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It is recommended that all those participating in sports involving physical contact wear a sports mouthguard (MG) to prevent or reduce the severity of dental trauma. Fixed orthodontic appliances are potentially an additional risk factor for traumatic dental injuries during sports participation. Non-custom-made MGs may be ill-fitting, poorly retentive and ineffective in minimizing injury to the teeth and associated structures compared with custom-made MGs. The presence of fixed orthodontic appliances and prospective tooth movement, however, present a challenge in the provision of custom-made MGs for the orthodontic patient.
CPD/Clinical Relevance: Most orthodontic treatment is carried out in the age group of patients where there is a reported peak in the incidence of dental injury during sports activity. Oral health professionals need to be aware of the role MGs play in minimizing injury to the teeth and associated structures.
Article
Participants in contact sports have been shown to be more prone to orofacial injury with dental injury being most common.1,2-3 In addition, participants with an increased overjet may be at greater risk of dental trauma.4,5-6 Dental injuries can have a significant social, psychological and economic impact on patients and their parents.7 A sports mouthguard (MG) is a resilient appliance placed inside the mouth to prevent or minimize injury to the teeth and associated structures during participation in sporting activity. It works by absorbing some of the energy from a direct blow at the site of impact, and dissipating the remaining energy by cushioning and redistributing the force.8,9
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