Evidence map›Paper›PMID 38816564›Full record

ArticleSports medicine - open2024

Design of Customized Mouthguards with Superior Protection Using Digital-Based Technologies and Impact Tests.

Naser Nasrollahzadeh, Dominique P Pioletti, Martin Broome

Abstract read
In one paragraph

Article in Sports medicine - open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Comparison of Shock Absorption Capacities of 3D-Printed Custom-Made Mouthguards: A Comparative In Vitro Study.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Article
  2. Article
  3. Development status of mouthguard.Frontiers in dental medicine · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Naser NasrollahzadehDivision of Oral & Maxillofacial surgery, Lausanne University Hospital (CHUV) and Lausanne University, Rue du Bugnon 44, Lausanne, 1011, Switzerland.
Dominique P PiolettiLaboratory of Biomechanical Orthopedics, Institute of Mechanical Engineering, EPFL, Lausanne, Switzerland.
Martin BroomeDivision of Oral & Maxillofacial surgery, Lausanne University Hospital (CHUV) and Lausanne University, Rue du Bugnon 44, Lausanne, 1011, Switzerland. Martin.Broome@chuv.ch.ORCID http://orcid.org/0009-0004-1830-9468

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn contact sports, an impact on the jaw can generate destructive stress on the tooth-bone system. Mouthguards can be beneficial in reducing the injury risk by changing the dynamics of the trauma. The material properties of mouthguards and their geometrical/structural attributes influence their protective performance. Custom-made mouthguards are the gold standard, and different configurations have been proposed to improve their protection and comfort. However, the effects of different design variables on the performance of customized mouthguards are not well understood.

resultsHerein, we developed a reliable finite element model to analyze contributing factors to the design of custom-made mouthguards. Accordingly, we evaluated the isolated and combined effect of layers' stiffness, thickness, and space inclusion on the protective capability of customized mouthguards. Our simulations revealed that a harder frontal region could distribute load and absorb impact energy through bending if optimally combined with a space inclusion. Moreover, a softer layer could enlarge the time of impact and absorb its energy by compression. We also showed that mouthguards present similar protection with either permanently bonded or mechanically interlocked components. We 3D-printed different mouthguards with commercial resins and performed impact tests to experimentally validate our simulation findings. The impact tests on the fabricated mouthguards used in this work revealed that significantly higher dental protection could be achieved with 3D-printed configurations than conventionally fabricated customized mouthguards. In particular, the strain on the impacted incisor was attenuated around 50% more with a 3D-printed mouthguard incorporating a hard insert and space in the frontal region than a conventional Playsafe® Heavypro mouthguard.

conclusionsThe protective performance of a mouthguard could be maximized by optimizing its structural and material properties to reduce the risk of sport-related dental injuries. Combining finite element simulations, additive manufacturing, and impact tests provides an efficient workflow for developing functional mouthguards with higher protectiveness and athlete comfort. We envision the future with 3d-printed custom-mouthguards presenting distinct attributes in different regions that are personalized by the user based on the sport and associated harshness of the impact incidences.

Indexed as

3D PrintingCustomized MouthguardDental ProtectionEnergy AbsorptionFinite Element AnalysisImpact testLoad Distribution

Identifiers

PMID38816564
PMCPMC11139839

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.