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Background: Traumatic dental injuries (TDIs) are a common complication in sports, with an overall prevalence ranging from 0.71% to 60%. Kickboxing is a high-risk combat sport for trauma to the facial region. Methods: A total of 142 5-to-65-year-old amateur athletes participated in the survey with a questionnaire that was released during their regular practice days. The questionnaire was structured into three parts: (1) questions about age, gender, type, and time of sports practice; (2) questions about dental injuries, personal experience, and awareness of emergency management, particularly about tooth avulsion; (3) questions about wearing a mouthguard for TDI prevention. Results: A total of 13 percent of athletes suffered a TDI while training or fighting. Regarding first aid, 61% of the participants in this survey are aware of the possibility of replanting a tooth after its avulsion; 10% believe that the tooth should be replanted within 15 min, and 37% of athletes believe that it should be kept wet. The mouthguard is known to the majority of athletes (94%), and 66% were informed by the coach; 68% of the athletes use it. Seventy-four percent of the mouthguards were purchased in a sports shop. Conclusions: A relatively low prevalence of TDIs was observed in players in the sample. A lack of information about the emergency management of tooth avulsion and about the type of mouthguard to wear emphasizes the importance of educational training by dentists to athletes and coaches. [ABSTRACT FROM AUTHOR]

Objective. The aim was to design accessible, simple, inexpensive protection for teeth and soft tissues during ETI, compare damage occurrence with and without protection, and investigate post-ETI orofacial pain symptoms. Materials and Methods. The selection procedure for adequate protection was carried out after which a reduced elastomer mouthguard was selected. Fifty patients were divided into 2 groups. In the first group, ETI was carried out using a mouthguard, while in the second group it was performed without it. The mouthguard was fabricated by anesthesiologists. After the ETI procedure, the patients and anesthesiologists were asked to complete a survey. Results. No difference in intubation severity and time required for intubation between the two groups was present. Seven patients from the non-mouthguard group suffered injuries during the ETI procedure. No injuries were present in the mouthguard group. In 92% of cases anesthesiologists agreed that mouthguards should be used during ETI. However, most of them (96% of cases) agree that the mouthguard should be used only when there is an increased risk of tooth loss and/or tooth damage. There was a significant ETI effect on the emergence of new orofacial pain cases. Conclusion. The mouthguard adequately protected dental and soft tissues and did not affect the work of the anesthesiologist. A significantly higher number of patients experiencing temporomandibular joint and masticatory muscles pain after surgery indicates that ETI might be a risk factor for orofacial pain. [ABSTRACT FROM AUTHOR]

The mouthguard plays a crucial role in preventing damage to the oral and jaw system. However, the popularity of sports mouthguards remains relatively low, and research on sports mouthguards is rather scattered. This paper primarily summarizes the characteristics of materials, production methods, protection principles, and influencing factors of mouthguards, with the aim of providing a theoretical reference for the popularization and application of mouthguards.

Objective: To determine which salivary proteins adhere onto sport mouthguards, and to evaluate the effectiveness of different cleaning strategies in removing deposited protein. Methods: Fifteen healthy volunteers used a mouthguard for 1 h. The deposited salivary proteins were analyzed using gel electrophoresis and Western blotting techniques and compared with the protein composition of unstimulated saliva. In addition, the effectiveness of two different cleaning strategies to remove proteins from the mouthguards were compared: rinsing the mouthguards after use with cold tap water and cleaning the mouthguard with a soluble effervescent tablet. Results: Gel electrophoresis showed deposition of proteins of 50–60 kDa and 14 kDa on the mouthguards used in the mouth for 1 h. Western blotting identified these bands as amylase and lysozyme, respectively. Rinsing the mouthguard with cold tap water after use removed 91% of the total amount of deposited proteins, while cleaning with an effervescent tablet removed 99%. Conclusions: During the use of mouthguards, salivary proteins are deposited on their surface. Because salivary proteins can potentially affect bacterial adhesion to mouthguards, proper cleaning after use is recommended. Cleaning the mouthguard with cold tap water or using an effervescent tablet both seem to be effective strategies to remove proteins deposited on sport mouthguards. [ABSTRACT FROM AUTHOR]

Some sports participants are often reluctant to wear a mouthguard due to issues with comfort, breathing and communication. However, there is limited evidence that investigates the use of custom‐made mouthguards and variations in design as key factors to minimise these issues. Therefore, the aim of this study was to examine the effect of custom‐made mouthguard design on cardiopulmonary function, exercise performance and perception of comfort in rugby union players. Fourteen rugby players (aged 20.2 ± 1.19 years) were recruited to undertake a rugby‐specific exercise protocol on a treadmill over four conditions (no mouthguard and three custom‐made mouthguard designs). Cardiopulmonary responses were assessed using breath‐by‐breath analysis, in conjunction with blood lactate (BLa) and rating of perceived exertion (RPE). Maximum oxygen uptake (VO2max) was assessed before and after the study to identify any changes in players' level of performance. Participants scored each mouthguard in relation to preference, comfort, breathing, protection and retention. There were no differences in oxygen uptake (p = 0.785, ηp2 ${\eta }_{p}^{2}$ = 0.021), ventilation (p = 0.952, ηp2 ${\eta }_{p}^{2}$ = 0.007), respiratory exchange ratio (p = 0.564, ηp2 ${\eta }_{p}^{2}$ = 0.039) and heart rate (p = 0.830, ηp2 ${\eta }_{p}^{2}$ = 0.017), whilst participants performed with the selected custom‐made mouthguards. However, RPE was higher without a mouthguard than whilst using two of the mouthguards during the first 3 min of exercise, in combination with higher BLa accumulation (p ≤ 0.05). Although there was no statistical difference between mouthguard designs in the ratings around comfort, there was a preference towards mouthguards with reduced palatal coverage. Individual preference in design may improve compliance of wearing a mouthguard without affecting physiological parameters. Highlights: Wearing any of the three selected custom‐made mouthguards had no impact on cardiorespiratory parameters, such as oxygen uptake, minute ventilation, respiratory exchange ratio, heart rate and blood lactate.In terms of participants' perceived comfort, there were no differences between the selected mouthguard designs.The findings of the present study may lead to encouraging the use of custom‐made mouthguards amongst rugby players as no negative influence on the examined physiological parameters was found. [ABSTRACT FROM AUTHOR]

The impression materials utilized today in dental medicine offer a good reproducibility and are easily accepted by patients. However, because they are polymer-based, they have issues regarding their dimensional stability. In this respect, the present work proposes a new type of dental impression, which is reinforced with rigid mouthguards. The aim of the study is to test the performances of such new impressions by comparing them to conventional ones—from this critical point of view, of the dimensional stability. Three types of polymeric materials were considered for both types of impressions: alginate, condensation silicone, and addition silicone. In order to obtain the new type of impressions, a manufacturing technique was developed, comprising the following phases: (i) conventional impressions were made; (ii) a plaster model was duplicated, and 15 rigid mouthguards were obtained; (iii) they were inserted in the impression technique, with each mouthguard positioned on the cast before the high-consistency material was inserted in the tray and the practitioner took the impression; (iv) the mouthguard remained in the tray and the low-viscosity material was inserted over the mouthguard; (v) the impression was positioned on the model, and after the material hardened, the mouthguard-reinforced impression was analyzed. In the evaluation of the dimensional stability, rigorous statistical analysis was essential to discern the performance differences between conventional and mouthguard-reinforced dental impressions. Statistical analyses employed non-parametric Mann–Whitney U tests because of the non-normal distribution of the data. They indicated a statistically significant improvement in the dimensional stability of addition silicone impressions when reinforced with mouthguards (p < 0.05), showcasing superior performance over conventional methods. Conversely, alginate and condensation silicone reinforced impressions did not exhibit the same level of stability improvement, suggesting the need for further optimization of these materials. In conclusion, from the three considered elastomers, addition silicone was found to be the prime candidate for high-precision dental impressions, with the potential to improve their quality from conventional impressions by utilizing the proposed reinforcing technique. [ABSTRACT FROM AUTHOR]

This investigation presents a critical analysis of mouthguard production, focusing on the evaluation of conventional vs additive manufacturing methods, the materials involved, and aspects such as their failure and prevention. It also summarizes the current trends, perspectives, and the main limitations. It is shown that some of the shortcomings can be solved by implementing additive manufacturing technologies, which are systematically reviewed in this research. Due to the specific materials used to produce mouthguards, there are certain additive manufacturing technologies that dominate and a wide variety of raw materials. The costs vary depending on the technology.

Sports-associated orofacial trauma causes negative sequelae in an athlete. To prevent this, we must closely assess the mechanism as well as the available literature regarding the prevalence. It is easier to apply knowledge of sports dentistry if the injury mechanism, types of injury, and management are known. Every single game is accompanied by its own set of injuries. Basketball is a dynamic game. Athletes involved in this game are at high risk of orofacial injuries. The preventive aspect is often a blind spot, especially in Indian Sports. This review gives a bird's-eye view of the type of orofacial trauma and prevention in athletes playing basketball game.

Salivary turbidity is a promising indicator for evaluating oral hygiene. This study proposed a wearable mouthguard-type sensor for continuous and unconstrained measurement of salivary turbidity. The sensor evaluated turbidity by measuring the light transmittance of saliva with an LED and a phototransistor sealed inside a double-layered mouthguard. The sensor was also embedded with a Bluetooth wireless module, enabling the wireless measurement of turbidity. The mouthguard materials (polyethylene terephthalate-glycol and ethylene-vinyl acetate) and the wavelength of the LED (405 nm) were experimentally determined to achieve high sensitivity in salivary turbidity measurement. The turbidity quantification characteristic of the proposed sensor was evaluated using a turbidity standard solution, and the sensor was capable of turbidity quantification over a wide dynamic range of 1–4000 FTU (formazine turbidity unit), including reported salivary turbidity (400–800 FTU). In vitro turbidity measurement using a saliva sample showed 553 FTU, which is equivalent to the same sample measured with a spectrophotometer (576 FTU). Moreover, in vivo experiments also showed results equivalent to that measured with a spectrophotometer, and wireless measurement of salivary turbidity was realized using the mouthguard-type sensor. Based on these results, the proposed mouthguard-type sensor has promising potential for the unconstrained continuous evaluation of oral hygiene. [ABSTRACT FROM AUTHOR]

Sports-associated orofacial trauma causes negative sequelae in an athlete. To prevent this, we must closely assess the mechanism as well as the available literature regarding the prevalence. It is easier to apply knowledge of sports dentistry if the injury mechanism, types of injury, and management are known. Every single game is accompanied by its own set of injuries. Basketball is a dynamic game. Athletes involved in this game are at high risk of orofacial injuries. The preventive aspect is often a blind spot, especially in Indian Sports. This review gives a bird's-eye view of the type of orofacial trauma and prevention in athletes playing basketball game. [ABSTRACT FROM AUTHOR]

Abstract Objectives Violence among soccer supporters continues to pose a significant public health concern in many parts of the world. In Switzerland, hooliganism is largely uninvestigated. This study aimed to examine incidents of violence and associated dental injuries among different groups of soccer supporters, as well as assess the impact of intoxicants on their behavior, using survey data from regular fans, ultras, and hooligans in the Swiss Football League. Material and Methods A cross‐sectional survey using a standardized questionnaire was conducted among distinct factions of soccer supporters in the Swiss Football League in 2022. A total of 165 participants self‐identified as belonging to one of three subgroups: “regular fan,” “ultra,” or “hooligan.” Data were gathered on physical altercations, dental injuries, possession of mouthguards, intoxicant use, and medical assistance. Descriptive statistics, logistic regression models, and significance tests were used for data analysis (α = .05). Results Hooligans had a higher frequency of dental injuries resulting from fights than ultras and regular fans. Hooligans with 11–20 fights per soccer season had a 9.6 times higher probability of dental trauma than those with 0–5 fights (p = .048). Possession of a mouthguard was associated with a lower risk of dental injuries for hooligans but an increased risk for ultras. Additionally, hooligans were found to differ significantly from other groups in their consumption of amphetamines and cocaine (p

Objectives: The aim of the present study was to examine the plaque removal effectiveness of a personalised 3D-printed dental plaque removal mouthguard device in a clinical trial setting. Methods: A personalised 3D-printed mouthguard was developed to clean dental plaque using micro-mist. A clinical trial was conducted to examine the plaque removal effectiveness of this device. The clinical trial recruited 55 participants (21 males and 34 females) with an average age of 68.4 years (range, 60–81 years). Dental plaque was dyed by plaque disclosing liquid (Ci). Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI) was used to evaluate the level and rate of plaque formation on the tooth surface. The TMQHPI was recorded and intraoral photos were taken before and after mouthguard cleaning. The plaque removal rate was calculated based on TMQHPI and intraoral photos (pixel-based method) before and after cleaning. Results: The personalised 3D-printed micro-mist injection mouthguard can be effective in dental plaque removal on tooth and gingiva, and the effectiveness lies between that of a manual toothbrush and a mouth rinse. The newly proposed pixel-based method can be a practical, high sensitive tool to evaluate the level of plaque formation. Conclusions: Under the conditions of the present study, we conclude that the personalised 3D-printed micro-mist injection mouthguard can be useful in reducing dental plaque and may be especially suitable for older adults and disabled people.

Sports dentistry is a branch of oral sciences concerned with the treatment, management, and prevention of the trauma to the orofacial region sustained while participating in any sports activity. Sports have been frequently reported to be an important cause of overall oral trauma in children, as well as adults. There is an evident lack of knowledge in the general population regarding how sports injuries are to be prevented and dealt with. Dentists, if included in sports teams and schools, can help penetrate this knowledge and awareness barrier. Lifestyle, eating habits, stress, etc., have an impact on the performance of the athletes. Stress in athletes can lead to substance abuse, more precisely, tobacco abuse which can affect their performance. Like physiotherapists, even dentists can be made a part of a professional sports team where they can help prevent the complications arising due to facial traumas by the administration of various protective appliances and handle maxillofacial trauma. The present study aimed to evaluate and comprehend the current opportunities for dentists in the field of sports dentistry, whilst emphasising their significance in the professional sports system.

Background: Traumatic dental injuries (TDIs) are a common complication in sports, with an overall prevalence ranging from 0.71% to 60%. Kickboxing is a high-risk combat sport for trauma to the facial region. Methods: A total of 142 5-to-65-year-old amateur athletes participated in the survey with a questionnaire that was released during their regular practice days. The questionnaire was structured into three parts: (1) questions about age, gender, type, and time of sports practice; (2) questions about dental injuries, personal experience, and awareness of emergency management, particularly about tooth avulsion; (3) questions about wearing a mouthguard for TDI prevention. Results: A total of 13 percent of athletes suffered a TDI while training or fighting. Regarding first aid, 61% of the participants in this survey are aware of the possibility of replanting a tooth after its avulsion; 10% believe that the tooth should be replanted within 15 min, and 37% of athletes believe that it should be kept wet. The mouthguard is known to the majority of athletes (94%), and 66% were informed by the coach; 68% of the athletes use it. Seventy-four percent of the mouthguards were purchased in a sports shop. Conclusions: A relatively low prevalence of TDIs was observed in players in the sample. A lack of information about the emergency management of tooth avulsion and about the type of mouthguard to wear emphasizes the importance of educational training by dentists to athletes and coaches.

Objectives: Violence among soccer supporters continues to pose a significant public health concern in many parts of the world. In Switzerland, hooliganism is largely uninvestigated. This study aimed to examine incidents of violence and associated dental injuries among different groups of soccer supporters, as well as assess the impact of intoxicants on their behavior, using survey data from regular fans, ultras, and hooligans in the Swiss Football League. Material and Methods: A cross‐sectional survey using a standardized questionnaire was conducted among distinct factions of soccer supporters in the Swiss Football League in 2022. A total of 165 participants self‐identified as belonging to one of three subgroups: "regular fan," "ultra," or "hooligan." Data were gathered on physical altercations, dental injuries, possession of mouthguards, intoxicant use, and medical assistance. Descriptive statistics, logistic regression models, and significance tests were used for data analysis (α =.05). Results: Hooligans had a higher frequency of dental injuries resulting from fights than ultras and regular fans. Hooligans with 11–20 fights per soccer season had a 9.6 times higher probability of dental trauma than those with 0–5 fights (p =.048). Possession of a mouthguard was associated with a lower risk of dental injuries for hooligans but an increased risk for ultras. Additionally, hooligans were found to differ significantly from other groups in their consumption of amphetamines and cocaine (p <.001). Conclusions: The study found a strong link between physical altercations and dental injuries among soccer supporters. To promote better prevention, there is a necessity for enhanced educational initiatives facilitated by dentists to amplify the dissemination of mouthguards. Furthermore, it is crucial to raise awareness regarding their proper fitting to minimize the occurrence of combat‐related dental injuries. Health authorities and other stakeholders should take a comprehensive approach to addressing some of the root causes of violent behavior, which include alcohol abuse and illicit substance consumption. [ABSTRACT FROM AUTHOR]

Objectives/Aim: The purpose of this study was to evaluate oral health knowledge, and the incidence of self-reported dental injuries incidence, the frequency of mouthguard use, oral hygiene habits, and oral health status among professional water polo players. Materials and Methods: During the 2022/2023 season, 114 water polo players from the Croatian First League participated in a questionnaire-based online survey. The data collected included sociodemographic and professional attributes, oral health knowledge questions, dental injury experiences, and practices related to mouthguard use. Respondents also rated their own oral health status and oral hygiene habits. The data were analyzed using descriptive statistics and a regression analysis. Results: The respondents demonstrated inadequate knowledge of oral health, with a mean score of 6.4 ± 2.6 out of 12. Better knowledge correlated positively with older age (p ˂ 0.05) and consistent flossing (p = 0.014). Additionally, 27.2% (31 of 114) of reported dental injuries were related directly to incidents which occurred while participating in water polo. These injuries occurred more frequently during games (54.8%) and often involved the anterior maxillary incisors (71.0%) due to player contact (87.1%). Awareness of mouthguards was high (93.9%), whereas their actual use was low (7.0%) because 35.1% of respondents reported discomfort wearing them. The respondents' self-assessments revealed widespread dental problems, including tooth sensitivity (13.3%), erosion (15.8%), calculus (28.1%), and pigmentation (7.9%). Conclusions: The research results indicate a lack of adequate knowledge among the respondents regarding oral health. This deficit was not associated with oral hygiene habits or oral cavity conditions. These findings highlight the disparities in oral health awareness and practices associated with water polo participation and emphasize the importance of education and prevention efforts. [ABSTRACT FROM AUTHOR]

BackgroundTo better understand the biomechanical profile of direct head impacts and the game scenarios in which they occur in Rugby Union, there is a need for an on-field validation of a new instrumented mouthguard (IMG) against the reference standard. This study considers the potential of a combined biomechanical (IMG) and video analysis approach to direct head impact recognition, both of which in isolation have limitations. The aim of this study is to assess the relationship between an instrumented mouthguard and video analysis in detection of direct head impacts in rugby union.DesignPilot Study - Observational Cohort designMethodsThe instrumented mouthguard was worn by ten (3 backs, 7 forwards) professional Rugby Union players during the 2020–21 Gallagher Premiership (UK) season. Game-day video was synchronized with timestamped head acceleration events captured from the instrumented mouthguard. Direct Head Impacts were recorded in a 2 × 2 contingency table to determine sensitivity. Impact characteristics were also collected for all verified head impacts to further the understanding of head biomechanics during the game.ResultsThere were 2018 contact events that were reviewed using video analysis. Of those 655 were categorized as direct head impacts which also correlated with a head acceleration event captured by the IMG. Sensitivity analysis showed an overall sensitivity of 93.6% and a positive predictive value (PPV of 92.4%). When false positives were excluded due to ball out of play, mouthguard removal or handling after a scoring situation or stoppage, PPV was improved (98.3%). Most verified head impacts occurred in and around the ruck contest (31.2%) followed by impacts to the primary tackler (28.4%).ConclusionThis pilot validation study demonstrates that this IMG provides a highly accurate measurement device that could be used to complement video verification in the recognition of on-field direct head impacts. The frequency and magnitude of direct head impacts derived from specific game scenarios has been described and allows for greater recognition of high-risk situations. Further studies with larger sample sizes and in different populations of Rugby Union players are required to develop our understanding of head impact and enable strategies for injury mitigation.

A mouthguard is a piece of equipment worn in sports worldwide to greatly reduce the chance of orodental injuries. This work uses a newly developed method for testing and analysing mouthguards subjected to high impact energies of up to 100 J. This method allows investigation and comparison between the use of additive manufacturing, and current best mouthguard manufacturing technology of thermoforming with Ethylene-vinyl acetate (EVA). The impact experiments are conducted using a drop tower and high-speed images are captured for the further analysis. Important physical parameters such as peak force, impulse and dissipated energy in the mouthguard are determined. The results revealed that the additively manufactured mouthguards made from Arnitel® ID 2045 lead to a peak force and impulse of impact that is on average 10% and 25% lower, respectively, than that experienced when using the EVA mouthguard. A lower peak force and impulse is preferred as it reduces the chance of an orodental injury occurring. The research shows that previously mouthguards have been tested at impact energies far lower than those experienced in impact prone sports such as field hockey. When using impacts with higher energies, the findings show that additive manufacturing provides a viable technology for manufacturing mouthguards, which offers many new benefits.

Background: Head impacts in sports can produce brain injuries. The accurate quantification of head kinematics through instrumented mouthguards (iMG) can help identify underlying brain motion during injurious impacts. The aim of the current study is to assess the validity of an iMG across a large range of linear and rotational accelerations to allow for on-field head impact monitoring. Methods: Drop tests of an instrumented helmeted anthropometric testing device (ATD) were performed across a range of impact magnitudes and locations, with iMG measures collected concurrently. ATD and iMG kinematics were also fed forward to high-fidelity brain models to predict maximal principal strain. Results: The impacts produced a wide range of head kinematics (16–171 g, 1330–10,164 rad/s2 and 11.3–41.5 rad/s) and durations (6–18 ms), representing impacts in rugby and boxing. Comparison of the peak values across ATD and iMG indicated high levels of agreement, with a total concordance correlation coefficient of 0.97 for peak impact kinematics and 0.97 for predicted brain strain. We also found good agreement between iMG and ATD measured time-series kinematic data, with the highest normalized root mean squared error for rotational velocity (5.47 ± 2.61%) and the lowest for rotational acceleration (1.24 ± 0.86%). Our results confirm that the iMG can reliably measure laboratory-based head kinematics under a large range of accelerations and is suitable for future on-field validity assessments. [ABSTRACT FROM AUTHOR]

In orthodontics, understanding the pressure of oral soft tissues on teeth is important to elucidate the cause and establish treatment methods. We developed a small wireless mouthguard (MG)-type device that continuously and unrestrainedly measures pressure, which had previously been unachieved, and evaluated its feasibility in human subjects. First, the optimal device components were considered. Next, the devices were compared with wired-type systems. Subsequently, the devices were fabricated for human testing to measure tongue pressure during swallowing. The highest sensitivity (51–510 g/cm2) with minimum error (CV < 5%) was obtained using an MG device with polyethylene terephthalate glycol and ethylene vinyl acetate for the lower and upper layers, respectively, and with a 4 mm PMMA plate. A high correlation coefficient (0.969) was observed between the wired and wireless devices. In the measurements of tongue pressure on teeth during swallowing, 132.14 ± 21.37 g/cm2 for normal and 201.17 ± 38.12 g/cm2 for simulated tongue thrust were found to be significantly different using a t-test (n = 50, p = 6.2 × 10−19), which is consistent with the results of a previous study. This device can contribute to assessing tongue thrusting habits. In the future, this device is expected to measure changes in the pressure exerted on teeth during daily life. [ABSTRACT FROM AUTHOR]

The aim of this study was to clarify the effect on the postural control function of equalizing the occlusal contact state by wearing a mouthguard. Method: Participants included 23 untrained adults, 11 gymnasts, and 10 weightlifters. Custom mouthguards were fabricated and adjusted so that all teeth were in even contact with light clenching. The standing postural control function was evaluated by the displacement of the center of foot pressure (COP) measured using a gravity center fluctuation meter. Measurement conditions were with and without a mouthguard. Statistical analyses were performed on the differences in COP displacement among participant groups and between mouthguard conditions and the difference in the reduction rate of COP displacement when wearing a mouthguard among participant groups. Results: COP significantly decreased in the order of untrained adults to weightlifters to gymnasts, irrespective of the mouthguard condition. The reduction rate in COP displacement after wearing a mouthguard was greatest in gymnasts. Conclusions: The effect of the mouthguard on postural control function was more pronounced in gymnasts than in untrained adults and weightlifters, and this study suggests that equalization of the occlusal state by wearing a mouthguard contributes to improving postural control function. [ABSTRACT FROM AUTHOR]

Salivary turbidity is a promising indicator for evaluating oral hygiene. This study proposed a wearable mouthguard-type sensor for continuous and unconstrained measurement of salivary turbidity. The sensor evaluated turbidity by measuring the light transmittance of saliva with an LED and a phototransistor sealed inside a double-layered mouthguard. The sensor was also embedded with a Bluetooth wireless module, enabling the wireless measurement of turbidity. The mouthguard materials (polyethylene terephthalate-glycol and ethylene-vinyl acetate) and the wavelength of the LED (405 nm) were experimentally determined to achieve high sensitivity in salivary turbidity measurement. The turbidity quantification characteristic of the proposed sensor was evaluated using a turbidity standard solution, and the sensor was capable of turbidity quantification over a wide dynamic range of 1–4000 FTU (formazine turbidity unit), including reported salivary turbidity (400–800 FTU). In vitro turbidity measurement using a saliva sample showed 553 FTU, which is equivalent to the same sample measured with a spectrophotometer (576 FTU). Moreover, in vivo experiments also showed results equivalent to that measured with a spectrophotometer, and wireless measurement of salivary turbidity was realized using the mouthguard-type sensor. Based on these results, the proposed mouthguard-type sensor has promising potential for the unconstrained continuous evaluation of oral hygiene.

Objectives/Aim: The purpose of this study was to evaluate oral health knowledge, and the incidence of self-reported dental injuries incidence, the frequency of mouthguard use, oral hygiene habits, and oral health status among professional water polo players. Materials and Methods: During the 2022/2023 season, 114 water polo players from the Croatian First League participated in a questionnaire-based online survey. The data collected included sociodemographic and professional attributes, oral health knowledge questions, dental injury experiences, and practices related to mouthguard use. Respondents also rated their own oral health status and oral hygiene habits. The data were analyzed using descriptive statistics and a regression analysis. Results: The respondents demonstrated inadequate knowledge of oral health, with a mean score of 6.4 ± 2.6 out of 12. Better knowledge correlated positively with older age (p ˂ 0.05) and consistent flossing (p = 0.014). Additionally, 27.2% (31 of 114) of reported dental injuries were related directly to incidents which occurred while participating in water polo. These injuries occurred more frequently during games (54.8%) and often involved the anterior maxillary incisors (71.0%) due to player contact (87.1%). Awareness of mouthguards was high (93.9%), whereas their actual use was low (7.0%) because 35.1% of respondents reported discomfort wearing them. The respondents’ self-assessments revealed widespread dental problems, including tooth sensitivity (13.3%), erosion (15.8%), calculus (28.1%), and pigmentation (7.9%). Conclusions: The research results indicate a lack of adequate knowledge among the respondents regarding oral health. This deficit was not associated with oral hygiene habits or oral cavity conditions. These findings highlight the disparities in oral health awareness and practices associated with water polo participation and emphasize the importance of education and prevention efforts.

Abstract Objectives Data on the injury rate of skiers and snowboarders are currently limited. The aim of this study was, therefore, to assess the frequency of general and dental injuries among snow sports instructors, to investigate the use of protective gear and mouthguards, and to evaluate snow sports instructors' dental first aid know‐how. Material and Methods A questionnaire‐based, cross‐sectional study comprising 603 ski and snowboard instructors from Austria, Germany, and Switzerland was conducted in the timeframe December 2019 to May 2020. The survey gathered data on general and dental injuries sustained by instructors, protective gear usage, and know‐how in dental first aid. The statistical analysis included χ2 tests, Wilcoxon rank‐sum and Kruskal–Wallis tests, and linear regression analysis. The level of significance was set at α = .05. Results Out of the 603 instructors, 326 (54.1%) sustained an injury while skiing or snowboarding. Forty (6.6%) reported a snow sports‐related dental injury. The rates of injuries related to skiing and snowboarding showed no significant difference (p = .0952). Compared with snowboarding on slopes, backcountry snowboarding entailed fewer risks of injury for snowboard instructors (p = .012). Knowledge of dental first aid was limited, with 45.8% of instructors uninformed about the possibility of replanting avulsed teeth. 10.1% of instructors were familiar with tooth rescue boxes. None of the instructors surveyed had a tooth rescue box in their first aid equipment. Helmet usage was high (95.6%) among snow sports instructors, whereas mouthguard usage was rare (3.5%). Conclusions Protective gear usage among snow sports instructors is high. The risk of dental injury while skiing or snowboarding is lower compared with other sports. Dental first aid know‐how ought to be enhanced in snow sports communities to ensure that appropriate first aid is provided in case of a dental injury related to skiing or snowboarding.

Background/purpose: 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 in vitro comparison of three different designs. Materials and 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: 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

Abstract Objectives To assess if wearing a mouth guard impacts maximal aerobic capacity in amateur boxers. Materials and Methods A prospective crossover cohort (pilot) study was conducted to assess maximal aerobic capacity in amateur boxers using the 20 m multi stage fitness test (MSFT). Two primary outcomes measures were recorded: (1) the maximum oxygen uptake (peak VO2—mL/kg/min) and (2) distance run (meters—m). Thirteen amateur boxers completed the MSFT 7 days apart under control (no mouth guard—C) and intervention conditions (mouth guard—MG). Participants also submitted data on height, weight, type of mouth guard and Rate of Perceived Exertion (RPE) during the test. Statistics Paired T‐test. Results Mouth guard use was shown to reduce peak VO2 and distance run during the 20 m MSFT from 56.31 to 54.12 mL/kg/min and 2572 to 2380 m respectively (p

Background: Head impacts in sports can produce brain injuries. The accurate quantification of head kinematics through instrumented mouthguards (iMG) can help identify underlying brain motion during injurious impacts. The aim of the current study is to assess the validity of an iMG across a large range of linear and rotational accelerations to allow for on-field head impact monitoring. Methods: Drop tests of an instrumented helmeted anthropometric testing device (ATD) were performed across a range of impact magnitudes and locations, with iMG measures collected concurrently. ATD and iMG kinematics were also fed forward to high-fidelity brain models to predict maximal principal strain. Results: The impacts produced a wide range of head kinematics (16–171 g, 1330–10,164 rad/s2 and 11.3–41.5 rad/s) and durations (6–18 ms), representing impacts in rugby and boxing. Comparison of the peak values across ATD and iMG indicated high levels of agreement, with a total concordance correlation coefficient of 0.97 for peak impact kinematics and 0.97 for predicted brain strain. We also found good agreement between iMG and ATD measured time-series kinematic data, with the highest normalized root mean squared error for rotational velocity (5.47 ± 2.61%) and the lowest for rotational acceleration (1.24 ± 0.86%). Our results confirm that the iMG can reliably measure laboratory-based head kinematics under a large range of accelerations and is suitable for future on-field validity assessments.

In orthodontics, understanding the pressure of oral soft tissues on teeth is important to elucidate the cause and establish treatment methods. We developed a small wireless mouthguard (MG)-type device that continuously and unrestrainedly measures pressure, which had previously been unachieved, and evaluated its feasibility in human subjects. First, the optimal device components were considered. Next, the devices were compared with wired-type systems. Subsequently, the devices were fabricated for human testing to measure tongue pressure during swallowing. The highest sensitivity (51–510 g/cm2) with minimum error (CV < 5%) was obtained using an MG device with polyethylene terephthalate glycol and ethylene vinyl acetate for the lower and upper layers, respectively, and with a 4 mm PMMA plate. A high correlation coefficient (0.969) was observed between the wired and wireless devices. In the measurements of tongue pressure on teeth during swallowing, 132.14 ± 21.37 g/cm2 for normal and 201.17 ± 38.12 g/cm2 for simulated tongue thrust were found to be significantly different using a t-test (n = 50, p = 6.2 × 10−19), which is consistent with the results of a previous study. This device can contribute to assessing tongue thrusting habits. In the future, this device is expected to measure changes in the pressure exerted on teeth during daily life.

Mouthguards (MG) are protective devices that can reduce the risks of facial trauma. However, many athletes do not use them. Additionally, MG wear with coincidental parafunctional activity has not been considered. The aim of this study was to evaluate the stress distribution as a consequence of a direct impact comparing a conventional MG with a novel hybrid appliance (HMG). Using computer-aided design (CAD) software, a human skull was modeled with the teeth inserted into their respective alveolus. The models were divided according to the MG type (conventional or hybrid). The geometries were exported to the computer-aided engineering (CAE) software and the materials were considered isotropic. Fixation was defined at the base of the maxilla. The load was applied using a hockey puck. The total deformation (mm) and the von Mises stress (MPa) results were obtained for the MGs (conventional and hybrid), upper teeth, lower teeth, and maxillary bone. Despite the presence of an MG, it is still possible to observe generated stress in all structures. However, the hybrid design was more efficient than the conventional design in reducing the displacement during the impact and consequently the stress on the upper teeth, lower teeth, and maxillary bone. Higher stress magnitude was more concentrated at the inner portion of the hybrid design than the conventional device. The HMG appliance decreased the stress concentration in the teeth and in the bone, limiting the areas susceptible to injuries to the regions directly impacted by the hockey puck. Although the novel HMG may mitigate injury, some stress will still result, and any possible injury should be evaluated by a dental professional. [ABSTRACT FROM AUTHOR]

Current mouthguard test methods require improvement, as the impact energies during traditional testing do not reflect the higher energy that can be observed in actual use during sport. A new data set of ball speeds experienced during the sport of field hockey was obtained. These ball speeds have then been used to estimate impact energies. This information was used to subsequently develop a new test method consisting of a high-speed camera and drop tower. Observations show an increase in energy experienced by the mouthguard for higher-impact energies. The work carried out showed that current testing methods for sports mouthguards use lower-energy impacts than experienced during the sport of field hockey. The new method that is proposed allows for a more realistic representation of real-world impacts. [ABSTRACT FROM AUTHOR]

Objectives: Data on the injury rate of skiers and snowboarders are currently limited. The aim of this study was, therefore, to assess the frequency of general and dental injuries among snow sports instructors, to investigate the use of protective gear and mouthguards, and to evaluate snow sports instructors' dental first aid know‐how. Material and Methods: A questionnaire‐based, cross‐sectional study comprising 603 ski and snowboard instructors from Austria, Germany, and Switzerland was conducted in the timeframe December 2019 to May 2020. The survey gathered data on general and dental injuries sustained by instructors, protective gear usage, and know‐how in dental first aid. The statistical analysis included χ2 tests, Wilcoxon rank‐sum and Kruskal–Wallis tests, and linear regression analysis. The level of significance was set at α =.05. Results: Out of the 603 instructors, 326 (54.1%) sustained an injury while skiing or snowboarding. Forty (6.6%) reported a snow sports‐related dental injury. The rates of injuries related to skiing and snowboarding showed no significant difference (p =.0952). Compared with snowboarding on slopes, backcountry snowboarding entailed fewer risks of injury for snowboard instructors (p =.012). Knowledge of dental first aid was limited, with 45.8% of instructors uninformed about the possibility of replanting avulsed teeth. 10.1% of instructors were familiar with tooth rescue boxes. None of the instructors surveyed had a tooth rescue box in their first aid equipment. Helmet usage was high (95.6%) among snow sports instructors, whereas mouthguard usage was rare (3.5%). Conclusions: Protective gear usage among snow sports instructors is high. The risk of dental injury while skiing or snowboarding is lower compared with other sports. Dental first aid know‐how ought to be enhanced in snow sports communities to ensure that appropriate first aid is provided in case of a dental injury related to skiing or snowboarding. [ABSTRACT FROM AUTHOR]

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 in vitro comparison of three different designs. 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. [ABSTRACT FROM AUTHOR]

Aim:Sport activities are among the most important causes of dental injuries. The prevalence of dental injuries is higher in children and in contact sports and the use of mouthguards can reduce their incidence. The goal of this study was to determine the frequency and type of dental injuries in child athletes and their parents’ awareness regarding the use of mouthguards.Materials and Methods:A cross-sectional study was conducted on child athletes aged 7-13 years. The questionnaires were completed by their parents. The questionnaire included questions on demographic data, type and history of sport activity, history of sports-related dental injuries, type of dental injury, awareness on mouthguards, type of mouthguard used and problems during its use. Data analysis was done using descriptive statistics and chi-square test. The level of significance was set at p

Abstract Background Traumatic dental injuries are one of the most important problems with major physical, aesthetic, psychological, social, functional and therapeutic problems that adversely affect the quality of life of children and adolescents. Recently the development of methods based on machine learning algorithms has provided researchers with more powerful tools to more accurate prediction in different domains and evaluate the factors affecting different phenomena more reliably than traditional regression models. This study tries to investigate the performance of random forest (RF) in identifying factors associated with sports-related dental injuries. Also, the accuracy of the RF model for predicting sports-related dental injuries was compared with logistic regression model as traditional competitor. Methods This cross-sectional study was applied to 356 athlete children aged 6 to 13-year-old in Hamadan, Iran. Random forest and logistic regression constructed by using sports-related dental injuries as response variables and age, sex, parent’s education, child’s birth order, type of sports activity, duration of sports activity, awareness regarding the mouthguard, mouthguard use as input. A self-reported questionnaire was used to obtain information. Results Fifty-five (15.4%) subjects had experienced a sports-related dental injury. The mean age of children with sports injuries was significantly higher than children without the experience of injury (p = 0.006). The prevalence of injury was significantly higher in boys (p = 0.008). Children with illiterate mothers are more likely to be injured than children with educated mothers (p = 0.045). Awareness of mouthguard and its use during exercise has a significant effect on reducing the prevalence of injury among users (p

The aim of this study was to clarify the effect on the postural control function of equalizing the occlusal contact state by wearing a mouthguard. Method: Participants included 23 untrained adults, 11 gymnasts, and 10 weightlifters. Custom mouthguards were fabricated and adjusted so that all teeth were in even contact with light clenching. The standing postural control function was evaluated by the displacement of the center of foot pressure (COP) measured using a gravity center fluctuation meter. Measurement conditions were with and without a mouthguard. Statistical analyses were performed on the differences in COP displacement among participant groups and between mouthguard conditions and the difference in the reduction rate of COP displacement when wearing a mouthguard among participant groups. Results: COP significantly decreased in the order of untrained adults to weightlifters to gymnasts, irrespective of the mouthguard condition. The reduction rate in COP displacement after wearing a mouthguard was greatest in gymnasts. Conclusions: The effect of the mouthguard on postural control function was more pronounced in gymnasts than in untrained adults and weightlifters, and this study suggests that equalization of the occlusal state by wearing a mouthguard contributes to improving postural control function.

This investigation presents a critical analysis of mouthguard production, focusing on the evaluation of conventional vs additive manufacturing methods, the materials involved, and aspects such as their failure and prevention. It also summarizes the current trends, perspectives, and the main limitations. It is shown that some of the shortcomings can be solved by implementing additive manufacturing technologies, which are systematically reviewed in this research. Due to the specific materials used to produce mouthguards, there are certain additive manufacturing technologies that dominate and a wide variety of raw materials. The costs vary depending on the technology., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests:Henry A Colorado reports a relationship with Elsevier that includes: board membership. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors. Published by Elsevier Ltd.)

Objectives: To assess if wearing a mouth guard impacts maximal aerobic capacity in amateur boxers. Materials and Methods: A prospective crossover cohort (pilot) study was conducted to assess maximal aerobic capacity in amateur boxers using the 20 m multi stage fitness test (MSFT). Two primary outcomes measures were recorded: (1) the maximum oxygen uptake (peak VO2—mL/kg/min) and (2) distance run (meters—m). Thirteen amateur boxers completed the MSFT 7 days apart under control (no mouth guard—C) and intervention conditions (mouth guard—MG). Participants also submitted data on height, weight, type of mouth guard and Rate of Perceived Exertion (RPE) during the test. Statistics: Paired T‐test. Results: Mouth guard use was shown to reduce peak VO2 and distance run during the 20 m MSFT from 56.31 to 54.12 mL/kg/min and 2572 to 2380 m respectively (p < 0.05). Twelve out of 13 participants wore a Boil & Bite mouthguard and recorded lower peak VO2 scores (−4.38%) when wearing a mouth guard compared to control conditions, (Mean = −2.46 mL/kg/min, Range of decrease = 4.2–0.9 mL/kg/min; p < 0.05). Ten participants submitted data on RPE—One participant with a custom made mouthguard reported no change in RPE in mouthguard conditions, while nine participants reported an average (+30.5%) increase in mean RPE in Boil & Bite mouthguard conditions compared to control conditions. Conclusions: Boil & Bite mouth guard use was shown to significantly reduce aerobic performance in amateur boxers and increase the perceived rate of exertion during the 20 m MSFT. [ABSTRACT FROM AUTHOR]

Up to this moment, there is no guideline regarding the materials to produce mouthguards. The most used is Ethylene-Vinyl Acetate (EVA). Studies indicate that laminating EVA sheets with rigid components could increase the protection capacities of the mouthguards. On the other hand, other studies suggest that only replacement of the material within its structure can increase energy absorption. Therefore, this work aims to evaluate the impact response of four different foils when compared to a 4 mm thickness EVA sheet. Five different materials were subjected to impact tests with energies of 1.72 J, 2.85 J and 4.40 J. In this context was considered the following materials: EVA foils (G1), EVA foils with an EVA foam core (G2), EVA foils with an acetate core (G3), Foils of Erkoloc-pro (G4) and Foils of Ortho IBT resin (G5). Comparisons between the materials were made by qualitative analysis of the average energy-time and load-displacement curves, as well as by comparison of the peak load, maximum displacement, contact time and absorbed energy using the Kruskal-Wallis test. It was possible to conclude that statistically significant differences were found in the energy absorbed (p=0.001). Laminated foils with a soft core (G2) are a good option to produce mouthguards, while EVA foils with an acetate core (G3) and foils of Ortho IBT resin (G5) were declared unsuitable. [ABSTRACT FROM AUTHOR]

The sequelae of head-and-neck radiation may include hyposalivation, dysgeusia, trismus, mucositis, and osteoradionecrosis. A mouthguard used during radiation therapy can mitigate the effects of backscatter radiation from dental restorations. In addition, an intraoral positioning stent can assist in repositioning oral structures, such as the tongue, away from the field of radiation during treatment, thereby limiting dose delivery. The purpose of this article is to provide a technique to fabricate a combination prosthesis, which functions to reposition oral structures as well as mitigate the effects of backscatter from dental restorations during head-and-neck radiation therapy. [ABSTRACT FROM AUTHOR]

Purpose: To assess knowledge, awareness and attitude of high school children involved in various sports activities regarding avulsion, reimplantation and mouthguard use. Materials and Methods: An interview-based study was conducted among high school children in the age group of 8–16 years (n = 1105). A questionnaire was given to children and parents which included questions based on knowledge of children regarding avulsion, reimplantation, consequences of losing teeth, mouthgards and their usage and preferred media for tooth transportation. The research proposal was submitted to the ethics committee and the study design was approved. Data analysis included descriptive statistics and Statistical Package for the Social Sciences (SPSS) software. Results: Only 37.6% of the children knew that their teeth can be completely knocked out with injury and 20.1% knew that a knocked-out tooth can be replanted. The preferred media for tooth transportation were gauze/cotton (27.2%), handkerchief (17.5%), paper (14%), water (13.8%) and cellophane (1.3%), i.e. 81.3% of the children preferred dry transport media. Among the children playing contact sport, 53.8% did not know about mouthguards and the rest 46.2% knew about it, but most of them never used it. Conclusion: Considering the lack of awareness among children, as well as the people around them, there appears to be a crucial need for education of public and to determine dental manpower and dentists to increase awareness.

Up to this moment, there is no guideline regarding the materials to produce mouthguards. The most used is Ethylene-Vinyl Acetate (EVA). Studies indicate that laminating EVA sheets with rigid components could increase the protection capacities of the mouthguards whereas other studies suggest that only replacement of the material within it structure can increase energy absorption. The aim of this work is to evaluate the impact response of four different foils when compared to a 4 mm thickness EVA sheet. Five groups of different materials were subjected to impact tests with energies of 1.72 J, 2.85 J and 4.40 J. In this context was considered the following materials: EVA foils (G1), EVA foils with an EVA foam core (G2), EVA foils with an acetate core (G3), Foils of Erkoloc-pro (G4) and Foils of Ortho IBT resin (G5). Comparisons between the materials were made by qualitative analysis of the average energy-time and load-displacement curves, as well as by comparison of the peak load, maximum displacement, contact time and absorbed energy using the Kruskal-Wallis test. It was possible to conclude that statistically significant differences were found in the energy absorbed (p=0.001). Laminated foils with a soft core (G2) are a good option to produce mouthguards, while EVA foils with an acetate core (G3) and foils of Ortho IBT resin (G5) were declared unsuitable.

The purpose of this article is to map existing research literature on athletes and coaches' attitudes toward protective headgear in sport in relation to concussion and head injury prevention, and to identify and analyse knowledge gaps in the field. A scoping review was conducted in three databases; PubMed, Scopus, SportDiscus, and reference lists were searched to identify relevant grey literature. This process lead to an in-depth analysis of 18 peer-reviewed journal articles. Of the 18 studies identified, the majority focused on athletes (n = 14), only two studies focused on coaches, and two studies included a sample of both athletes and coaches. The findings in this scoping review suggests that there is a discrepancy between attitudes and beliefs about the protective effects of headgear, athletes' behaviour as far as wearing protective headgear, and coaches' behaviour in terms of recommending use of protective headgear to their athletes. The majority of athletes in most of the reviewed literature believed that headgear had protective effects against concussion and other head injuries, however relatively few athletes report wearing this protective headgear unless it was mandatory by competition rules.

Mouthguards (MG) are protective devices that can reduce the risks of facial trauma. However, many athletes do not use them. Additionally, MG wear with coincidental parafunctional activity has not been considered. The aim of this study was to evaluate the stress distribution as a consequence of a direct impact comparing a conventional MG with a novel hybrid appliance (HMG). Using computer-aided design (CAD) software, a human skull was modeled with the teeth inserted into their respective alveolus. The models were divided according to the MG type (conventional or hybrid). The geometries were exported to the computer-aided engineering (CAE) software and the materials were considered isotropic. Fixation was defined at the base of the maxilla. The load was applied using a hockey puck. The total deformation (mm) and the von Mises stress (MPa) results were obtained for the MGs (conventional and hybrid), upper teeth, lower teeth, and maxillary bone. Despite the presence of an MG, it is still possible to observe generated stress in all structures. However, the hybrid design was more efficient than the conventional design in reducing the displacement during the impact and consequently the stress on the upper teeth, lower teeth, and maxillary bone. Higher stress magnitude was more concentrated at the inner portion of the hybrid design than the conventional device. The HMG appliance decreased the stress concentration in the teeth and in the bone, limiting the areas susceptible to injuries to the regions directly impacted by the hockey puck. Although the novel HMG may mitigate injury, some stress will still result, and any possible injury should be evaluated by a dental professional.

Aim: To evaluate the stress distribution of calculated standardized force on maxillary and mandibular jaw bones with proclined maxillary anterior teeth with and without the use of a mouthguard., Materials and Methods: It's a finite element analysis (FEA) study. Maxillary and mandibular jaw models with and without mouthguard (4 mm) were created using a cone-beam computed tomography (CBCT) scan of a 13-year-old male patient with proclined maxillary anterior teeth. Calculated standardized forces were applied on the maxillary central incisors in the horizontal direction of the created model. The von Mises stresses (MPa) were analyzed on the maxillary and mandibular jaw., Results: Higher von Mises stresses were analyzed in the maxillary and mandibular jaw model without a mouthguard compared to the model with a mouthguard. Forces were more evenly distributed in the maxillary and mandibular jaw models with a mouthguard., Conclusion: A mouthguard can be used to reduce and evenly distribute the stress on the maxillary and mandibular jaw with proclined maxillary anterior teeth when exposed to real-life situation forces., Clinical Significance: The force of injury is influenced by the size of the object or the velocity at which the athlete hits the object/individual. There is a need to evaluate the force at which the individual athlete hits the object/surface based on average height, weight, and velocity/performance at that particular age. As the age of the athlete's advances, there is a change in the height, weight as well as performance. This factor will influence the impact and severity of the trauma caused during sports activities. So, these parameters should be considered while designing the mouthguard for its better effectiveness., How to Cite This Article: Doiphode AR, Kalaskar R. Stress Distribution Pattern of a Calculated Standardized Force on Maxillary and Mandibular Jaws with Proclined Maxillary Anterior Teeth with and without the Use of Mouthguard: A 3D Finite Element Analysis. Int J Clin Pediatr Dent 2024;17(S-1):S61-S66., Competing Interests: Source of support: Nil Conflict of interest: Dr Ritesh Kalaskar is associated as the National Editorial Board member of this journal and this manuscript was subjected to this journal's standard review procedures, with this peer review handled independently of this editorial board member and his research group.Conflict of interest: Dr Ritesh Kalaskar is associated as the National Editorial Board member of this journal and this manuscript was subjected to this journal's standard review procedures, with this peer review handled independently of this editorial board member and his research group., (Copyright © 2024; The Author(s).)

Current mouthguard test methods require improvement, as the impact energies during traditional testing do not reflect the higher energy that can be observed in actual use during sport. A new data set of ball speeds experienced during the sport of field hockey was obtained. These ball speeds have then been used to estimate impact energies. This information was used to subsequently develop a new test method consisting of a high-speed camera and drop tower. Observations show an increase in energy experienced by the mouthguard for higher-impact energies. The work carried out showed that current testing methods for sports mouthguards use lower-energy impacts than experienced during the sport of field hockey. The new method that is proposed allows for a more realistic representation of real-world impacts.

Aim: Sport activities are among the most important causes of dental injuries. The prevalence of dental injuries is higher in children and in contact sports and the use of mouthguards can reduce their incidence. The goal of this study was to determine the frequency and type of dental injuries in child athletes and their parents' awareness regarding the use of mouthguards. Materials and Methods: A cross-sectional study was conducted on child athletes aged 7-13 years. The questionnaires were completed by their parents. The questionnaire included questions on demographic data, type and history of sport activity, history of sports-related dental injuries, type of dental injury, awareness on mouthguards, type of mouthguard used and problems during its use. Data analysis was done using descriptive statistics and chi-square test. The level of significance was set at p<0.05. Results: Three hundred fifty six child athletes with a mean age of 10.72±2.08 years participated in the study. The prevalence of dental injuries during sport activity was 15.5% and was higher in boys (70.9%, 39 of 55) than in girls (29.09%, 16 of 55) (p=0.008). The most commonly affected age was 12 years (38.2%). The dental injuries rates were as follows: mobility (58%), crown fracture (36.4%) and avulsion (5.6%). The rate of awareness of the mouthguard was 48.6%, while the utilization rate was 23.9%. Conclusion: According to our results, the rate of dental injuries among boys and full contact sport players are high and the most common dental injury is mobility. The age and prevalence of dental injuries in young athletes in our study is not higher than has been reported in other countries. The provision of proper mouthguards and regular use of them may possibly reduce the occurrence of dental injuries during sport activity. [ABSTRACT FROM AUTHOR]

Laminated custom-made mouthguards tend to delaminate with use; this is a problem in clinical use. Insufficient bonding strength causes delamination, and bonding strength is strongly affected by heating temperature during lamination. The present study aimed to evaluate the influence of heating temperature on the sheet lamination process. Seven mouthguard sheet products were laminated together at different heating temperatures. To evaluate the bonding strength, a delamination test (n = 6) was performed, and the fracture patterns were inspected visually. To evaluate the shock absorption capability, a falling impact test (n = 5) was performed, and the specimen thicknesses were measured. All recorded values were analyzed using two-way analysis of variance and Tukey's Honest Significant Difference Test (P < 0.05). The present study confirmed that bonding strength was dependent on heating temperature: In ethylene-vinyl acetate copolymer products, the bonding strength was almost constant at 130°C and above, and it was constant at 110°C and above in polyolefin products. The thickness of every specimen decreased and, in some specimens, the shock absorption capability decreased with increasing heating temperature. The present study concludes that the heating temperature during the sheet lamination process when laminated custom-made mouthguards are fabricated may not be less than 120°C in ethylene-vinyl acetate copolymer products and 110°C in polyolefin products. [ABSTRACT FROM AUTHOR]

Background: Orofacial injuries are common occurrences during contact sports activities. However, there is an absence of data regarding the performance of hybrid occlusal splint mouthguards (HMG), especially during compressive loading. This study amid to evaluate the biomechanical effects of wearing a conventional custom mouthguard (MG) or the HMG on the teeth, bone, and the device itself. Methods: To evaluate the total deformation and stress concentration, a skull model was selected and duplicated to receive two different designs of mouthguard device: one model received a MG with 4-mm thickness and the other received a novel HMG with the same thickness. Both models were subdivided into finite elements. The frictionless contacts were used, and a nonlinear analysis was performed simulating the compressive loading in occlusion. Results: The results were presented in von-Mises stress maps (MPa) and total deformation (mm). A higher stress concentration in teeth was observed for the model with the conventional MG, while the HMG design displayed a promising mechanical response with lower stress magnitude. The HMG design displayed a higher magnitude of stress on its occlusal portion (7.05 MPa) than the MG design (6.19 MPa). Conclusion: The hybrid mouthguard (HMG) reduced (1) jaw displacement during chewing and (2) the generated stresses in maxillary and mandibular teeth.