{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T01:13:14Z","timestamp":1782522794833,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T00:00:00Z","timestamp":1729123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Traumatic dental injuries related to sports are a significant concern, as they can have severe physical and psychological impacts on children. Using mouthguards is essential, particularly in sports like skating, where high\u2010impact forces are common.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The study aimed to evaluate how stress is distributed on the teeth and surrounding bone in children with proclined anterior teeth when a force of 614.12\u2009N was applied to two different regions of the jaws. The evaluation was conducted using finite element analysis (FEA), both with and without the use of a mouthguard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Methodology<\/jats:title><jats:p>A 3\u2010dimensional finite element analysis (FEA) model was constructed using a cone beam computed tomography (CBCT) scan of a 12\u2010year\u2010old male patient. An average standardized force of 614.12\u2009N was calculated, based on the average weight of children aged 11 to 13\u2009years and the average speed of 13.4\u2009m\/s with which the children skate. The force was applied in two different directions and areas of the jaws: a lateral blow, perpendicular to the crown and root with the maxillary and mandibular teeth in occlusion (between the first molar and second premolar), and a blow obliquely at the pogonion point on the chin. Static simulations were then performed for four realistic scenarios\u2014two with mouthguards and two without mouthguards.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>The Von Mises stresses were evaluated under all conditions. When the applied force was directed laterally, the stress values observed were 126.76\u2009MPa with a mouthguard and 140\u2009MPa without a mouthguard. When the force was applied to the chin region, the stress values were 37.997\u2009MPa with a mouthguard and 40.67\u2009MPa without a mouthguard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of a mouthguard in children is beneficial for protecting teeth and surrounding structures, especially in cases of proclined anterior teeth, as it helps dampen the generated stresses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12998","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T10:11:20Z","timestamp":1729159880000},"page":"203-212","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Stress Distribution in Proclined Anterior Teeth of Pediatric Patients With and Without Mouthguard Use: A <scp>3D<\/scp> Finite Element Analysis"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8567-5896","authenticated-orcid":false,"given":"Shivani Nagnath","family":"Bhadule","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry Government Dental College and Hospital  Nagpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7403-3364","authenticated-orcid":false,"given":"Ritesh R.","family":"Kalaskar","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry Government Dental College and Hospital  Nagpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2173-5770","authenticated-orcid":false,"given":"Avani","family":"Doiphode","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry Government Dental College and Hospital  Nagpur India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"issue":"3","key":"e_1_2_11_2_1","first-page":"328","article-title":"Prevalence of Traumatic Dental Injuries and Their Relation With Predisposing Factors Among 8\u201315\u2009Years Old School Children of Indore City, India","volume":"91","author":"Juneja P.","year":"2018","journal-title":"Clujul Medical"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.5812\/atr.24596"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mjafi.2021.06.029"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10005-1583"},{"issue":"4","key":"e_1_2_11_6_1","first-page":"222","article-title":"Prevalence and Factors Associated With Traumatic Dental Injuries (TDI) to Anterior Teeth of 11\u201313\u2010Year\u2010Old Thai Children","volume":"23","author":"Malikaew P.","year":"2006","journal-title":"Community Dental Health"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0762.149019"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2005.00415.x"},{"issue":"1","key":"e_1_2_11_9_1","first-page":"299","article-title":"Intra\u2010Oral Mouth\u2010Guard in Sport Related Oro\u2010Facial Injuries: Prevention Is Better Than Cure!","volume":"8","author":"Mantri S. 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