Comparison of Mouth Guard Designs and Concussion Prevention in Contact Sports

Barbic, David; Pater, Joseph L.; Brison, Robert J.

doi:10.1097/01.jsm.0000171883.74056.21

Cited by 60 publications

(47 citation statements)

References 22 publications

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“…97,98 Although some studies have suggested an effect of mouthguard type on the incidence of concussion, 82,99,100 there are few reliable data suggesting that any currently available mouth guards are effective at preventing or reducing the incidence of concussion. 95,96,[101][102][103] Although there is some evidence that neck rolls and cowboy collars can reduce movement of the head and neck, there is limited evidence regarding their effect on the incidence of burners or stingers, injuries to the nerve of the upper arm that result in a burning or stinging sensation. [104][105][106] Because neck rolls limit extension of the neck, they may, theoretically, interfere with the ability of the proper head-up tackling technique.…”

Section: Rule Changesmentioning

confidence: 99%

Tackling in Youth Football

Brenner¹,

LaBella²,

Brooks³

et al. 2015

Pediatrics

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American football remains one of the most popular sports for young athletes. The injuries sustained during football, especially those to the head and neck, have been a topic of intense interest recently in both the public media and medical literature. The recognition of these injuries and the potential for longterm sequelae have led some physicians to call for a reduction in the number of contact practices, a postponement of tackling until a certain age, and even a ban on high school football. This statement reviews the literature regarding injuries in football, particularly those of the head and neck, the relationship between tackling and football-related injuries, and the potential effects of limiting or delaying tackling on injury risk.

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Section: Rule Changesmentioning

confidence: 99%

Tackling in Youth Football

Brenner¹,

LaBella²,

Brooks³

et al. 2015

Pediatrics

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“…1,4,6,8,10,12,14,16,20 There are three types of mouthguards available: type I (stock) are for public sale and used without modification; type II ('boil and bite') are made of a thermoplastic material that is softened and then moulded to the dental arch by the user; and type III (custom-made) are made by a dentist using a mould of the patient's dental arches. 13,15,16,22 Custom-made mouthguards offer greater protection and wearers have fewer complaints about difficulty in breathing and speaking. 6,7 Because of the high risk of orofacial trauma in contact sports it is important that players are made aware of the preventive role of mouthguards in dental injuries.…”

Section: Australian Dental Journalmentioning

confidence: 99%

“…11 Contact sports are defined as sports in which players interact with each other, trying to prevent the opposing team or player from winning. 9,15 Players of contact sports are at an increased risk of orofacial and dental trauma because of the high impact contact. 1,[4][5][6][7]12,13,[15][16][17][18] Of the adults presenting to Australian accident and emergency departments with sports injuries, participants of cycling, hockey and rugby union commonly sustained injuries distributed to the head and upper extremities.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of dental trauma and use of mouthguards in rugby union players

Ilia¹,

Metcalfe

Heffernan

2014

Aust Dent J

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Background: There is a high prevalence of orofacial trauma in rugby union players. Mouthguards reduce complications following dental injuries, should dental injuries occur. The aim of this study was to investigate the prevalence of oral trauma and the significance of mouthguard use in adult amateur rugby union players in New South Wales, Australia. Methods: Questionnaires were distributed to players in rugby union clubs. It questioned players about their mouthguard use and orofacial trauma experience; the type of injury, complications, if a mouthguard was worn, where treatment was sought and outcome. Results: The prevalence of orofacial trauma in rugby union players is 64.9%. The most common injury was laceration to intraoral and extraoral soft tissues at 44.5%. Of all orofacial injuries reported, 41.9% were to the dentition. Following dental injury, loss of the tooth was the most common complication (34.7%). 76.9% of players wore mouthguards. By wearing a mouthguard, the risk reduction for ongoing complications following dental injuries was 18.5% (p-value = 0.009). Of these, 10.4% (p-value = 0.45) represented loss of the tooth. Conclusions: Rates of orofacial trauma and complications in amateur rugby union players are high in Australia. Use of mouthguards results in significant risk reduction for complications following dental injuries, including loss of tooth.

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“…Although several studies have evaluated various mouth guards, none have conclusively demonstrated that mouth guards reduce the risk of concussion. [111][112][113][114][115][116] At this point in time, mouth guards are recommended to reduce dental trauma, but further studies are needed to evaluate their role in reducing the risk of concussions.…”

Section: Mouth Guardsmentioning

confidence: 99%

Sport-Related Concussion in Children and Adolescents

Halstead¹,

Walter²

2010

Pediatrics

577

445

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Sport-related concussion is a "hot topic" in the media and in medicine. It is a common injury that is likely underreported by pediatric and adolescent athletes. Football has the highest incidence of concussion, but girls have higher concussion rates than boys do in similar sports. A clear understanding of the definition, signs, and symptoms of concussion is necessary to recognize it and rule out more severe intracranial injury. Concussion can cause symptoms that interfere with school, social and family relationships, and participation in sports. Recognition and education are paramount, because although proper equipment, sport technique, and adherence to rules of the sport may decrease the incidence or severity of concussions, nothing has been shown to prevent them. Appropriate management is essential for reducing the risk of long-term symptoms and complications. Cognitive and physical rest is the mainstay of management after diagnosis, and neuropsychological testing is a helpful tool in the management of concussion. Return to sport should be accomplished by using a progressive exercise program while evaluating for any return of signs or symptoms. This report serves as a basis for understanding the diagnosis and management of concussion in children and adolescent athletes.

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Comparison of Mouth Guard Designs and Concussion Prevention in Contact Sports

Abstract: In this study, concussion rates were not significantly different for varsity football and rugby players who wore the WIPSS Brain-Pad mouth guard compared with other types of mouth guards.

Cited by 60 publications

References 22 publications

Tackling in Youth Football

Tackling in Youth Football

Prevalence of dental trauma and use of mouthguards in rugby union players

Sport-Related Concussion in Children and Adolescents

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