J Adv Prosthodont.  2013 Nov;5(4):388-395. 10.4047/jap.2013.5.4.388.

Analysis of the characteristics of mouthguards that affect isokinetic muscular ability and anaerobic power

• Jung JK
• Chae WS
• Lee KB

• KMID: 2176526
• DOI: http://doi.org/10.4047/jap.2013.5.4.388

Abstract

PURPOSE
The purpose of this study was to estimate the effects of occlusal stability to identify action mechanisms of mouthguards, known to have a modulatory effect on limb muscle function.
MATERIALS AND METHODS
This study included 20 male subjects to perform the isokinetic muscle tests and the Wingate anaerobic power test on both knee joints under five closed-mouth conditions: without or with 4 types of mouthguards with thickness of 2 mm based on premolar area: (1) full-coverage, (2) anterior partial-coverage, (3) right posterior partial-coverage, and (4) left posterior partial-coverage. The obtained results were subjected to One-way ANOVA with repeated measures, followed by post hoc test of the contrast method (alpha=.05).
RESULTS
There was no significant difference between the closed position with and without a full-coverage mouthguard in all variables. However, significant differences were observed between with and without a partial-coverage mouthguard in muscular endurance during extension of the left knee, muscular power and endurance during flexion of the right knee. Additionally, significant differences were found between occlusal states with full- and partial-coverage mouthguards in muscular power and endurance during extension of the left knee.
CONCLUSION
These findings indicate the elevation of vertical dimension by 2 mm or the inducement of occlusal stability had little effect on isokinetic muscle strength and anaerobic performance, while uneven distribution of occlusal force might have some positive effects.

Keyword

Mouth protectors; Muscle strength; Occlusal equilibration; Sports performance; Vertical dimension

MeSH Terms

Athletic Performance
Bicuspid
Bite Force
Extremities
Humans
Knee
Knee Joint
Male
Methods
Mouth Protectors
Muscle Strength
Muscles
Occlusal Adjustment
Vertical Dimension

Figure

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  Fig. 1 The mounted study models with 2 mm increased vertical distance.

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  Fig. 2 Biostar® and Bioplast® multicolor.

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  Fig. 3 A repositioned fabricated mouthguard on the articulator.

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  Fig. 4 Measurement of (A) Isokinetic muscle function, (B) Maximum anaerobic power.

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