Many dentists do not understand how to prep for, take an impressions for, or understand the proper manufacturing process of a custom mouth guard because there's not a school out there that teaches the process. There are also a lot of manufacturers that do not understand the process either. In the day and age of the computer you have to do your research and it has been made simple but you have to know where to look. Below you will see some falacies pertaining to the construction of a mouth guard:
- Thickness means everything, the bulkier the better. False (It depends where you place the thickness, it also depends on how the guard is manufactured). It is better to have a thinner guard that locks into place v/s a guard that is thicker and inhibits your breathing. If your guard starts out being manufactured with really thick material 3mm or 4mm then it is not properly manufactured and will end up being too thick.
- The mouth guard should go all of the way up to where your gum line and cheek meet. (False) The guard should extend up high enough to protect as much of the root of the teeth as possible without interferring with your cheek or causing the cheek to protrude. If you go too far up then it will be uncomfortable. If your manufacturer is extending your cast work or impression up further than what you have provided then chances are you need to retake your impression unless they consult with you first. Ask questions, and if you feel it's not correct then ask for another kit, it may cost a little but in the long run you will be happier.
- Is it better to get fitted at a dentist. (True/False) In some cases you have no choice but to be seen by a dentist but keep in mind that the dentist also needs to consult with the manufacturer for instructions on how the impression needs to be taken. Many dentists are general dentists that deal with replacing crowns or teeth and they do not understand the process of taking an impression for a mouth guard. Make sure you have your local provider contact the manufacturer.
- You don't need a lower bite in place on a single guard. (False) There has been some debate over this question and from a fighters stand point I suggest that individuals place their bite in just to reduce the possibility of the lower jaw slipping horizontally.
- A dual guard is better than a single. (False) There is no real proof that either is any better although logic may seem that a dual is better than a single. I believe the contrary because a dual forces you to open your mouth to gain oxygen where as a single you can breath around the guard and the guard is more comfortable.
If you have a question or a comment outside of anything that I have covered above please email or call me. Below is a link that has a lot of information that is unbiased and comes from a creditable source.
Academy of Sports Dentistry
