João Paulo Mendes Tribst1,2, Amanda Maria de Oliveira Dal Piva1,2, Marco Antonio Bottino1, Cornelis Johannes Kleverlaan2, Jan Harm Koolstra3. 1. Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp/SJC), São Paulo, Brazil. 2. Department of Dental Materials Science, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands. 3. Department of Oral Cell Biology and Functional Anatomy, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands.
Abstract
BACKGROUND/AIMS: There is a lack of data regarding the mechanical responses of the temporo-mandibular joints during an impact to the orofacial region. The aim of this study was to analyze the biomechanical effects of wearing a mouthguard (MG) on the impact response of the mandibular condyle and articular disk according to the type of occlusion. The hypothesis was that the MG would minimize the effect in those structures, regardless of the occlusion type. METHODS: Using modeling software, a human skull with jaw, teeth and articular disk was created. The models were divided according to the occlusion type (Class I, II, or III) and the presence of a mouthguard (with or without). The geometries were exported to analysis software, and the materials were considered ideal. Fixation occurred at the base of the foramen magnum. The load (0-500N, 1s) was applied to the upper central incisors with a steel ball. Maximum principal stress and Von Mises results (MPa) were obtained in the mandibular condyle and articular disk. Minimum principal stress and maximum shear stresses were also recorded in the articular disk. RESULTS: For both structures, the MG caused a decrease in stress concentration regardless of the occlusion and stress criteria. The condyle neck was the most tensile-stressed area while for the articular disk, both the superior and inferior surfaces were the most stressed areas. The highest stress peaks in the disk were found for compression followed by tensile and then shear stress. CONCLUSION: This biomechanical analysis of the effects of using a mouthguard exhibited considerably decreased stresses on the mandibular condyle and articular disk, regardless of the occlusion type.
BACKGROUND/AIMS: There is a lack of data regarding the mechanical responses of the temporo-mandibular joints during an impact to the orofacial region. The aim of this study was to analyze the biomechanical effects of wearing a mouthguard (MG) on the impact response of the mandibular condyle and articular disk according to the type of occlusion. The hypothesis was that the MG would minimize the effect in those structures, regardless of the occlusion type. METHODS: Using modeling software, a human skull with jaw, teeth and articular disk was created. The models were divided according to the occlusion type (Class I, II, or III) and the presence of a mouthguard (with or without). The geometries were exported to analysis software, and the materials were considered ideal. Fixation occurred at the base of the foramen magnum. The load (0-500N, 1s) was applied to the upper central incisors with a steel ball. Maximum principal stress and Von Mises results (MPa) were obtained in the mandibular condyle and articular disk. Minimum principal stress and maximum shear stresses were also recorded in the articular disk. RESULTS: For both structures, the MG caused a decrease in stress concentration regardless of the occlusion and stress criteria. The condyle neck was the most tensile-stressed area while for the articular disk, both the superior and inferior surfaces were the most stressed areas. The highest stress peaks in the disk were found for compression followed by tensile and then shear stress. CONCLUSION: This biomechanical analysis of the effects of using a mouthguard exhibited considerably decreased stresses on the mandibular condyle and articular disk, regardless of the occlusion type.
Authors: João Paulo Mendes Tribst; Amanda Maria de Oliveira Dal Piva; Pietro Ausiello; Arianna De Benedictis; Marco Antonio Bottino; Alexandre Luiz Souto Borges Journal: Craniomaxillofac Trauma Reconstr Date: 2020-12-09
Authors: João Paulo Mendes Tribst; Dayana Campanelli de Morais; Jefferson David Melo de Matos; Guilherme da Rocha Scalzer Lopes; Amanda Maria de Oliveira Dal Piva; Alexandre Luiz Souto Borges; Marco Antonio Bottino; Antonio Lanzotti; Massimo Martorelli; Pietro Ausiello Journal: Dent J (Basel) Date: 2022-01-14