Tuesday, November 10, 2009

A Modified Method of Mouthguard Fabrication for Orthodontic Patients

LUTHERAN MEDICAL CENTER
Dental Residency Program
Literature Review Form

Resident: Boboia Date: 11/9/09
Article title: A Modified Method of Mouthguard Fabrication for Orthodontic Patients
Author(s): Maeda et al.
Journal: Dental Traumatology
Volume #; Number; Page #s): 24, 475-442
Year: 2008
Purpose: Describe a method for custom-made MG fabrication using sheet and tube materials
Orthodontic appliances are a major risk factor for traumatic injuries during sport events. Taking precise impressions is difficult resulting in poorly fitting mouthguards.
Summary Fabrication Procedure:
1) Take alginate impressions and pour
2) Apply a catheter tube material to the surface of the brackets by making a cut and fixing it with cyano-acrylate adhesive
3) Use a 3mm thick sheet and vacuum former and to make mouth guard
4) Make necessary adjustments after trimming and polishing
Discussion:
In fabricating mouthguard one must minimize bulk, maximize retention, leave space available for tooth movement, achieve retention to the anchor tooth positions.
Assesment: Good article for those people who have never made a athletic mouthguard. The only item worth noting is the use of a tube as a block out material for orthodontic brackets and arch wire.

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