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Mouthguards - Learn Everything You Need To Know

Every year, more than 200,000 people are treated by dentists and oral surgeons for sports-related injuries. Many of these injuries could be avoided if athletes and sports enthusiasts used protective equipment.

The mouth guard, a small, flexible plastic device, can dramatically protect athletes from injuries including concussions, jaw fractures, and neck and head trauma. Anyone participating in sports and especially contact sports such as football, hockey, soccer, and wrestling, should wear protective mouth guards for safety. It is especially important to wear a mouth guard if a person has braces. In addition, if a child's teeth protrude, it is very important that he or she wears one.

Different Types of Mouth Guards Available

Different types of mouth guards from off-the-shelf to custom-fitted types provide various advantages and degrees of protection . When considering options, evaluate the mouth guard's degree of comfort; the wearer's ability to speak and breathe; durability; and protection for the teeth and mouth.

• The stock or off-the-shelf mouth guard is the least expensive type and offers the least protection. Adjustment is limited and may interfere with speech and breathing. The jaw holds the mouth guard in place so the jaw must be closed at all times to work properly -- not convenient or practical in many situations.
• The "boil-and-bite" mouth guard found in athletic stores also is inexpensive. The mouth guard is dropped into hot water, then placed into the mouth; the synthetic material forms an impression around the teeth providing a better fit. Make certain that the mouth guard is not too big.
• Custom-made mouth guards are more expensive, but after all of the permanent teeth have erupted, they do offer the best protection against injury. They're also more comfortable to wear. These are made by the dentist and tailored to fit your mouth.

Mouth guard Care

• Wash with soap and warm water and soak the mouth guard in mouthwash before storage. Store in a well-ventilated plastic storage case when not using. Do not bend.
• Some mouth guards can be cleaned with an effervescent cleaner such as Efferdent -- refer to individual instructions first.
• Avoid exposing your mouth guard to heat, including leaving it in direct sunlight or in a hot car, which can permanently affect its shape and fit.
• Keep it to yourself! Don't handle other people's mouth guards or let others use yours.

Your dentist wants you to avoid any risk of facial, head, neck, and dental injuries that can often be prevented with a protective mouth guard. For all these reasons, the dental profession encourages the use of high-quality mouth guards. Mouth guards are changing the face of sports and protecting hundreds of thousands of people in the process.

By Brian J. Gray, DDS, MAGD, FICO

Dental Emergencies and First Aid Procedures

The following first aid procedures are important steps for handling dental emergencies or facial injuries. They provide temporary relief and help in their proper repair or healing. As with any injury, always follow up with personal care from your dentist or physician.

Bitten Tongue/Cut Lip

Clean gently with a cloth. Apply cold compresses to reduce swelling. If bleeding is severe, go to an emergency services provider. After bleeding has subsided, rinse with warm salt water.

Broken Jaw (Possible)

Don't move the jaw. Secure it in place by tying a scarf, necktie, or towel around the jaw and over the top of the head. Apply cold compresses to reduce any swelling. See your dentist or emergency services provider immediately.

Broken Tooth

Rinse the mouth with warm water. Try to remove any dirt, blood, or debris from the injured area using sterile gauze or a clean cloth and warm water. Apply cold compresses on the face next to the injured tooth to reduce swelling. See the dentist immediately. Place the broken piece in a small container of whole milk.

Knocked-Out Tooth

Annually, more than two million teeth are knocked out accidentally; more than 90% of them can be saved with proper treatment.

Holding the tooth from the crown (top part), rinse off the root. Don't scrub or remove any attached tissue fragments. Gently hold the tooth in its socket. (Young children may accidentally swallow; use your judgment.) If this isn't possible, place the tooth in a cup of cold whole milk. Avoid using low fat milk, powdered milk, or milk products like yogurt. Never put the tooth in mouthwash or alcohol. Avoid scrubbing the tooth or touching the root end. Get to the dentist immediately (within 30 minutes) and take the tooth!

Objects Trapped Between Teeth

Try gliding dental floss between teeth (dental tape is often useful in removing shredded dental floss.) Sometimes tying a small knot in the floss may help, too. Avoid using any sharp or pointed objects. See a dentist if object can't be removed.

Toothache

Toothaches can result from different causes. Rinse mouth with warm water. Remove any food trapped between teeth with dental floss. Avoid applying aspirin on the tooth or gum tissues. If a cavity is suspected, insert a small cotton ball or cotton tip soaked in oil of cloves (eugenol). Do not cover a cavity with cotton if there is facial swelling or pus. See a dentist as soon as possible.

Always consult with a dentist if you have questions regarding any dental problem.

By Brian J. Gray, DDS, MAGD, FICO

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