MODERN PRINCIPLES OF THE NEUROMUSCULAR DENTISTRY AND THEIR PRACTICAL APPLIANCE IN SPORT

Pastukhova V. A., Zinchenko S. V.

LITERATURE REVIEWS

Scentific article

According to the modern concept of neurophysiology, a dental cap is a protective device for the prevention of injuries to the facial area and teeth, today it is offered as a way to increase performance in sports by improving strength, speed indicators, endurance, accuracy and balance. However, at the same time as the introduction of this invention, many contradictions were discovered, such as a negative effect on aerobic endurance and oxygen consumption. Yes, a thorough review of current and past publications is needed to establish truth and fiction regarding the use of neuromuscular braces in sports. The aim of the work was to conduct a review of the literature on the issues of neuromuscular conceptology in modern odontological practice, to assess the positive and negative effects of the use of neuromuscular mouthguards in sportsmen and to find prospects for the development of this topic for domestic doctors and physiologists. A review of more than twenty scientific works by foreign and domestic authors was conducted, relating to data that highlight neuromuscular approaches in dentistry, modern instrumental research and the facts of the use of neuromuscular mouthguards in athletes of various professional orientations. Most of the works were covered by foreign researchers on the relationship between wearing caps to improve performance during physical activity.Conclusions. The concept of neuromuscular occlusive balance and its various systemic influence on the state of the body is well-founded today, at the same time, there is no evidence of the effectiveness of caps on the sports results of athletes. After reviewing the literature, it can be said that the neuromuscular cap can be recommended to those athletes who need explosive strength and balance, peak, short-term loads in the anaerobic strength regime. In the same sports where mouth breathing is required to maintain adequate ventilation, intraoral devices will only hinder peak performance. Further work is planned to investigate the impact of intraoral devices on the morpho-functional state of highly qualified athletes.

neuromuscular mouthguards,dentistry,sport performances

1. Ohlendorf D, Romdhane M, Lehmann C, Lehmann S, Kopp S, Maurer-Grubinger C, et al. Effect of a sports mouthguard on the functional range of motion of the spine and the upper body posture in taekwondo. BMC Sports Sci Med Rehabil. 2021;13(1):5-9.
2. Keçeci AD, Cetin C, Eroglu E, Baydar ML. Do custom-made mouthguards have negative effects on aerobic performance capacity of athletes? Dent Traumatol. 2005;21:276-80.
3. Schultz Martins R, Girouard P, Elliott E, Mekary S. Physiological Responses of a Jaw-Repositioning Custom-Made Mouthguard on Airway and Their Effects on Athletic Performance. J Strength Cond Res. 2020;34(2):422-29.
4. Paredesa F, Godinho C. The influence of intraoral devices on sports performance: a narrative report. Ann Med. 2019;51(1):137-42.
5. Каglia О, Sforza C, Tartaglia GM, Solimene U. Occlusion, sternocleidomastoid muscle activity, and body sway: a pilot study in male astronauts. Cranio. 2006;24(1):42-9.
6. Lloyd JD, Nakamura WS, Maeda Y, Takeda T, Leesungbok R, Lazarchik D, et al. Mouthguards and their use in sports: Report of the 1st International Sports Dentistry Workshop. 2017;33(6):421-26.
7. Ronkin K. Opredelenie pravilnogo polozheniya nizhnei chelyusti pri esteticheskoi restavratsii zubnikh ryadov Klinicheskaya stom. 2007;4:72-6.
8. Jung Jae-К. Analysis of the characteristics of mouthguards that affect isokinetic muscular ability and anaerobic power. J. Adv .Prosthodont. 2013;5(4):388–95.
9. Bao SJ, Ye SJ, Ren XW, Chen QY, Wei B, Gong Y. Study on cushioning and energy absorption of sports mouthguard. Shanghai Kou Qiang Yi Xue. 2021;30(1):55-60.
10. Nam HJ, Lee JH, Hong DS, Jung HC. The Effect of Wearing a Customized Mouthguard on Body Alignment and Balance Performance in Professional Basketball Players. Int J Environ Res Public Health. 2020;17(17):6431.
11. Tschan R, von Arx T, Flury Т. Exercise capacity in athletes with mouthguards. Int J Sports Med. 2008;29:435-8.
12. Gelb H, Hager P, Bourdin M, Brunet-Patru I, Influence of maxillary mouthguards on physiological parameters. Med Sci Sports Exerc. 2006;38(8):150-4.
13. Savelev VV. Vliyanie vzaimootnosheniya zubnikh ryadov na silovie pokazateli i skorostnie reaktsii professionalnikh sportsmenov [avtoreferat]. Moskva; 2012. 25 s.
14. Laird MF, Ross CF, O’Higgins P. Jaw kinematics and mandibular morphology in humans. J Hum Evol. 2020;139:102-9.
15. Smith S. Muscle Strength Correlated to Jaw Posture and the Temporomandibular Joint. N.Y. State Dent. J. 1978;444:278-85.
16. Kaufman A, Kaufman RS. An Experimental Study on the Effects of the MORA on Football Players. J. Amer. Acad. Physiologic Dent. -Basal Facts. 1983;6:340-4.
17. Bracco P, Deregibus A, Piscetta R. Effects of different jaw relations on postural stability in human subjects. Neuroscience Letters. 2004;356:228-30.
18. Wong D. Motor control of jaw movements: an fMRI study of parafunctional clench and grind behavior. Brain Res. 2011;1383:206-17.
19. Schulze A, Kwast S, Busse M. Influence of Mouthguards on Physiological Responses in Rugby. Sports Med Int Open. 2019;3(1):25-31.
20. Green MS, Benson AK, Martin TD. Effect of Mouthguard Use on Metabolic and Cardiorespiratory Responses to Aerobic Exercise in Males. Res Q Exerc Sport. 2018;89(2):183-9.
21. Miró A, Buscà B, Aguilera-Castells J, Arboix-Alió J. Acute Effects of Wearing Bite-Aligning Mouthguards on Muscular Strength, Power, Agility and Quickness in a Trained Population: A Systematic Review. Int J Environ Res Public Health. 2021;18(13):69-73.
22. Lässing J, Schulze A, Kwast S, Falz R, Vondran M, Schröter T, et al. Effects of Custom-made Mouthguards on Cardiopulmonary Exercise Capacity. Int J Sports Med. 2021;42(5):448-55.
23. Ahmed I, Kipps C, Fine P. Investigating the effect of mouth guard use on aerobic performance in amateur boxers. Clin Exp Dent Res. 2021;7(5):888-93.
24. Haughey JP, Fine P. Effects of the lower jaw position on athletic performance of elite athletes. BMJ Open Sport Exerc Med. 2020;2;6(1):886- 71.
25. Peregudov AB, Savelev VV. Stomatognaticheskie aspekti posturologii kak faktor fizicheskoi rabotosposobnosti sportsmenov. Sbornik materialov mezhdunarodnoi nauchno-prakticheskoi konferentsii Sovremennie sredstva povisheniya fizicheskoi rabotosposobnosti sportsmenov; 2011; Smolensk; 2011. s. 83-8.

«Bulletin of problems biology and medicine» Issue 3 (166), 2022 year, 69-79 pages, index UDK 796:616.314-001.4

10.29254/2077-4214-2022-3-166-69-79