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Results for “MOUTH PROTECTORS”

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Comparative evaluation of college football officials' attitudes toward NCAA mouthguard regulations and player compliance.

A 12-item questionnaire addressing attitudes of football officials toward the 1990 National Collegiate Athletic Association (NCAA) mouthguard regulation was sent to all officials in the Southeastern Conference (N = 62). The response rate was 95% (59). Twenty-seven per cent of officials reported that all players were in compliance; 74% believed the new rule to be at least somewhat beneficial in determining player compliance, and 20% reported that the rule had resulted in more frequent player use. Twenty-two per cent reported they would ignore a mouthguard violation and none had charged a time-out or called a penalty during the 1991 season. Significant differences in the responses of Big East officials surveyed in a previous study were noted by the authors, when compared to the SEC, but both groups of officials strongly supported the idea that wearing mouthguards should be the responsibility of coaches rather than officials.

Adult↗

Measurements of ventilation in freely ranging subjects.

Both the level of ventilation and breathing pattern (breathing frequency, inspiratory time, and tidal volume) have an important influence on particle deposition and gas uptake in the lungs. Accordingly, a description of these measures is needed to assess better the dose of particulate deposit and gas uptake in the lungs during varied activities. The long-term objectives of this study were to develop a means of measuring minute ventilation in the field by using body surface displacements, and to evaluate the utility of heart rate as an index of minute ventilation. By using respiratory inductance plethysmographic belts and magnetometers placed on the rib cage and abdomen, ventilation and breathing pattern can be noninvasively measured in mobile individuals. Our specific aims were (1) to validate measurements of ventilation using body surface displacement; (2) to describe breathing patterns in subjects performing a variety of daily activities in the laboratory; (3) to analyze relationships between minute ventilation and heart rate; and (4) to measure ventilation in the field with one technique utilizing body surface displacements and another based upon heart rate. We found that values of tidal volume, inspiratory time, and breathing frequency derived from body surface displacement measurements correlated well with those determined spirometrically during a variety of activities. The coefficient of determination for tidal volume was 0.97 +/- 0.2 for cycling, 0.93 +/- 0.07 for arm cranking, 0.91 +/- 0.05 for pulling, and 0.84 +/- 0.12 for lifting. Our experiments showed that the breathing pattern was altered by the use of a mouthpiece and varied according to the type of activity. The use of a mouthpiece increased tidal volume by 34%, decreased the breathing frequency by 10%, and increased minute ventilation by 16%. There was more variability of these parameters during lifting and pulling activities than during cycling. The ventilation-heart rate relationship varied from subject to subject and was altered by the use of a mouthpiece. We found that ventilation measured in the field from body surface displacement correlated well with ventilation measured using the pneumotachograph (R2 = 0.89). However, measurements of ventilation derived from heart rate were not as accurate as those derived from body surface displacements. We concluded that minute ventilation can be measured accurately using body surface displacements in the laboratory and in the field. Heart rate can also be utilized, but factors affecting the minute ventilation-heart rate relationship, such as the use of a mouthpiece and range of heart rate, must be addressed to obtain more accurate estimates of minute ventilation.

Adolescent↗

A clinical study of nightguard vital bleaching.

This double-blind, randomized, controlled clinical trial was designed to evaluate the efficacy and soft tissue effects of nightguard (mouthguard) vital bleaching. Subjects were assigned to one of two treatment groups, overnight (insertion of mouthguard at bedtime) or 3-hour (replenishment of test solution at hourly intervals for a total of 3 hours exposure daily). The experimental solutions included two products that are specifically designed for tooth bleaching, one product that is marketed as an oral antiseptic, and a control solution (glycerin). Each subject participated for a 3-week period. Tooth color analysis (shade determination) was done at baseline and the end of the treatment. Gingival and Plaque Indices were recorded at baseline and at the end of each week of study. Results indicated that the bleaching treatment was effective in most cases and caused no tissue inflammation or significant tooth sensitivity. The mean Gingival and Plaque Indices were generally lower (denoting improvement) at the end of treatment. Patient satisfaction with the procedure was high.

Analysis of Variance↗

Sports dentistry.

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Athletic Injuries↗

Relationship of muscular strength to jaw posture in sports dentistry.

From the late 1970s until the early 1990s there have been several reports of improved appendage muscle strength and athletic performance. Much of the criticism of using a mouthguard alone or in conjunction with a splint, such as a mandibular orthopedic repositioning appliance (MORA), to enhance athletic performance has been aimed at study designs, controls, periods of time, double blindness and the placebo effect. Although it would appear that designing a study that would please both clinician and researcher would be a difficult task, studies have been performed that do meet the "gold standard"; and the results favor the premise that jaw repositioning can enhance appendage muscular strength and athletic performance. Previous studies performed in the mid-1980s, and to which the scientific community refers to continually, on closer examination are flawed.

Dentistry↗

Prevention and emergency first-aid treatment for sports-related dentofacial injuries.

Every day, thousands of athletes participate in sports that are conducive to injuries of the head and face structures. Health-care professionals, coaches, trainers, and the players themselves should be prepared to provide emergency care. More importantly these individuals along with sports administrators, should contribute to the prevention of sports injuries by providing, mandating, and motivating the use of devices that are designed to protect the athlete.

Athletic Injuries↗

The design and construction of customised mouthpieces for subaqua diving.

Previous studies have shown that many subaqua divers suffer from temporomandibular joint dysfunction and related problems associated with the use of commercially available diving mouthpieces. This paper highlights factors which play a role in the development of these problems, defines essential features required in mouthpiece design and describes a technique for the construction of a fully customized mouthpiece.

Athletic Injuries↗

Use of mouthguards and headgear in organized sports by school-aged children.

Sports-related orofacial trauma is a serious problem that can be prevented by wearing protective mouthguards and headgear. While this equipment is available, few studies have been done of wearing practices. This study assesses the wearing practices using data from the Child Health Supplement of the 1991 National Health Interview Survey. Results indicate that football was the only sport in which the majority of children used mouthguards and headgear. While statistically significant differences (p<.05) were found in use of the equipment in all sports by grade level, gender, parent's education, ethnicity, and by region of the the country, these differences were not consistent across sports. Healthy People 2000 calls for extending requirements for use of orofacial protective devices to all organizations sponsoring sports that pose risk to injury. Given the complex nature of the findings, multifaceted initiatives that include the promulgation of rules must be developed and tested to determine what approaches are effective in ensuring consistent use.

Adolescent↗

Techniques for making spacers in interstitial brachytherapy for tongue cancer.

The use of a spacer has been recommended in interstitial brachytherapy for tongue cancer to reduce the radiation dose to the mandible. This article describes the development of two types of acrylic resin spacers, a mouth guard-type spacer for dentate patients, and a replica denture-type spacer for edentulous patients. These spacers can be used without suture retention and are comfortable for patients.

Acrylic Resins↗

Oral appliance attached to a bubble helmet for prevention of self-inflicted injury.

A six-year-old girl was referred to the Dental Clinic of Monroe Developmental Center by the New York State School for the Blind. She had a history of self-abusive behavior, particularly in biting her lower lip, and had previously had all primary teeth removed to prevent further damage. The school psychologist was concerned about new injuries because her permanent first molars were erupting and cheek lacerations were already present in those areas. An oral appliance attached to a bubble helmet was designed and fabricated. The patient tolerated it well. Her behavior improved with a change in psychotropic medication, and the lacerations of oral and peri-oral areas healed. At this time, more permanent teeth are present in the oral cavity.

Cerebral Palsy↗