Whether for exercise, competition or the simple enjoyment of recreational activity, increasing numbers of health-conscious Americans are involved in sporting activities. Over the past decade, 46 million U.S. children were involved in sports. It’s estimated that 30 million of these children are participating in organized sports. Sports injury accounts for 10-39% of all dental injuries. Children most prone to sports-related oral injury are between 7-11 years old.29,43,45-47
Approximately 15 million Americans suffer dental injuries and 5 million teeth are lost annually in sports-related injuries. During a single athletic season, athletes have a 1 in 10 chance of suffering a facial or dental injury. In fact, the lifetime risk of such an injury is estimated to be about 45% according to the National Youth Sports Foundation (NYSSF) reports athletes who don’t wear mouthguards are 60 times more likely to experience trauma to the oral cavity.41 In a survey commissioned by the American Association of Orthodontists (AAO), 84% of children did not wear a mouthguard during organized sports because they were not required to wear them, even if they’re required to wear helmets and other safety gear.44 In 2016 the National Athletics Trainers’ Association (NATA) developed a position statement on preventing and managing sports-related dental and oral injuries. Their detailed clinical recommendations and suggested best practice guidelines were published in the Journal of Athletic Training providing current evidence for athletic trainers and other healthcare professionals.9 In a 2017-18 National High School Sports-related Injury Surveillance Study conducted by the Center for Injury Research & Policy in the Colorado School of Public Health, the most common injury diagnoses during competition and practices was head/face concussion (n=255,923).53 Dentistry plays a large role in treating oral and craniofacial injuries resulting from sporting activities.
Prior to the 1980s, little was available in the scientific literature in terms of sports-related injury assessment. Several injury surveillance systems have been established in an attempt to track sports-related accidents and injuries. While all injury surveillance systems provide valuable information on generalized sports injuries, very little information is available regarding dental or craniofacial injuries. In terms of data collection and analysis in the United States, the field continues to be open for dentistry to assume a major leadership role in assessing dental injuries resulting from sporting activities.3 One reason for a lack of empirical studies in the United States is the absence of academic training in sports dentistry. A survey by Kumamoto and others was sent to 69 dental schools in the United States and Canada regarding course offerings, opinions about offering a course, construction of mouthguards, and provision of treatment for trauma. Of the 19 dental schools with sports dentistry courses, 17 taught the course in the undergraduate curriculum, 12 as a required course and the remaining five dental schools taught this subject as an elective. Two schools offered the course on a graduate level. Data from the study also concluded that more than half of the schools that teach sports dentistry do not treat any outside athletic group on a regular basis.4
This course is designed to explain the various sports-related dental injuries, discuss the three types of mouthguards utilized and the dental team’s role in sports-related injuries and sports dentistry.