Evidence map›Paper›PMID 29808910›Full record

SynthesisInternational dental journal2019

Is there enough evidence that mouthguards do not affect athletic performance? A systematic literature review.

Gustavo Barbosa Ferreira, Ludmila Silva Guimarães, Claudio Pinheiro Fernandes, Reinaldo Brito Dias, Neide Pena Coto, Lívia Azeredo A Antunes, Leonardo Santos Antunes

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in International dental journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Comparison of Shock Absorption Capacities of 3D-Printed Custom-Made Mouthguards: A Comparative In Vitro Study.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Developing the role of the sports dentist.British dental journal · 2021
    Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Gustavo Barbosa FerreiraPostgraduate Program, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil.
Ludmila Silva GuimarãesPostgraduate Program, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil.
Claudio Pinheiro FernandesDepartment of Specific Formation, School of Dentistry, Fluminense Federal University, Nova Friburgo, RJ, Brazil.
Reinaldo Brito DiasDepartment of Surgery, Prostheses and Maxillofacial Traumatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Neide Pena CotoDepartment of Surgery, Prostheses and Maxillofacial Traumatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Lívia Azeredo A AntunesDepartment of Specific Formation, School of Dentistry, Fluminense Federal University, Nova Friburgo, RJ, Brazil.
Leonardo Santos AntunesDepartment of Specific Formation, School of Dentistry, Fluminense Federal University, Nova Friburgo, RJ, Brazil.
Universidade Federal Fluminense · BRUniversidade de São Paulo · BR

Funding

CAPESEXTPESQ-FAPERJ # E-26/010.001900/2014PROEXT
6 · The paper itself

Abstract

backgroundAlthough there is evidence that mouthguards prevent orofacial trauma occurrence during sport practice, the influence of this device on athletic performance has not been systematically quantified.

objectivesWe aim to systematically review the literature to determine the effect of mouthguards on athletic performance and if the type of mouthguard influences this overcome. MATERIALS AND

methodsA comprehensive search was performed in the Systematic Electronic Databases: Pubmed, Scopus, Web of Science and the Cochrane Library from their inception to February 2017. The publications were grouped based on their outcome: (i) the use of mouthguards; or (ii) the type of mouthguards. We conducted descriptive analyses and quality assessments of the included studies.

resultsThe search identified 489 citations. After screening the studies, we identified 15 trials comprising a population of 312 athletes. According to the risk of bias evaluation, nine studies were considered 'high' risk of bias, and six 'low' risk of bias. Overall, custom-made mouthguards did not interfere or improve athletes' performance when compared with the control group (without mouthguard). Custom-made mouthguards showed the smallest range of changes in players' performance compared with other types of mouthguards.

conclusionsThis systematic review provides evidence for sports professionals to advocate the use of custom-made mouthguards to prevent injury, and these devices do not impair performance. The scientific evidence should be interpreted carefully because there is a great variability in outcome measures and lack of important methodological details.

Indexed as

Athletic PerformanceMouth ProtectorsAthletic InjuriesEquipment DesignFacial InjuriesHumansMouthMouthguardmouth protectorsperformancepreventionsystematic review

Identifiers

PMID29808910
PMCPMC9379066
OpenAlexW2807690847

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.