types of mouthguards
trauma to the teeth
if a tooth is knocked out (avulsed) !
are protective devices for contact sports and during training, that covers the teeth and gums to prevent and reduce injury to the teeth, jaws, lips and gums, that are made by your dentist and a laboratory, from impressions taken by your dentist.
Many children and adults receive dental injuries that may have been prevented by wearing a professionally fitted, custom made mouthguard.
Sporting injuries can include damage or loss of teeth, broken jaws, bone fractures,and cut to the lips and gums, and can be minimised or prevented by absorbing and cushioning the teeth from impact from a knock to the head or neck.
Our dentists are able to provide custom made pressure laminated professional mouthguards.
There are 3 types of mouthguards that can be used for contact sports.
1. STOCK OR READY MADE
these have a pre-formed shape in various sizes with hardly any adjustment to fit in the mouth. They offer very poor protection and can be bought from the pharmacist
2. MOUTH ADAPTED OR "BOIL AND BITE MOUTHGUARDS
These are heat activated plastic materials that have a pre-formed shape in various sizes that can be adapted to fits closer to a player'steeth and gums, by placing the mouthguard in some boiling or hot water to heat it, and then placing it in the mouth, and moulding it. This is the most popular mouthguard used by amateur and semi-professional sportsmen, providing some protection but less comfort that a custom-made guard
Custom-made mouthguards can made from an impression taken by the dentist, that is send to a laboratory.
- Vacuum Formed
- Custom-made mouth guards using a machine that makes single layer mouth guards
- Fit is not as good as a pressure laminated mouthguard but offers more protection than boil and bite
- Pressure Laminated (Professional mouthguard)
- Custom-made mouth guards using a machine produce multi-layer mouth guards
- superior fit, comfort and more protection
- can be adjusted to allow for growing teeth, and braces
- generally, a new one is required each year for a growing child
- very important for high contact sports such as boxing, rugby and hockey. Different sports may require different thicknesses, which can be custom made according to the sport.
Trauma to the teeth is a high risk for those who play sport where a custom made mouthguard is required, physically and mentally impaired patients, and those who have epilepsy.
Sometimes in epilepsy, prior to a seizure, people will see an aura, and we sometimes consider making a mouthguard for these moments to prevent or limit the extent of the damage that can occur.
Children who have bite problems, can also be at six times the risk of injury, because of issues like the top teeth sitting too far forward (an overjet) and the further out the teeth are, the more likely they are to suffer trauma. When the lips cannot close because of the bite (lip incompetence), it is known that the risk of trauma to the teeth is increased. In these cases, early orthodontic intervention can move the upper front teeth back to meet the lower teeth correctly and to allow the lip to close correctly, to provide protection from the top lip, and to make the vulnerable teeth less likely to be in harm's way.
The current guidelines state to
☞ immediately replant the tooth
☞ if it can't be immediately replanted, hold the part of the tooth that could be seen in the smile, not the root, try not to touch the root at all, and put it in some MILK as soon as possible. Call the dentist immediately.
☞ sports team, organisations and schools should have a storage medium, called SOS DENTOBOX, which has a 3 year shelf life, and which improves the chance of successful treatment
☞ if the tooth dries out, after 5 minutes the cells on the root are starting to die, and after 30 minutes there is 50% less of a chance that the tooth is going to be able to survive the trauma
In a younger patient, the chance of the nerve repairing and healing is much higher, but in an adult, there is limited ability to heal and it is likely that the tooth will need to be at least root treated, and this is best attended to by an endodontist ( root canal specialist dentist)