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New fabrication method to maintain proper mouthguard thickness.
Fumi Mizuhashi1, Kaoru Koide1, Mutsumi Takahashi1
1Department of Removable Prosthodontics, The Nippon Dental University School of Life Dentistry at Niigata, Niigata, Japan.
Summary
Layering a second ethylene vinyl acetate sheet on the original material effectively maintains mouthguard thickness. This cost-effective fabrication method ensures optimal protection for athletes.
Area of Science:
- Dental Materials Science
- Biomaterials Engineering
- Sports Dentistry
Background:
- Vacuum-formed mouthguards are crucial for protecting athletes' teeth.
- Maintaining consistent mouthguard thickness is essential for optimal shock absorption and fit.
- Current fabrication methods may lead to variations in thickness, potentially compromising protection.
Purpose of the Study:
- To evaluate the efficacy of layering a second ethylene vinyl acetate (EVA) sheet on the original material.
- To determine if this method improves the maintenance of mouthguard thickness during fabrication.
- To compare the thickness of mouthguards produced by a novel layering technique versus a standard lamination method.
Main Methods:
- Two fabrication methods were compared: standard lamination and a novel sheet-layering technique using EVA.
- Mouthguards were formed using 3.8-mm and 3.0-mm EVA sheets.
- Thickness was measured at the central incisors and first molars and analyzed using two-way ANOVA and Bonferroni post hoc tests.
Main Results:
- Mouthguard thickness varied significantly across different measurement regions (P < 0.01).
- The sheet-layering method resulted in significantly greater mean thickness at the central incisors (5.5 mm) compared to the laminate method (3.9 mm) (P < 0.01).
Conclusions:
- Layering a second EVA sheet is an effective strategy for maintaining mouthguard thickness.
- This fabrication technique offers a viable and cost-effective solution for producing high-quality, protective mouthguards.
- The findings support the adoption of the sheet-layering method in clinical practice for improved mouthguard fabrication.

