• International Journal of Technology (IJTech)
  • Vol 17, No 1 (2026)

Innovative Design of Dental Mouth Props: Exploring Functional Features and Material Enhancements for Improved Performance

Innovative Design of Dental Mouth Props: Exploring Functional Features and Material Enhancements for Improved Performance

Title: Innovative Design of Dental Mouth Props: Exploring Functional Features and Material Enhancements for Improved Performance
Rosnani Ginting, Aulia Ishak, Victor Frans, Alfin Fauzi Malik, Ahmad Faiz Zubair

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Cite this article as:
Ginting, R., Ishak, A., Frans, V., Malik, A. F., & Zubair, A. F. (2026). Innovative design of dental mouth props: Exploring functional features and material enhancements for improved performance. International Journal of Technology, 17 (1), 171–186


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Rosnani Ginting Department of Industrial Engineering, Universitas Sumatera Utara, 9 Dr. T. Mansyur, Medan, 20222, Indonesia
Aulia Ishak Department of Industrial Engineering, Universitas Sumatera Utara, 9 Dr. T. Mansyur, Medan, 20222, Indonesia
Victor Frans Department of Industrial Engineering, Universitas Sumatera Utara, 9 Dr. T. Mansyur, Medan, 20222, Indonesia
Alfin Fauzi Malik Department of Industrial Engineering, Universitas Sumatera Utara, 9 Dr. T. Mansyur, Medan, 20222, Indonesia
Ahmad Faiz Zubair Faculty of Mechanical Engineering, Universiti Teknologi MARA Cawangan Pulau Pinang, 13500 Permatang Pauh, Malaysia
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Abstract
Innovative Design of Dental Mouth Props: Exploring Functional Features and Material Enhancements for Improved Performance

Dentists play a crucial role in maintaining patients’ oral health. However, prolonged dental procedures often cause discomfort, such as jaw muscle fatigue and anxiety. Dental mouth props are used to keep the mouth open during procedures, but they often lead to complaints regarding comfort, size incompatibility, and material elasticity. Therefore, product design improvements are necessary to enhance patient comfort and usage efficiency. This study aims to improve the design of Dental Mouth Prop using Quality Function Deployment (QFD) and Value Engineering (VE) methods. The first phase of QFD maps the technical traits, including mechanical strength, anatomical fit, and material elasticity, that shape performance. The second phase highlights the parts that required refinement, such as the central support and bite surface. VE then examines each component’s function and cost to guide a more efficient and effective design. Through the VE process, the central support was replaced from silicone rubber (2–10 MPa flexural strength) to PMMA (92.44 MPa), and the bite surface from silicone rubber (1–10 MPa tensile strength, 1–10 MJ/m3 toughness) to thermoplastic elastomer (10–60 MPa, 20–60 MJ/m3). Replacing the material results in a 20.6% material cost reduction, while the simulation results also show improved load distribution and increased structural stability, addressing key discomfort factors such as jaw fatigue and bite-surface pressure. This study demonstrates that the application of QFD and VE can yield a more efficient product, reduce costs, and improve product quality while maintaining user needs and comfort.

Dental mouth prop; Product design; Quality function deployment; Value engineering

Supplementary Material
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R3-IE-8125-20251226122000.docx ---
References

Akao, Y. (2024). Quality function deployment: Integrating customer requirements into product design. Taylor & Francis.

Al-Dwairi, Z. N., Al Haj Ebrahim, A. A., & Baba, N. Z. (2023). A comparison of the surface and mechanical properties of 3D printable denture-base resin material and conventional polymethyl methacrylate (PMMA). Journal of Prosthodontics, 32(1), 40–48. https://doi.org/10.1111/jopr.13491

Ali, U., Karim, K. J. B. A., & Buang, N. A. (2015). A review of the properties and applications of poly(methyl methacrylate) (PMMA). Polymer Reviews, 55(4), 678–705. https://doi.org/10.1080/15583724.2015.1031377

Almeida, J. P. C., Vitral, R. W. F., de T., A. H., Coxiponés, G. B. P. d. F. e. C. D., Polo, A. C. M., & Apolonio, A. B. (2022). Maintenance of sterility in SMS packaging in dental environments: Concern with biosafety. Acta Scientiarum. Health Sciences, 44(1). https://doi.org/10.4025/actascihealthsci.v44i1.54648

Altayyar, S., Al-Zordk, W., Algabri, R., Rajah, E., Al-Baadani, A., Alqutaibi, A. Y., Madina, M. A., & Ghazy, M. H. (2023). Prospective evaluation of implant-supported, tooth–implant-supported, and teeth-supported three-unit posterior monolithic zirconia fixed restorations: Bite force and patient satisfaction. Clinical and Experimental Dental Research, 9(5), 810–819. https://doi.org/10.1002/cre2.780

Backes, E. H., Harb, S. V., Pinto, L. A., Moura, N. K. d., Morgado, G. F. d. M., Marini, J., Passador, F. R., & Pessan, L. A. (2024). Thermoplastic polyurethanes: Synthesis, fabrication techniques, blends, composites, and applications. Journal of Materials Science, 59(4), 1123–1152. https://doi.org/10.1007/s10853-023-09077-z

Barrera, G. T. (2023). Natural rubber latex on medical applications. Journal of Community Medicine and Health Solutions, 4(2), 089–063. https://doi.org/10.29328/journal.jcmhs.1001040

Belli, R., Wendler, M., de Ligny, D., Cicconi, M. R., Petschelt, A., Peterlik, H., & Lohbauer, U. (2017). Chairside CAD/CAM materials. Part 1: Measurement of elastic constants and microstructural characterization. Dental Materials, 33(1), 84–98. https://doi.org/10.1016/j.dental.2016.10.009 

Bernard, M. (2018). Biocompatibility of polymer-based biomaterials and medical devices: Regulations, in vitro screening and risk-management. Biomaterials Science, 6(8), 2025–2053. https://doi.org/10.1039/c8bm00518d

Bobo, D., Robinson, K. J., Islam, J., Thurecht, K. J., & Corrie, S. R. (2016). Nanoparticle-based medicines: A review of FDA-approved materials and clinical trials to date. Pharmaceutical Research, 33(10), 2373–2387. https://doi.org/10.1007/s11095-016-1958-5

Borse, N., Chaudhari, A., Tadas, V., Atole, S., Ghune, S., & Kirte, A. (2024). Screw jack mechanism for reducing effort. International Journal of Innovative Science and Research Technology. https://doi.org/10.38124/ijisrt/ijisrt24apr1756

Chaaben, R., Taktak, R., Elleuch, K., Ellouz, M., & Kordisch, T. (2020). Wear behavior of new biomaterial composite for dental application. Polymers and Polymer Composites, 28, 654–662. https://doi.org/10.1177/0967391119897169

Cho, E., Chiu, L. L. Y., Lee, M., Naila, D., Sadanand, S., Waldman, S. D., & Sussman, D. (2021). Characterization of mechanical and dielectric properties of silicone rubber. Polymers, 13(11), 1831. https://doi.org/10.3390/polym13111831

Dental Kart. (2023). Dental Kart – Online dental supplies store. Retrieved September 21, 2025, from https://www.dentalkart.com

Duan, W. X. (2012). Application of value engineering in industrial product design. Advanced Materials Research, 591–593, 191–195. https://doi.org/10.4028/www.scientific.net/AMR.591-593.191

Ficalora, J., Cohen, L., & St. Clair, C. (2022). A QFD handbook: Quality function deployment and Six Sigma (2nd ed.). Productivity Press.

Ginting, R. (2016). Quality function deployment. USU Press.

Ginting, R. (2022). Metode perancangan produk: Konsep dan aplikasi (Product design methods: Concepts and applications). USU Press.

Ginting, R., Napitupulu, H., Ishak, A., & Supranata. (2025). Bitewing holder and support product design using quality function deployment. International Journal of Technology, 16(2), 551–560. https://doi.org/10.14716/ijtech.v16i2.6577

Gong, S., Zhao, S., Chen, X., Liu, H., Deng, J., Li, S., Feng, X., Li, Y., Wu, X., & Pan, K. (2021). Thermoplastic polyamide elastomers: Synthesis, structures/properties, and applications. Macromolecular Materials and Engineering, 306(12). https://doi.org/10.1002/mame.202100568

Gremyr, I., & Raharjo, H. (2013). Quality function deployment in healthcare: A literature review and case study. International Journal of Health Care Quality Assurance, 26(2), 135–146. https://doi.org/10.1108/09526861311297343

Guerra, N. B., Pegorin, G. S., Boratto, M. H., Barros, N. R. d., Graeff, C. F. d. O., & Herculano, R. D. (2021). Biomedical applications of natural rubber latex from the rubber tree Hevea brasiliensis. Materials Science and Engineering: C, 126, 112126. https://doi.org/10.1016/j.msec.2021.112126

Hartanto, A., Ginting, R., & Ishak, A. (2024). Integration of value engineering for design for assembly in product design: A comprehensive literature review. Jurnal Sistem Teknik Industri, 26(2), 145–151. https://doi.org/10.32734/jsti.v26i2.15268

Huang, Y. M., Lee, J. C., Chu, C. M., Tai, H. C., Hou, T. C., Chen, F. Y. S., Chi, C. W., & Chen, Y. J. (2020). Three-dimensional printed silicone bite blocks for radiotherapy of head and neck cancer—A preliminary study. Applied Sciences, 10(5), 1688. https://doi.org/10.3390/app10051688

Husal, H. R., Ginting, R., & Anizar. (2024). Integrated value engineering with QFD and DFA as product design and development techniques: Literature review. Jurnal Sistem Teknik Industri, 26(1), 22–34. https://doi.org/10.32734/jsti.v26i1.11901

Ishak, A., Ginting, R., & Malik, A. F. (2020). Integration of quality function deployment (QFD) and value engineering in improving the quality of product: A literature review. AIP Conference Proceedings. https://doi.org/10.1063/5.0000735

Joung, J., Jung, K., Ko, S., & Kim, K. (2019). Customer complaints analysis using text mining and outcome-driven innovation method for market-oriented product development. Sustainability, 11(1). https://doi.org/10.3390/su11010040

Kaneko, T., Ito, S., Minakawa, T., Hirai, N., & Ohki, Y. (2019a). Degradation mechanisms of silicone rubber under different aging conditions. Polymer Degradation and Stability, 168, 108936. https://doi.org/10.1016/j.polymdegradstab.2019.108936

Kaneko, T., Ito, S., Minakawa, T., Hirai, N., & Ohki, Y. (2019b). Degradation mechanisms of silicone rubber under different aging conditions. Polymer Degradation and Stability, 168, 108936. https://doi.org/10.1016/j.polymdegradstab.2019.108936

Kim, S. M., Jeon, H., Shin, S. H., Park, S. A., Jegal, J., Hwang, S. Y., Oh, D. X., & Park, J. (2018). Superior toughness and fast self-healing at room temperature engineered by transparent elastomers. Advanced Materials, 30(1). https://doi.org/10.1002/adma.201705145

Knezevic, M., Knezevic, A., Boban, J., Maletin, A., Milekic, B., Djurovic Koprivica, D., Mijatov, I., & Puskar, T. (2023). A new mechanical mouth opener for dynamic magnetic resonance imaging of the temporomandibular joint. Journal of Clinical Medicine, 12. https://doi.org/10.3390/jcm12155035

Kusrini, E., & Kartohardjono, S. (2019). Revolutions in chemical engineering through the development of materials science and product design for sustainable energy and future applications. International Journal of Technology, 10(3), 438. https://doi.org/10.14716/ijtech.v10i3.3173

Lakshmi Kumari, K., Rajesh, K., Megalaa, N., Francis, N., Ranjith, K., Manikandan, K., Nagappan, N., & Sekar, G. (2024). Open sesame: A comparative evaluation of parental and dentist perception on various mouth props. Journal of Pharmacy and Bioallied Sciences, 16. https://doi.org/10.4103/jpbs.jpbs87724

Luo, C. F., Liu, Y., Peng, B., Chen, M. H., Liu, Z. G., Li, Z. L., Kuang, H., Gong, B. J., Li, Z. M., & Sun, H. C. (2023). PEEK for oral applications: Recent advances in mechanical and adhesive properties. Polymers, 15. https://doi.org/10.3390/polym15020386

Muhammed, T., Paul, V., & Basu, C. (2020). Functional design of neonatal intensive care unit using value engineering and quality function deployment techniques. https://consensus.app/papers/functional-design-of-neonatal-intensive-care-unit-using-basu-paul/e7cc785437925dffa63b3f5ed0c73b08/

Nagori, S. A., Chattopadhyay, P. K., Kumar, S., & Kamalpathey, K. (2017). Custom-made mouth prop for TMJ arthrocentesis: A technical note. Oral and Maxillofacial Surgery, 21(1), 75–77. https://doi.org/10.1007/s10006-016-0601-2

Neubauer, J., Cho, H. J., & Kim, K. J. (2022). Tunable polyvinyl chloride (PVC) and thermoplastic polyurethane (TPU)-based soft polymer gel sensors. Smart Materials and Structures, 31(11), 115025. https://doi.org/10.1088/1361-665X/ac9a8f

Ntona, M. M., Chalikakis, K., Busico, G., Mastrocicco, M., Kalaitzidou, K., & Kazakis, N. (2023). Application of judgmental sampling approach for the monitoring of groundwater quality and quantity evolution in Mediterranean catchments. Water, 15(22), 4018. https://doi.org/10.3390/w15224018

Ongbali, S. O., Okwilagwe, O., Yekini, E. S., Afolalu, S., & Somefun, T. (2024). The role of value engineering in product design and profitability improvement in manufacturing setting: A review. 2024 International Conference on Science, Engineering and Business for Driving Sustainable Development Goals (SEB4SDG), 1–6. https://doi.org/10.1109/SEB4SDG60871.2024.10630157

Osswald, T. A. (2016). International plastics handbook (4th ed.). Hanser Verlag.

Park, K., Sadeghi, K., Panda, P. K., Seo, J., & Seo, J. C. (2022). Ethylene vinyl acetate/low-density polyethylene/oyster shell powder composite films: Preparation, characterization, and antimicrobial properties for biomedical applications. Journal of the Taiwan Institute of Chemical Engineers, 134, 104301. https://doi.org/10.1016/j.jtice.2022.104301

Persson, A. M. M. R., & Andreassen, E. (2022). Cyclic compression testing of three elastomer types—A thermoplastic vulcanizate elastomer, a liquid silicone rubber and two ethylene-propylene-diene rubbers. Polymers, 14(7), 1316. https://doi.org/10.3390/polym14071316

Rajiv, P., Logesh, R., Vinodh, S., & Rajanayagam, D. (2014). Financial feasibility and value engineering principles integrated quality function deployment for a manufacturing organization. Journal of Engineering, Design and Technology, 12(1), 71–88. https://doi.org/10.1108/JEDT-11-2010-0070

Ramanathan, S., Lin, Y. C., Thirumurugan, S., Hu, C. C., Duann, Y. F., & Chung, R. J. (2024). Poly(methyl methacrylate) in orthopedics: Strategies, challenges, and prospects in bone tissue engineering. Polymers, 16(3), 367. https://doi.org/10.3390/polym16030367

Sall, E., Smith, K., Desai, A., Carollo, J. A., Murphy, M. T., Kim, S., & Liptak, L. A. (2023). Evaluating the clinical performance of a novel, precision oral appliance therapy medical device made wholly from a medical grade Class VI material for the treatment of obstructive sleep apnea. Cureus. https://doi.org/10.7759/cureus.50107

Sapate, M., Munde, A., Narkhede, H., & Mane, A. (2021). An innovative prop technique of mouth opening in post-COVID-19 mucormycosis maxillectomy: Finding a new way with minimal efforts. Indian Journal of Anaesthesia, 65(11), 830–833. https://doi.org/10.4103/ija.ija70821

Sbrescia, S., Ju, J., Creton, C., Engels, T., & Seitz, M. (2023). Effect of temperature, rate, and molecular weight on the failure behavior of soft block copoly(ether–ester) thermoplastic elastomers. Soft Matter, 19(27), 5127–5141. https://doi.org/10.1039/D3SM00210A

Sbrescia, S., Ju, J., Engels, T., Van Ruymbeke, E., & Seitz, M. (2021). Morphological origins of temperature and rate dependent mechanical properties of model soft thermoplastic elastomers. Journal of Polymer Science, 59(6), 477–493. https://doi.org/10.1002/pol.20200791

Scholz, G., & Gehringer, M. (2021). Thermoplastic elastomers. De Gruyter. https://doi.org/10.1515/9783110739848

Schuh, J., & Funk, K. (2018). Compilation of international standards and regulatory guidance documents for evaluation of biomaterials, medical devices, and 3D-printed and regenerative medicine products. Toxicologic Pathology, 47, 344–357. https://doi.org/10.1177/0192623318804121

Seligman, L. D. (2017). Dental anxiety: An understudied problem in youth. Clinical Psychology Review, 25–40. https://doi.org/10.1016/j.cpr.2017.04.004

Setti, P. H. P., Canciglieri Junior, O., & Estorilio, C. C. A. (2021). Integrated product development method based on value engineering and design for assembly concepts. Journal of Industrial Information Integration, 21. https://doi.org/10.1016/j.jii.2020.100199

Sharma, A., & Luthra, G. (2023). Significance of ISO 10993 standards in ensuring biocompatibility of medical devices: A review. Journal of Pharmaceutical Research International, 35(8), 23–34. https://doi.org/10.9734/jpri/2023/v35i87342

Shi, H. H., Yang, J., You, M. L., Li, Z. B., & He, C. B. (2020). Polyhedral oligomeric silsesquioxanes (POSS)-based hybrid soft gels: Molecular design, material advantages, and emerging applications. ACS Materials Letters, 2(4), 296–316. https://doi.org/10.1021/acsmaterialslett.9b00491

Sidana, S. O., Ahuja, S. A., Baviskar, P. S., & Natarajan, S. (2024). Innovative use of mouth props/bite blocks in postoperative mouth opening exercises. Journal of Maxillofacial and Oral Surgery, 23(2), 445–447. https://doi.org/10.1007/s12663-023-02070-8

Silva, C. R., & Masini, J. C. (2023). Ethylene vinyl acetate copolymer is an efficient and alternative passive sampler of hydrophobic organic contaminants: A comparison with silicone rubber. Environmental Pollution, 323, 121258. https://doi.org/10.1016/j.envpol.2023.121258

Spontak, R. J., & Patel, N. P. (2000). Thermoplastic elastomers: Fundamentals and applications. Current Opinion in Colloid and Interface Science, 5(5–6), 333–340. https://doi.org/10.1016/S1359-0294(00)00070-4

Srivastava, K. C., Shrivastava, D., Khan, Z. A., Nagarajappa, A. K., Mousa, M. A., Hamza, M. O., Al-Johani, K., & Alam, M. K. (2021). Evaluation of temporomandibular disorders among dental students of Saudi Arabia using diagnostic criteria for temporomandibular disorders (DC/TMD): A cross-sectional study. BMC Oral Health, 21, 1–9. https://doi.org/10.1186/s12903-021-01578-0

Stark, J. (2021). Product lifecycle management: 21st century paradigm for product realisation. Springer.

Sukma, D. I., Setiawan, I., Kurnia, H., Atikno, W., & Purba, H. H. (2022). Quality function deployment in healthcare: Systematic literature review. Jurnal Sistem Teknik Industri, 24(1), 15–27. https://doi.org/10.32734/jsti.v24i1.7297

Sullivan, G., & Artino, A. (2013). Analyzing and interpreting data from Likert-type scales. Journal of Graduate Medical Education, 5(4), 541–542. https://doi.org/10.4300/JGME-5-4-18

Ulrich, K. T., & Eppinger, S. D. (2015). Product design and development (6th ed.). McGraw-Hill.

Uzumcugil, F., Yilbas, A. A., Akca, B., Ozkaragoz, D. B., Adiloglu, S., Tuz, H. H., & Kanbak, M. (2020). Overnight hospital stay and/or extended recovery period may allow long-duration oral and maxillofacial surgeries in the operating room of a dental hospital in an outpatient setting: A single-center experience. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 46(2), 125–132. https://doi.org/10.5125/JKAOMS.2020.46.2.125

Vasudevan, K., & Stahl, V. (2020). Cannabinoids infused mouthwash products are as effective as chlorhexidine on inhibition of total-culturable bacterial content in dental plaque samples. Journal of Cannabis Research, 2, 1–8. https://doi.org/10.1186/s42238-020-00027-z

Wang, K., & Deng, Q. (2019). The thermal and mechanical properties of poly(ethylene-co-vinyl acetate) random copolymers (PEVA) and its covalently crosslinked analogues (CPEVA). Polymers, 11(6), 1055. https://doi.org/10.3390/polym11061055

Wang, Z., Cui, H., Liu, M., Grage, S. L., Hoffmann, M., Sedghamiz, E., Wenzel, W., & Levkin, P. A. (2022). Tough, transparent, 3D-printable, and self-healing poly(ethylene glycol)-gel (PEG-gel). Advanced Materials, 34(11), e2107791. https://doi.org/10.1002/adma.202107791

Wibisana, L. P., & Budiyanto, M. A. (2021). Design and cost multi-objective optimization of small-scale LNG carriers using the value engineering approach. International Journal of Technology, 12(6), 1288–1298. https://doi.org/10.14716/ijtech.v12i6.5192

Wuersching, S. N., Hickel, R., Edelhoff, D., & Kollmuss, M. (2022). Initial biocompatibility of novel resins for 3D printed fixed dental prostheses. Dental Materials, 38(11), 1713–1722. https://doi.org/10.1016/j.dental.2022.08.001

Yamamoto, H., Hamasaki, S., Tokieda, K., Yamamoto, I., Matsumoto, K., Nagayasu, T., Ohba, S., & Sumita, Y. (2023). Design of dental mouth prop. Sensors and Materials, 35(2), 391–398. https://doi.org/10.18494/SAM4284

Yeh, C., Huang, C. Y., & Wu, F. C. (2011). A breakthrough product R&D model by using the integration of four-phase QFDs and TRIZ. Proceedings of the 2011 International Conference on Modelling, Identification and Control, 185–190. https://doi.org/10.1504/IJMIC.2013.052813

Yeh, C., Huang, J., & Yu, C. (2011). Integration of four-phase QFD and TRIZ in product R&D: A notebook case study. Research in Engineering Design, 22, 125–141. https://doi.org/10.1007/S00163-010-0099-9

Yekinni, A. A. (2015). Application of value engineering techniques in sustainable product and service design. Science; Engineering Perspectives.

Younker, D. L. (2003). Value engineering: Analysis and methodology. Marcel Dekker.