Hiroshi Churei

Flexural properties and shock‐absorbing capabilities of new face guard materials reinforced with fiberglass cloth

AIM  Experimental materials incorporating fiberglass cloth were used to develop a thin and lightweight face guard (FG). This study aims to evaluate the effect of fiberglass reinforcement on the flexural and shock absorption properties compared with conventional thermoplastic materials. MATERIAL AND METHOD  Four commercial 3.2-mm and 1.6-mm medical splint materials (Aquaplast, Polyform, Co-polymer, and Erkodur) and two experimental materials were examined for use in FGs. The experimental materials were prepared by embedding two or four sheets of a plain woven fiberglass cloth on both surfaces of 1.5-mm Aquaplast. The flexural strength and flexural modulus were determined using a three-point bending test. The shock absorption properties were evaluated for a 5200-N impact load using the first peak intensity with a load cell system and the maximum stress with a film sensor system. RESULTS AND CONCLUSIONS  The flexural strength (74.6 MPa) and flexural modulus (6.3 GPa) of the experimental material with four sheets were significantly greater than those of the 3.2-mm commercial specimens, except for the flexural strength of one product. The first peak intensity (515 N) and maximum stress (2.2 MPa) of the experimental material with four sheets were significantly lower than those of the commercial 3.2-mm specimens, except for one product for each property. These results suggest that the thickness and weight of the FG can be reduced using the experimental fiber-reinforced material.

Flexural impact force absorption of mouthguard materials using film sensor system

PURPOSE Several methods have been used to measure the impact force absorption capacities of mouthguard materials; however, the relationships among these measurement systems have not been clearly determined. The purpose of the present study was to evaluate the impact force-absorbing capability of materials using a drop-ball system with film sensors and load cells to clarify the relationship between these two sensor systems. MATERIALS AND METHODS Disk-shaped specimens (1, 2, and 3 mm thick) were prepared using three commercial thermoplastic mouthguard materials (Bioplast, Impact Guard, MG 21) and one experimental mouthguard material [mixture of Poly (ethyl methacrylate)]. Impact force was applied by letting a stainless steel ball drop free-fall onto the specimens and then measuring the impact load under each specimen using a film sensor system and a load cell sensor system. RESULTS The total load measured with the film sensor system decreased with an increase in mouthguard thickness, while almost none of the transmitted impact forces measured with the load cell system were statistically different. CONCLUSIONS The film sensor system was considered to be superior to the load cell system because the maximum stress and stress area could be determined.

Difference among shock-absorbing capabilities of mouthguard materials

PURPOSE The purpose of this study was to investigate the shock absorption capability of commercial thermoforming mouthguard sheet materials. MATERIALS AND METHODS Twelve commercial thermoforming mouthguard sheet materials were selected as test materials. The impact test was applied by a free-falling steel ball. When impact forces of approximately 660 N were applied on the commercial thermoforming mouthguard materials, the peak intensities were measured using the load cell sensor. The peak intensity and the time to peak intensity from the onset of the transmitted force were statistically analyzed using one-way anova and Tukeys honest significant difference post hoc test (P < 0.05). RESULTS Statistical analysis for the peak intensity and the time to peak intensity from the onset of the transmitted force revealed significant differences among the thirteen groups including the control. The peak intensity of the polystyrene-polyolefin copolymer-based material was lower than the peak intensity of the EVA-, polyolefin-based material. Polyolefin-based materials had a tendency of a long duration to reach peak intensity from the onset of the transmitted force. CONCLUSION These results suggest that all of the commercially available mouthguard sheet materials had high shock-absorbing capabilities.

Interactive effect of rehydration with diluted sports drink and water gargling on salivary flow, pH, and buffering capacity during ergometer exercise in young adult volunteers

The present study was conducted to investigate the influence of rehydration with diluted sports drink and water gargling on salivary flow, pH and buffering capacity during exercise. Nineteen participants performed a 30-min bicycle ergometer exercise at 80% of maximal heart rate while consuming a sports drink, followed by gargling with water, or no gargling, immediately after the exercise (Exp. 1). The same experiment was then conducted on 9 participants who drank 1.5-fold diluted sports drink (Exp. 2-A) and 10 who drank 2-fold diluted sports drink (Exp. 2-B). Paraffin-stimulated whole saliva samples were collected for 3 min before, during and after exercise, and salivary parameters were examined using a hand-held pH meter. Statistical significance was assessed using multi-factor ANOVA and Turkey-Kramer test (P < 0.05). The decrease in salivary pH was significantly suppressed after water gargling in Exp. 1 (P < 0.01) and Exp. 2-A (P < 0.001). Dilution of the sports drink had an interactive effect with water gargling in Exp. 2-B (P < 0.01). These results suggest that gargling with water suppresses the decrease of salivary pH resulting from sports drink rehydration during ergometer exercise, but that this effect may be lost if athletes consume sports drink that has been diluted 2-fold with water.

Novel antibacterial mouthguard material manufactured using silver-nanoparticle–embedded ethylene-vinyl acetate copolymer masterbatch

The purpose of the present study was to develop an antibacterial mouthguard (MG) material using a masterbatch of silvernanoparticle-embedded ethylene-vinyl acetate (EVA) copolymers. In order to verify that the testing material was clinically applicable as an antibacterial MG material, we conducted an antibacterial test, a shock absorption test, and analysis of in vitro silver release. The colony-forming activity of Streptococcus sobrinus, Porphyromonas gingivalis, and Escherichia coli were significantly inhibited on the testing materials compared with the commercial EVA sheet (p<0.05). The shock absorption capability of the testing material was not significantly different from that of the commercial EVA sheet. Cumulative silver release (in pure water) from the testing materials were infinitesimal after soaking for 20 days, which implied that there could be no harm in wearing the MG during exercise. These results showed that this testing material could be clinically applicable as an antibacterial MG material.

Improvement of the Shock Absorption Ability of a Face Guard by Incorporating a Glass-Fiber-Reinforced Thermoplastic and Buffering Space

This study aimed to evaluate the shock absorption ability of trial face guards (FGs) incorporating a glass-fiber-reinforced thermoplastic (GF) and buffering space. The mechanical properties of 3.2 mm and 1.6 mm thick commercial medical splint materials (Aquaplast, AP) and experimental GF prepared from 1.6 mm thick AP and fiberglass cloth were determined by a three-point bending test. Shock absorption tests were conducted on APs with two different thicknesses and two types of experimental materials, both with a bottom material of 1.6 mm thick AP and a buffering space of 30 mm in diameter (APS) and with either (i) 1.6 mm thick AP (AP-APS) or (ii)  1.6 mm thick GF (GF-APS) covering the APS. The GF exhibited significantly higher flexural strength (64.4 MPa) and flexural modulus (7.53 GPa) than the commercial specimens. The maximum load of GF-APS was 75% that of 3.2 mm AP, which is widely used clinically. The maximum stress of the GF-APS only could not be determined as its maximum stress is below the limits of the analysis materials used (<0.5 MPa). Incorporating a GF and buffering space would enhance the shock absorption ability; thus, the shock absorption ability increased while the total thickness and weight decreased.

Evaluation of the flexural properties of a new temporary splint material for use in dental trauma splints

The present study evaluated the flexural properties of a new temporary splint material, G-Fix, for use in dental trauma splints in comparison with other resin materials. Four types of resin materials were considered in the present study: MI Flow II, light-cured composite resin (MI); G-Fix, light-cured resin for splinting teeth (GF); Super-Bond C&B, adhesive resin cement (SB); and Unifast III, self-cured methyl-methacrylate resin (UF). The flexural properties of these four materials were tested according to ISO 4049. The flexural strength significantly increased in the order of UF (64.9 MPa) < SB (76.5 MPa) < GF (94.3 MPa) < MI (161.2 MPa). The elastic modulus significantly increased in the order of UF (2.11 GPa) ≒ SB (2.23 GPa) < GF (2.62 GPa) < MI (7.39 GPa). A splint made of GF may be more flexible than a composite splint, which is categorized as a rigid splint.

The Effect of Teeth Clenching on Dynamic Balance at Jump-Landing: A Pilot Study.

The aim of this study was to analyze the effect of teeth clenching on dynamic balance at jump landing. Twenty-five healthy subjects performed jump-landing tasks with or without teeth clenching. The first 3 trials were performed with no instruction; subsequently, subjects were ordered to clench at the time of landing in the following 3 trials. We collected the data of masseter muscle activity by electromyogram, the maximum vertical ground reaction force (vGRFmax) and center of pressure (CoP) parameters by force plate during jump-landing. According to the clenching status of control jump-landing, all participants were categorized into a spontaneous clenching group and no clenching group, and the CoP data were compared. The masseter muscle activity was correlated with vGRFmax during anterior jump-landing, while it was not correlated with CoP. In comparisons between the spontaneous clenching and the no clenching group during anterior jump-landing, the spontaneous clenching group showed harder landing and the CoP area became larger than the no clenching group. There were no significant differences between pre- and postintervention in both spontaneous clenching and no clenching groups. The effect of teeth clenching on dynamic balance during jump-landing was limited.

Establishment of experimental models to evaluate the effectiveness of dental trauma splints

The purpose was to describe a novel simple experimental model of injured teeth for developing dental trauma splints (DTS), and to test various splints by combining use of this model and the Periotest® device. Rubber O-rings and spring washers were used to simulate and modify injured tooth mobility. Splinting effects were assessed among three kinds of DTS, including a composite splint and two wire-composite splints (1: rectangular orthodontic wire 0.533×0.635 mm, 2: cobalt-chromium alloy wire Φ0.9 mm). The Periotest values were measured three times for each tooth before and after splint insertion. The splinting effect was defined as the change in tooth mobility. Splinting effects significantly increased in the order wire-composite splint 1<wire-composite splint 2<composite splint (p<0.05). This model system could evaluate the effects of DTS including the differences among various splint methods, which showed reasonable reproducibility of dental trauma situations depending on severity in clinical usage.

Erratum to: Application of addition-cured silicone denture relining materials to adjust mouthguards

The purposes of this study were to examine the shock absorption capability of addition-cured silicone denture relining materials and the bonding strength of addition-cured silicone denture relining materials and a commercial mouthguard material to determine its applicability to mouthguard adjustment. Two addition-cured silicone denture relining materials were selected as test materials. The impact test was applied by a free-falling steel ball. On the other hand, bonding strength was determined by a delamination test. After prepared surface treatments using acrylic resin on MG sheet surface, 2 types of addition-cured silicone denture relining materials were glued to MG surface. The peak intensity, the time to peak intensity from the onset of the transmitted force and bonding strength were statistically analyzed using ANOVA and Tukeys honest significant difference post hoc test (p<0.05). These results suggest that the silicone denture relining materials could be clinically applicable as a mouthguard adjustment material.