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Sports Mouthguards

Why a Mouthguard Is More Than Optional Protection

Sports and recreational activities come with an element of physical risk, and the mouth is one of the most vulnerable areas during contact or impact. A properly fitted mouthguard absorbs and redistributes forces that might otherwise travel through the teeth to the jawbone, gums, and soft tissues. That simple layer of protection reduces the likelihood of broken teeth, soft tissue lacerations, and injuries to the jaw joint—problems that can be painful, disruptive, and sometimes require extensive dental treatment.

Beyond immediate injuries, mouth trauma can have longer-term consequences. A single blow that seems minor at the time can lead to cracked tooth structure, root damage, or the need for root canals and crowns months later. Protecting the mouth during high-risk activities is a preventive step that preserves oral health and helps avoid restorative procedures down the road.

Wearing a mouthguard also contributes to athlete confidence and focus. Knowing that the teeth and surrounding tissues are shielded allows players to concentrate on performance rather than worrying about potential injury. For parents, coaches, and adult athletes alike, a mouthguard is a sensible safety measure that supports both short-term protection and long-term dental wellness.

Understanding the Types of Mouthguards and Their Trade-offs

Mouthguards generally fall into three categories: stock (ready-to-wear), boil-and-bite, and custom-made devices. Stock mouthguards are pre-formed and inexpensive, but they often fit poorly and can interfere with speech or breathing. Boil-and-bite guards—made from thermoplastic—are softened in hot water and then shaped to the teeth; they provide a better fit than stock options but still lack the precision of a custom appliance.

Custom mouthguards are created from impressions taken by a dental professional and fabricated in a dental laboratory or with in-office milling technology. These devices offer superior fit, retention, and comfort. Because they conform precisely to an individual’s dental anatomy, custom guards are less likely to shift during play, and they allow clearer speech and easier breathing—advantages that matter for serious athletes and young players alike.

Each type has its place depending on the athlete’s age, level of play, and dental situation. While off-the-shelf and boil-and-bite guards can provide basic protection for casual activities, a custom option is the recommended choice for competitive sports, athletes who wear braces, or anyone seeking optimal comfort and performance.

Who Should Wear a Mouthguard—and When It’s Most Important

Mouthguards are recommended for anyone participating in sports that involve physical contact, fast-moving projectiles, or the potential for falls. This includes obvious collision sports like football, hockey, and lacrosse, as well as many non-contact sports such as skateboarding, gymnastics, and mountain biking where a fall can result in facial impact. Coaches and parents should consider mouthguards part of standard safety gear for youth and adolescent athletes.

Special consideration is also needed for athletes with orthodontic appliances or existing dental restorations. Braces, wires, and brackets increase the risk of soft tissue injury during an impact; a properly designed mouthguard not only protects the teeth but also prevents cuts to the cheeks and lips. Similarly, patients with crowns, implants, or bridges benefit from a tailored appliance that accommodates those restorations while minimizing unwanted movement or pressure.

Even adult recreational athletes can gain substantial protection from a mouthguard. Recreational leagues and pickup games still carry injury risk, and mouth protection is a low-effort way to reduce that exposure. Ultimately, the decision to wear a mouthguard should be made proactively—before an injury occurs—rather than as an afterthought.

The Custom-Made Advantage: Fit, Materials, and Performance

Custom mouthguards begin with an accurate impression or digital scan of the teeth and bite. This allows the device to be crafted to match the patient’s bite relationship and occlusion, resulting in excellent retention and minimal interference with normal tongue or lip movement. A snug, stable fit not only improves comfort but also enhances protective performance during forceful impacts.

Modern custom guards are made from resilient materials chosen for shock absorption, durability, and biocompatibility. Multi-layer designs are common: a soft inner layer for cushioning and comfort, and a tougher outer layer to resist tearing and distribute impact forces. These material choices and construction methods are tailored to the athlete’s needs—whether prioritizing maximum protection, slim profile for better breathing, or specific fit for braces.

A custom guard also permits personalization that supports consistent use. Options include streamlined profiles for athletes who need unobstructed breathing, reinforced sections for contact-heavy positions, and adjustments to accommodate tooth movement during orthodontic care. Because they’re made to measure, custom mouthguards typically last longer and perform more reliably than generic alternatives.

Care, Maintenance, and When to Replace Your Mouthguard

Proper aftercare extends the life and effectiveness of any mouthguard. Rinse the device with cool water after each use, brush it gently with a soft toothbrush and non-abrasive toothpaste or mild soap, and store it in a ventilated case to keep it clean and dry. Avoid exposing the mouthguard to high heat—hot water, direct sunlight, or a hot car can warp the material and compromise the fit.

Inspect the mouthguard regularly for signs of wear: thinning, tears, or changes in shape are indications that protection may be reduced. Children and adolescents may need replacements more frequently because of tooth eruption or growth changes. Likewise, athletes who grind their teeth, play frequently, or have had dental treatments may require new devices sooner to maintain an effective fit.

Working with a dental professional ensures timely evaluation and replacement when needed. Periodic checks during routine dental visits make it easy to confirm that a mouthguard continues to fit correctly and provides the intended level of protection. Simple adjustments or a new custom fabrication can keep athletes protected season after season.

At the office of Richwood Family Dental, we approach mouthguard care with the same attention to detail we apply to other aspects of dental health—listening to individual needs, evaluating dental conditions, and recommending the most suitable solution. If you’d like guidance on selecting a mouthguard or want an evaluation for a custom appliance, contact us for more information. Our team is happy to help you protect your smile and stay confident on and off the field.

Frequently Asked Questions

What is a sports mouthguard?

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A sports mouthguard is a removable dental appliance designed to fit over the teeth and gums to reduce the risk of oral injury during athletic activities. It is typically made from durable, shock-absorbing materials that cushion blows to the mouth and distribute impact forces. Mouthguards are most commonly worn on the upper teeth but can be fabricated to cover both arches when needed for additional protection.

Beyond protecting teeth, a properly fitted mouthguard helps shield the lips, cheeks and tongue from cuts and bruises that can occur during contact or high-impact sports. Mouthguards also help stabilize the jaw and reduce the likelihood of broken dental work. For athletes who wear orthodontic appliances, specialized designs ensure both comfort and safety while accommodating braces or other dental restorations.

Who should wear a sports mouthguard?

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Athletes and participants in sports with a risk of contact, falls or impact should wear a sports mouthguard regardless of age or skill level. This includes organized team sports such as football, hockey and basketball, as well as recreational activities like skateboarding, mountain biking and martial arts. Even seemingly low-contact sports can present unexpected hazards that put teeth and surrounding tissues at risk.

Children and teenagers are especially good candidates for mouthguards because their developing teeth and jaws may be more vulnerable to injury. Adults who participate in weekend leagues, fitness classes or recreational play also benefit from routine mouthguard use. Coaches, parents and participants should view mouthguards as standard safety gear, similar to helmets and shin guards.

What types of sports mouthguards are available and which one is best?

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There are three primary types of sports mouthguards: stock mouthguards, boil-and-bite mouthguards and custom-made mouthguards from a dental professional. Stock mouthguards are pre-formed and ready to wear but often provide a poor fit. Boil-and-bite models soften in hot water and are molded at home for a better fit, while custom-made mouthguards are crafted from impressions taken by a dentist for the most precise fit and comfort.

While stock and boil-and-bite options provide basic protection, custom mouthguards typically offer superior fit, retention and comfort, which increases the likelihood that an athlete will wear it consistently. Custom devices also allow room for orthodontic appliances and complex dental work and can be adjusted to address breathing or speech needs. For athletes who demand the best protection and performance, a custom mouthguard from a dental practice is generally recommended.

How is a custom mouthguard made?

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A custom mouthguard begins with a dental appointment where the clinician takes an impression or digital scan of the athlete's teeth and bite. The lab then fabricates the mouthguard from high-quality, medical-grade materials using the impression to ensure an exact fit that conforms to the individual's dental anatomy. Technicians can layer materials to optimize shock absorption, thickness and flexibility for the intended sport.

Once the appliance is returned to the dental office, the clinician checks the fit, makes any necessary adjustments and provides guidance on proper use and care. A well-made custom mouthguard will stay securely in place during play, allow clear speech and breathing, and minimize irritation. Periodic checks are recommended to confirm continued fit, especially for growing children or athletes undergoing dental treatment.

Can a mouthguard protect against concussions?

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Mouthguards are effective at reducing dental and soft-tissue injuries, but evidence about their ability to prevent concussions is mixed and remains inconclusive. Some studies suggest that well-fitted mouthguards can reduce the force transmitted to the jaw and skull during an impact, potentially lowering concussion risk in certain scenarios. However, no mouthguard can eliminate the chance of a concussion, and they should not be relied on as the sole method of head-injury prevention.

Protecting against concussions requires a comprehensive approach that includes proper coaching, rule enforcement, quality helmets and safe playing techniques. Athletes and coaches should prioritize overall safety protocols while using mouthguards to add an important layer of oral protection. If concussion prevention is a primary concern, discuss sport-specific strategies and equipment with your healthcare or sports safety professionals.

How should I care for and clean my mouthguard?

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Proper care extends the life of a mouthguard and reduces the risk of bacterial buildup. Rinse the mouthguard with cool water after each use and brush it gently with a soft toothbrush and non-abrasive toothpaste or mild soap on a regular basis. Periodically soak the appliance in a denture or retainer cleaner according to the manufacturer's instructions or your dentist's recommendations.

Always store the mouthguard in a ventilated case to allow drying and to prevent exposure to heat or direct sunlight, which can warp the material. Avoid chewing on the device and inspect it frequently for signs of wear, thinning or distortion. If you notice persistent odor, discoloration or changes in fit, bring the mouthguard to your dental office for cleaning advice or replacement.

Can athletes with braces or dental restorations wear a mouthguard?

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Yes, athletes with braces, bridges or other dental restorations can and should wear a mouthguard to protect their teeth and soft tissues. For patients with orthodontic appliances, specially designed mouthguards provide extra space and cushioning to prevent wire-related injuries and to protect vulnerable areas around brackets. Over-the-counter boil-and-bite models may work temporarily, but a custom mouthguard is often the safer and more comfortable long-term solution.

Dental restorations such as crowns and implants also benefit from the added protection a mouthguard offers during sports. Discuss your specific oral work with your dental provider so they can recommend an appliance that accommodates restorations while minimizing the risk of damage. Regular adjustments or remakes may be necessary as orthodontic treatment progresses or dental work is completed.

How long does a mouthguard last and when should it be replaced?

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The lifespan of a mouthguard depends on the type of device, frequency of use and how well it is cared for. Stock and boil-and-bite mouthguards often need replacement more frequently due to material breakdown, poor fit or deformation from heat or chewing. Custom mouthguards can last longer when properly maintained, but they should still be inspected regularly for thinning, cracks or loss of shape.

Replace a mouthguard if it shows visible signs of wear, no longer fits securely, causes discomfort or develops an odor that cleaning does not remove. Children and teens may require more frequent replacements due to growth and dental changes, so periodic reviews by a dental professional are recommended. If you are unsure whether a mouthguard remains effective, bring it to your dentist for evaluation.

Are there mouthguards suited specifically for children and youth athletes?

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Yes, mouthguards for children and youth are available in sizes and designs tailored to growing mouths and active play. Pediatric mouthguards are generally more flexible and allow room for dental development and erupting teeth, while custom pediatric options can be adapted as treatment or growth requires. Parents should choose an appliance that balances protection with comfort to encourage consistent use among young athletes.

Because children undergo rapid dental changes, regular assessment of fit is important to maintain proper protection. Schools and youth sports programs often recommend or require mouthguards for certain activities, and coaches can support compliance by emphasizing safety. For individualized recommendations, consult your family dentist to determine the best type of mouthguard for your child.

How do I get a custom sports mouthguard at your office?

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To obtain a custom sports mouthguard at our Walton office, schedule an appointment so the clinician can evaluate your oral structures and take impressions or digital scans. The impressions are sent to a dental laboratory where a custom appliance is fabricated to match your bite, sport demands and any special dental considerations. When the mouthguard arrives, the clinician will verify fit, make adjustments as needed and provide care instructions to ensure optimal performance.

Our team at Richwood Family Dental can recommend the appropriate thickness, material and design features based on the athlete's sport and dental needs. We also perform periodic checks to confirm the device remains comfortable and protective as dental conditions change. Bringing your mouthguard to routine dental visits allows us to assess wear and coordinate replacements or modifications when necessary.

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