The Improving Injury Prevention in Sports in the Jaw and Maxillary Area: A Comprehensive Overview of Mouthguards and Their Effectiveness
DOI:
https://doi.org/10.12775/QS.2025.42.60511Keywords
mouthguard, maxillofacial injuries, dental trauma prevention, 3D printed mouthguards, sport injuriesAbstract
Mouthguards, also referred to as mouth protectors or intraoral protective devices, are designed to safeguard teeth and surrounding soft tissues from injury during sports activities. Typically made from materials such as EVA, acrylics, silicone, and polyurethane, mouthguards play a vital role in preventing dental trauma, including tooth fractures, luxation, soft tissue damage, and jaw injuries. Custom-made variants, particularly those created through digital workflows and 3D printing, offer improved comfort, occlusal fit, and protective efficiency, with ongoing advancements promising further enhancements through biocompatible, rubber-like materials. Proper occlusal adjustment, such as flat grinding, enhances contact and comfort, contributing to better user compliance. Research suggests custom mouthguards not only offer superior protection compared to over-the-counter options but may also positively influence athletic performance, including balance and muscle activation through mechanisms like concurrent activation potentiation. Despite their benefits, cost and accessibility remain barriers to widespread use. Thus, custom-made mouthguards are strongly recommended for athletes engaged in high-impact sports to ensure optimal protection and performance support.
References
1. Yohan A, Aurélie B, Laurent T, Baptiste S, Sylvain P, Jean-Pierre A, et al. Comparison of shock absorption capacities of three types of mouthguards: A comparative in vitro study. Dent Traumatol. 2024 Dec 1; https://doi.org/10.1111/edt.12968
2. Wang K, Liu Y, Zhao Z, Zhou S, Zhang M. Mouthguard types, properties and influence on performance in sport activities: a narrative review. Vol. 12, Frontiers in Medicine. Frontiers Media SA; 2025. https://doi.org/10.3389/fmed.2025.1527621
3. Das P, Mishra L, Jena D, Govind S, Panda S, Lapinska B. Oral Health-Related Quality of Life in Children and Adolescents with a Traumatic Injury of Permanent Teeth and the Impact on Their Families: A Systematic Review. Vol. 19, International Journal of Environmental Research and Public Health. MDPI; 2022. https://doi.org/10.3390/ijerph19053087
4. Hegde V, Kiran DN, Anupama A. Mouthguard in Sports : A Review. 2012;3(1):50–2.
5. Oliveira Werlich M, Honnef LR, Silva Bett JV, Domingos FL, Pauletto P, Dulcineia Mendes de Souza B, et al. Prevalence of dentofacial injuries in contact sports players: A systematic review and meta-analysis. Dent Traumatol Off Publ Int Assoc Dent Traumatol. 2020 Oct;36(5):477–88. https://doi.org/10.1111/edt.12556
6. Knapik JJ, Marshall SW, Lee RB, Darakjy SS, Jones SB, Mitchener TA, et al. Mouthguards in Sport Activities History, Physical Properties and Injury Prevention Effectiveness. Vol. 37, Sports Med. 2007. https://doi.org/10.2165/00007256-200737020-00003
7. Patrick DG, van Noort R, Found MS. The influence of heat treatment on the impact performance of sports mouthguard materials. Compos Part A Appl Sci Manuf. 2006 Sep;37(9):1423–7. https://doi.org/10.1016/j.compositesa.2005.06.015
8. Bochnig MS, Oh M-J, Nagel T, Ziegler F, Jost-Brinkmann P-G. Comparison of the shock absorption capacities of different mouthguards. Dent Traumatol Off Publ Int Assoc Dent Traumatol. 2017 Jun;33(3):205–13. https://doi.org/10.1111/edt.12324
9. Guérard S, Barou J-L, Petit J, Poisson P. Characterization of mouthguards: Impact performance. Dent Traumatol Off Publ Int Assoc Dent Traumatol. 2017 Aug;33(4):281–7. https://doi.org/10.1111/edt.12329
10. Chaconas SJ, Caputo AA, Bakke NK. A comparison of athletic mouthguard materials. Am J Sports Med. 1985;13. https://doi.org/10.1177/036354658501300309
11. Unkovskiy A, Huettig F, Kraemer-Fernandez P, Spintzyk S. Multi-material 3D printing of a customized sports mouth guard: Proof-of-concept clinical case. Int J Environ Res Public Health. 2021 Dec 1;18(23). https://doi.org/10.3390/ijerph182312762
12. Gawlak D, Mierzwińska-Nastalska E, Mańka-Malara K, Kamiński T. Comparison of usability properties of custom-made and standard self-adapted mouthguards. Dent Traumatol Off Publ Int Assoc Dent Traumatol. 2014 Aug;30(4):306–11. https://doi.org/10.1111/edt.12085
13. Liang K, Carmone S, Brambilla D, Leroux J-C. 3D printing of a wearable personalized oral delivery device: A first-in-human study. 2018. https://doi.org/10.1126/sciadv.aat2544
14. Phyu Sin Tun HCKHSK. Fabrication of Shock Absorbing Photopolymer Composite Material for 3D Printing Sports Mouthguard. J Photopolym Sci Technol. 2020;33. http://dx.doi.org/10.2494/photopolymer.33.615
15. Schewe P, Roehler A, Spintzyk S, Huettig F. Shock Absorption Behavior of Elastic Polymers for Sports Mouthguards: An In Vitro Comparison of Thermoplastic Forming and Additive Manufacturing. Mater (Basel, Switzerland). 2022 Apr;15(8). https://doi.org/10.3390/ma15082928
16. Parker K, Marlow B, Patel N, Gill DS. A review of mouthguards: effectiveness, types, characteristics and indications for use. Br Dent J. 2017 Apr;222(8):629–33. https://doi.org/10.1038/sj.bdj.2017.365
17. Sliwkanich L, Ouanounou A. Mouthguards in dentistry: Current recommendations for dentists. Dent Traumatol Off Publ Int Assoc Dent Traumatol. 2021 Oct;37(5):661–71. https://doi.org/10.1111/edt.12686
18. Tsuchiya S, Tsuchiya M, Momma H, Sekiguchi T, Kuroki K, Kanazawa K, et al. Factors associated with sports-related dental injuries among young athletes: a cross-sectional study in Miyagi prefecture. BMC Oral Health. 2017 Dec;17(1):168. https://doi.org/10.1186/s12903-017-0466-2
19. Geary JL, Clifford TJ, Kinirons MJ. Occlusal accommodation and mouthguards for prevention of orofacial trauma. Oral Health Prev Dent. 2009;7(1):55–9.
20. Dhillon BS, Sood N, Sood N, Sah N, Arora D, Mahendra A. Guarding the precious smile: incidence and prevention of injury in sports: a review. J Int oral Heal JIOH [Internet]. 2014;6(4):104–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25214744%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4148563
21. Miró A, Buscà B, Aguilera-Castells J, Arboix-Alió J. Acute Effects of Wearing Bite-Aligning Mouthguards on Muscular Strength, Power, Agility and Quickness in a Trained Population: A Systematic Review. Int J Environ Res Public Health. 2021 Jun;18(13). https://doi.org/10.3390/ijerph18136933
22. Nam HJ, Lee J-H, Hong D-S, Jung HC. The Effect of Wearing a Customized Mouthguard on Body Alignment and Balance Performance in Professional Basketball Players. Int J Environ Res Public Health. 2020 Sep;17(17). https://doi.org/10.3390/ijerph17176431
23. Ebben WP, Flanagan EP, Jensen RL. Jaw clenching results in concurrent activation potentiation during the countermovement jump. J strength Cond Res. 2008 Nov;22(6):1850–4. https://doi.org/10.1519/jsc.0b013e3181875117
24. Buscà B, Morales J, Solana-Tramunt M, Miró A, García M. Effects of Jaw Clenching While Wearing a Customized Bite-Aligning Mouthpiece on Strength in Healthy Young Men. J strength Cond Res. 2016 Apr;30(4):1102–10. https://doi.org/10.1519/jsc.0000000000001192
25. 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 Feb;29(2):500–12. https://doi.org/10.1519/jsc.0000000000000641
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Amelia Rusiecka, Aleksandra Górniak, Michał Widawski, Aleksander Sobczyk, Aleksandra Kubas, Natalia Gizińska, Paulina Lewandowska

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 119
Number of citations: 0