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Effect of Mouthguards on the Transmission of Force Across the Human Jaw

Lim, David BSc; Robinovitch, Stephen PhD; Goodman, David PhD

Clinical Journal of Sport Medicine: September 2005 - Volume 15 - Issue 5 - p 313-319
doi: 10.1097/01.jsm.0000180019.22018.3c
Original Research

Objective: To determine if impact responses (stiffness and damping values) of the jaw and neck are significantly different between mouthguards of varying material and manufacturing properties, in controlled conditions involving specified upper limb orientation and applied loading.

Design: Quasi-experimental design.

Setting: Simon Fraser University biomechanical laboratory.

Participants: Twelve male subjects between the ages of 19 to 28 participated in this study. All subjects were healthy, had no missing teeth, and had no mechanical (orthodontic) appliances.

Main Outcome Measurements: For each condition, the system stiffness and damping values were estimated using the free vibration technique. Stiffness and damping values are relevant because they are the major determinants of impact force and, potentially, injury risk. It is the first study to show experimentally the quantitative effects of mouthguard in situ.

Results: All the mouthguards lowered the system stiffness as compared with the no mouthguard condition (P < 0.001). There was no observed effect on stiffness between the 2 limb orientation positions. Excitation weight had an unexpected effect on system stiffness (P = 0.041), with increasing weight leading to increased stiffness.

Conclusions: The findings suggest that wearing any mouthguard is better than wearing none at all due to their ability to reduce system stiffness and damping values after a blow to the chin.

From Simon Fraser University, Burnaby, British Columbia, Canada.

Received for publication October 2004; accepted June 2005.

Supported by CIHR.

Reprints: David Goodman, PhD, Department of Kinesiology, Simon Fraser University, 8888 University Drive, Burnaby, B.C., Canada, V5A 1S6 (e-mail:

© 2005 Lippincott Williams & Wilkins, Inc.