent Traumatol. 2021 Jun;37(3):497-501. doi: 10.1111/edt.12644. Epub 2020 Dec 29.
BACKGROUND/AIM: Mouthguard thickness should be maintained to prevent oral trauma by protecting the teeth and the surrounding soft tissue. The aim of this study was to examine the difference in laminated mouthguard thickness according to the laminate order.
The mouthguard sheets used in this study were 2.0 mm and 3.0 mm ethylene-vinyl acetate. The sheets were pressure-formed using a pressure former, and the laminated mouthguard was fabricated. Two laminate conditions were examined. One condition used the 2.0-mm sheet for the first layer and the 3.0-mm sheet for the second layer (condition 2F3S) and the other condition used the 3.0-mm sheet for the first layer and 2.0-mm sheet for the second layer (condition 3F2S). The first layer was trimmed to cover the labial surface and incisal edge of the anterior teeth and the buccal and occlusal surfaces of the posterior teeth. The second layer was formed over the first layer. The mouthguard thickness was measured at the labial surface of the central incisor and the buccal and occlusal surfaces of the first molar. Differences in thickness by measurement region of mouthguards formed under different laminate conditions were analyzed by two-way analysis of variance.
The mouthguard thickness was significantly different at the measured regions of the central incisors and the first molars (p < .01). The thickness at the labial surface of the central incisor and at the buccal and occlusal surfaces of the first molar became statistically significantly larger with the 3F2S condition than that for the 2F3S condition (p < .05 or p < .01).
The thickness of the laminated mouthguard became larger when the sheet thickness of the first layer was greater. It is recommended to use the thicker mouthguard sheet as the first layer when fabricating a laminated mouthguard.
背景/目的:口腔防护用具的厚度应保持在一定水平,以通过保护牙齿和周围软组织来防止口腔创伤。本研究旨在检查根据叠层顺序,层压口腔防护用具的厚度差异。
本研究使用的口腔防护用具片材厚度为 2.0mm 和 3.0mm 的乙烯-醋酸乙烯酯共聚物。使用压力成型机对片材进行压力成型,并制作层压口腔防护用具。检查了两种层压条件。一种条件是第一层使用 2.0mm 片材,第二层使用 3.0mm 片材(条件 2F3S),另一种条件是第一层使用 3.0mm 片材,第二层使用 2.0mm 片材(条件 3F2S)。第一层修剪成覆盖前牙的唇面和切缘以及后牙的颊面和咬合面。第二层覆盖在第一层上。在中切牙的唇面以及第一磨牙的颊面和咬合面测量口腔防护用具的厚度。通过双向方差分析,分析不同层压条件下形成的口腔防护用具的厚度在测量区域的差异。
中切牙和第一磨牙的测量区域的口腔防护用具厚度差异有统计学意义(p<.01)。中切牙唇面和第一磨牙颊面及咬合面的厚度,3F2S 条件明显大于 2F3S 条件(p<.05 或 p<.01)。
当第一层片材厚度增加时,层压口腔防护用具的厚度会变大。在制作层压口腔防护用具时,建议将较厚的口腔防护用具片材用作第一层。