Composite performance enhancing mouthguard with embedded wedge

Information

  • Patent Grant
  • 6588430
  • Patent Number
    6,588,430
  • Date Filed
    Friday, April 6, 2001
    23 years ago
  • Date Issued
    Tuesday, July 8, 2003
    21 years ago
Abstract
A performance enhancing and force absorbing mouthguard adapted to fit the upper teeth of the mouth of an athlete wherein the mouthguard is quadruple or quintuple composite material of distinct materials. The first internal layer is a non-softenable flexible framework which will permit the mouthguard to hold its shape during fitting as well as to absorb and dissipate significant impact conveyed to the upper teeth. A hard, durable reverse bite plate wedge is thicker rearwardly and lowers the condyle from the temporomandibular joint in a fulcrum action to place the lower jaw in an optimum condition preventing impingement upon the nerves and arteries as well as spacing the upper and lower teeth apart. Elastomeric traction pads are on the bottom of the mouthguard and are grippingly engaged by the posterior teeth of the lower jaw. While the framework, wedge and traction pads are mechanically interlocked, a softenable material is placed over the mouthguard excepting the contact portions of the traction pads to encapsulate the mouthguard and to permit custom fitting.
Description




BACKGROUND OF THE INVENTION




This invention generally relates to a performance enhancing and force absorbing composite mouthguard for use by athletes, and more particularly to such an adjustable customizable mouthguard appliance that spaces apart the teeth to absorb shock and clenching stress to protect the anterior and posterior teeth of the upper jaw, to lessen condyle pressure force and impact upon the cartlidge and temporomandibular joints, the arteries and the nerves and to further increase body muscular strength and endurance.




A number of mouthguards currently exist in the art for protecting the teeth and for reducing the chance of shock, concussions and other injuries as a result of high impact collisions and blows during athletic competition. Mouthguards generally are characterized as being non-personalized, universal and stock model type, or are formed to have direct upper jaw tooth-formed contact. These are customizable mouthguards.




Additionally, the mouthguards may be tethered or untethered. Mouthguards may be tethered to a fastening point, such as a helmet or face guard, to prevent the chance of the mouthguard from being lost as well as to prevent swallowing of the mouthguard or choking on the mouthguard by the user.




The lack of a mouthguard or the use of an improperly fitted mouthguard, when impacts, collisions or blows occur to the jaw structure of an athlete, have recently been found to be responsible for illnesses or injuries. Such injured athletes are susceptible to headaches, presence of earaches, ringing in the ears, clogged ears, vertigo, concussions and dizziness. The cause of these types of health problems and injuries are generally not visible by inspection of the mouth or the jaw but more particularly relate to the temporomandibular joint (TMJ) and surrounded tissues where the lower jaw is connected to the skull in the proximity where the auriculo-temporalis nerves and supra-temporo arteries pass from the neck into the skull to the brain.




In addition to protection of the teeth and the TMJ, athletes clench their teeth during exertion which results in hundreds of pounds of compressed force exerted from the lower jaw onto the upper jaw. Such clenching can result in headaches, muscle spasms, damage to teeth, injury to the TMJ and pain in the jaw. Furthermore, clenching of the teeth makes breathing more difficult during physical exercise and endurance when breathing is most important.




Most importantly, many problems exist with prior mouthguards. Mouthguards with a rigid labial or buccal walls do accept wide teeth, were bulky and had sharp edges. When the custom appliances were placed in hot water to soften for fitting, the mouthguards tended to collapse and permit portions to touch and stick together upon removal from the hot water thus making fitting of such mouthguards always a problem. Delamination and chewing destruction caused short life of the mouthguards.




There is a need for a mouthguard that solves all of the problems disclosed and will further achieve improved performance and long life as well as being easy to fit for the wearer.




SUMMARY OF THE INVENTION




A performance enhancing and force absorbing mouthguard adapted to fit the upper teeth of the mouth of an athlete wherein the mouthguard is quadruple or quintuple composite material of distinct materials. The first internal layer is a non-softenable flexible framework which will permit the mouthguard to hold its shape during fitting as well as to absorb and dissipate significant impact conveyed to the upper teeth. A hard, durable reverse bite plate wedge is thicker rearwardly and lowers the condyle from the temporomandibular joint in a fulcrum action to place the lower jaw in an optimum condition preventing impingement upon the nerves and arteries as well as spacing the upper and lower teeth apart. Elastomeric traction pads are on the bottom of the mouthguard and are grippingly engaged by the posterior teeth of the lower jaw. While the framework, wedge and traction pads are mechanically interlocked, a softenable material is placed over the mouthguard excepting the contact portions of the traction pads to encapsulate the mouthguard and to permit custom fitting.




The principle object and advantage of the present invention is that the mouthguard is that it protects the teeth, jaw, gums, connective tissues, back, head and muscles from concussive impact or blows to the jaw or teeth typically occurring during athletic activity.




Another object and advantage of the present invention is that the materials are substantially mechanically interlocked as well as encapsulated thereby preventing the possibility of delamination or separation of the materials which otherwise may occur during chewing of the mouthguard by the wearer.




Another object and advantage of the present invention is that the mouthguard places the lower jaw in the power position moving the condyle downwardly and forwardly away from the nerves and arteries within the fossia or socket to raise body muscular strength, greater endurance, improved performance by the mouthguard user as well as offer protection against concussive impacts.




Another object and advantage of the present invention is that the mouthguard is customizable to fit the width and configurations of the upper posterior teeth and palate structure of any user. That is, the mouthguard permits customizable fitting, including twisting, contraction and expansion, to permit the various tooth widths, spacing from one side of the mouth to the other side of the mouth, and palate height which also vary substantially from person to person.




Another object and advantage of the present invention is that it has a tough, rubbery elastomeric, unpenetrable bottom layer or traction pad which engages and grips the posterior teeth of the lower jaw and which further prevents the appliance from being chewed through to thereby assure long life to the appliance.




Another object and advantage of the present invention is that the framework of a non-softenable flexible material supports the appliance after heating to maintain shape and to guide the upper teeth during the fitting process.




Another object and advantage of the present invention is that the hard durable reverse bite plate wedge is of a hard very durable material that acts as a bite plate reverse wedge or fulcrum that cannot the penetrated by teeth thereby giving the appliance a longer life cycle.




Another object and advantage of the present invention is that the softenable fourth material extends over the framework wedge and non-exposed portion of the traction pads providing for the formation of a smooth mouthguard with greatly increased comfort and the avoidance of sharp edges.




Another object and advantage of the present invention is that the labial and lingual walls are not rigid allowing the user to manipulate the softenable material and to custom fabricate the mouthguard to accommodate proper fitting and to achieve more comfortable and less intrusive presence in the wearers mouth.




Another object and advantage of the present invention is that an anti-microbial ingredient keeps the appliance free of germs, fungus, virus, yeast and bacteria and also may treat gum disease.











BRIEF DESCRIPTION OF THE DRAWINGS





FIG. 1

is a maxillary mandibular buccal or partial side elevational view of the jaws and temporomandibular joint of the user of the mouthguard of the present invention.





FIG. 1A

is an enlarged view of the temporomandibular joint portion of FIG.


1


.





FIG. 2

is similar to

FIG. 1

but shows the mouthguard of the present invention in place.





FIG. 3

is a bottom perspective view of the mouthguard in place on the teeth of the upper jaw.





FIG. 4

is a bottom plan view of the mouthguard in place on the teeth of the upper jaw.





FIG. 5

is an exploded perspective view of the mouthguard of the present invention.





FIG. 6

is a side elevational view of the mouthguard in place on the teeth of the upper jaw partially broken away.





FIG. 7

is a bottom plan view of the mouthguard partially broken away.





FIG. 8

is an exploded partially broken away view of the mouthguard aligned for fitting on the teeth of the upper jaw.





FIG. 9

is a cross-sectional view taken along lines


9





9


of FIG.


7


.





FIG. 10

is a cross-sectional view taken along lines


10





10


of FIG.


7


.





FIG. 11

is a cross-sectional view taken along lines


11





11


FIG.


7


.





FIG. 11A

is an enlarged view broken away of the mechanical interlock shown in FIG.


11


.





FIG. 12

is an enlarged broken away view similar to

FIG. 11

with the mouthguard fitted to the teeth of the wearer.











DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT




To understand the structural features and benefits of the dental appliance or mouthguard


70


of the present invention, some anatomy will first be described. Referring to

FIGS. 1 and 1A

, the user or athlete has a mouth


10


generally comprised of a rigid upper jaw


12


and a movable lower jaw


42


which are movably connected at the temporomandibular joint (TMJ)


32


and


50


.




More specifically, the rigid upper jaw


12


has gum tissue


14


within mouth


10


. Gum tissue


14


, as well as the bone thereunder, supports anterior teeth (incisors and canines)


18


which have incisal or biting surfaces


19


. The gum tissues


14


and the bone thereunder also support posterior teeth (molars and bicuspids)


22


which have cusps or biting surfaces


26


.




Referring to one side of the human head, the temporal bone


28


is located upwardly and rearwardly of the upper jaw


12


and is in the range of {fraction (1/16)}


th


to {fraction (1/32)}


nd


inch thick. The articular eminence


30


forms the beginning of the fossae


32


or the socket of the temporomandibular joint


32


and


50


.




Rearwardly and posteriorly to the articular eminence


30


is located cartilage


34


. Through the temporomandibular joint


32


and


50


pass the ariculo-temporalis nerve


36


and supra-temporo artery


38


. Posteriorly to this structure is located the inner ear


40


. Within the mouth is located tongue


39


and the roof or hard palate


41


, which terminates rearwardly into the soft palate and forwardly into the anterior palate or ruggae


43


. The ruggae


43


has a rib surface which is identifiable by the fingers or tongue


39


. The tongue touches the ruggae


43


during speech.




The movable jaw or mandible


42


supports a bone covered by gum tissue


44


which further supports anterior teeth (incisors and canines)


46


with incisal or biting surfaces


47


and posterior teeth (molars and bicuspids)


48


with occlusal biting surfaces


49


. The condyle


50


of the lower jaw


42


forms the ball of the temporomandibular joint


32


and


50


. The anatomical structure is the same for both sides of the head.




Repeated impacts, collisions, blows, stress or forces exerted on the movable lower jaw


42


results in excessive wearing forced upon the condyle


50


and the cartilage, meniscus, or disc


34


—typically resulting in bone deterioration on the head of the condyle or slippage and compressive damage of the cartilage


34


. Thereafter, the lower jaw


42


may be subject to irregular movement, pain, loss of comfortable range of movement, and clicking of the joint


32


and


50


.




The ariculo-temporalis nerve


36


relates to both sensory and motor activity of the body. Any impingement or pinching of this nerve


36


can result in health problems as previously mentioned. This supra-temporal artery


38


is important in that provides blood circulation to portions of the head. Impingement, pinching, rupture or blockage of this artery


38


will result in possible loss of consciousness and reduced physical ability and endurance due to the restriction of blood flow to portions of the brain. Thus, it I extremely important to assure that the condyle


50


does not impinge upon the ariculo-temporalis nerve


36


or the supra-temporal artery


38


. It is also important to note that the temporal bone


28


is not too thick in the area of the glenoid fossae. Medical science has shown that a sharp shock, stress or concussive force applied to the lower jaw


42


possibly could result in the condyle


50


pertruding through the glenoid fossae of the temporal bone


28


thereby causing death. This is a suture line (growth and development seam) in the glenoid fossae, resulting in a possible weakness in the fossae in many humans. This incident rarely, but sometimes, occurs with respect to boxing athletes.




The mouthguard of the present invention is shown in the Figures as reference number


70


.




Mouthguard


70


is generally u-shaped and is comprised of labial wall


72


, lingual wall


74


which are upstanding from base


76


and channel


78


is formed by this arrangement.




Specifically referring to

FIGS. 2 through 8

, the mouthguard comprises at least four layers of distinct material


86


,


106


,


114


and


170


. The framework


86


is a non-softenable flexible material to assist in maintaining the shape of the heated mouthguard


70


and to permit the sizing of the mouthguards by way of twisting, expansion and contraction for variously configured mouths. The reverse bite plate wedge or fulcrum


106


is of a hard durable material permitting displacement of the condyle and proper positioning of the lower jaw


42


. The traction pads


114


are elastomeric and therefore rubbery and grippable. The encapsulating material


170


is softenable and forms walls


72


and


74


, channel


78


and arch


180


where applicable. The portion of the mouthguard


70


softens when heated and permits custom fitting of the mouthguard


72


in a particular mouth configuration. Optionally, an ethylene vinyl acetate skin


270


may be laid over the entire mouthguard to encapsulate it only exposing the traction pad portions


114


which will engage the molars


48


of the lower jaw


42


.




The first shot of the mouthguard


70


is comprised of the non-softenable, flexible framework


86


which is suitably made of polypropylene which exhibits a rigid character in that it holds its shape and can handle hot water because its melting point is 380° F. The material also has excellent bonding qualities with other copolymers. The polypropylene part number appropriate for the framework


86


is AP6112-HS from Huntsman Corporation, Chesapeake, Va. 23320.




The framework


86


suitably may have connecting belevedere bridge


88


which spans across in an arch like manner across the roof or hard palate


41


of the mouth


10


. The bridge


88


then connects to cross-cantilever connectors


90


which connect to occlusal pad plates


92


in various places to assure the relative stability of the framework


86


. The occlusal pad plates


92


have index openings


94


therethrough. Extending forwardly from the plates


92


are disconnected adjustable anterior impact braces


96


with a gap


98


therethrough. The anterior impact braces dissipate concussive blows or impacts to the front of the mouth


10


supporting the anterior teeth


18


from behind. The gap


98


assures appropriate fitting of the impact braces


96


when the anterior teeth


18


and their biting surfaces


19


are irregular. Thus, the impact braces


96


may readily shift upwardly, downwardly, inwardly together or opposingly apart.




The next injection molding shot is that of bite plate or reverse wedge


106


which is very hard and durable suitably made of high-density polyethylene (HDPE). A suitable high-density polyethylene is HD-6706 ESCORENE® injection molding resin from ExxonMobil Chemical Company, P.O. Box 3272, Houston, Tex. 77253-3272. This material is also very durable and has excellent bonding qualities and will not melt during the molding process as its melting point is 280° F. Thus, this material is hard enough so that it cannot be penetrated by the teeth under maximum biting pressure and thereby forms the bite plate or reverse wedge


106


. The bite plate


106


on its lower surfaces has bosses or raised portions


108


with apertures


110


therethrough. The bosses


108


permit the bite plate


106


to be indexed into the index openings


94


of framework


86


. The apertures


110


permit mechanical interlocking as will be appreciated with the next shot.




The traction pads


114


are the third shot and are created from elastomeric material. The traction pads


114


contact and grip the occlusal biting surfaces


49


of the posterior teeth


48


of the lower jaw and must be composed of a durable, resilient material which deforms somewhat when the jaws are closed and cushion the teeth


48


of the lower jaw


42


.




The durable, resilient material of this layer or third shot comprises a mixture of styrene block copolymer and high-density polyethylene. More specifically, the styrene block copolymer may be DYNAFLEX® part number G2780-0001 from GLS Corporation, 833 Ridgeview Drive, McHenry, Ill. 60050 while the HDPE has been already described to be from ExxonMobil.




The durable resilient material of the traction pads


114


may include in another embodiment the styrene block copolymer and ethylene vinyl acetate (EVA). EVA is available from a number of sources, such as the ELVAX® resins from Dupont Packaging and Industrial Polymers, 1007 Market Street, Wilmington, Del. 19898. It is desirable that the durable resilient material have a Shore “A” hardness of approximately


82


, which is very durable, yet rubbery.




In another embodiment of the traction pads


114


, the styrene block copolymer may be mixed with polyolefin elastomer, which is a copolymer of ethylene and octene-1. A suitable copolymer is available as ENGAGE® from Dupont Canada, Inc., P.O. Box 2200, Streetsville, Mississauga, Ontarior L5M 2H3.




Another embodiment of the traction pads


114


may be a mixture of thermoplastic rubber and a polyolefin elastomer as described above. Suitably thermoplastic rubbers are SANTOPRENE® from Advanced Elastomer Systems, L.P., 388 South Main Street, Akron, Ohio 44311 and KRATON® Thermoplastic Rubber from the Shell Oil Company, Houston, Tex. Kraton® is composed of a styrene-ethylene/butylenes-styrene block copolymer and other ingredients. The exact composition of SANTOPRENE® is a trade secret.




Elastomeric traction pads


117


have upwardly projecting interlocking knob projections


116


which will pass through aperture


110


and lock the bite plate


110


and framework


86


together as may be appreciated in

FIGS. 5

,


10


,


11


,


11


A and


12


. The interlocking knob projections


116


suitably have a radius portion


118


to assure the mechanical interlock and to prevent the shearing away of the knobs


116


from the bite plate


106


.




Also bucket lip or retaining lid


120


wraps around from the bottom exposed portion of pads


114


to the top of the bite plate


106


to again assure a sufficient mechanical interlock. The traction pads


114


also may have disconnected elastomeric adjustable anterior impact braces


122


with gap


124


therebetween braces


122


are in front of the anterior teeth


18


and have all of the adjustable customizable advantages of the impact braces


96


of framework


86


. However, the impact braces


122


are softer than the framework braces


96


to assist in the dissipation of external forces.




The fourth shot of the mouthguard


70


comprises a encapsulation material


170


which is suitably softenable and forms the walls


70


and


74


and channel


78


as well as base


76


of the mouthguard


70


. Thus, the softenable material comprises labial wall


172


, lingual wall


174


, and base


176


. The material


170


has traction pad cutouts


177


to permit exposure of the traction pads


114


as it is undesirable to have the pads


114


encapsulated. The material


170


also forms channel


178


and palate arch


180


with its ruggae opening


182


which is suitable to permit the tongue


39


to contact the ruggae


43


to permit clear speech.




The softenable material


170


suitably comprises a mixture of EVA and polycaprolactone. A suitable polycaprolactone is TONE® Part No. Polymer P-767 from Union Carbide Corporation, 39 Old Ridgebury Road, Danbury, Conn. 06817-0001. However, the softenable material may consist of the polycaprolactone alone as the possibility of ethylene vinyl acetate alone may also be utilized.




Another embodiment of the material


170


may be a mixture of polycaprolactone and the polyolefin elastomer. Preferably, the polyolefin elastomer is copolymer of ethylene and octene-1. A suitable copolymer is available as ENGAGE® from Dupont Canada, Inc., P.O. Box 2200 Streetsville, Mississauga, Ontario L5M 2H3.




An optional fifth shot of soft skin material


270


may be used. Material


270


may be ethylene vinyl acetate (EVA) as previously discussed to give a soft touch to the mouthguard


70


and to remove any hard or sharp edge feelings which may otherwise annoy the tongue, gums or mouth. The fifth layer of the soft EVA skin


270


includes labial wall


270


, lingual wall


274


, base


276


with traction pad cutouts


277


as was previously discussed. The EVA also has channel


278


and covers palate arch


280


excepting the ruggae opening


282


.




The fourth and fifth shots of the softenable material


170


and soft EVA skin


270


may be combined in a single fourth shot of a low-density polyethylene having a short “D” hardness of approximately 45. It is believed that this is the first time that a mouthguard has been made out of a low-density polyethylene. A suitable material may be EXACT® Part No. 4023 from ExxonMobil Chemical. This material is ideal for the required softness. However, applicant has found that nucleating agents mixed with the low density polyethylene creates a slight shrinkage to assure that the encapsulating low-density polyethylene securely fits to the configuration of the mouth, teeth and gums. Such nucleating agents might be DIBENZYLIDINE SORBITOL of the polyol acetal chemical family sold by Milliken Chemical, 1440 Campton Road, Inman, S.C. 29349 under product name MILLAD® Part No. 3905. Another nucleating agent which creates slight shrinkage in the low-density polyethylene is from the sorbitol acetal family marketed under MILLAD® Part No. 3940 and has the chemical name bis(P-METHYLBENZYLIDENE) SORBITOL while another similar additive might be the MILLAD® Part No. 3988 known under the chemical name 3-4-DINEMETHYLBENZYLIDENE SORBITOL.




To fit the mouthguard


70


to the user's mouth, the mouthguard


70


is placed in hot water at about 211° F. (i.e., water that has been brought to a boil and taken off the heat) for about 15 seconds. The mouthguard is then removed from the hot water, and it will be very soft, but the framework


86


will hold the mouthguards general shape. Excess water is allowed to drain off the mouthguard


70


by holding it with a spoon or the like.




Next, the wearer carefully places the mouthguard in the mouth so that the interior portion of the appliance


70


touches or covers the eye teeth (the third set of teeth from the front) and extends backwardly toward the molars. Next, the wearer bites down firmly on the appliance and pushes the tongue against the roof of the mouth. The cross-cantilever connectors guide the upper molars


22


in position on plates


92


. With a strong sucking motion, the wearer draws out all air and water from the mouthguard


70


. The projections or knobs


116


of the traction pads


114


will index to the cusp


26


of the molars


22


.




With a thumb, the wearer presses the bridge


88


and arch


80


tight against the roof of the mouth and then uses his hands and fingers to press the outside of the cheeks against the appliance


70


as the softenable material


170


oozes inwardly and outwardly to custom form the lingual and buccal walls


172


and


174


respectively. Because there are no rigid lingual or buccal walls in the appliance


70


, the mouthguard


70


will fit any width of molar


22


or mouth.




The wearer retains the mouthguard in the mouth for at least one minute and, with the mouthguard still in the mouth, takes a drink of cold water. Next, the wearer removes the mouthguard


70


from the mouth and places it in cold water for about 30 seconds.




It is well known that illness, infection, tooth decay and/or periodontal disease is caused by bacteria, fungus, yeast, and virus. These microbials can grow and multiply on dental appliances when the appliances are being stored between uses as well as when the appliance is actually being worn or used.




Antimicrobial substances which are non-toxic and free of heavy metal for resisting the growth of the microbials may include chlorinated phenol (e.g. 5-CHLORO-2-(2,-4-DICHLOROPHENOXY)PHENOL), POLYHEXAMETHYLENE BIGUANIDE HYDROCHLORIDE (PHMB), DOXYCYCLINE, CHLORHEXIDINE, METRONIDAZOLE, THYMOL, EUCALYPOL and METHYL SALYCILATE. TRICLOSAN® from Siba Giegy of Switzerland is also available.




Dental appliances and mouthguards are suitably made of polymers. Incorporating the antimicrobial agent into the polymer during the manufacture of the mouthguard is achieved by incorporating the agent into the synthetic polymeric master batch. The antimicrobial agent is suitably placed into the batch in a concentration as high as 10% which will permit a let-down ratio resulting in the final concentration of the antimicrobial agent and the dental appliance of about 0.005 to about 2% by weight.




By encapsulating the antimicrobial agent into the polymer batch mix, the agents survive molten temperatures approximately or above 350° F. and thus the antimicrobial agent loses none of its biocidal properties in the formation of the mouthguard.




The present invention may be embodied in other specific forms without departing from the spirit or central attributes thereof; therefore, the illustrated embodiments should be considered in all respects as illustrative and not restrictive, reference being made to the appended claims rather than to the foregoing description to indicate the scope of the invention.



Claims
  • 1. A composite, softenable, customizable performance enhancing and force absorbing mouthguard having a unshaped base with upstanding labial and lingual walls forming a channel, comprising:A softenable, customizable wall and channel material encapsulating two hard, durable bite wedges each located posteriorly in the base, each wedge being thicker posteriorly than anteriorly to create a fulcrum in the mouth to lower the condyle and customize the mouthguard to fit a user.
  • 2. A composite, softenable customizable performance enhancing and force absorbing mouthguard of claim 1, wherein the wedges are made of high-density polyethylene.
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