Self-reported Experiences of Taekwondo Athletes with Mouthguards
Year 2025,
Volume: 26 Issue: 3, 303 - 308, 22.09.2025
Gulcan Coskun Akar
,
Emel Ouzoun
,
Ece Eden
,
İpek Dikerler
,
Hatice Mükellef
,
Selin Yılmaz
,
İrem Duman
Abstract
Objectives: Taekwondo is a close contact sport, where the activity is intense, and mouthguards are mandatory. The aim of the study was to evaluate the experiences of the Taekwondo athletes on custom-made 4.0mm-thickness mouthguards verses other types retrospectively.
Methods: This cross-sectional study included 26 athletes (74.29%) with permanent dentition from the Metropolitan Municipality Taekwondo Sports School who used two different types of mouthguards for at least three-months for each: a mouthguard with a thickness of 4.0 mm and another type. Their experiences on mouthguards and dental trauma were evaluated by a questionnaire. Chi-square test was used for statistical analysis (p < 0.05). Appropriateness of mouthguards were evaluated from photographs.
Results: The athletes were practicing taekwondo for an average of 9.5±2.47 years and were using a mouthguard for 4.6±3.12 years. Findings revealed that 80.8% of the athletes did not use mouthguard during training. 46.2% experienced an injury where 34.6% also experienced dental injuries. 61.5% of the athletes claimed that the 4 mm thick mouthguard made them feel safer (p=0.009) and 53.8% reported a beneficial effect on their performance (p=0.09). 53.8% reported preference for 4mm-thickness mouthguard (p=0.09). 4mm-thickness custom-made mouthguards were highly accepted by the taekwondo players and should be encouraged for use in both trainings and matches.
Conclusions: It is vital that not only the trainers but also dentists and pediatric dentists promote the use of mouthguards for athletes and ensure that follow-ups are carried out for regular and comfortable use.
Ethical Statement
Ege University Medical Research Ethics Committee, dated 04.08.2022 and numbered 22-8T/11
Thanks
The authors thank Timur Köse from Ege University Faculty of Medicine Department of Biostatistics and Medical Informatics for help with the statistical analyses.
References
-
1. Low D. Mouthguard protection and sports-related dental trauma. Ann R Australas Coll Dent Surg 2002; 16: 153-5.
-
2. Andreasen Jo, Andreasen Fm. Textbook and color atlas of traumatic injuries to the teeth, 3rd Edn. Copenhagen: Munksgaard 1994;719-35
-
3. Sliwkanich L, Ouanounou A. Mouthguards In Dentistry: Current Recommendations For Dentists. Dent Traumatol 2021; 37: 661-71.
-
4. Lang B, Pohl Y, Filippi A. Knowledge and prevention of dental trauma in team Handball in Switzerland and Germany. Dent Traumatol 2002; 18: 329-34.
-
5. Parker K, Marlow B, Patel N, et al. A review of mouthguards: Effectiveness, types, characteristics and indications for use. Br Dent J 2017; 222: 629–33.
-
6. Akar GC. Mouthguards used against sport injuries J Ege Unv School Dent 2007; 28: 9-17.
-
7. Duddy FA, Weissman J, Lee RA, et al. Influence of different types of mouthguards on strength and performance of collegiate athletes: A controlled-randomized trial. Dent Traumatol 2012; 28: 263–67.
-
8. Zamora Olave C, Willaert E, Montero-Blesa A, et al. Risk of orofacial injuries and mouthguard use in Water Polo Players. Dent Traumatol 2018; 34: 406-12.
-
9. Keçeci AD, Eroğlu E, Baydar ML Dental trauma incidence and mouthguard use in elite athletes in Turkey. Dent Traumatol 2005; 21: 76-9.
-
10. Ozawa T, Takeda T, Ishigami K, et al. Shock absorption ability of mouthguard against forceful, traumatic mandibular closure. Dent Traumatol 2014; 30: 204–10.
-
11. Abbott PV, Tewari N, O’Connell AC, et al. The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) guidelines for prevention of traumatic dental injuries: Part 3: Mouthguards for the prevention of dental and oral trauma. Dent Traumatol 2024; 40: 7-9.
-
12. http://m.worldtaekwondo.org/documents-wt/docu_view.html?nid=138045
-
13. Knapik JJ, Hoedebecke BL, Rogers GG, et al. Effectiveness of mouthguards for the prevention of orofacial injuries and concussions in sports: Systematic review and meta-analysis. Sports Med 2019; 49: 1217-32.
-
14. Fernandes LM, Neto JCL, Lima TFR, et al. The use of mouthguards and prevalence of dento-alveolar trauma among athletes: A systematic review and meta-analysis. Dent Traumatol 2019; 35: 54-72.
-
15. Duymus ZY, Gungor H. Use of mouthguard rates among university athletes during Sport activities in Erzurum, Turkey. Dent Traumatol 2009; 25: 318–22.
-
16. Cetinbas T, Sonmez H. Mouthguard utilization rates during sport activities in Ankara, Turkey. Dent Traumatol 2006; 22: 127-32.
-
17. Sepet E, Aren G, Onur OD, et al. Knowledge of sports participants about dental emergency procedures and the use of mouthguards. Dental Traumatol 2014; 30: 391–95.
-
18. Galic T, Kuncic D, Poklepovic Pericic T, et al. Knowledge and attitudes about sports-related dental injuries and mouthguard use in young athletes in four different contact sports-water polo, karate, taekwondo and handball. Dent Traumatol 2018; 34: 175-81.
-
19. Lee LW, Heo CK, Kim SJ, et al. Mouthguard use in Korean taekwondo athletes - awareness and attitude. J Adv Prosthodont 2013; 5: 147-52.
Year 2025,
Volume: 26 Issue: 3, 303 - 308, 22.09.2025
Gulcan Coskun Akar
,
Emel Ouzoun
,
Ece Eden
,
İpek Dikerler
,
Hatice Mükellef
,
Selin Yılmaz
,
İrem Duman
References
-
1. Low D. Mouthguard protection and sports-related dental trauma. Ann R Australas Coll Dent Surg 2002; 16: 153-5.
-
2. Andreasen Jo, Andreasen Fm. Textbook and color atlas of traumatic injuries to the teeth, 3rd Edn. Copenhagen: Munksgaard 1994;719-35
-
3. Sliwkanich L, Ouanounou A. Mouthguards In Dentistry: Current Recommendations For Dentists. Dent Traumatol 2021; 37: 661-71.
-
4. Lang B, Pohl Y, Filippi A. Knowledge and prevention of dental trauma in team Handball in Switzerland and Germany. Dent Traumatol 2002; 18: 329-34.
-
5. Parker K, Marlow B, Patel N, et al. A review of mouthguards: Effectiveness, types, characteristics and indications for use. Br Dent J 2017; 222: 629–33.
-
6. Akar GC. Mouthguards used against sport injuries J Ege Unv School Dent 2007; 28: 9-17.
-
7. Duddy FA, Weissman J, Lee RA, et al. Influence of different types of mouthguards on strength and performance of collegiate athletes: A controlled-randomized trial. Dent Traumatol 2012; 28: 263–67.
-
8. Zamora Olave C, Willaert E, Montero-Blesa A, et al. Risk of orofacial injuries and mouthguard use in Water Polo Players. Dent Traumatol 2018; 34: 406-12.
-
9. Keçeci AD, Eroğlu E, Baydar ML Dental trauma incidence and mouthguard use in elite athletes in Turkey. Dent Traumatol 2005; 21: 76-9.
-
10. Ozawa T, Takeda T, Ishigami K, et al. Shock absorption ability of mouthguard against forceful, traumatic mandibular closure. Dent Traumatol 2014; 30: 204–10.
-
11. Abbott PV, Tewari N, O’Connell AC, et al. The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) guidelines for prevention of traumatic dental injuries: Part 3: Mouthguards for the prevention of dental and oral trauma. Dent Traumatol 2024; 40: 7-9.
-
12. http://m.worldtaekwondo.org/documents-wt/docu_view.html?nid=138045
-
13. Knapik JJ, Hoedebecke BL, Rogers GG, et al. Effectiveness of mouthguards for the prevention of orofacial injuries and concussions in sports: Systematic review and meta-analysis. Sports Med 2019; 49: 1217-32.
-
14. Fernandes LM, Neto JCL, Lima TFR, et al. The use of mouthguards and prevalence of dento-alveolar trauma among athletes: A systematic review and meta-analysis. Dent Traumatol 2019; 35: 54-72.
-
15. Duymus ZY, Gungor H. Use of mouthguard rates among university athletes during Sport activities in Erzurum, Turkey. Dent Traumatol 2009; 25: 318–22.
-
16. Cetinbas T, Sonmez H. Mouthguard utilization rates during sport activities in Ankara, Turkey. Dent Traumatol 2006; 22: 127-32.
-
17. Sepet E, Aren G, Onur OD, et al. Knowledge of sports participants about dental emergency procedures and the use of mouthguards. Dental Traumatol 2014; 30: 391–95.
-
18. Galic T, Kuncic D, Poklepovic Pericic T, et al. Knowledge and attitudes about sports-related dental injuries and mouthguard use in young athletes in four different contact sports-water polo, karate, taekwondo and handball. Dent Traumatol 2018; 34: 175-81.
-
19. Lee LW, Heo CK, Kim SJ, et al. Mouthguard use in Korean taekwondo athletes - awareness and attitude. J Adv Prosthodont 2013; 5: 147-52.