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      • What do we know about mouthguards? (Report of the 1st International Sports Dentistry Workshop, 2016)

        ( Richard Leesungbok ),( Jeff Lloyd ),( Yoshinobu Maeda ),( Tomotaka Takeda ) 국제태권도학회 2017 International Symposium for Taekwondo Studies Vol.2017 No.-

        Purpose: Our goal is to one day formulate consensus statements related to these questions, which will be based on current scientific evidence-based research, to motivate the international community of the importance of dentally fitted laminated mouthguards and the wearing of them by athletes of all sports. Methods: The 1st International Sports Dentistry Workshop took place in Honolulu, Hawaii, July 26-27, 2016. It was composed of sixteen sports dentists from Japan, Korea, Australia and the USA, who began their work months before the workshop by dividing up into four small groups and developing questions about their assigned topic. The topics were: ㆍ What do we know about mouthguards? ㆍ What do we know about mouthguards and impact force? ㆍ What do we know about mouthguards and performance enhancement? ㆍ What do we know about sports drinks and nutrition? The group searched the literature for current scientific evidence-based articles to try to find answers to questions that they had developed. The body of the work was then reviewed at the Hawaii workshop. Overall, the group shared the following concerns about some of the topics: ㆍ the age of the research could have been more current ㆍ there was a general lack of scientific evidence-based research ㆍ there were conflicting results from researchers on similar topics. It is the intention of the group to continue to meet and search for new scientific evidence-based literature so that consensus statements can eventually be formulated for these topics. Results: The purpose of the international sports dentistry workshop was to formulate and answer leading questions relevant to mouthguards and their use in sports. Dentally fitted laminated mouthguards worn on the upper jaw offer the best protection when compared with the “boil and bite” design in trauma prevention. Workshop collaboration in combination with scientific evidence suggests mouthguard design requires strict adherence to specific dimensions in order to reduce the effects of impact force. On the contrary, there was no difference in effectiveness of reducing impact force to the head with or without a mouthguard without clenching teeth. Mouthguards can attribute to enhancement of postural control and muscle performance during teeth clenching. Additionally, consumption of sports drinks prior to mouthguard use increases places athletes at a higher risk for dental caries. Conclusions: Collectively it was felt amongst all of the participants that more current research with more uniform controls (use of a dentally laminated mouthguard) would be most beneficial in the evaluation of more current scientific evidence based research and facilitate an international consensus statement regarding mouthguards that hopefully could promote more mandated usage internationally.

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