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구강악안면영역의 외상방지를 위한 마우스가드의 사용

Use of Mouthguard for Prevention of Oral and Maxillofacial Injury

  • 심영주 (원광대학교 치과대학 구강내과학교실) ;
  • 강진규 (원광대학교 치과대학 구강내과학교실)
  • Shim, Young-Joo (Department of Orofacial Pain and Oral medicine, Wonkwang University Daejeon Dental Hospital. Wonkwang Dental research institute, Wonkwang University) ;
  • Kang, Jin-Kyu (Department of Orofacial Pain and Oral medicine, Wonkwang University Daejeon Dental Hospital. Wonkwang Dental research institute, Wonkwang University)
  • 투고 : 2012.11.16
  • 발행 : 2012.12.30

초록

오늘날 삶의 질에 대한 관심이 고조되면서 일반 대중에게서도 레져 및 스포츠가 활성화됨에 따라 구강악안면영역 외상의 발생빈도도 높아지고 있다. 이러한 구강악안면영역의 외상을 예방하기 위해 구강보호장치 사용의 중요성이 커지고 있으며, 그 중 가장 많이 사용되는 것이 마우스가드이다. 마우스가드는 1) 치아에 가해지는 충격을 흡수하고 변형시켜 치아의 손상을 방지; 2) 입술, 혀, 치은 등 연조직의 열상을 예방; 3) 충격의 발생 시 반대측 치아가 접촉되는 것을 예방; 4) 하악골을 안정화시켜 하악각 또는 하악과두의 파절을 유발할만한 충격을 흡수시킴; 그리고 5) 목 또는 뇌손상을 예방할 수 있다. 이렇듯 마우스가드가 구강악안면영역의 외상방지에 효과적이지만, 운동선수나 일반 대중들에게는 널리 보급되어 있지 않고 그 중요성에 대한 인식률도 저조한 실정이다. 레져나 스포츠 활동 시 나타날 수 있는 구강악안면 외상 예방에 가장 효과적인 마우스가드의 종류, 재료, 제작 시 고려할 사항 등을 알아보고, 사용실태에 대한 고찰을 통해 마우스가드의 중요성에 대한 인식과 대중화에 도움이 되고자 한다.

키워드

마우스가드;구강보호장치;구강악안면 외상

과제정보

연구 과제 주관 기관 : 원광대학교

참고문헌

  1. Hickey JC, Morris AL, Carlson LD, Seward TE. The relation of mouth protectors to cranial pressure and deformation. J Am Dent Assoc 1967;74:735-740. https://doi.org/10.14219/jada.archive.1967.0145
  2. Wood AW. Head protection-cranial, facial and dental in contact sports. Oral Health 1972;62:23-33.
  3. Andreasen FM, Daugaard-Jensen J. Treatment of traumatic dental injuries in children. Curr Opin Dent 1991;1:535-550.
  4. Chapman PJ. Concussion in contact sports and importance of mouthguards in protection. Aust J Sci Med Sport 1985;17:23-27.
  5. 이윤, 최대균, 권긍록, 이성복, 노관태. 이악물기시 발생 되는 치아변형에 대한 구강보호장치의역할. 구강회복응용과학지 2010:26(4):405-417.
  6. 노관태, 김일한, 노현식 등. 하악골 충격시 안면 두개골의 응력분산양상에 미치는 구강보호장치의 역할에 관한 유한요소법적 연구. 대한치과보철학회지 2012;50: 1-9.
  7. American Society for Testing and Materials. Standard practice for care and use of athletic mouth protectors. West Conshohocken (PA): American Society for Testing and Materials. 2000. Technical report no. F697-00
  8. Knapik JJ, Marshall SW, Lee RB et al. Mouthguards in sport activities: history, physical properties and injury prevention effectiveness. Sports Med 2007;37:117-144. https://doi.org/10.2165/00007256-200737020-00003
  9. Park JB, Shaull KL, Overton B, Donly KJ. Improving mouth guards. J Prosthet Dent 1994;72(4):373-380. https://doi.org/10.1016/0022-3913(94)90556-8
  10. Bulsara YR, Matthew IR. Forces transmitted through a laminated mouthguard material with a Sorbothane insert. Endod Dent Traumatol 1998;14:45-47. https://doi.org/10.1111/j.1600-9657.1998.tb00807.x
  11. Westerman B, Stringfellow PM, Eccleston JA. The effect on energy absorption of hard inserts in laminated EVA mouthguards. Aust Dent J 2000;45:21-23. https://doi.org/10.1111/j.1834-7819.2000.tb00237.x
  12. McClelland C, Kinirons M, Geary L. A preliminary study of patient comfort associated with customised mouthguards. Br J Sports Med 1999;33:186-189. https://doi.org/10.1136/bjsm.33.3.186
  13. Maeda Y, Machi H, Tsugawa T. Influences of palatal side design and finishing on the wearability and retention of mouthguards. Br J Sports Med 2006; 40:1006-1008. https://doi.org/10.1136/bjsm.2006.030874
  14. Maeda Y, Yonehata Y, Satoh H. Mouthguard retention: Is design or accuracy of fit more critical? Quintessence Int 2009;40:e13-18.
  15. Westerman B, Stringfellow PM, Eccleston JA. Forces transmitted through EVA mouthguard materials of different types and thickness. Aust Dent J 1995;40:389-391. https://doi.org/10.1111/j.1834-7819.1995.tb04838.x
  16. Tran D, Cooke MS, Newsome PR. Laboratory evaluation of mouthguard material. Dent Traumatol 2001;17:260-265. https://doi.org/10.1034/j.1600-9657.2001.170604.x
  17. Westerman B, Stringfellow PM, Eccleston JA. Beneficial effects of air inclusions on the performance of ethylene vinyl acetate (EVA) mouthguard material. Br J Sports Med 2002;36:51-53. https://doi.org/10.1136/bjsm.36.1.51
  18. Maeda Y, Kumamoto D, Yagi K, Ikebe K. Effectiveness and fabrication of mouthguards. Dent Traumatol 2009;25(6):556-564. https://doi.org/10.1111/j.1600-9657.2009.00822.x
  19. Yamada J, Maeda Y, Satoh H, Miura J. Anterior palatal mouthguard margin location and its effect on shock-absorbing capability. Dent Traumatol 2006;22: 139-144. https://doi.org/10.1111/j.1600-9657.2006.00393.x
  20. 보건복지가족부. 2006 국민구강건강실태조사. 서울, 2007, 보건복지가족부, pp. 102.
  21. 보건복지가족부. 2010 국민구강건강실태조사. 서울, 2010, 보건복지가족부, pp. 320-339.
  22. Badel T, Jerolimov V, Panduric J, Carek V. Custommade mouthguards and prevention of orofacial injuries in sports. Acta Med Croatica 2007;61(suppl1): 9-14.
  23. Eilert-Petersson E, Andersson L, Sorensen S. Traumatic oral vs non-oral injuries. An epidemiological study during one year in a Swedish county. Swed Dent J 1997;21:55-68.
  24. Gelbier S. Injured anterior teeth in children. British Dental Journal 1967;123:331-335.
  25. Jarvinen S. On the causes of traumatic dental injuries with special reference to sports accidents in a sample of Finnish children. Acta Odontologica Scandinavica 1980;38:151-154. https://doi.org/10.3109/00016358009004714
  26. Uji T, Teramoto T. Occurrence of traumatic injuries in the oromaxillary region of children in a Japanese prefecture. Endodontics and Dental Traumatology 1988;4:63-69. https://doi.org/10.1111/j.1600-9657.1988.tb00296.x
  27. Newsome PR, Tran DC, Cooke MS. The role of the mouthguard in the prevention of sports-related dental injuries: a review. Int J Pediatr Dent 2001;11:396-404. https://doi.org/10.1046/j.0960-7439.2001.00304.x
  28. Walker J, Jakobsen J, Brown S. Attitudes concerning mouthguard use in 7-to-8 year old children. J of Dent Children 2002;69(2):207-211.
  29. Clegg J. Mouth protection for the rugby football player. British Dental Journal 1969;21:341-343.
  30. Heintz W. Mouth protectors: a progress report. Journal of the American Dental Association 1968;77: 632-636. https://doi.org/10.14219/jada.archive.1968.0267
  31. 박용석, 오상천, 기태석, 동진근. 한국체육대학 학생들의 구강악안면 외상과 치아보호장치 사용에 관한 실태조사. 원광치의학논문집 2001;10(3):125-135.
  32. Ranalli DN. Sports dentistry and dental traumatology. Dent Traumatol 2002;18:231-236. https://doi.org/10.1034/j.1600-9657.2002.00122.x
  33. Barth JT, Freeman JR, Winters JE. Management of sports-related concussions. Dent Clin North Am 2000;44:67-83.
  34. 백경화, 장종화, 이영수. 운동선수의 구강악안면 외상 경험과 마우스 가드 착용과의 관련성. 한국치위생교육학회지 2009;9(3):545-557.
  35. Woodmansey KF. Athletic mouth guards prevent orofacial injuries. J Am Coll Health 1997;45:179-182. https://doi.org/10.1080/07448481.1997.9936880
  36. Wehner PJ, Henderson D. Maximum prevention and preservation: an achievement of intraoral mouth protectors. Dent Clin North Am 1965;25:493-498.
  37. Stenger JM, Lawton EA, Wright JM, Ricketts J. Mouthguards: protection against shock to head, neck and teeth. Basal Facts 1987;9:133-139.
  38. Geary JL, Kinirons MJ. Post thermoforming dimensional changes of ethylene vinyl acetate used in custom-made mouthguards for trauma prevention -. a pilot study. Dent Traumatol 2008;24:350-355. https://doi.org/10.1111/j.1600-9657.2007.00550.x
  39. Chaconas SJ, Caputo AA, Bakke NK. A comparison of athletic mouthguard materials. Am J Sports Med 1985;13:193-197. https://doi.org/10.1177/036354658501300309
  40. Waked EJ, Lee TK, Caputo AA. Effects of aging on the dimensional stability of custom-made mouthguards. Quintessence Int 2002;33:700-705.
  41. Miura J, Maeda Y, Machi H, Matsuda S. Mouthguards: difference in longitudinal dimensional stability between single and double-laminated fabrication techniques. Dent Traumatol 2007;23:9-13.
  42. Takeda T, Ishigami K, Handa J et al. Does hard insertion and space improve shock absorption ability of mouthguard? Dent Traumatol 2006;22:77-82. https://doi.org/10.1111/j.1600-9657.2006.00361.x
  43. Jalleh G, Donovan RJ, Clarkson J, March K, Foster M, Giles-Corti B. Increasing mouthguards usage among junior rugby and basketball players. Aust NZ J Public Health 2001;25:250-252. https://doi.org/10.1111/j.1467-842X.2001.tb00571.x
  44. Berg R, Berkey DB, Tang JM, Altman DS, Londeree KA. Knowledge and attitudes of Arizona high-school coaches regarding oral-facial injuries and mouthguard use among athletes. J Am Dent Assoc 1998;129:1425-1432. https://doi.org/10.14219/jada.archive.1998.0077
  45. 곽정숙, 우승희. 스포츠 선수들의 구강보호장치 사용실태. 한국콘텐츠학회논문지 2010;10(5):296-302.

피인용 문헌

  1. Influencing factors on oral and maxillofacial trauma prevention education experience of students majoring in physical education vol.14, pp.6, 2014, https://doi.org/10.13065/jksdh.2014.14.06.915