Is there enough evidence that mouthguards do not affect athletic performance? A systematic literature review.

Abstract:

BACKGROUND:Although there is evidence that mouthguards prevent orofacial trauma occurrence during sport practice, the influence of this device on athletic performance has not been systematically quantified. OBJECTIVES:We aim to systematically review the literature to determine the effect of mouthguards on athletic performance and if the type of mouthguard influences this overcome. MATERIALS AND METHODS:A comprehensive search was performed in the Systematic Electronic Databases: Pubmed, Scopus, Web of Science and the Cochrane Library from their inception to February 2017. The publications were grouped based on their outcome: (i) the use of mouthguards; or (ii) the type of mouthguards. We conducted descriptive analyses and quality assessments of the included studies. RESULTS:The search identified 489 citations. After screening the studies, we identified 15 trials comprising a population of 312 athletes. According to the risk of bias evaluation, nine studies were considered 'high' risk of bias, and six 'low' risk of bias. Overall, custom-made mouthguards did not interfere or improve athletes' performance when compared with the control group (without mouthguard). Custom-made mouthguards showed the smallest range of changes in players' performance compared with other types of mouthguards. CONCLUSIONS:This systematic review provides evidence for sports professionals to advocate the use of custom-made mouthguards to prevent injury, and these devices do not impair performance. The scientific evidence should be interpreted carefully because there is a great variability in outcome measures and lack of important methodological details.

journal_name

Int Dent J

authors

Ferreira GB,Guimarães LS,Fernandes CP,Dias RB,Coto NP,Antunes LAA,Antunes LS

doi

10.1111/idj.12406

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

25-34

issue

1

eissn

0020-6539

issn

1875-595X

journal_volume

69

pub_type

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