Mouthguards

Why should I wear a mouthguard?
To protect your mouth from injuries. The dental profession unanimously supports the use of mouthguards in a variety of sports activities. More than 200,000 injuries to the mouth and jaw occur each year.

What kinds of injuries can a mouthguard prevent?
A mouthguard can prevent serious injuries such as concussions, cerebral hemorrhages, incidents of unconsciousness, jaw fractures and neck injuries by helping to avoid situations where the lower jaw gets jammed into the upper jaw. Wearing a mouthguard can reduce concussions by almost half.

Young children, in particular, often sustain damaged or dislodged teeth, fractured jaws and lacerated lips when participating in sports.

Mouthguards are effective in moving soft issue in the oral cavity away from the teeth, preventing laceration and bruising of the lips and cheeks, especially for those who wear orthodontic appliances.

In what types of sports should I wear a mouthguard?
Anytime there is a strong chance for contact with other participantss or hard surfaces, it is advisable to wear a mouthguard. Players who participate in basketball, softball, wrestling, soccer, lacrosse, rugby, in-line skating, and martial arts as, well as recreational sports such as skateboarding, and bicycling should wear mouthguards while competing.

Currently, five sports at the amateur level require mouthguards during practice and competition: boxing, football, ice hockey, men's lacrosse and women's field hockey.

Aren't mouthguards only for football and hockey players?
Recent findings show that soccer players are more likely than football players to sustain an orofacial injury, and a basketball player's risk is twice that of a football player. More people currently participate in organized soccer than in competitive football, where mouthguards and face masks are mandatory.

Why don't kids wear mouthguards?
Parents are sometimes uninformed about the level of contact and potential for serious dental injuries involved with sports in which the child participates. Some, though not all schools, reinforce the health advantage of mouthguards for their contact sports. Cost may be another consideration although mouthguards come in a variety of price ranges.

What are the different types of mouthguards?
Stock mouthguard: The lowest cost option is a stock item, which offers the least protection because the fit adjustment is limited. It may interfere with speech and breathing because this mouthguard requires that the jaw be closed to hold it in place. A stock mouthguard is not considered acceptable as an facial protective device.

Mouth-formed protectors: These mouthguards come as a shell-liner and "boil-and-bite" product. The shell is lined with acrylic or rubber. When placed in an athlete's mouth, the protector's lining material molds to the teeth and is allowed to set.

The lining of the "boil-and-bite" mouthguard is immersed in boiling water for 10-45 seconds, transferred to cold water and then adapted to the teeth. The "boil-and-bite" mouthguard is used by more than 90 percent of athletes who use mouthguards. While they are less expensive than custom-made guards, the fit is not as good and they do not last as long.

Custom-made mouth protectors: The best choice is a mouthguard custom-made by your dentist. It offers the best protection, fit and comfort level because it is made from a cast to fit your teeth.

How should I care for a mouthguard?

• • Clean your mouthguard by washing it with soap and warm (not hot) water.
  • Before storing, soak your mouthguard in disinfecting mouthwash.
  • Keep your mouthguard in a well-ventilated plastic storage box when not in use. Make sure the box has several holes so the mouthguard will dry. A mouthguard kept in a moist setting will serve as a safe harbor for harmful bacteria.
  • Heat is bad for mouthguards, so don't leave it in direct sunlight or in a closed automobile.
  • Don't bend your mouthguard when storing.
  • Don't handle or wear someone else's mouthguard.
  • Call your dentist who made the mouthguard if there are any problems.
  How often should I replace my child's mouthguard?
  Depending on the child's growth, mouthguards may need to be replaced once a year.

  Sources:
  "Mouthguards Fight Weekend Warrior Injuries", Dental News, July 1997;
  David Kumamoto, DDS, Fellow of the Academy and team dentist for the University of Illinois-Chicago Athletic Department;
  "Mouthguards Can Save Your Teeth From Serious Injury", Pennsylvania Dental Association, Academy for Sports Dentistry, March 1998;
  Adaptation from the University of Texas Health Science Center at San Antonio Dental School Department of Prosthodontics, Graduate Division;
  H. Douglas Mougey, DDS, FAGD;
  "Mouthguards aren't guarding enough young adults", DentalNotes, September 1996;
  American Society for Testing and Materials;
  Academy for Sports Dentistry;
  "Mouthguard Survey", Pediatric Dentistry, November/December 1997.
  Concise Illustrated Dental Dictionary, IOP Publishing Limited, 1987.