Effectiveness of the impact absorption of Mouthguard in the protection of structures: A systematic review of Finite Element Studies

Authors

DOI:

https://doi.org/10.33448/rsd-v11i2.26005

Keywords:

Dental trauma; Mouthguard; Systematic review; Sport dentistry.

Abstract

Orofacial injuries are extremely common in contact sports and the culture of competitiveness provides an environment where injuries are frequent, especially impacts on dental elements, known as dental trauma. This work aims to make a systematic review of the scientific literature on the effectiveness of mouthguards in reducing orofacial injuries during sports activities. After screening the databases and removing duplicates, 46 studies were identified. After selecting the title and carefully reading the abstracts, articles that did not meet the inclusion and exclusion criteria were excluded, and the systematic review was performed with 13 articles. The findings of the present systematic review with studies carried out by FEM evaluating the biomechanical behavior of tensions, stress distribution and deformations indicate that the use of BP reduces the risk of orofacial injuries during sports activities and that a thickness of 3mm or 4mm seems to be most suitable.

References

Andrade, R. A., Evans, P. L., Almeida, A. L., da Silva, J., Guedes, A. M., Guedes, F. R., Ranalli, D. N., Modesto, A., & Tinoco, E. M. (2010). Prevalence of dental trauma in Pan American games athletes. Dental traumatology , 26(3), 248–253.

Araújo, F. M. de, Rabello, T. B., Berard, L. T., Coto, N. P., & Dias, K. R. H. C. (2021). Prevalence of orofacial injuries and the level of knowledge about oral protection in a brazilian judo team. Research, Society and Development, 10(6), e57810616133.

Badel, T., Jerolimov, V., Pandurie, J. (2007). Dental/orofacial trauma in contact sports and intraoral mouthguard programmes. Kinesiol, 39(1):97-105

Borges, A., Dal Piva, A., Concílio, L., Paes-Junior, T., & Tribst, J. (2020). Mouthguard Use Effect on the Biomechanical Response of an Ankylosed Maxillary Central Incisor during a Traumatic Impact: A 3-Dimensional Finite Element Analysis. Life (Basel, Switzerland), 10(11), 294.

Bragança, G. F., Vilela, A., Soares, P., Tantbirojn, D., Versluis, A., & Soares, C. J. (2021). Influence of ceramic veneer thickness and antagonist on impact stresses during dental trauma with and without a mouthguard assessed with finite element analysis. Dental traumatology, 37(2), 215–222,

Brown, J. C., Gardner-Lubbe, S., Lambert, M. I., van Mechelen, W., & Verhagen, E. (2018). Coach-directed education is associated with injury-prevention behaviour in players: an ecological cross-sectional study. British Journal Of Sports Medicine, 52(15), 989–993.

Carvalho, V. F., Soares, P. B., Verissimo, C., Pessoa, R. S., Versluis, A., & Soares, C. J. (2018). Mouthguard Biomechanics for Protecting Dental Implants from Impact: Experimental and Finite Element Impact Analysis. The International Journal Of Oral & Maxillofacial Implants, 33(2), 335–343.

Cohenca, N., Roges, R. A., & Roges, R. (2007). The incidence and severity of dental trauma in intercollegiate athletes. Journal of the American Dental Association (1939), 138(8), 1121–1126.

Coto, N. P., Meira, J. B., Brito e Dias, R., Driemeier, L., de Oliveira Roveri, G., & Noritomi, P. Y. (2012). Assessment of nose protector for sport activities: finite element analysis. Dental traumatology,28(2), 108–113.

Firmiano, T. C., Oliveira, M., de Souza, J. B., Soares, C. J., Versluis, A., & Veríssimo, C. (2019). Influence of impacted canines on the stress distribution during dental trauma with and without a mouthguard. Dental traumatology, 35(4-5), 276–284. 7

Frontera, R. R., Zanin, L., Ambrosano, G. M., & Flório, F. M. (2011). Orofacial trauma in Brazilian basketball players and level of information concerning trauma and mouthguards. Dental traumatology ,27(3), 208–216.

Gialain, I. O., Coto, N. P., Driemeier, L., Noritomi, P. Y., & Dias, R. B. (2016). A three-dimensional finite element analysis of the sports mouthguard. Dental traumatology, 32(5), 409–415.

Gonçalves, V. P. D., Ferreira, T. T., Valentim, J. do R., Santos, T. B. dos, e Azevedo, M. M. A. (2021). Aspectos da odontologia do esporte em clubes de futebol no Rio de Janeiro. Lecturas: Educación Física y deportes, 26(277), 114-124

Otani, T., Kobayashi, M., Nozaki, K., Gonda, T., Maeda, Y., & Tanaka, M. (2018). Influence of mouthguards and their palatal design on the stress-state of tooth-periodontal ligament-bone complex under static loading. Dental traumatology, 34(3), 208–213.

Patil, V., Naik, N., Gadicherla, S., Smriti, K., Raju, A., & Rathee, U. (2020). Biomechanical Behavior of Bioactive Material in Dental Implant: A Three-Dimensional Finite Element Analysis. The Scientific World Journal, 2020, 2363298.

Poblete, F. E. O., Noritomi, P. Y., Coto, N. P., Almeida, A. S.; Naclério-Homem, M. G. (2012). Análise por meio do método dos elementos finitos de um protetor bucal para atividades esportivas. RPG Rev. Pos-Grad, 19(4):159-164.

Tribst, J., Dal Piva, A., Borges, A., & Bottino, M. A. (2019). Simulation of mouthguard use in preventing dental injuries caused by different impacts in sports activities. Sport Sci Health.; 15, 85–90.

Tribst, J., Dal Piva, A., Ausiello, P., De Benedictis, A., Bottino, M. A., & Borges, A. (2021). Biomechanical Analysis of a Custom-Made Mouthguard Reinforced With Different Elastic Modulus Laminates During a Simulated Maxillofacial Trauma. Craniomaxillofacial Trauma & Reconstruction, 14(3), 254–260.

Tribst, J., Dal Piva, A., Bottino, M. A., Kleverlaan, C. J., & Koolstra, J. H. (2020). Mouthguard use and TMJ injury prevention with different occlusions: A three-dimensional finite element analysis. Dental traumatology, 36(6), 662–669.

Tribst, J., de Oliveira Dal Piva, A. M., Borges, A., & Bottino, M. A. (2018). Influence of custom-made and stock mouthguard thickness on biomechanical response to a simulated impact. Dental traumatology, 34(6), 429–437.

Veríssimo, C., Bicalho, A. A., Soares, P. B., Tantbirojn, D., Versluis, A., & Soares, C. J. (2017). The effect of antagonist tooth contact on the biomechanical response of custom-fitted mouthguards. Dental traumatology, 33(1), 57–63.

Verissimo, C., Costa, P. V., Santos-Filho, P. C., Fernandes-Neto, A. J., Tantbirojn, D., Versluis, A., & Soares, C. J. (2016). Evaluation of a dentoalveolar model for testing mouthguards: stress and strain analyses. Dental traumatology, 32(1), 4–13.

Verissimo, C., Costa, P. V., Santos-Filho, P. C., Tantbirojn, D., Versluis, A., & Soares, C. J. (2016). Custom-Fitted EVA Mouthguards: what is the ideal thickness? a dynamic finite element impact study. Dental traumatology, 32(2), 95–102.

Verissimo, C., Santos-Filho, P. C., Tantbirojn, D., Versluis, A., & Soares, C. J. (2015). Modifying the biomechanical response of mouthguards with hard inserts: A finite element study. American Journal Of Dentistry, 28(2), 116–120.

Vilela, A., Soares, P., Almeida, G. A., Veríssimo, C., Rodrigues, M. P., Versluis, A., & Soares, C. J. (2019). Three-dimensional finite element stress analysis of teeth adjacent to a traumatized incisor. Dental traumatology, 35(2), 128–134. https://doi.org/10.1111/edt.12453.

Published

04/02/2022

How to Cite

GONCALVES, V. P. D. .; RANGEL, T. P. .; WOLF, E. H. S. .; BRITO , F. C. de .; DIAS , E. C. L. de C. e M. . Effectiveness of the impact absorption of Mouthguard in the protection of structures: A systematic review of Finite Element Studies. Research, Society and Development, [S. l.], v. 11, n. 2, p. e51611226005, 2022. DOI: 10.33448/rsd-v11i2.26005. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/26005. Acesso em: 18 apr. 2024.

Issue

Section

Health Sciences