目的:不仅建议在碰撞运动中佩戴运动型护齿器,比如美式足球,拳击,橄榄球,而且在低接触运动中,比如篮球,手球,和足球。建议在运动时移除口腔假体装置,以避免装置破裂的风险。然而,上颌骨切除术的运动员必须佩戴闭孔式假肢装置进行演讲,呼吸,甚至在运动时也会吞咽。因此,需要一种口腔矫治器,以防止在进行运动时的牙齿损伤,而不存在使已经经历上颌骨切除术的运动员的装置断裂的风险。在这种情况下,我们为接受上颌骨切除术的患者制作并提出了覆盖型和闭孔型定制运动护齿器,并评估了满意度,语音清晰度,鼻咽闭合功能,踢足球时吞咽功能。
结果:患者仅对闭孔型护口器感到满意,以及语音清晰度的结果,鼻咽闭合功能,和使用闭孔式护口器的吞咽测试表明,与以前使用的假体装置相关的测试相比,没有差异。
结论:此案例可能有助于突出为进行上颌骨切除术的运动员提供闭孔型护口器的重要性,以防止牙齿损伤和身心不适。
OBJECTIVE: Wearing a sports mouthguard is not only recommended in collision sports, such as American football, boxing, and rugby football, but also in low-contact sports, such as basketball, handball, and soccer. It is recommended to remove oral prosthetic devices while playing sports to avoid the risk of fracturing the device. However, players with maxillectomy must wear obturator-type prosthetic devices for speech, breathing, and deglutition even while playing sports. Therefore, there is a need for an oral appliance to prevent dental injury while playing sports without the risk of fracturing the device for players who have undergone maxillectomy.In this
case, we fabricated and proposed overlay-type and obturator-type customized sports mouthguards for a patient who had undergone maxillectomy and assessments of satisfaction, speech intelligibility, nasopharyngeal closure function, and swallowing function while playing soccer.
RESULTS: The patient was only satisfied with the obturator-type mouthguard, and the results of the speech intelligibility, nasopharyngeal closure function, and swallowing tests using the obturator-type mouthguard showed no differences compared to those associated with the previously used prosthetic device.
CONCLUSIONS: This
case may help highlight the importance of providing obturator-type mouthguards for players who have undergone maxillectomy to prevent dental injury and physical and mental discomfort.