General & Cosmetic Dentistry
The office of Keith A. Kye, DDS, FAGD serves the neighborhoods of Huntersville, Lake Norman, Davidson and Cornelius.


Sports-related collisions and accidental impacts not only threaten enamel — they can damage soft tissues, restorations, and even the jaw joint. A well-fitted mouthguard acts as a shock absorber, dispersing force across a larger surface area to reduce the risk of chipped teeth, lacerated lips, and displaced dental work. For athletes wearing braces or recent dental implants, a mouthguard also serves as a barrier that prevents wires from cutting soft tissue and shields fragile restorations from direct contact during play.
Beyond immediate dental injuries, properly designed mouth protection can help limit the intensity of transmitted forces that contribute to concussions and facial fractures. While no device can eliminate risk entirely, research suggests that a secure oral appliance can reduce peak impact to the jaw and limit sudden, extreme movements that contribute to head and neck trauma. That preventive value makes mouthguards an essential piece of personal protective equipment in contact and non-contact sports alike.
Parents, coaches, and athletes should treat mouthguards as standard safety gear — alongside helmets and pads — rather than optional add-ons. Consistent use during practice and competition significantly lowers the chances of emergency dental treatment, lost playing time, and long-term restorative procedures. At our practice serving Huntersville and the Lake Norman communities, we emphasize prevention as a first line of defense for athletes of all ages.
Mouthguards are available in three main categories, each offering a different balance of convenience, protection, and comfort. Off-the-shelf or stock mouthguards are ready to wear immediately but often provide a poor fit and limited retention. Boil-and-bite models, found at many sporting goods stores, improve fit by softening the material in hot water before molding it to the teeth; they offer better protection than stock units but can still be bulky or ill-fitting over time.
Custom-fit mouthguards, crafted by dental professionals, are manufactured from precise impressions or digital scans of the athlete’s mouth. These appliances deliver the most consistent fit, better retention, and superior comfort, reducing the need for bite adjustments and improving breathing and speech while active. For athletes with orthodontic appliances, crowns, bridges, or implants, a bespoke guard can be tailored to accommodate hardware and minimize the risk of additional injury.
Choosing the right type depends on factors like the athlete’s age, the sport’s contact level, and how long the guard will be worn each session. While off-the-shelf solutions are a quick answer for casual play, competitive athletes and those with dental work typically benefit most from the enhanced protection and durability of a custom device crafted at a dental office.
The process for a custom mouthguard begins with a thorough oral exam to evaluate tooth alignment, restorations, and any special considerations such as braces. From there, we capture accurate detail of the teeth using traditional impressions or modern digital scanning technology. Those models form the blueprint for a mouthguard fabricated in a dental lab or in-office using high-performance materials chosen for shock absorption and long-term resilience.
Laboratory-fabricated guards often use multi-layer constructions that combine a soft inner lining for comfort with a firmer outer layer for impact resistance. This layered approach lets technicians fine-tune thickness and contour to preserve a natural bite while optimizing protection. The result is a streamlined appliance that stays in place during play, allows for clear breathing, and interferes minimally with communication on the field or court.
After fabrication, your dentist will verify the fit and make any necessary refinements to ensure proper retention and occlusion. Periodic checks are important because growth, tooth movement, or orthodontic treatment can alter fit over time; adjustments or remakes keep the guard functioning correctly as the athlete’s mouth changes.
Selecting an appropriate mouthguard starts with the sport and the athlete’s role within it. High-contact sports like football, hockey, and martial arts typically require the highest level of protection and retention, while sports with occasional impact — such as basketball, soccer, or skateboarding — still benefit from reliable oral protection. Younger athletes who are still growing may need more frequent reassessments to ensure continued fit and coverage.
Comfort and ease of use are critical for compliance: a guard that interferes with breathing, speech, or comfort is less likely to be worn consistently. Custom guards can be shaped to reduce bulk around the cheeks and tongue, improving athletic performance and user acceptance. For players with braces, specialized orthodontic guards offer a combination of protection and space to accommodate brackets and wires without compromising safety.
Coaches and parents can support long-term use by making mouthguards a required part of practice and game-day gear, educating young athletes about the consequences of skipping protection, and scheduling regular dental reviews. Proper selection and a fitting appointment help ensure the athlete is comfortable and confident while staying protected.
Maintaining a mouthguard is simple but important. Rinse the appliance with cool water after each use and brush it gently with a soft toothbrush and non-abrasive toothpaste or mild soap. Allow it to air dry thoroughly before storing it in a ventilated plastic case to prevent bacterial growth. Avoid leaving a mouthguard exposed to direct sunlight, hot surfaces, or in a pocket where it can be crushed or distorted.
Inspect the guard regularly for signs of wear such as thinning, tears, or permanent deformation; these changes reduce protective function and signal the need for a replacement. Children and adolescents will require new guards more often because of dental development and orthodontic changes. Adults should also schedule periodic reviews — especially after dental procedures — to confirm the device still fits and performs as intended.
When in doubt, bring the mouthguard to your dental appointment for a professional evaluation. The office of Keith A. Kye, DDS, FAGD can assess fit, recommend adjustments, and advise on replacement intervals tailored to the athlete’s sport, age, and dental condition to keep protection effective throughout the season.
In summary, a properly chosen and maintained sports mouthguard is a small investment that delivers significant protection for athletes of every age. Whether you prefer a convenient store-bought option for casual play or a custom appliance tailored by a dental professional, the goal is consistent use and proper fit. Contact us to learn more about mouthguard options, fitting appointments, and how we can help you choose reliable protection for your sport and lifestyle.
Sports mouthguards act as a shock absorber between the teeth and opposing surfaces, dispersing and reducing the force of an impact to lower the chance of chipped or displaced teeth. They also protect soft tissues such as lips and cheeks from being cut by teeth during collisions and falls. By stabilizing the bite and limiting extreme jaw movement, a properly fitted guard can reduce the mechanical transmission of force to the jaw joint.
No device can eliminate all risk of injury, but research indicates that well-designed oral protection can reduce peak impact loads and help limit sudden movements associated with facial fractures and head trauma. For this reason, mouthguards are recommended equipment in both contact and many noncontact sports where falls or collisions occur. Consistent use during practice and games is the most effective way to preserve oral health and avoid emergency dental care.
Stock mouthguards are preformed and ready to wear but often provide a loose fit and limited retention, which can compromise protection and comfort. Boil-and-bite guards are softened in hot water and then molded to the teeth, offering an improved fit over stock models while remaining an over-the-counter option. Both of these types can be useful for casual play or short-term needs, but they may feel bulky or require frequent replacement.
Custom-fit mouthguards are made from impressions or digital scans taken by a dental professional and fabricated to the athlete's exact bite and anatomy. These appliances generally offer superior retention, thinner profiles, and better breathing and speech performance, which increases the likelihood they will be worn consistently. For athletes with orthodontic appliances, implants, crowns, or other restorations, a custom guard can be tailored to accommodate hardware and provide more reliable protection.
Competitive athletes often prefer custom guards because they deliver a predictable fit and consistent protection without the bulk or movement common with off-the-shelf options. The close adaptation to the teeth reduces shifting during play and allows for easier breathing and clearer communication, which can be important in high-intensity sports. Custom guards also tend to be more durable and comfortable, encouraging long-term use and better compliance.
In addition, custom devices can be engineered with layered materials to balance a soft lining for comfort and a firmer exterior for impact resistance. This multi-layer approach helps preserve the natural bite while enhancing shock absorption where it is most needed. For athletes undergoing orthodontic treatment or with restorative dental work, a bespoke solution is often the safest and most practical choice.
The creation of a custom mouthguard begins with a dental evaluation to assess tooth alignment, restorations, and any special considerations like braces or implants. The clinician then captures precise dental anatomy through a traditional impression or a digital intraoral scan, creating an accurate model of the athlete's mouth that serves as the fabrication blueprint. Laboratory technicians or in-office equipment use those models to construct a guard from materials selected for shock absorption and long-term resilience.
Many custom guards employ a layered construction with a softer inner surface for comfort and a tougher outer shell for impact resistance, allowing technicians to vary thickness where protection is most critical. After fabrication, the dentist verifies and refines fit, retention, and occlusion to ensure the appliance stays in place while permitting normal breathing and speech. The office of Keith A. Kye, DDS, FAGD routinely performs these fittings and can recommend adjustments as the athlete's needs change.
Yes. Athletes with braces, bridges, crowns, or implants can wear mouthguards safely, but they often require specialized designs to accommodate hardware and maintain protection. Orthodontic guards typically provide extra space around brackets and wires to prevent soft tissue lacerations while still stabilizing the bite; these are available as custom or modified boil-and-bite options. For those with restorative work, a guard can be contoured to avoid direct stress on vulnerable restorations while still shielding adjacent teeth and tissues.
It is important to consult a dental professional when wearing dental appliances or after recent restorative procedures, because changes in the mouth can affect fit and retention. Ill-fitting protection can reduce effectiveness and increase the risk of damage, so periodic reassessment during orthodontic treatment or after new restorations helps ensure ongoing safety. Making fit checks part of routine dental visits prevents surprises during play and maintains reliable protection.
Cleaning and storing a mouthguard properly reduces bacterial buildup and preserves the appliance's shape and function. Rinse the guard with cool water after each use and brush it gently with a soft toothbrush and nonabrasive toothpaste or mild soap; allow it to air dry completely before placing it in a ventilated case. Avoid exposing the device to high heat, direct sunlight, or hot water, which can warp the material and compromise fit.
Regularly inspect the guard for thinning, tears, or permanent distortion and replace it if any damage is found. Periodic professional evaluations are also useful to confirm fit and hygiene, especially for athletes who use their guards frequently. Keeping the guard in a designated, ventilated case between uses minimizes contamination and helps the appliance last longer.
Mouthguards should be replaced when they show signs of wear such as holes, tears, permanent deformation, or noticeable thinning, since these issues reduce protective function. Children and adolescents typically need new guards more often because of growth and dental development, and anyone undergoing orthodontic treatment should have the device reassessed after adjustments. Even without visible damage, a guard that no longer fits snugly or interferes with the bite should be evaluated.
Bringing the mouthguard to regular dental appointments allows the clinician to check fit and recommend repairs or remakes as needed. A professional assessment is also advisable after dental procedures that change tooth position or after any significant oral trauma. These checks help ensure the guard continues to provide effective protection throughout the season.
Selecting the right mouthguard starts with the level of contact, the athlete's age, and how often the guard will be worn. High-contact sports such as football, hockey, or martial arts generally require the highest level of retention and cushioning, while athletes in sports with occasional impacts may be well served by a reliable but less bulky option. For young athletes who are still growing, options that allow for regular reassessment or easier replacement are important.
Comfort and usability are key determinants of consistent use, so features that minimize bulk and improve breathing and speech should influence the decision. Discussing sport-specific needs with a dental professional helps match the guard type and materials to the athlete's activity and oral condition. The office of Keith A. Kye, DDS, FAGD can advise on which style best balances protection and performance for a given sport and age group.
A well-fitted mouthguard should interfere minimally with breathing and speech, allowing athletes to perform without significant compromise. Custom guards are generally thinner and contoured to the mouth, which improves airflow and reduces the sensation of bulk compared with many over-the-counter models. Proper adaptation around the cheeks and tongue also helps maintain clear verbal communication during play.
If an athlete experiences noticeable breathing difficulty or impaired communication while wearing a guard, the device may need adjustment or refitting to improve comfort and function. Regular follow-up after the initial fitting helps fine-tune the appliance so it supports both safety and performance. Coaches and players should prioritize fit and retention to ensure the guard remains in place without hindering essential on-field tasks.
Encouraging consistent use begins with education about the protective benefits of mouthguards and making them a routine part of practice and game-day gear. Parents and coaches can set expectations by requiring guards at all sessions, modeling proper care habits, and reinforcing the role of oral protection in preventing time away from sport due to dental injury. Choosing a comfortable, sport-appropriate appliance increases the likelihood that athletes will wear it consistently.
Practical steps such as storing guards in labeled, ventilated cases and scheduling periodic dental checks for fit and condition help normalize use and reduce excuses for skipping protection. For younger athletes, positive reinforcement and a consistent gear checklist before play are effective strategies. When athletes understand that reliable mouth protection preserves both short-term performance and long-term oral health, compliance improves across all age groups.

The office of Keith A. Kye, DDS, FAGD serves the neighborhoods of Huntersville, Lake Norman, Davidson and Cornelius.