Influence of continuous use of a vacuum-forming machine for mouthguard thickness after thermoforming.

BACKGROUND/AIMS: Mouthguards can reduce the risk of sports-related injuries such as tooth fracture or avulsion, but the sheet material and thickness have a large effect on their efficacy and safety. The aim of this study was to investigate the effect of the continuous use of a vacuum-forming machine on mouthguard thickness. MATERIALS AND METHODS: Ethylene vinyl acetate sheets and olefin copolymer sheets were used for thermoforming with a vacuum-forming machine. The working model was trimmed to a height of 23 mm at the maxillary central incisor and 20 mm at maxillary first molar. During molding, the model was placed at the center of the vacuum unit. Three molding conditions were investigated (i) molding was carried out after the sag at the center of the softened sheet was 15 mm below the clamp (control); (ii) sheet heating started 5 minutes after the control, and molding in the same way as the control (AF5); and (iii) sheet heating started 10 minutes after the control, and molding in the same way as the control (AF10). Under each condition, vacuum forming was conducted for 30 seconds. Sheet thickness after fabrication was determined for the incisal edge, labial surface, cusp, and buccal surface using a special caliper accurate to 0.1 mm. The differences of the molding conditions on the thickness in each sheet material were analyzed by one-way analysis of variance and Bonferroni's multiple comparison tests. RESULTS: For both sheet materials, significant differences between the control and AF5 were observed at all measurement points (P<.01), but not between the control and AF10. Compared with the control, AF5 was thinner and AF10 was a similar thickness. CONCLUSION: The continuous use of a vacuum-forming machine led to a reduction in the thickness of the mouthguard. Intervals of 10 minutes are necessary to achieve consistent molding.

Shape change in mouthguard sheets during thermoforming - part 2: effect of the anteroposterior position of the model on mouthguard thickness.

BACKGROUND/AIM: Mouthguards can reduce the risk of sports-related injuries, but the sheet material and thickness have a large effect on their efficacy and safety. The aim of this study was to investigate the effect of model position in the molding machine on the reduction in mouthguard thickness. MATERIALS AND METHODS: Ethylene vinyl acetate sheets and olefin copolymer sheets were used for thermoforming by a pressure- or a vacuum-forming machine. The working model was trimmed to the height of 25 mm at the maxillary central incisor and 20 mm at maxillary first molar. For both pressure forming and vacuum forming, the model was placed with the anterior rim of the model positioned 40, 30, 25, 20, or 10 mm from the front of the sheet frame. An additional test was carried out at 50 mm for vacuum forming. The sheet thickness after fabrication was determined for the incisal edge, labial surface, and buccal surface using a specialized caliper. The difference of the model position on the reduction in thickness in each forming device and sheet material was analyzed by one-way analysis of variance and Bonferroni's multiple comparison tests. RESULT: The reductions in thickness at the incisal edge and labial surface were about -60% and -50%, respectively, for the distance of 25 mm from the front of forming table. That position was the same as the height of the anterior part of the model for each molding machine and sheet material. The anterior thickness after molding became greater as the distance between the model and the sheet frame became smaller. CONCLUSION: The results showed that the thickness reduction was large when the distance from the model to the frame was small. This demonstrates the importance of centering the sheet and the model to achieve the most stable molding when positioning the model in the forming unit.