Mouthguard Use Effect on the Biomechanical Response of an Ankylosed Maxillary Central Incisor during a Traumatic Impact: A 3-Dimensional Finite Element Analysis

(1) Background: Trauma is a very common experience in contact sports; however, there is an absence of data regarding the effect of athletes wearing mouthguards (MG) associated with ankylosed maxillary central incisor during a traumatic impact. (2) Methods: To evaluate the stress distribution in the...

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Main Authors: Alexandre Luiz Souto Borges, Amanda Maria de Oliveira Dal Piva, Laís Regiane da Silva Concílio, Tarcisio José de Arruda Paes-Junior, João Paulo Mendes Tribst
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/10/11/294
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author Alexandre Luiz Souto Borges
Amanda Maria de Oliveira Dal Piva
Laís Regiane da Silva Concílio
Tarcisio José de Arruda Paes-Junior
João Paulo Mendes Tribst
author_facet Alexandre Luiz Souto Borges
Amanda Maria de Oliveira Dal Piva
Laís Regiane da Silva Concílio
Tarcisio José de Arruda Paes-Junior
João Paulo Mendes Tribst
author_sort Alexandre Luiz Souto Borges
collection DOAJ
description (1) Background: Trauma is a very common experience in contact sports; however, there is an absence of data regarding the effect of athletes wearing mouthguards (MG) associated with ankylosed maxillary central incisor during a traumatic impact. (2) Methods: To evaluate the stress distribution in the bone and teeth in this situation, models of maxillary central incisor were created containing cortical bone, trabecular bone, soft tissue, root dentin, enamel, periodontal ligament, and antagonist teeth were modeled. One model received a MG with 4-mm thickness. Both models were subdivided into finite elements. The frictionless contacts were used and a nonlinear dynamic impact analysis was performed in which a rigid object hit the model at 1 m·s<sup>−1</sup>. For each model, an ankylosed periodontal ligament was simulated totaling 4 different situations. The results were presented in von-Mises stress maps. (3) Results: A higher stress concentration in teeth and bone was observed for the model without a MG and with ankylosed tooth (19.5 and 37.3 MPa, respectively); the most promising mechanical response was calculated for patients with healthy periodontal ligament and MG in position (1.8 and 7.8 MPa, respectively). (4) Conclusions: The MG’s use is beneficial for healthy and ankylosed teeth, since it acts by dampening the generated stresses in bone, dentin, enamel and periodontal ligament. However, patients with ankylosed tooth are more prone to root fracture even when the MG is in position compared to a healthy tooth.
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spelling doaj.art-05c8d38aa0914931b7485fa260eb10472023-11-20T21:38:01ZengMDPI AGLife2075-17292020-11-01101129410.3390/life10110294Mouthguard Use Effect on the Biomechanical Response of an Ankylosed Maxillary Central Incisor during a Traumatic Impact: A 3-Dimensional Finite Element AnalysisAlexandre Luiz Souto Borges0Amanda Maria de Oliveira Dal Piva1Laís Regiane da Silva Concílio2Tarcisio José de Arruda Paes-Junior3João Paulo Mendes Tribst4Institute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, São Paulo 12220690, BrazilInstitute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, São Paulo 12220690, BrazilDepartment of Prosthodontics, School of Dentistry, University of Taubaté, Taubaté, São Paulo 12020-340, BrazilInstitute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, São Paulo 12220690, BrazilInstitute of Science and Technology, São Paulo State University (Unesp), São José dos Campos, São Paulo 12220690, Brazil(1) Background: Trauma is a very common experience in contact sports; however, there is an absence of data regarding the effect of athletes wearing mouthguards (MG) associated with ankylosed maxillary central incisor during a traumatic impact. (2) Methods: To evaluate the stress distribution in the bone and teeth in this situation, models of maxillary central incisor were created containing cortical bone, trabecular bone, soft tissue, root dentin, enamel, periodontal ligament, and antagonist teeth were modeled. One model received a MG with 4-mm thickness. Both models were subdivided into finite elements. The frictionless contacts were used and a nonlinear dynamic impact analysis was performed in which a rigid object hit the model at 1 m·s<sup>−1</sup>. For each model, an ankylosed periodontal ligament was simulated totaling 4 different situations. The results were presented in von-Mises stress maps. (3) Results: A higher stress concentration in teeth and bone was observed for the model without a MG and with ankylosed tooth (19.5 and 37.3 MPa, respectively); the most promising mechanical response was calculated for patients with healthy periodontal ligament and MG in position (1.8 and 7.8 MPa, respectively). (4) Conclusions: The MG’s use is beneficial for healthy and ankylosed teeth, since it acts by dampening the generated stresses in bone, dentin, enamel and periodontal ligament. However, patients with ankylosed tooth are more prone to root fracture even when the MG is in position compared to a healthy tooth.https://www.mdpi.com/2075-1729/10/11/294mouthguardtraumafinite element analysisathletic injuries
spellingShingle Alexandre Luiz Souto Borges
Amanda Maria de Oliveira Dal Piva
Laís Regiane da Silva Concílio
Tarcisio José de Arruda Paes-Junior
João Paulo Mendes Tribst
Mouthguard Use Effect on the Biomechanical Response of an Ankylosed Maxillary Central Incisor during a Traumatic Impact: A 3-Dimensional Finite Element Analysis
Life
mouthguard
trauma
finite element analysis
athletic injuries
title Mouthguard Use Effect on the Biomechanical Response of an Ankylosed Maxillary Central Incisor during a Traumatic Impact: A 3-Dimensional Finite Element Analysis
title_full Mouthguard Use Effect on the Biomechanical Response of an Ankylosed Maxillary Central Incisor during a Traumatic Impact: A 3-Dimensional Finite Element Analysis
title_fullStr Mouthguard Use Effect on the Biomechanical Response of an Ankylosed Maxillary Central Incisor during a Traumatic Impact: A 3-Dimensional Finite Element Analysis
title_full_unstemmed Mouthguard Use Effect on the Biomechanical Response of an Ankylosed Maxillary Central Incisor during a Traumatic Impact: A 3-Dimensional Finite Element Analysis
title_short Mouthguard Use Effect on the Biomechanical Response of an Ankylosed Maxillary Central Incisor during a Traumatic Impact: A 3-Dimensional Finite Element Analysis
title_sort mouthguard use effect on the biomechanical response of an ankylosed maxillary central incisor during a traumatic impact a 3 dimensional finite element analysis
topic mouthguard
trauma
finite element analysis
athletic injuries
url https://www.mdpi.com/2075-1729/10/11/294
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