哪些運動要戴護齒?戴護齒有什麼好處? (by 林杏青復健科總醫師)
相信大家經常在電視上看到運動員戴護齒,NBA 大概是大家最常看到護齒的地方,其他常見的還有拳擊、橄欖球、冰上曲棍球等運動。為什麼他們要戴護齒?有什麼好處呢?想戴的話該怎麼做選擇?
林杏青醫師說他大學的時候為了要省錢,在練空手道時沒戴護齒。就在想說不會那麼衰的時候被踢碎臼齒。後來林醫師在擔任綜合格鬥比賽的場邊醫生時,也看過戴著護齒仍然被打斷牙齒的案例,真不敢想像要是沒戴的話會如何。
你說:「所以護齒就是為了在充滿撞擊的運動中保護牙齒!」
可以這麼說沒錯,但是其實不只如此,學理上來說可以減少腦震盪、顳顎關節、脊椎的傷害,但對腦震盪的預防效果還需要更多研究來證明。
哪些運動建議戴護齒?
根據美國牙醫學會的建議,運動時需要戴護齒來避免傷害的有:(競技)體操、籃球、單車、拳擊、馬術、極限運動、田徑、足球、體操、手球、(冰上)曲棍球、滑冰、溜冰、滑雪、袋棍球、橄欖球、競技武術、壁球、跳傘、壘球、排球、衝浪、水球、舉重、角力。
或許你會問:「奇怪,這些運動很多都不會打臉,為何還要護齒?」
除了可能會直接撞擊打擊頭部的運動以外,其實嚴格來說,有機率摔、跌、意外碰撞、用力咬合的運動都建議戴護齒。
因為護齒可以保護牙齒在摔跌、碰撞時不要傷到嘴巴裡的肉。
這種狀況光用想的就很痛很煩,小小的嘴破就可以讓人感到十分不適了,因為運動撞擊時牙齒在嘴邊肉內側造成的刮傷、咬傷,肯定讓你好幾個禮拜都吃不好睡不好。其他的部分護齒還可以降低顎骨骨折、顳顎關節傷害的機率。針對舉重、健力這類會需要瞬間用力、牙齒咬緊的運動,護齒可以有效防止牙齒磨損以及可能發生的顳顎關節問題。
大部分運動員不願意戴護齒的原因大多是不習慣、怕影響呼吸、影響運動表現等等,但其實這些都很容易克服,而且大多是因為選到不適合的護齒。其實只要有好的、客製化的護齒,並不會影響呼吸、心率。
斯斯有兩種,但護齒有三種!
Over-the-Counter:標準化、無法調整的護齒,密合度較差,但方便、便宜。
Boil-and-Bite:顧名思義,利用浸泡熱水讓護齒軟化,然後咬下去來冷卻定型,會有較佳的密合度與保護度。
Custom-Made:通常是由牙醫師製作的客製化護齒,依照不同需求做調整,有最給力的密合度與保護力,但當然也是最貴的。
選擇護齒的時候要考量的點有:
1, 運動類型:並非所有的運動都需要防護力點滿的護齒,例如籃球只需要上排的就可以了,那拳擊、空手道就建議雙排護齒會比較好。
2, 護齒的厚度:具有保護力的護齒厚度約介於3~5mm之間,超過6mm的雖然防護佳但是很多人會覺得不舒服。
3, 護齒的長度:太常會刺激喉嚨,不舒服想嘔吐,太短的話防護力較低。
4, 材質:多層複合材質和氣室結構可以提供更好的吸震能力,但看你有沒有需要。
5, 價格考量:撞擊風險較低的運動可選擇較便宜的護齒,但是打臉、揍頭機率高的運動建議還是不要太省錢,護齒再貴也不會比斷牙後的植牙貴,戴起來感覺麻煩也不會比顎骨斷掉吃兩個月流質食物麻煩。
寫這篇主要的原因,比較像是推廣大家騎車戴安全帽一樣,接觸性運動戴護齒也是很重要的事情!
合作撰寫:
好痛痛近期課程:
參考資料:
1.Intra-oral Mouth-Guard In Sport Related Oro-Facial Injuries: Prevention is Better Than Cure! Sneha S. Mantri, Shivkumar P. Mantri, Suryakant Deogade, and Abhilasha S. Bhasin. J Clin Diagn Res. 2014 Jan; 8(1): 299–302.
2.Influence of pre-laminated material on shock absorption ability in specially designed mouthguard with hard insert and space. JunHanda, TomotakaTakeda, Katsuhide Kurokawa, Takamitsu, Ozawa, Kazunori Nakajima, Keiichi Ishigami. Journal of Prosthodontic Research. Volume 55, Issue 4, October 2011, Pages 214-220
3.Comparison of the shock absorption capacities of different mouthguards. Bochnig MS, Oh MJ, Nagel T, Ziegler F, Jost-Brinkmann PG. Dent Traumatol. 2017 Jun;33(3):205-213. doi: 10.1111/edt.12324. Epub 2017 Mar 14.
4.Mouthguards in sport activities: history, physical properties and injury prevention effectiveness. Joseph J. Knapik, Stephen W. Marshall, Robyn B. Lee, Salima S. Darakjy, Sarah B. Jones, Timothy A. Mitchener. Sports Medicine, vol. 37, no. 2, 2007, p. 117+. Academic OneFile, Accessed 19 Apr. 2018
5.Influence of a custom-made maxillary mouthguard on gas exchange parameters during incremental exercise in amateur road cyclists. Malpezzi Piero, Uliari Simone et al. Published 2015 in Journal of strength and conditioning research
6.The effect of mouthguard on strength of the musculus deltoideus. Zhang N, Wang Q, Pan K. Zhonghua Kou Qiang Yi Xue Za Zhi. 2001 Sep;36(5):348-50.
7.Influence of custom-made mouth guards on strength, speed and anaerobic performance of taekwondo athletes. Cetin C, Keçeci AD, Erdoğan A, Baydar ML. Dent Traumatol. 2009 Jun;25(3):272-6.
8.Oral Trauma in Adolescent Athletes: A Study of Mouth Protectors. McNutt T, Shannon SW Jr, Wright, JT, Feinstein, RA. Pediatr Dent 1989;11:209-13.
9.Should I wear a mouth guard for weightlifting? https://sentinelmouthguards.com/wearing-a-mouth-guard-for-weight-lifting/
10.The importance of using mouthguards. American Dental Association. JADA, Vol 135, July 2004
11. Mouthguard evolution. http://www.dentistryiq.com/articles/dem/print/volume-8/issue-1/materials/mouthguard-evolution.html
Here at Leslie’s Pugsland Breeder, Our beautiful fawn pug has given birth to 4 healthy Pug puppies.
She is our beloved family dog and this is her 1st litter.
Both mum and dad are AKC registered with 5 gen pedigree certificate. Both from Top Champion bloodlines.Mum and Dad can be seen. Puppies have been wormed weeks 2,4,6,8 and will have had a flea preventative treatment before leaving us.
They will have their vet check, 1st vaccinations and microchip.
To view all available puppies and recent pictures, Search us in google as LESLIE’S PUGSLAND BREEDER or click on our website link bellow : https://pugslandbreeder.company.com/
ignou download books
Breaking News in Hindi
thanks for sharing
ignou ma psychology
tahnks for sharing
Entertainment News
thanks for sharing
lifestyle News
thanks for sharing
Auto News
thanks for sharing
world News
thanks for sharing