The Importance of Orthodontic Mouthguards: A Dental Professional’s Guide

Top Orthodontic Mouthguards: Ensuring Protection with Professional Recommendations


Orthodontic treatment often involves the use of braces, aligners, and other appliances that can make the teeth and surrounding tissues more vulnerable to damage, particularly during sports or other physical activities. For patients undergoing orthodontic treatment, the use of a mouthguard is crucial to protect not only their teeth but also the orthodontic appliances themselves. In this comprehensive guide, we will explore the top orthodontic mouthguards available on the market, the importance of using them, and best practices for dental professionals when recommending these products to their patients.

The Importance of Mouthguards in Orthodontic Care

Orthodontic treatment is designed to correct misaligned teeth and improve oral health, but it also introduces a level of vulnerability to the teeth and gums. Braces, for example, consist of brackets and wires that can cause significant injury to the mouth if struck during physical activity. Aligners, while less invasive, also require protection to maintain their effectiveness and to prevent damage to the teeth.

Key Benefits of Using Orthodontic Mouthguards:

• Protection of Teeth and Gums: Mouthguards provide a cushioning effect that absorbs impacts, preventing damage to the teeth, gums, and inner cheeks.
• Prevention of Orthodontic Appliance Damage: A mouthguard shields braces or aligners from direct impact, reducing the risk of breakage or misalignment.
• Reduction of Soft Tissue Injuries: The metal components of braces can cause cuts or abrasions if the mouth is hit. Mouthguards help prevent such injuries by creating a barrier between the braces and the soft tissues.
• Improved Comfort During Physical Activity: Wearing a mouthguard can provide patients with the confidence and comfort they need to engage in sports and other activities without the fear of dental injury.

Given these benefits, it is essential for dental professionals to educate their patients on the importance of using mouthguards during orthodontic treatment.

Understanding the Different Types of Orthodontic Mouthguards

There are several types of mouthguards available, each with its own advantages and disadvantages. Understanding these options will help dental professionals make the best recommendations for their patients.

1. Stock Mouthguards:

• Description: Stock mouthguards are pre-formed and ready to wear. They are available in various sizes but are not customizable.
• Pros: Inexpensive and readily available.
• Cons: Often bulky and uncomfortable, providing minimal protection compared to custom-fitted options.
• Best For: Patients needing a quick, temporary solution or those on a tight budget.

2. Boil-and-Bite Mouthguards:

• Description: These mouthguards are made from thermoplastic material that softens when boiled. The patient bites down on the softened guard to create a customized fit.
• Pros: More customizable than stock mouthguards, offering a better fit and increased comfort.
• Cons: Still not as effective as custom-fitted guards and may not provide adequate protection for patients with braces.
• Best For: Patients looking for a semi-customizable option at a lower cost.

3. Custom-Fitted Mouthguards:

• Description: Custom-fitted mouthguards are made by a dental professional, using an impression of the patient’s teeth to create a perfectly fitted guard.
• Pros: Provides the highest level of comfort, protection, and durability. Specifically designed to accommodate braces or aligners.
• Cons: More expensive and requires a dental appointment for fitting.
• Best For: Patients undergoing orthodontic treatment who require maximum protection during sports or other high-risk activities.

4. Orthodontic-Specific Mouthguards:

• Description: These mouthguards are specially designed for patients with braces. They are often made of high-grade silicone and are structured to fit over braces without being too tight or causing discomfort.
• Pros: Provides adequate protection for both the teeth and the braces, with enough flexibility to accommodate changing tooth positions during treatment.
• Cons: Slightly more expensive than standard boil-and-bite guards but more affordable than fully custom-fitted options.
• Best For: Patients with braces who engage in regular sports activities and require a high level of protection.

Top Orthodontic Mouthguards: Product Reviews and Comparisons

Selecting the right mouthguard for orthodontic patients can make a significant difference in their comfort and safety. Below is a detailed comparison of some of the top orthodontic mouthguards available:

1. Shock Doctor Double Braces Mouthguard

• Key Features: Specifically designed for patients with braces, this mouthguard provides upper and lower teeth protection. It is made from 100% medical-grade silicone, which adapts to changes in tooth alignment as treatment progresses.
• Pros: No need for boiling or fitting; ready to wear out of the box. Provides excellent protection for both upper and lower braces
• Cons: Slightly bulkier due to dual protection, which may take some time to get used to.
• Best For: Patients with braces who participate in high-impact sports.

2. Vettex Mouthguard with Lip Protection

• Key Features: This boil-and-bite mouthguard is equipped with a lip guard to protect both the teeth and the lips. It is compatible with braces and offers additional protection against lip lacerations.
• Pros: Dual protection for teeth and lips, customizable fit, and affordable.
• Cons: Bulky design may not be comfortable for all patients.
• Best For: Patients involved in contact sports where facial injuries are more likely.

3. OrthoDots CLEAR by OrVance

• Key Features: OrthoDots are not traditional mouthguards but are included here as an accessory for braces wearers. They are designed to protect the inner cheeks and lips from bracket irritation. Made from medical-grade silicone, they are easy to apply and remove.
• Pros: Provides targeted protection, especially useful for new braces wearers adjusting to the brackets. Transparent and discreet.
• Cons: Does not offer full mouth protection, so it should be used in conjunction with a standard mouthguard during sports.
• Best For: Patients who need additional protection from braces-related irritation but are not engaged in sports activities.

4. SISU Aero Mouthguard

• Key Features: A thin, lightweight mouthguard that offers a custom fit. While it is not specifically designed for braces, it can be molded to fit over them. The material is strong and durable, providing excellent protection without bulk.
• Pros: Thin design allows for easy breathing and speaking, customizable fit, and highly durable.
• Cons: Requires careful molding to ensure proper fit over braces, which may not be ideal for younger patients.
• Best For: Older patients or athletes who need a lightweight, high-performance mouthguard.

5. GuardLab APEX Lite Mouthguard

• Key Features: Customizable mouthguard made from an advanced thermoplastic material that offers a precise fit. It is designed for comfort and protection, particularly for athletes.
• Pros: Provides a custom fit, allowing for better protection and comfort. Available in various thicknesses to suit different levels of activity.
• Cons: Requires boiling and fitting, which may be challenging for younger patients.
• Best For: Athletes requiring a high level of protection and customizability.

6. Impact Custom Mouthguards

• Key Features: Fully custom-fitted mouthguards that are made from dental impressions taken by a professional. Available in various thicknesses and designs to cater to different sports.
• Pros: Offers the highest level of protection and comfort, as it is custom-made to the patient’s exact specifications. Can be designed to accommodate braces.
• Cons: More expensive than other options, requiring an impression kit or dental visit.
• Best For: Serious athletes and patients requiring maximum protection and comfort during orthodontic treatment.

7. Shock Doctor Gel Max Braces Convertible Mouthguard

• Key Features: A boil-and-bite mouthguard with a convertible tether, allowing it to be used with or without a strap. The gel liner ensures a comfortable fit over braces.
• Pros: Affordable, easy to fit, and provides good protection for braces. The tether option makes it versatile for different sports.
• Cons: May not offer the same level of comfort as fully custom-fitted mouthguards.
• Best For: Patients involved in various sports who need a versatile mouthguard that can be used with a helmet.

8. Game On Mouthguards

• Key Features: Game On mouthguards are customizable, ADA-approved, and designed to fit comfortably over braces. They offer a thin, yet durable, layer of protection that allows for easy speaking and breathing.
• Pros: ADA-approved, customizable fit, and suitable for both contact and non-contact sports.
• Cons: Higher price point than standard boil-and-bite guards.
• Best For: Patients seeking a high-quality, ADA-approved mouthguard that offers both comfort and protection.

9. Gladiator Custom Mouthguards

• Key Features: Gladiator offers fully custom mouthguards that are specifically designed to fit over orthodontic appliances. These mouthguards are made from dental impressions and provide a perfect fit and maximum protection.
• Pros: Highest level of protection and comfort, fully customizable for specific sports and activities.
• Cons: Expensive and requires a dental impression, either through a kit or a visit to the dentist.
• Best For: Patients in high-contact sports or those looking for the best possible protection during orthodontic treatment.

10. Under Armour ArmourFit Mouthguard

• Key Features: Made with ArmourFit material, this mouthguard molds to teeth for a custom fit. It’s durable, comfortable, and can be remolded as teeth change positions during orthodontic treatment.
• Pros: Can be remolded, making it ideal for patients with braces. Provides a snug, custom fit at a lower price point.
• Cons: Requires careful fitting and may not be as durable as fully custom-fitted guards.
• Best For: Patients undergoing orthodontic treatment who need a reliable, mid-range option that can adapt to changes in tooth alignment.

Best Practices for Recommending Orthodontic Mouthguards

When recommending orthodontic mouthguards to patients, dental professionals should consider several factors to ensure the product aligns with the patient’s needs and lifestyle. Here are some best practices:

1. Assess the Patient’s Activity Level:
Consider the types of physical activities the patient engages in. Contact sports like football or hockey require more robust protection, while non-contact sports may allow for thinner, less intrusive mouthguards.

2. Discuss Comfort and Fit:
Comfort is key to patient compliance. Discuss the importance of a proper fit and the options available, from boil-and-bite to fully custom-fitted guards. For patients with braces, emphasize the importance of a mouthguard that can accommodate the orthodontic appliances without causing discomfort.

3. Consider the Stage of Orthodontic Treatment:
The stage of orthodontic treatment can impact the type of mouthguard needed. For example, early in treatment, when teeth are still moving significantly, a more adaptable mouthguard may be necessary. Later in treatment, a more rigid, custom-fitted guard might be more appropriate.

4. Educate Patients on Proper Use and Care:
Instruct patients on how to properly use and care for their mouthguards. This includes cleaning after each use, storing in a ventilated case, and avoiding exposure to high temperatures, which can warp the material.

5. Monitor Fit Regularly:
As orthodontic treatment progresses, the fit of the mouthguard may change. Schedule regular check-ups to assess the fit and functionality of the mouthguard and make adjustments or recommend a new guard as needed.

6. Address Specific Patient Concerns:
Some patients may be concerned about speech, breathing, or the appearance of the mouthguard. Address these concerns by discussing the benefits of the various types of mouthguards and helping the patient choose one that meets their specific needs.

7. Encourage Compliance:
Stress the importance of wearing the mouthguard during all relevant activities, not just in games but also during practice and training. Compliance is crucial for ensuring ongoing protection and avoiding costly damage to orthodontic appliances.

Addressing Common Myths and Misconceptions About Orthodontic Mouthguards

Myth 1: Any Mouthguard Will Work with Braces

• Reality: Not all mouthguards are designed to fit over braces. Patients with braces need a mouthguard specifically designed to accommodate their orthodontic appliances to ensure comfort and protection.

Myth 2: Mouthguards Are Uncomfortable and Restrictive

• Reality: Modern mouthguards, particularly custom-fitted ones, are designed for comfort and ease of use. They allow for easy breathing and speaking, and many athletes quickly adapt to wearing them.

Myth 3: Only High-Impact Sports Require Mouthguards

• Reality: While contact sports present the highest risk, any physical activity where there’s a risk of impact or falls (such as gymnastics, skateboarding, or cycling) warrants the use of a mouthguard.

The Future of Orthodontic Mouthguards

As technology advances, so does the design and functionality of orthodontic mouthguards. Future developments may include the use of 3D printing for more precise custom fits, materials that offer both rigidity and flexibility for better protection and comfort, and smart mouthguards equipped with sensors to monitor impact forces and detect potential concussions.

For dental professionals, staying informed about these advancements will be crucial to providing the best care for their patients. By integrating the latest mouthguard technologies into their practices, dentists and orthodontists can ensure their patients receive the most effective protection available.

Conclusion: Ensuring Protection with the Right Orthodontic Mouthguard

Orthodontic mouthguards are an essential tool for protecting both teeth and orthodontic appliances during treatment. By understanding the different types of mouthguards, their benefits, and best practices for patient recommendation, dental professionals can help ensure that their patients are well-protected and comfortable. Whether through stock, boil-and-bite, or custom-fitted mouthguards, providing the right solution is key to preventing injuries and ensuring the success of orthodontic treatment.