How Orthodontic Mouthguards Protect Teeth and Braces During Sport

Playing sports is a great way to stay active and have fun, but it can also put your teeth and braces at risk. When you’re in the middle of orthodontic treatment, things like brackets and wires can make injuries more likely. That’s where mouthguards come in. They’re designed to protect your mouth, and specifically your braces, from impacts. This article looks at why mouthguards are so important, the different kinds available, and how to pick the best one for you, especially if you’re wearing braces.

Key Takeaways

  • Mouthguards (appliance) are vital for protecting teeth and soft tissues during sports, reducing injury risk significantly.
  • Wearing braces increases the chance of mouth injuries during sports, making mouthguards (appliance) even more important.
  • Different types of mouthguards (appliance) exist, including stock, boil-and-bite, and custom-made, with custom options generally offering the best protection and fit.
  • Specialised orthodontic mouthguards (appliance) are available to accommodate braces, cushioning lips and protecting brackets from impact.
  • Proper fit, comfort, and regular cleaning of your mouthguard (appliance) are key to its effectiveness and your continued use during athletic activities.

Understanding Mouthguards (appliance) For Athletes

When you’re involved in sports, especially those with a risk of contact, protecting your mouth is really important. That’s where mouthguards come in. They’re designed to act as a cushion, absorbing some of the force from impacts that might otherwise damage your teeth, lips, or jaw. Think of it as a shield for your smile.

The Importance of Mouthguards in Sports

Playing sports is great for health and teamwork, but it also comes with risks. Injuries to the mouth and face can happen, even in sports that don’t seem like they involve a lot of contact. A properly fitted mouthguard is a simple yet effective piece of equipment that can make a big difference in preventing these kinds of injuries. It’s not just about avoiding pain; it’s about keeping your smile intact for years to come.

Risks Associated with Not Wearing Mouthguards

If you skip wearing a mouthguard, you’re leaving your teeth and soft tissues vulnerable. This can lead to a range of problems, from chipped or broken teeth to more serious injuries like jaw fractures or cuts to your lips and tongue. Some studies suggest that mouthguards can even help reduce the severity of concussions, though this is still an area of research. The consequences of not wearing one can be painful, costly, and long-lasting.

Benefits of Using Mouthguards During Athletic Activities

The advantages of using a mouthguard are pretty clear. They provide a barrier against direct blows to the mouth, reducing the chance of tooth damage. They can also help prevent injuries to the soft tissues of your mouth, like your lips and cheeks. For athletes, a good mouthguard means they can focus more on their game and less on worrying about potential dental injuries. Wearing a mouthguard is a proactive step towards safer sports participation.

Types of Mouthguards (appliance) Available

When it comes to protecting your teeth and braces during sports, not all mouthguards are created equal. There are a few main types you’ll come across, each with its own set of pros and cons. Understanding these differences can help you pick the best option for your needs.

Over-the-Counter Stock Mouthguards

These are the most basic type of mouthguard. You can find them in most sports shops, and they come in a few standard sizes. They’re usually the cheapest option available. However, they aren’t designed to fit your mouth specifically. This means they can be quite bulky and might make it difficult to talk or breathe properly while wearing them. Because they don’t offer a snug fit, they also don’t provide the best protection. For anyone with braces, a stock mouthguard is generally not recommended as it’s unlikely to fit comfortably or protect the brackets.

Mouth-Formed (Boil-and-Bite) Mouthguards

These are a step up from stock mouthguards and are a popular choice for many athletes. You buy them off the shelf, but they can be moulded to your teeth. The process involves softening the mouthguard in hot water and then biting into it to create an impression of your teeth and gums. This gives you a much better fit than a stock mouthguard. They offer a decent level of protection and are more comfortable to wear, making it easier to speak and breathe. While they’re not as custom as a dentist-made option, they strike a good balance between cost and protection. Many orthodontists suggest these as a good starting point for patients with braces, as they can sometimes be adjusted to accommodate the appliance.

Custom-Made Dentist-Fabricated Mouthguards

These are the top-of-the-line when it comes to mouthguards. They are made specifically for your mouth by a dental professional. Your dentist or orthodontist will take an impression of your teeth, and then a dental laboratory will create a mouthguard that fits perfectly. This custom fit means they offer the highest level of protection and are usually the most comfortable to wear. They are designed to fit snugly around your teeth and braces, minimising the risk of injury to both. While they are the most expensive option, their superior fit and protection make them a worthwhile investment for serious athletes, especially those undergoing orthodontic treatment.

Mouthguards (appliance) and Orthodontic Treatment

When you’re undergoing orthodontic treatment, such as wearing braces, playing sports can present a few extra considerations. The presence of brackets and wires means there’s a higher chance of injury to your mouth’s soft tissues, like your gums and cheeks. It’s not just about protecting your teeth; it’s also about preventing painful cuts and abrasions that can happen when your braces come into contact with your mouth during a game or practice.

Increased Risk of Injury with Braces

Athletes with braces often face a greater risk of dental and oral injuries. The hard surfaces of brackets and the sharp edges of wires can cause significant damage to the inside of the mouth if a direct impact occurs. This is particularly true in contact sports where collisions are common. The risk of soft-tissue injury is notably higher for individuals with fixed orthodontic appliances. This makes wearing a suitable mouthguard not just advisable, but really quite important.

Challenges of Mouthguard Fit with Braces

Finding a mouthguard that fits well can be tricky when you have braces. Standard mouthguards might not accommodate the extra bulk of the orthodontic hardware, leading to a poor fit. This can mean the mouthguard doesn’t offer adequate protection, or it might feel uncomfortable and be difficult to keep in place. Some orthodontists have even reported issues where mouthguards can get stuck on braces, requiring them to be cut off. It’s a bit of a balancing act to find something that protects your teeth without interfering with the orthodontic process itself.

Specialised Mouthguards for Orthodontic Patients

Fortunately, there are specialised mouthguards designed specifically for people with braces. These orthodontic mouthguards are often made from materials that can adapt to the changing position of your teeth as your treatment progresses. Some can even be refitted multiple times, adjusting to your bite as your teeth move. Brands like Shock Doctor offer options designed to accommodate orthodontic appliances, providing a more secure and comfortable fit. While any mouthguard is better than none, an orthodontic-specific one can offer superior protection and comfort for athletes undergoing treatment.

Choosing the Right Mouthguard (appliance) for You

Factors to Consider When Selecting a Mouthguard

When you’re looking for a mouthguard, especially with braces, a few things really matter. It’s not just about grabbing the first one you see. You need to think about what kind of sports you play, how often you play, and how much protection you feel you need. Some sports are rougher than others, so that’s a big clue. Also, consider if you have any specific concerns, like a prominent overjet, which might mean you need a bit more coverage.

The Role of Fit and Comfort in Mouthguard Selection

Honestly, the best mouthguard is the one you’ll actually wear. If it’s uncomfortable or makes it hard to breathe or talk, you’re just not going to use it. That’s a problem, right? For people with braces, finding a good fit can be tricky. You want something that stays put without feeling too bulky. Some orthodontists suggest that a mouthguard can even offer some protection to the braces themselves, which is a nice bonus. But if it’s a pain to wear, that benefit is lost.

Here are some common types and what to think about:

  • Stock Mouthguards: These are the cheapest and easiest to find, often in sports shops. However, they don’t fit very well and can be quite uncomfortable. They offer the least protection.
  • Boil-and-Bite Mouthguards: These are a step up. You heat them in water and then bite into them to shape them to your teeth. They’re more affordable than custom ones and offer better protection than stock guards. Many orthodontists recommend these as a good middle ground.
  • Custom-Made Mouthguards: These are made by a dental professional based on a mould of your mouth. They offer the best fit and protection, fitting snugly around your teeth and braces. While they are the most expensive option, they are often the most comfortable and protective.

When to Seek Professional Advice for Mouthguards

If you’re unsure about which mouthguard is best for your situation, it’s always a good idea to ask. Your orthodontist or dentist can give you personalised advice. They know your mouth, your braces, and the types of sports you’re involved in. They can help you weigh up the pros and cons of different mouthguards, considering both protection and comfort. Don’t hesitate to discuss your options with them; they’re there to help you make the right choice.

Maintaining Your Mouthguard (appliance) and Braces

Taking care of your mouthguard and braces is key to staying protected while playing sports. A well-maintained mouthguard works best, and keeping your braces in good shape means they can do their job properly.

Protecting Your Braces from Impact

When you have braces, they can sometimes make injuries worse. Brackets can break, and wires can bend, potentially causing cuts inside your mouth. Wearing the right mouthguard is the best way to prevent this. It acts as a cushion, shielding your teeth and the braces themselves from direct hits. Even a simple mouthguard offers some protection, but an orthodontic-specific one is even better. These are designed to fit over your braces, offering extra padding and preventing your lips from getting caught on the hardware.

Ensuring Proper Hygiene for Your Mouthguard

Just like any piece of sports equipment, your mouthguard needs regular cleaning. If you don’t clean it, bacteria can build up, which isn’t good for your oral health and can make the mouthguard less effective. Here’s how to keep it clean:

  • Rinse it: Always rinse your mouthguard with cool water before and after you use it. This gets rid of any loose debris.
  • Clean it regularly: At least once or twice a week, give it a good scrub. Use a soft toothbrush and mild soap, or soak it in a special mouthguard cleaner. Avoid hot water, as this can warp the shape.
  • Store it properly: Keep your mouthguard in a case that has holes. This allows air to circulate, which helps it dry out and stops bacteria from growing.
  • Check for damage: Look at your mouthguard often. If you see any tears or if it doesn’t fit right anymore, it’s time to get a new one. A damaged mouthguard won’t protect you as well.

What to Do After a Sports Injury

Accidents can happen, even with the best protection. If you do get injured while playing sports and you have braces, it’s important to know what steps to take. First, check for any obvious damage to your teeth or mouth. If you suspect any injury, even a small cut inside your mouth, it’s best to see a dentist as soon as possible. They can check for hidden damage, like root fractures or jaw issues. After you’ve seen your dentist, get in touch with your orthodontist. They will need to examine your braces to see if any brackets have come loose or if any wires need adjusting or repairing. Prompt professional assessment is key to ensuring both your oral health and the progress of your orthodontic treatment are maintained.

The Role of Education and Accessibility

Making sure athletes know why mouthguards are important and can actually get them is a big part of protecting teeth and braces. It’s not enough for mouthguards to just exist; people need to understand their value and have easy access to them.

Educating Athletes on Mouthguard Use

Many athletes, especially those with braces, might not fully grasp the risks they face without proper protection. While some orthodontists discuss mouthguard use with their patients, this isn’t always a standard part of the conversation. A proactive approach to education, involving orthodontists, dentists, coaches, and parents, is key to raising awareness. This education should cover not just the ‘what’ but the ‘why’ – explaining how mouthguards prevent injuries and protect orthodontic appliances.

  • Understanding the Risks: Athletes need to know that impacts can damage not only teeth but also braces, leading to more complex and costly repairs.
  • Benefits for Braces: Specialised mouthguards can be fitted over braces, offering protection that standard ones might not.
  • Coach’s Role: Coaches play a significant part. When coaches understand and promote mouthguard use, athletes are more likely to wear them.

Improving Mouthguard Accessibility and Affordability

Even with good education, if mouthguards are hard to find or too expensive, athletes won’t use them. The ideal mouthguard is comfortable, doesn’t hinder breathing or speech, and is reasonably priced. While custom-made options offer the best fit, they can be costly. Readily available, affordable options are vital for widespread adoption. Research into new mouthguard designs aims to meet these needs, balancing protection with user-friendliness.

The Impact of Mandated Mouthguard Use

Sometimes, the best way to get people to adopt a protective measure is to make it a requirement. When sports organisations mandate mouthguard use, it sends a clear message about its importance. This can shift attitudes and behaviours, making mouthguard wear the norm rather than an option. Such mandates can encourage coaches and parents to be more supportive, and may even spur the development and distribution of more accessible mouthguard options for all athletes.

Staying Safe on the Field

So, when it comes down to it, playing sports with braces doesn’t have to be a worry. Getting the right mouthguard is a really smart move to keep your teeth and your braces safe from any bumps or knocks. Whether you go for a custom fit or a good quality over-the-counter option, wearing one is way better than not wearing anything at all. It’s all about making sure you can keep enjoying your favourite sports without putting your smile at risk. If you do have an accident, remember to see your dentist and then get in touch with your orthodontist to check on your braces.

Frequently Asked Questions

Why is wearing a mouthguard so important when playing sports, especially with braces?

Wearing a mouthguard is crucial for anyone playing sports to protect their teeth and mouth from injuries. When someone has braces, the risk of harm increases because the metal parts can cut the inside of the mouth, and the braces themselves can be damaged. A mouthguard acts as a cushion, significantly lowering the chances of painful injuries like chipped teeth, cuts to the lips and cheeks, or even teeth being knocked out. It’s like a shield for your smile while you’re active.

What are the main types of mouthguards available, and how do they differ?

There are generally three kinds of mouthguards. First, there are ‘stock’ mouthguards, which are ready to wear straight from the packet but often don’t fit very well. Then, there are ‘mouth-formed’ or ‘boil-and-bite’ mouthguards; you soften these in hot water and then bite into them to shape them to your teeth. Finally, ‘custom-made’ mouthguards are created by a dentist to fit your mouth perfectly. These custom ones usually offer the best protection and comfort, especially for those with braces.

Are there special mouthguards designed for people with braces?

Yes, there are indeed special mouthguards made for individuals undergoing orthodontic treatment. These are often called ‘orthodontic mouthguards’. They are typically made from a softer, cushiony material like silicone that helps protect the lips from rubbing against the brackets and wires. Some advanced orthodontic mouthguards are even designed to adjust as your teeth move, ensuring a good fit throughout your treatment.

How can I ensure my mouthguard fits properly and is comfortable, especially with braces?

A well-fitting mouthguard should stay in place without you needing to clench your teeth, allow you to speak and breathe comfortably, and cover all your teeth. For those with braces, a custom-made or a good quality boil-and-bite orthodontic mouthguard is usually best. Trying it on and making sure it doesn’t feel too bulky or cause discomfort is key. If you’re struggling to find one that fits well, it’s a good idea to ask your orthodontist for advice or a recommendation.

What should I do if I injure my mouth or braces while playing sports?

If you experience an injury to your mouth or braces during sports, the first step is to stop playing and assess the damage. If there’s bleeding or significant pain, rinse your mouth with water. For any concerns about your teeth, such as chipping or loosening, it is essential to see your general dentist as soon as possible. They can check for any damage to the teeth or jaw. After seeing your dentist, you should contact your orthodontist’s office to have your braces checked and repaired if necessary.

How can we encourage more athletes, particularly those with braces, to wear mouthguards?

Encouraging mouthguard use involves education and making them more accessible. Schools, coaches, parents, and dental professionals all play a part in teaching athletes about the risks of not wearing one and the benefits of protection. Making sure that suitable and affordable mouthguards, especially orthodontic ones, are readily available is also important. Sometimes, making mouthguard use a requirement for playing a sport can significantly increase the number of athletes who wear them.

Dr. Adriana Perez

BDS (Ven/Esp) | MDS-Orth (Arg)
 
Dr. Adriana Perez grew up in Caracas, Venezuela. She is one of the registered specialist orthodontist working at Shakespeare Orthodontics in Auckland.

 

In 2008, Adriana graduated with a Bachelor of Dental Surgery from Santa Maria University in Caracas, Venezuela. After graduation, she worked in Venezuela in private practice, at the Orthopaedic Children’s Hospital (Dentistry/Orthodontics unit), and as a lecturer in the National Experimental University of the Armed Forces.

In the year 2011, Adriana moved to Argentina to specialise, gaining the Specialist Orthodontist degree from the University of Buenos Aires in 2013. While in Argentina, she worked as a part-time lecturer at the Orthodontics Department in the University of Buenos Aires, private practice, and at the Craniofacial Unit in the Paediatric Hospital Garrahan, looking after cleft lip new-born, children, and adolescent patients.

Adriana is a Spanish speaker. On her spare time she likes going to the beach, travelling, socialising with friends, playing video games, cooking, and going to the gym.

Orthodontist Adriana Perez

Dr. Azza Al-Ani

BDS | DClinDent | MRACDS-Orth | MOrthRCSEd

Dr Azza Al-Ani, grew up in Christchurch, is a registered specialist orthodontist working at Shakespeare Orthodontics in Auckland. You can find her at one of the clinics in the city, or at their Takapuna clinic on the North Shore. 

In 2009, Azza graduated with a Bachelor of Dental Surgery with Credit from the University of Otago.

She worked as a dental house surgeon at Auckland, Greenlane and Middlemore Hospitals; and as a dental officer at Sydney’s Westmead Hospital.

In 2012, she completed the Royal Australasian College of Dental Surgeons (RACDS) primary examinations.

Before commencing her specialist training, she held a part-time Professional Practice Fellow position at the Faculty of Dentistry, while working as a dentist in private practice.

In 2016, Azza graduated from the University of Otago with a Doctor of Clinical Dentistry in Orthodontics. She passed examinations to gain memberships into the Royal Australasian College of Dental Surgeons and the Royal College of Surgeons of Edinburgh.

She is also certified with the Australasian Orthodontic Board, and is a member of the New Zealand Association of Orthodontists, and the New Zealand Dental Association.

Azza’s area of research interest is hypodontia.
She has presented about this topic at the European Orthodontic Society Congress, and at the International Association Dental Research ANZ Scientific Meeting, and has been involved in the publication of numerous articles in peer-reviewed journals.

Outside of work, Azza loves spending time with her son and Mo (her husband), socialising with family and friends, overseas travel, and tries to keep up with Mo mountain biking.

Waiheke Island

Dr. Mo Al-Dujaili

BDS | DClinDent | MRACDS-Orth | MOrthRCSEd

Mo is a Specialist Orthodontist. He grew up in both New Zealand and Australia.

After completing a year in Health Sciences, and later physiotherapy, he qualified as a dentist in New Zealand. He spent the next four years working alongside his father in Sydney where he practised general dentistry. Mo then returned to Dunedin to specialise, gaining his specialist degree – Clinical Doctorate in Orthodontics from the University of Otago.

During the three years of specialist training, Mo had the privilege of learning from the best. The combined clinical and academic acumen of professors, doctors and staff provided an invaluable experience.

Meanwhile, Mo published and presented significant research and clinical cases at both national and international forums, including the International Association of Dental Research, the Australasian Begg Society of Orthodontics, the European Orthodontic Society and the New Zealand Dental Association conference.

A firm believer in maintaining high clinical standards, Mo successfully completed further examinations to become affiliated with the Royal College of Surgeons (Edinburgh) and the Royal Australasian College of Dental Surgeons (Sydney).

Mo is currently a part time senior lecturer at Auckland University of Technology, a Fellow of the World Federation of Orthodontists and also holds professional memberships with the New Zealand Association of Orthodontists, the New Zealand Dental Association and American Association of Orthodontists.

He has also been involved in the supervising and lecturing of students at the Auckland University of Technology.

Outside of work, Mo enjoys the precious time with his young family and the outdoors. He especially loves mountain biking, running, fishing, diving and, in winter, snowboarding.

Traveling along with his best friend and wife (Azza) around the world has also been a big part of Mo’s life. Mo is primarily based in Shakespeare Orthodontic’s city clinics and on the North Shore.

 
Mo holding a large snapper