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Custom vs. Ready-Made Mouthguards: Which Is Best for Sports?

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Custom mouthguards are safer and more protective than ready-made ones for sports.

The​‍​‌‍​‍‌​‍​‌‍​‍‌ loud snap on the rugby field. An unexpected elbow on the basketball court. It’s a scene we all agree on, far too often. A patient will be reaching a dental trauma of such severity that it was completely obvious that the correct protective equipment had been lacking.

If​‍​‌‍​‍‌​‍​‌‍​‍‌ you are deciding to gear up for a season, a mouthguard should be considered just as important as your helmet or cleats. The issue is: will a quick stop at the sporting goods store be enough, or should you opt for a custom fit from a dental ​‍​‌‍​‍‌​‍​‌‍​‍‌professional?

We​‍​‌‍​‍‌​‍​‌‍​‍‌ can break down the science, the fit, and the realities of preserving your smile while playing a ​‍​‌‍​‍‌​‍​‌‍​‍‌game.

The “One-Size-Fits-None” Problem

athlete wearing custom mouthguard basketball protection
athlete wearing custom mouthguard basketball protection

Firstly, let’s focus on ready-made mouthguard options. Generally, on the pharmacy shelf, you have two choices: stock guards (rigid rubber U-shapes) and “boil-and-bite” guards. They are cheap. They are readily available. One can be easily placed in your gym bag en route to the practice.

But what really happens at the moment of impact?

Imagine​‍​‌‍​‍‌​‍​‌‍​‍‌ if your teeth were a very complex fingerprint. A boil-and-bite guard is like buying a generic, one-size-fits-all-pattern rain poncho. It covers you, but it moves around, flaps, and when the rain gets really heavy, it will leave you exposed to danger. Because these store-bought guards rely on you biting down on plastic that has been softened at home, the material in the places that have to take the most impact, i.e. the biting surfaces of your teeth, will be ​‍​‌‍​‍‌​‍​‌‍​‍‌thinner.

The Custom Advantage

dentist custom mouthguard fitting clinic professional
dentist custom mouthguard fitting clinic professional

The clinic is what we witness. A custom-fitted mouthguard is planned, not only heated and chewed.

Our clinical experience points out the difference in impact absorption between a store-bought piece of plastic and a clinically fabricated guard to be mind-boggling. When Dentist Polen Akkılıç and her team design a sports guard, they take very precise digital impressions of your unique bite. Here, at Lema Dental Clinic in Turkey, protecting only the hard enamel is not the goal; we are also protecting the temporomandibular joint (TMJ) and preventing the soft tissues of the lips and cheeks from being traumatized by the patient’s own teeth.

Professor Doctor Coşkun Yıldız often says “A dental arch devoid of proper shock distribution is like a skyscraper without a solid foundation. When the impact arrives, the entire building shakes.”

One that fits like your luxury car’s shock absorbers certainly makes a difference. In fact, it intimately hugs every crevice of your teeth, thus dispersing the kinetic energy of a blow over the entire jaw rather than isolating and snapping a single incisor.

The Head-to-Head Comparison

We have gone over the clinical differences between your choices to make the decision easier for you.

FeatureCustom-Made MouthguardsReady-Made (Boil-and-Bite)
Fit & RetentionExact fit. No need to clench your jaw for retention.Loose fit. Biting down is usually necessary to keep it in place.
Protection LevelMaximum protection with even thickness in critical impact areas.Variable protection; material thins out due to biting.
Breathing & SpeechComfortable fit. Does not interfere with airway or speech.Thick material may make talking and breathing difficult.
DurabilityOutstanding. Tear-resistant professional-grade materials.Moderate to low. Soft plastic wears down quickly with chewing.
Cost & ValueHigher initial investment that helps prevent costly reconstructive treatments.Lower initial cost but may increase risk of dental emergencies.

FAQs (From the Doctor’s Desk)

How much difference does a custom-made mouthguard make?

Truth / The truth of the matter is: It totally changes the game. When you get a guard made perfectly for your mouth, it is exactly shaped to your teeth. Because it doesn’t slide, your jaw muscles can stay relaxed. You don’t waste energy holding it in your mouth, and if you are hit, the force spreads evenly. It’s like the difference between a tailored suit and just a blanket.

Should I opt for a custom guard if my kid’s teeth are still coming in?

This is a situation where the dentist or orthodontist should have a discussion with you. I get that concern very well. It is true that kids grow out of stuff pretty quickly. However, it is a fact that your child’s developing jaw and teeth are even more vulnerable to injury during the growth phase. We create custom mouthguards that have a slight bit of “give” in the areas with more growth, thus allowing for the normal growth of teeth without protection being compromised.

How exactly does Lema Dental Clinic make custom mouthguards?

All processes we have invested in here in Turkey are totally digitized and very convenient. Dentist Polen Akkılıç and her team utilize the 3D intraoral scanner, so you do not have to endure the impression tray and the material that makes you want to vomit. You are immediately sending the 3D model to our lab and high-quality, multi-layered EVA material will be thermoformed perfectly according to your dental anatomy.

Can I breathe and talk normally when wearing a custom mouthguard?

Indeed, and this was mostly a tremendous relief to our athletes. Because of the perfect fit, the mouthguard does not drop out when the mouth is open to shout the play or breathe through the nose during running.

How durable is a custom mouthguard?

In case you give it a proper spa treatment such as rinsing it right after use, keeping it in a well-ventilated case, not exposing it to high temperatures, or your pet not chewing it, an adult could probably use it for a few seasons. With a teenager, however, we suggest that he or she should have a new one every season to match his or her constantly changing ​‍​‌‍​‍‌​‍​‌‍​‍‌teeth.

  1. Newsome, P. R., Tran, D. C., & Cooke, M. S. (2001). The role of the mouthguard in the prevention of sports-related dental injuries: a review. International Journal of Paediatric Dentistry, 11(6), 396-404.
  2. Knapik, J. J., Marshall, S. W., Lee, R. B., Darakjy, S. S., Jones, S. B., Mitchener, T. A., … & Jones, B. H. (2007). Mouthguards in sport activities: history, physical properties and injury prevention effectiveness. Sports Medicine, 37(2), 117-144.
  3. Tuna, E. B., & Ozel, E. (2014). Factors affecting sports-related dental injuries and the importance of mouthguards. Sports Medicine, 44(6), 777-783.
  4. Green, J. I. (2017). The role of mouthguards in preventing and reducing sports-related trauma. Primary Dental Journal, 6(2), 27-34.
  5. Gawlak, D., Mańka-Malara, K., Mierzwińska-Nastalska, E., & Giebułtowicz, J. (2015). Comparison of usability properties of custom-made and standard self-adapted mouthguards. Dental Traumatology, 31(4), 306-311.
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Dentist Polen Akkılıç

Dentist and Lema Dental Clinic founder Nisa Polen Akkılıç shares valuable information on dental health and care, providing readers with practical tips they can apply in their daily lives.