Tjeerdsma, N.L. (2017) De effectiviteit van ‘prefab’, ‘boil and bite’ en individueel vervaardigde mondbeschermers: Een beschrijvende review. thesis, Dentistry.
Full text available on request.Abstract
The use of mouth protectors is useful for preventing dento-alveolar trauma due to, for example, contact sports. The primary function of a mouth protector is to absorb and spread the energy of an impact force. The degree of absorption of impact force differs by material and thus by type of mouth protector. There are different types of mouth protectors, namely: 'prefab', single and multi-layer 'boil and bite' and single and multi-layer individually made mouth protectors. Based on a literature review, the following research question was answered: ‘What is the difference in protective effect of different mouth protectors when looking at the shock absorbing feature of prefab, single and multi-layer boil and bite- and single and multi-layer individually manufactured mouth protectors?’ 'The amount of shock absorption was expressed as a percentage of the absorbed impact force or energy (in Newton or Joules) relative to the absorbed impact force or energy on an unprotected dental arc (in Newton or Joules ). The literature review is based on electronic searches on Pubmed and Embase and a review of the references in the articles. The review included articles that compare the effectiveness of different oral protectors or describe experimental research into the effectiveness of one of the mentioned types of mouth protectors, written in Dutch or English. After evaluation of methodological quality based on criteria, twelve studies were included. A descriptive comparison of these studies showed that a mouth protector generally gives a reduction of impact power over wearing no mouth protector. Individually manufactured mouth protectors shows a reduction of impact force of 4.1-99.7%, 'boil and bite' mouth protectors of 6-84% and 'prefab' mouth protectors of 82-85%. The variation flow rate among the different studies is very large. Factors in the research design as impact object, applied force and impact model seem to affect the research results. Also the choice of material for the mouth protector, the thickness thereof, the use of one or more layers (whether or not different materials) and (mal) occlusion seem to affect. A multilayer mouth protector appears to be preferred over a single layer mouth protector. Increasing the thickness of the mouth protector also seems to increase the amount of shock absorption. A boil and bite mouth protector gives a higher degree of shock absorption than an individually manufactured mouth protector in a divergent tooth condition. The choice for the type of recommended protector (thickness, hardness / stiffness) is highly dependent on the type of sport, and the associated impact objects.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Minnen, Dr. B. van |
| Faculty: | Medical Sciences |
| Date Deposited: | 19 Nov 2021 15:03 |
| Last Modified: | 19 Nov 2021 15:03 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2812 |
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