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Mouth Guards for the Prevention of Injuries in Contact Sports

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Summary

There has been a significant increase in the number of individuals participating in contact sports. As a result, every effort must be made to provide the athletes with protection against mouth injuries. In this review the use, construction and benefits of mouthguards in all sports has been described. There is unanimous opinion attesting to the benefits of such protective drrices and in those sports where the athlete is required to wear a mouth-guard, a dramatic decrease in the number and severity of injuries has been reported. Custom-fitted mouth guards should be used in many sports that do not already have a compulsory rule requiring their use. Physicians, dentists, trainers and coaches need to be educated on the data supporting the benefits described.

Studies on performance enhancement as a result of mandibular orthopaedic repositioning appliances have also been reviewed. Long term studies are required to assess the claims of ergogenic enhancement utilising proper study design. Current evidence exists relating to the effects of psychological phenomena on athletic performance, and it is believed the placebo effect contributes to the findings of performance improvement.

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References

  • Ash M. Mouth protectors and opening the bite. Symposium — the relationship of intra oral protective devices to athletic injuries and athletic performance, University of Michigan, p. 31–41, 1982

    Google Scholar 

  • Barankovich GS. Mouth protectors for an endentulous patient. Journal of Prosthetic Dentistry 34: 588–590, 1975

    Article  PubMed  CAS  Google Scholar 

  • Burkett LN, Bernstein AK. Strength testing after jaw repositioning with a mandibular orthopedic appliance. Physician and Sportsmedicine 10 (2): 101–107, 1982

    Google Scholar 

  • Burfoot A. A miracle device that can improve your running. Runners World 16(9): 50–54, 1981

    Google Scholar 

  • Castaldi CR. Mouth guards in contact sports. Journal of Connecticut State Dental Association 48: 223–241, 1974

    Google Scholar 

  • Cathcart JF. Mouth protectors for contact sports. Dental Digest 57: 348–350, 1952

    Google Scholar 

  • Chapman PJ. Orofacial injuries and mouthguards: a study of the 1984 Wallabies. British Journal of Sports Medicine 19(2): 93–95, 1985

    Article  PubMed  CAS  Google Scholar 

  • Committee on Dental Health, U.S. Olympic Committee. Mouth guard policies of the USOC, Colorado Springs, Sep, 1984

    Google Scholar 

  • Craig PG, O’Brien WJ, Powers JM. Dental materials: properties and manipulation, 2nd ed., p. 266, C.V. Mosbey Co., St Louis, 1979

    Google Scholar 

  • Davies RM, Bradley D, Hale RW, Laird WRE, Thomas PO. The prevalence of dental injuries in rugby players, and their attitude to mouth guards. British Journal of Sports Medicine 11: 72–74, 1977

    Article  PubMed  CAS  Google Scholar 

  • Davis FO, Defreece AB, Schoff PF. Custom made guards for tooth protection during endoscopy and orotracheal intubation. Anaesthesia and Analgesia 50: 203, 1971

    Article  CAS  Google Scholar 

  • Dennis CG, Parker DAS. Mouth guards in Australian sport. Australian Dental Journal 17: 228–235, 1972

    Article  PubMed  CAS  Google Scholar 

  • Dukes HH. Latex football mouth guards. Journal of the American Dental Association 49: 445–448, 1954

    PubMed  CAS  Google Scholar 

  • Editorial. Fitted mouth guards afford key protection. Journal of the American Dental Association 64: 531, 1972

  • Eversaul GA. Applied kinesethesiology and the treatment of tempero-mandibular joint dysfunction. In Gelb (Ed.) Chemical management of head, neck, and temperomandibular joint pain and dysfunction, W.B. Saunders, Philadelphia, 1977

    Google Scholar 

  • Gelb H. A two year clinical evaluation of 200 cases of chronic headache, the craneo-cervical-mandibular syndrome. Journal of the American Dental Association 91: 1230–1231, 1975

    PubMed  CAS  Google Scholar 

  • Gelb H. Clinical management of head, neck and temperoman-dibular joint pain and dysfunction, W.B. Saunders, Philadelphia, 1977

    Google Scholar 

  • Godwin WC. A simplified mouth protector technique Part II. Michigan Dental Association Journal 44: 227–234, 1962

    Google Scholar 

  • Going RE, Loehman RE, Chan MS. Mouth guard materials — their physical and mechanical properties. Journal of the American Dental Association 89: 132–138, 1974

    PubMed  CAS  Google Scholar 

  • Greenberg MS, Cohen SG, Springer P, Kotwick JE, Vegso JJ. Mandibular position and upper body strength, a controlled clinical trial. Journal of the American Dental Association 103: 576–579, 1981

    PubMed  CAS  Google Scholar 

  • Hayward JR, Jarman R. Temporary intraoperative covers for orthodontic appliances. Journal of Oral Surgery 38: 304, 1980

    PubMed  CAS  Google Scholar 

  • Heintz WD. The case for mandatory mouth protectors. Physician and Sportsmedicine 3: 61–63, 1975

    Google Scholar 

  • Heintz WD. Symposium. The relationship of intra oral protective devices to athletic injuries and athletic performance, p. 10, Jun 25, 26, 1982

    Google Scholar 

  • Hickey JC. The relation of mouth protectors to cranial pressure and deformation. Journal of the American Dental Association 74(3): 735–740, 1967

    PubMed  CAS  Google Scholar 

  • Jakush J. Emphasis — dental therapy and athletic performance. Journal of the American Dental Association 104: 293–298, 1982

    Google Scholar 

  • Joint Committee on Mouth Protectors of the American Association for Health, Physical Education, and Recreation and the American Dental Association Report, Chicago, 1960

    Google Scholar 

  • Joint Committee on Mouth Protectors of the American Association for Health, Physical Education and Recreation and the American Dental Association Report, Chicago, 1962

    Google Scholar 

  • Kaufman R. Case report of TMJ repositioning to improve scoliosis and the performance of athletes. N.Y. State Dental Journal 48: 206–209, 1980

    Google Scholar 

  • Kerr L. Dental problems in athletes. Clinics in Sports Medicine, Vol. 2(1), pp. 115–122, W.B. Saunders Co., Philadelphia, 1983

    PubMed  CAS  Google Scholar 

  • Laskin DM. Putting the bite on the public (editorial). Journal of the American Association. Oral and Maxollofacial Surgery 40: 400, 1982

    Google Scholar 

  • Laskin DM, Greene GS. Splint therapy for the myofascial pain dysfunction (MPD) syndrome in a comparative study. Journal of the American Dental Association 84: 624–628, 1972

    PubMed  Google Scholar 

  • National Electronic Surveillance Systems Estimates Reports, Center for Disease Control, Atlanta. U.S. Consumer Product Safety Commission/ Directorate for Epidemiology, National Injury Clearing House Estimates Reports. May, 1984

    Google Scholar 

  • McArdle WD, Goldstein LB, Last FC, Spena R, Lechtman S, et al. Temperomandibular joint repositioning and exercise performance: a double blind study. Medicine and Science in Sports and Exercise 16 (3): 228–233, 1984

    PubMed  CAS  Google Scholar 

  • Mouth protectors and sports team dentists. Association Reports. Journal of the American Dental Association Vol. 109, pp. 84–86, July 1 1984

    Google Scholar 

  • Nicholas NK. Mouth protectors in contact sports. New Zealand Dental Journal 64: 14–24, 1969

    Google Scholar 

  • Parker MW, Pelleu Jr GB, Blank LW, Breton RW. Muscle strength related to the use of interocclusal splints. Journal of General Dentistry Mar–Apr: 105–109, 1984

    Google Scholar 

  • Powers JM. Symposium, The relationship of intra oral protective devices to athletic injuries and athletes performance, p. 26, University of Michigan, Jun 25–26, 1982

    Google Scholar 

  • Powers JM. Symposium, The relationship of intra oral protective devices to athletic injuries and athletic performance, pp. 21–27, University of Michigan, Jun 25–26, 1982

    Google Scholar 

  • Puchella RG. Symposium, The relationship of intra oral protective devices to athletic injuries and athletic performance, University of Michigan, Jun 25, 26, 1982

    Google Scholar 

  • Rontal E, Rontal M, Wilson K, Cram B. Facial injuries on hockey players. Laryngoscope 87 (6): 884–895, 1977

    PubMed  CAS  Google Scholar 

  • Schwartz R, Novich MM. The athlete’s mouthpiece. American Journal of Sports Medicine 8 (5): 357–359, 1980

    Article  PubMed  CAS  Google Scholar 

  • Seals RR, Dorrough BC. Custom mouth protectors: a review of their applications. Journal of Prosthetic Dentistry 51 (21): 238–241, 1984

    Article  PubMed  Google Scholar 

  • Smith SD. Muscular strength correlated to jaw posture and the temporomandibular joint. N.Y. State Dental Journal 44: 279–282, 1978

    Google Scholar 

  • Stenger JM. Physiologic dentistry with Notre Dame athletes. Basal Facts 2: 8, 1977

    PubMed  CAS  Google Scholar 

  • Stenger JM, Lawson EA, Wright JM, Recketts J. Mouthguards: protection against shock to the head, neck and teeth. Journal of the American Dental Association 69: 272–281, 1964

    Google Scholar 

  • Stevens OO. Prevention of traumatic and dental injuries. In Andreason (Ed.) Traumatic injuries to the teeth, W.B. Saunders, Philadelphia, 1981

    Google Scholar 

  • Thompson BD. Protection of the head and face. Dental Clinics of North America 26 (3): 659–667, 1982

    Google Scholar 

  • Turner CH. Mouth protectors. British Dental Journal 143: Aug, 1977

    Google Scholar 

  • Upson N. Mouthguards, an evaluation of 2 types for rugby players. British Journal of Sports Medicine 19(2): 89–92, 1985

    Article  PubMed  CAS  Google Scholar 

  • Verban EM, Groppel JL, Pfautsch MS, Ramsmeyer GC. The effects of a mandibular orthopedic rspositioning appliance on shoulder strength. Journal of Craniomandibula Practice 2 (3): 232–237, 1984

    Google Scholar 

  • Verscoth A. Weak? Sink your teeth into this. Sports Illustrated, Jun 2: 36–42, 1980

    Google Scholar 

  • Weiner BS. Symposium, The relationship of intra oral protective devices to athletic injuries and athletic performance, pp. 75–97, University of Michigan, Jun 25–26, 1982

    Google Scholar 

  • Williams MO, Chaconas SJ, Bader P. The effect of mandibular position of appendage muscle strength. Journal of Prosthetic Dentistry 49 (4): 560–567, 1983

    Article  PubMed  CAS  Google Scholar 

  • Van Handel PJ, Hagerman GH, Elkins WC, Swanson A, Pulley ML, et al. Acute effect of a mandibular repositioning splint upon isokinetic peak torque. Report to American College of Medicine Annual Meeting, Colorado Springs, 1982

    Google Scholar 

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  1. Committee on Dental Health, U.S. Olympic Committee, and American Dental Association, 1337 Hillside Drive, Vestal, NY, 13585, USA

    I. Lawrence Kerr

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  1. I. Lawrence Kerr
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Kerr, I.L. Mouth Guards for the Prevention of Injuries in Contact Sports. Sports Medicine 3, 415–427 (1986). https://doi.org/10.2165/00007256-198603060-00003

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  • DOI: https://doi.org/10.2165/00007256-198603060-00003

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