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MOUTH GUARD

MOUTH GUARD. PRESENTED BY : DR. DIPTI AWASTHI DEPT. OF PEDODONTICS. MOUTH GUARD. INTRODUCTION HISTORY USE MODE OF ACTION REQUIREMENT MATERIAL USED FOR FABRICATION TYPES FABRICATION CONCLUSION.

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MOUTH GUARD

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  1. MOUTH GUARD PRESENTED BY : DR. DIPTI AWASTHI DEPT. OF PEDODONTICS

  2. MOUTH GUARD • INTRODUCTION • HISTORY • USE • MODE OF ACTION • REQUIREMENT • MATERIAL USED FOR FABRICATION • TYPES • FABRICATION • CONCLUSION

  3. ‘MOUTH GUARD’ Term Is Used Most Often With Contact Sports.

  4. ?? What is MOUTH GUARD Resilient appliance placed inside mouth to prevent injuries to teeth and surrounding structures.

  5. HISTORY • Mouth guards or “gum shields” were originally developed in 1890 by WOOLF KRAUSE, a London dentist, as a means of protecting boxers from lip lacerations. • These gum shields were originally made from GUTTA PERCHA and were held in place by clenching the teeth. • PHILIP KRAUSE, his son, who was both a dentist and amateur boxer, subsequently refined the design and made them from VELLA RUBBER.

  6. In the United States, the first mouth guard was probably manufactured by Thomas Carlos, a Chicago dentist, in 1916.

  7. NEED FOR MOUTH GUARD • SPORTS- • Contact sport such as rugby, boxing, football. - Even those participating in non-contact sport (for example, gymnastics) and any recreational activity (for example, mountain biking or horse riding) Mouthguards aren't just for contact sports anymore Nov 17, 2011 2:10 Jessica Padykula Health & Wellness / Dental & Vision

  8. NEED FOR MOUTH GUARD • Pain relief with mouth guards • Orofacial pain patients whose pain Is severe and the result of muscle fatigue. • BRUXISM / HABITUAL GRINDING The bruxism mouth guards protect the crown, enamel, implants and bridges of teeth by keeping the teeth apart to avoid grinding and clenching Mouthguards aren't just for contact sports anymore Nov 17, 2011 2:10 Jessica Padykula Health & Wellness / Dental & Vision

  9. In orthodontic treatment • Recommended for people who wear braces as it can help prevent damage to the brackets from a blow to the face and provides a barrier between the braces and cheek or lips.

  10. HELPFUL IN PERFORMANCE BY • Increasing muscular endurance • Less lactic acid buildup in the muscles, which means less cramping • Decreased buildup of the stress hormone cortisol • Improved reaction time Mouthguards aren't just for contact sports anymore Nov 17, 2011 2:10 Jessica Padykula Health & Wellness / Dental & Vision

  11. MODE OF ACTION :- 1. TEMPOROMANDIBULAR JOINT 2. MAXILLARY ANTERIOR TEETH 3. MANDIBULAR ANTERIOR TEETH

  12. MODE OF ACTION :-

  13. PREVENTING FRACTURE TMJ AT OCCLUSION WITHOUT MOUTH GUARD TMJ AT OCCLUSION WITH MOUTH GUARD

  14. MAXILLARY TEETH IN CLASS II MALOCCLUSION • MANDIBULAR TEETH IN CLASS III MALOCCLUSION

  15. REQUIREMENTS : • Studies of the properties of MOUTH GUARD materials have included: • shock-absorbing capability • hardness, stiffness (indicative of protective capability) • strength (indicative of durability) • water absorption (indicative of fit and stability). • The best Mouth guard is one fitted to your mouth that doesn’t restrict talking and breathing.

  16. MATERIALS USED IN FABRICATION : • Latex rubber was a popular material used in early mouth guards but it has lower shock absorbency, lower hardness and less tear and tensile strength than Ethylene Vinyl Acetate (EVA) or polyurethane (PU). • EVA and PU, the transparent copolymer plastics used for shock absorption and padding in today's sports equipment are far superior in durability and flexibility. ACRYLIC RESIN WAS ALSO USED -HIGHLY UNCOMFORTABLE

  17. TYPES: • STOCK MOUTH GUARD • MOUTH FORMED OR ‘ BOIL AND BITE’ • CUSTOM FIT

  18. STOCK MOUTH GUARD • PREFABRICATED • Available sporting goods shops and department stores. • Little can be done to adjust their fit • They are bulky, make breathing and talking difficult • Provide little or no protection. DENTISTS DO NOT RECOMMEND THEIR USE

  19. BOIL AND BITE MOUTH GUARD How to use: • place the mouth guard form into boiling water to soften. • Place in cold water for 1 sec., so the material will be soft but not very much heated • Place it in person’s mouth • Mould it with finger pressure and adopt to soft and hard tissue. • Place it cold water to set.

  20. BOIL AND BITE MOUTH GUARD • When you bite down on the semi-melted mouth guards you compromise the thickness of the mouth guard when the upper and lower teeth come together into the mouth guard. • A mouth guard should create a gap to prevent TMJ injuries. Standard boil and bites mouth guards offer minimal and in most cases no protection against such injuries it is hard to fit a BOIL AND BITE mouth guard just right without the assistance of your dentist .

  21. CUSTOM FABRICATED MOUTH GUARD • Considered best form of ‘Mouth Guard’ • No interference in speech and breathing • Best fitting

  22. FABRICATION OF CUSTOM MOUTH GUARD: FOUR STEP PROCEDURE : - IMPRESSION - FABRICATION - TRIMMING AND POLISHING - PLACEMENT OF MOUTHGUARD

  23. PROCEDURE : IMPRESSION

  24. CONTINUE… VESTIBULAR MARKING TRIMMING BORDERS

  25. CONTINUE… FABRICATION PRESSURE MACHINE FOR FABRICATION 1ST LAYER OF 3 MM EVA FORMED

  26. CONTINUE.. READY FOR 2ND LAYER FABRICATION EXCESS REMOVAL FROM 1ST LAYER

  27. CONTINUE.. TRIMMING AND POLISHING EXCESS REMOVAL OF 2ND LAYER

  28. CONTINUE… TRIMMING AND POLISHING TRIMMING FRENAL MUSCLE ATTACHMENT

  29. BENEFITS • cushion a strong blow to the face • Increases muscular endurance • Less lactic acid buildup in the muscles, which means less cramping • Decreased buildup of the stress hormone cortisol • Improved reaction time

  30. CARE OF MOUTH GUARD • Before and after use, rinse the mouth guard with cold water. • Clean it with tooth brush and mouthrinse • Avoid to keep in high temperature spots • In growing persons mouth guard need to be changed after a period due to dimensional mismatching.

  31. GET THE MOST FROM A MOUTHGUARD TO GET THE BEST SERVICE FROM A MOUTH GUARD • Should not wear removable appliances, such as retainers, with a mouth guard • wear a custom-fitted mouth guard if you wear braces or have a protruding jaw, receding chin or cleft palate

  32. Do not chew on or cut pieces off your mouth guard • Do wear the mouth guard during practice sessions as well as during games • schedule regular dental checkups

  33. SOME FACTS….

  34. CONCLUSION - An effective mouth guard is like a ‘crash helmet’ for teeth and jaws. • Do wear the mouth guard during practice sessions • as well as during games. • The best mouth guard remains one that is custom • designed and made by A dental professional with the • athlete's individual needs taken into account.

  35. Use of mouth guard is not limited up to sport • faculty. It is being used to treat other common • problems.

  36. THANK YOU

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