CC BY-NC-ND 4.0 · Sports Med Int Open 2019; 03(01): E25-E31
DOI: 10.1055/a-0891-7021
Training & Testing
Eigentümer und Copyright ©Georg Thieme Verlag KG 2018

Influence of Mouthguards on Physiological Responses in Rugby

Antina Schulze
1   Universität Leipzig, Institute of Sports Medicine, Leipzig, Germany
,
Stefan Kwast
1   Universität Leipzig, Institute of Sports Medicine, Leipzig, Germany
,
Martin Busse
2   Universität Leipzig, Institut für Sportmedizin & Prävention, Leipzig, Germany
› Author Affiliations
Further Information

Publication History

received 03 January 2019
revised 18 March 2019

accepted 08 April 2019

Publication Date:
05 June 2019 (online)

Abstract

Mouthguards (MGs) are highly recommended in rugby. Airway obstruction and a resulting decrease in power output are potential disadvantages of their usage. The aim of the study was to assess possible limitations of “vented” (MGV) and custom-made mouthguards (MGC) on rugby players’ performance. The MG effects were investigated in 13 male first-league rugby players ranging from 18–34 years old. First a lung function test was completed. Then a double incremental treadmill test was performed to measure maximum aerobic performance, ventilation, VO2, VCO2, heart rate, and lactate. Effects on sprint times (10 and 40 m) and countermovement jumps were also investigated. Peak flow values were significantly decreased with MGV by about 0.9 l/s. Neither ventilatory parameters nor oxygen uptake were affected by either of the mouthguards. Maximum lactate was significantly decreased in both MG types vs. no MG use. The maximum running velocity was similar in all tests. The aerobic energy turnover was moderately increased with the MGC and MGV. No effects were seen on sprint times or jump tests. Although neither type of mouthguard had a significant impact on maximum performance in treadmill running, the anaerobic energy turnover was decreased.

 
  • References

  • 1 ADA Council on Access, Prevention and Interprofessional Relations, and ADA Council on Scientific Affairs . Using mouthguards to reduce the incidence and severity of sport-related oral injuries. J Am Dent 2006; 137: 1712-1720
  • 2 Allen CR, Fu YC, Cazas-Moreno V, Valliant MW, Gdovin JR, Williams CC, Garner JC. Effects of jaw clenching and jaw alignment mouthpiece use on force production during vertical jump and isometric clean pull. J Strength Cond Res 2018; 32: 237-243
  • 3 Amis T, Di Somma E, Bacha F, Wheatley J. Influence of intra-oral maxillary sports mouthguards on the airflow dynamics of oral breathing. Med Sci Sports Exerc 2000; 32: 284-290
  • 4 Arent SM, McKenna J, Golem DL. Effects of a neuromuscular dentistry-designed mouthguard on muscular endurance and anaerobic power. Comp Exerc Physiol 2010; 7: 284-290
  • 5 Bailey SP, Willauer TJ, Balilionis G, Wilson LE, Salley JT, Bailey EK, Strickland TL. Effects of an over-the-counter vented mouthguard on cardiorespiratory responses to exercise and physical agility. J Strength Cond Res 2015; 29: 678-684
  • 6 Bourdin M, Brunet-Patru I, Hager PE, Allard Y, Hager JP, Lacour JR, Moyen B. Influence of maxillary mouthguards on physiological parameters. Med Sci Sports Exerc 2006; 38: 1500-1504
  • 7 Buscà B, Moreno-Doutres D, Peňa J, Morales J, Solana-Tramunt M, Aguilera-Castells J. Effects of jaw clenching wearing customized mouthguards on agility, power and vertical jump in male high-standard basketball players. JESF 2018; 16: 5-17
  • 8 Chapman PJ. Orofacial injuries and international rugby player’s attitudes to mouthguards. Br J sports Med 1990; 24: 156-158
  • 9 Collares K, Correa MB. Mohnsam da Silva IC, Hallal PC, Demarco FF. Effect of wearing mouthguards on the physical performance of soccer and futsal players: A randomized cross-over study. Dent Traumatol 2014; 30: 55-59
  • 10 Duarte-Pereira DM, Del Rey-Santamaria M, Javierre-Garcés C, Barbany-Cairó J, Paredes-Garcia J, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Wearability and physiological effects of custom-fitted vs. self-adapted mouthguards. Dent Traumatol 2008; 24: 439-442
  • 11 Dunn-Lewis C, Luk HY, Comstock BA, Szivak TK, Hooper DR, Kupchak BR, Watts AM, Putney JR, Volek JS, Denegar CR, Kraemer WJ. The effects of a customized over-the-counter mouth guard on neuromuscular force and power production in trained men and women. J Strength Cond Res 2012; 26: 1085-1093
  • 12 Ebben WP, Kaufmann CE, Fauth ML, Petushek EJ. Kinetic analysis of concurrent activation potentiation during back squats and jump squats. J Strength Cond Res 2010; 24: 1515-1519
  • 13 Evans BW, Potteiger JA. Metabolic and ventilatory responses to submaximal and maximal exercise using different breathing assemblies. J Sports Med Phys Fitness 1995; 35: 93-98
  • 14 Fédération Dentaire Internationale (FDI). Commission on dental products. working party No 7: 1990
  • 15 Francis KT, Brasher J. Physiological effects of wearing mouthguards. Br J Sports Med 1991; 25: 227-231
  • 16 Garner DP, McDivitt E. Effects of mouthpiece use on airway openings and lactate levels in healthy college males. Compend Contin Educ Dent 2009; 30: 9-13
  • 17 Garner DP, Dudgeon WD, Scheett TP, McDivitt EJ. The effects of mouthpiece use on gas exchange parameters during steady-state exercise in college-aged men and women. J Am Dent Assoc 2011; 142: 1041-1047
  • 18 Garner DP. Effects of various mouthpieces on respiratory physiology during steady-state exercise in college-aged subjects. Gen Dent 2015; 63: 30-34
  • 19 Gebauer DP, Williamson RA, Wallman KE, Dawson BT. The effect of mouthguard design on respiratory function in athletes. Clin J Sport Med 2011; 21: 95-100
  • 20 Golem DL, Arent SM. Effects of over-the-counter jaw-repositioning mouth guards on dynamic balance, flexibility, agility, strength, and power in college-aged male athletes. J Strength Cond Res 2015; 29: 500-512
  • 21 Golem DL, Davitt PM, Arent SM. The effects of over-the-counter jaw-repositioning mouthguards on aerobic performance. J Sports Phys Fitness 2017; 57: 865-871
  • 22 Harriss DJ, Macsween A, Atkinson G. Standards for ethics in sport and exercise science research: 2018 update. Int J Sports Med 2017; 38: 1126-1131
  • 23 Ilia E, Metcalfe K, Heffernan M. Prevalence of dental trauma and use of mouthguards in rugby union players. Aust Dent J 2014; 59: 473-481
  • 24 Kay EJ, Kakarla P, Macleod DA, McGlashan TP. Oro-facial and dental injuries in club rugby players. Br J Sports Med 1990; 24: 271-273
  • 25 Keçeci AD, Cetin C, Eroglu E, Baydar ML. Do custom-made mouth guards have negative effects on aerobic performance capacity of athletes?. Dent Traumatol 2005; 21: 276-280
  • 26 Knapik JJ, Marshall SW, Lee RB, Darakjy SS, Jones SB, Mitchener TA, delaCruz GG, Jones BH. Mouthguards in sport activities: History, physical properties and injury prevention effectiveness. Sports Med 2007; 37: 117-144
  • 27 Mihalik JP, McCaffrey MA, Rivera EM, Pardini JE, Guskiewicz KM, Collins MW, Lovell MR. Effectiveness of mouthguards in reducing neurocognitive deficits following sports-related cerebral concussions. Dent Traumatol 2007; 23: 14-20
  • 28 Muller-Bolla M, Lupi-Pegurier L, Pedeutour P, Bolla M. Orofacial trauma and rugby in France: epidemiological survey. Dent Traumatol 2003; 19: 183-192
  • 29 Newsome PR, Tran DC, Cooke MS. The role of the mouthguard in the prevention of sports-related dental injuries: a review. Int J Paediatr Dent 2001; 11: 396-404
  • 30 Piero M, Simone U, Jonathan M, Maria S, Giulio G, Francesco T, Gabriella C, Laura A, Eva B, Gianni N, Francesco C, Giovanni G. Influence of a custom-made maxillary mouthguard on gas exchange parameters during incremental exercise in amateur road cyclists. J Strength Cond Res 2015; 29: 672-677
  • 31 Schildknecht S, Krastl G, Kühl S, Filippi A. Dental injury and its prevention in Swiss rugby. Dent Traumatol 2012; 28: 465-469
  • 32 Schulze A, Kwast S, Busse M. Vented mouthguard effects on cardiopulmonary parameters in basketball: A pilot study. EC Dent Sci 2017; 15: 182-190
  • 33 Schulze A, Laessing J, Kwast S, Busse M. Influence of a vented mouthguard on physiological responses in handball. J Strength Cond Res 2018; 23: [Epub ahead of print]
  • 34 Tegtbur U, Busse MW, Braumann KM. Estimation of an individual equilibrium between lactate production and catabolism during exercise. Med Sci Sports Exerc 1993; 25: 620-627
  • 35 Von Arx T, Flury R, Tschan J, Buergin W, Geiser T. Exercise capacity in athletes with mouthguards. Int J sports Med 2008; 29: 435-438