Mouthguard sporting and athletic efficiency


Mouthguards are extensively utilized by individuals collaborating in touch sports activities, and a beneficial as important protecting tools by some. Whereas research have demonstrated that use of a mouthguard reduces dental trauma (Dental Elf – 2nd Nov 2018) different research have prompt that athletic efficiency could also be negatively affected by use of a mouthguard.

The goal of this evaluate was to evaluate the influence of sporting a mouthguard on athletic efficiency.


A evaluate protocol was registered in PROSPERO. Searches had been performed within the Cochrane Library, PubMed/MEDLINE, Embase, and Scopus databases as much as August 2022 with supplementary searches in Open Sigle and the WHO Worldwide Medical Trials Registry Platform. Randomised managed trials, cross-over medical trials or managed medical trials with randomisation performed in bodily lively, high-standard or leisure athletes had been thought of. Two reviewers independently chosen research and extracted information, with high quality being assessed utilizing the Cochrane danger of bias software. The Grading of Suggestions Evaluation, Growth, and Analysis (GRADE) strategy was used to evaluate the understanding of proof.


  • 41 research revealed between 2005 to 2022 had been included.
  • 17 research had been thought of to be at excessive danger of bias, 7 research a low danger with 17 having an unclear danger.
  • A complete of 852 athletes had been included with pattern sizes starting from 6-50 with an age vary of 13 to 34 years.
  • 30 research used a custom-made mouthguard, 21 research a mouth-formed sort and a couple of an ordinary sort.
  • 38 research in contrast the usage of mouthguards with no mouthguards, with 20 research evaluating multiple sort of mouthguard.
  • There was nice variation within the facet of athletic efficiency evaluated together with power, respiratory, flexibility, agility, stability, and efficiency.
  • 21 research reported optimistic results and 5 research adverse results on athletic efficiency.


The authors concluded: –

Sporting mouthguards ought to be advocated by athletes not just for the prevention of orofacial and dental trauma but additionally for his or her potential enhancements in athletic efficiency in particular actions. Nevertheless, warning should be exercised in deciphering these findings because of the variability in end result measures and the dearth of vital methodological particulars.


We final checked out a evaluate addressing this query in 2018 (Dental Elf – 22nd Jun 2018). That evaluate included 15 research and prompt that custom-made mouthguards didn’t intrude with efficiency. Nevertheless, the standard of the included research was low with a majority at excessive danger of bias. This new evaluate has searched a very good vary of databases and included 42 research. Most of the included research are small with solely 7 of the included research being at low danger of bias with description of the randomisation era and allocation concealment poorly reported. Variability with the forms of mouthguards used and supplies used together with the points of athletic efficiency measures implies that solely easy counting of the research demonstrating optimistic and adverse findings was offered. The findings recommend that use of a mouthguard could enhance a number of the points of athletic efficiency measured though the standard of the out there proof implies that this ought to be interpreted very cautiously.  Additional work on this space would profit by agreeing a set of frequent outcomes to measure and conducting prime quality trials of applicable dimension which might be reported following the CONSORT assertion.


Main Paper  

Cao R, Zhang X, Xu Y, Zhao W, Qiu P, Liu W. Affect of sporting mouthguards on efficiency amongst athletes: A scientific evaluate. J Sci Med Sport. 2023 Sep;26(9):493-503. doi: 10.1016/j.jsams.2023.07.006. Epub 2023 Jul 20. PMID: 37524627.

Evaluation protocol on PROSPERO

Different references

Dental Elf – 22nd Jun 2018

Mouthguards: Do they have an effect on athletic efficiency?

Dental Elf – 2nd Nov 2018

Mouthguards: Do they cut back dental trauma in touch sports activities?

Image Credit

Picture by John Torcasio on Unsplash



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