Bicycles are an efficient means of transportation, especially for urban environments, and they have a myriad of health benefits. 1,2 Participation in cycling has been steadily increasing in the USA. Since 2006, the total number of cyclists has increased by nearly 10 million in 2019. 3 Notwithstanding the perks of cycling, the activity carries some risks. In 2015, over 1000 bicyclists died and 467,000 bicyclerelated injuries occurred in the USA. 4 The typical injured cyclist is a male in his 30s or 40s and upper limb injuries predominate, followed by those to the head. [5][6][7][8] Cycling helmets are designed to attenuate impacts to the head during accidents, 9 and they have the capacity to substantially reduce fatality rates, 10 intensive care admission rates, 11 and length of hospital stays. 12 Nevertheless, helmets are not protective of the lower third of the face since their shielding structure does not extend to envelop the respective craniomaxillofacial regions. 13,14 A previous National Electronic Injury Surveillance System (NEISS) study on all cycling injuries that occurred between 2010 and 2019