Abstract

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.

Highlights

  • Mouthguard devices or appliances are indicated with the main purpose to protect teeth from injury during contact activities and sports [1]

  • The teeth are one of the most affected structures in maxillofacial trauma injuries that can be properly protected with a mouthguard as a preventive method [2]

  • The aim of this study was to analyze the biomechanical effects of wearing a conventional custom mouthguard (MG) and the novel hybrid occlusal splint-mouthguard (HMG) on the mechanical responses of the teeth, bone, and the device itself, when subjected to compressive occlusal loading

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Summary

Introduction

Mouthguard devices or appliances are indicated with the main purpose to protect teeth from injury during contact activities and sports [1]. To reduce the injuries that can affect the bone, teeth, and the temporomandibular joint [3], different mouthguard designs have been widely investigated, with the aim to increase the protection effectiveness [4]. 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. Conclusion: The hybrid mouthguard (HMG) reduced (1) jaw displacement during chewing and (2) the generated stresses in maxillary and mandibular teeth

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