Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

As a dental provider, it is necessary to:
 Promote the use of athletic mouth guards.
 Educate the public on the value of mouth
protection during contact sports.
 Fabricate mouth guards as needed during
patient care.
 Educate patients on the maintenance and
use of mouth guards.
Introduction
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

It is a removable oral appliance that
protects the hard and soft tissues of the
mouth during contact sports.
A mouth guard protects by absorbing
energy during an impact, thus decreasing
the likelihood of trauma to the oral cavity
and possibly to the brain.
Sometimes called a mouth protector.
Mainly worn on the maxillary teeth
Introduction:
What is a Mouth guard?
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Boxers were the first athletes to use mouth
guards
 They used to place other materials such as
cotton and gutta-percha between lips and teeth
for protection.
Were originally referred to as gum shields
Marks constructed the first custom-fitted
mouth guard in the early 1900s.
Historical Perspective
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

In 1962, the use of mouth guards was
mandated in high school and junior
college football by the National Alliance
Football Rules Committee.
By 1973, the National Collegiate
Athletic Association (NCAA) followed.
Mouth Guard Use
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Many injuries can occur, especially dental
trauma, which includes injury to the teeth,
mouth, periodontium, soft tissues, and
temporomandibular joint.
There is a link between athletic activities
and dental injuries.
Chipped and avulsed incisor teeth are the
most common injuries.
Contact Sport
Injuries
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Mouth guards may prevent:
 Chipping
 Fracturing
 Displacement
 Avulsion of the teeth
 Concussions
 Cerebral hemorrhages
Mouth Guard Protection
and Injury Prevention
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Mouth guards may prevent
(continued):
 Incidents of unconsciousness
 Jaw fractures
 Neck injuries
Mouth Guard Protection
and Injury Prevention
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

There are three types of mouth guards:
 Stock
 Mouth-formed
 Custom made
Types of Mouth Guards
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Made by the dentist specifically for the
patient
Impressions of the patient for a study model
More expensive
Better fit and most protection to the mouth
Custom-Fitted
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Custom-made athletic mouth guard.
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

“boil and bite”
Usually purchased in sporting goods or
athletic stores
Softened in heated water, inserted into the
mouth, and the molded to fit the individuals
arch
Directions must be followed carefully to
ensure that the mouth guard fits properly
Mouth-Formed
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Mouth Formed
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Pre-formed and ready to wear
Inexpensive
Do not fit as well as the other 2 types of
mouth guards
Stock or Ready-Made
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Ready-made
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Mouth-formed (boil and bite) mouth guards
are used most frequently (90%), but custom
made mouth guards (10%) are most effective
in preventing injury.
Mouth Guards
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Instruct patients on the maintenance of
mouth guard.
 Rinse and brush mouth guard after each
use.
 Do not rinse in hot water or keep in
unusually hot environments; this could lead
to distortion.
Dental Provider's Role In Mouth
Guard Use
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Dental desensitizing agents are used both in
office and at home for various desensitizing
needs
In-office desensitizing agents are used to
desensitize exposed root surfaces, in tooth
preparation for both direct and indirect
restorations, as well as before and after tooth
bleaching
Desensitizing Agents
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Used to treat or prevent hypersensitivity in the
teeth
Hypersensitivity can be caused by cold, heat or
contact
In some procedures, etchants are used to
increase bonding/retention of the tooth surface
and restorative materials
The etchant opens and exposes dentin tubules,
which sometimes cause hypersensitivity
In-Office Desensitizing Agents
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Patients who use certain whitening agents need
to be treated with a desensitizer
Can be used under all types of restorations,
bonding agents, temporary fillings, and
permanent cement
Available in various viscosities, desensitizing
agents may be delivered via prefilled syringe,
single-use droppers or bottle droppers
May be self-curing or light-curing
In-Office Desensitizing Agents
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Home desensitizing agents also are available to aid
patients with dental hypersensitivity
They often have a higher pH than their in-office
counterparts for patient safety and because they
will be used more frequently
Most dental desensitizing agents contain fluoride
When choosing a dental desensitizing agent,
research which product will perform best for each
procedure, both at home and at the office.
Desensitizing Agents
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Home Desensitizing Agents
The only at-home stannous
fluoride treatment accepted
by the ADA for decay
prevention and sensitivity
relief.
Copyright © 2014 by Pearson Education, Inc.
All Rights Reserved
Primary Preventive Dentistry, Eighth Edition
Harris | Garcia-Godoy | Nathe

Home Desensitizing Agents

Preventative Dentistry: Mouthguards PowerPoint

  • 2.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  As a dental provider, it is necessary to:  Promote the use of athletic mouth guards.  Educate the public on the value of mouth protection during contact sports.  Fabricate mouth guards as needed during patient care.  Educate patients on the maintenance and use of mouth guards. Introduction
  • 3.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  It is a removable oral appliance that protects the hard and soft tissues of the mouth during contact sports. A mouth guard protects by absorbing energy during an impact, thus decreasing the likelihood of trauma to the oral cavity and possibly to the brain. Sometimes called a mouth protector. Mainly worn on the maxillary teeth Introduction: What is a Mouth guard?
  • 4.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Boxers were the first athletes to use mouth guards  They used to place other materials such as cotton and gutta-percha between lips and teeth for protection. Were originally referred to as gum shields Marks constructed the first custom-fitted mouth guard in the early 1900s. Historical Perspective
  • 5.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  In 1962, the use of mouth guards was mandated in high school and junior college football by the National Alliance Football Rules Committee. By 1973, the National Collegiate Athletic Association (NCAA) followed. Mouth Guard Use
  • 6.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Many injuries can occur, especially dental trauma, which includes injury to the teeth, mouth, periodontium, soft tissues, and temporomandibular joint. There is a link between athletic activities and dental injuries. Chipped and avulsed incisor teeth are the most common injuries. Contact Sport Injuries
  • 7.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Mouth guards may prevent:  Chipping  Fracturing  Displacement  Avulsion of the teeth  Concussions  Cerebral hemorrhages Mouth Guard Protection and Injury Prevention
  • 8.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Mouth guards may prevent (continued):  Incidents of unconsciousness  Jaw fractures  Neck injuries Mouth Guard Protection and Injury Prevention
  • 9.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  There are three types of mouth guards:  Stock  Mouth-formed  Custom made Types of Mouth Guards
  • 10.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Made by the dentist specifically for the patient Impressions of the patient for a study model More expensive Better fit and most protection to the mouth Custom-Fitted
  • 11.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Custom-made athletic mouth guard.
  • 12.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  “boil and bite” Usually purchased in sporting goods or athletic stores Softened in heated water, inserted into the mouth, and the molded to fit the individuals arch Directions must be followed carefully to ensure that the mouth guard fits properly Mouth-Formed
  • 13.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Mouth Formed
  • 14.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Pre-formed and ready to wear Inexpensive Do not fit as well as the other 2 types of mouth guards Stock or Ready-Made
  • 15.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Ready-made
  • 16.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Mouth-formed (boil and bite) mouth guards are used most frequently (90%), but custom made mouth guards (10%) are most effective in preventing injury. Mouth Guards
  • 17.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Instruct patients on the maintenance of mouth guard.  Rinse and brush mouth guard after each use.  Do not rinse in hot water or keep in unusually hot environments; this could lead to distortion. Dental Provider's Role In Mouth Guard Use
  • 19.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Dental desensitizing agents are used both in office and at home for various desensitizing needs In-office desensitizing agents are used to desensitize exposed root surfaces, in tooth preparation for both direct and indirect restorations, as well as before and after tooth bleaching Desensitizing Agents
  • 20.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Used to treat or prevent hypersensitivity in the teeth Hypersensitivity can be caused by cold, heat or contact In some procedures, etchants are used to increase bonding/retention of the tooth surface and restorative materials The etchant opens and exposes dentin tubules, which sometimes cause hypersensitivity In-Office Desensitizing Agents
  • 21.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Patients who use certain whitening agents need to be treated with a desensitizer Can be used under all types of restorations, bonding agents, temporary fillings, and permanent cement Available in various viscosities, desensitizing agents may be delivered via prefilled syringe, single-use droppers or bottle droppers May be self-curing or light-curing In-Office Desensitizing Agents
  • 22.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Home desensitizing agents also are available to aid patients with dental hypersensitivity They often have a higher pH than their in-office counterparts for patient safety and because they will be used more frequently Most dental desensitizing agents contain fluoride When choosing a dental desensitizing agent, research which product will perform best for each procedure, both at home and at the office. Desensitizing Agents
  • 23.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Home Desensitizing Agents The only at-home stannous fluoride treatment accepted by the ADA for decay prevention and sensitivity relief.
  • 24.
    Copyright © 2014by Pearson Education, Inc. All Rights Reserved Primary Preventive Dentistry, Eighth Edition Harris | Garcia-Godoy | Nathe  Home Desensitizing Agents