Sports mouthguard impact testing results comparing OTC and dental-made mouthguards

Sports Mouthguard Impact Testing: Understanding NeoMorph’s Independent Testing Program

Why NeoMorph Invested in Independent Impact Testing

At NeoMorph, we believe a mouthguard should do more than simply exist as a piece of protective equipment — it should demonstrate how it performs under controlled impact conditions.

As a dental hygienist working in both general and orthodontic practice, I spent years hearing about the frustration many sports people experienced with poorly fitting and uncomfortable OTC (over-the-counter) mouthguards.

A common issue with many traditional OTC mouthguards is that protection, comfort, fit, and wearability often compete against each other. Some mouthguards may feel bulky and uncomfortable, while others may not effectively distribute impact forces.

NeoMorph was developed to help bridge the gap between traditional boil-and-bite mouthguards and laboratory-made custom mouthguards by focusing on:
• secure fit
• re-mouldability
• comfort
• and impact performance

Independent impact testing formed an important part of that process.

The purpose of the testing was to evaluate the protective capacity of NeoMorph Prodigy® alongside a broad range of commercially available OTC mouthguards as well as several laboratory-made custom mouthguards under controlled and repeatable laboratory conditions.

Creating a Level Playing Field

Placing a mouthguard over the teeth helps distribute and dissipate impact forces to help reduce dental damage. The central question behind this testing was simple:

“How effectively does each mouthguard do this?”

To create a fair comparison between mouthguards, a dental model of an upper jaw was first produced. Using this model as a template, identical plaster casts were then created for all testing.

A broad and representative range of popular OTC mouthguards were selected and fitted to these identical models. Multiple matched replicates of each mouthguard were produced to allow repeated testing under the same conditions.

This enabled repeated testing to the point of failure (destructive testing) across all mouthguards tested.

Laboratory-made custom mouthguards were independently manufactured by four separate dental laboratories using their standard fabrication techniques. These laboratories remained unknown to the test engineer.

In every test:
• a new mouthguard was used
• the same standardised dental model was used
• and the same impact apparatus and positioning system was used

This ensured the only major variables remaining were:
• the size of the impact
• and the mouthguard being tested

A true level playing field.

Types of Mouthguards Included in the Testing

The testing compared:
• a broad range of OTC commercially available mouthguards
• dual laminate laboratory-made mouthguards
• and triple laminate laboratory-made mouthguards

The commercially available OTC mouthguards incorporated three different construction types:

Thin semi-rigid Mouthguards: 1.6-2.4mm

Gel-Lined Mouthguards: (rigid external shell with mouldable internal gel)

Commercial EVA Mouthguards

For the Dual-Laminate Dental-Made Mouthguards, technicians were instructed to use:
• a 4mm EVA sheet
• and a 2mm EVA sheet

and their standard method of manufacture.

The dual laminate design is one of the most common styles of laboratory-made mouthguards.

For the Triple-Laminate Dental-Made Mouthguards, technicians used:
• a 2mm
• 4mm
• and 2mm layered EVA construction

and their standard method of manufacture.

Triple laminate mouthguards represent one of the thicker styles of laboratory-made mouthguards often used for higher-impact sports.

This allowed the testing to compare a broad range of mouthguard constructions under the same standardised impact conditions.

How the Pendulum Impact Testing System Worked

Testing was performed using a purpose-built pendulum impact apparatus designed to deliver a consistent frontal impact to the upper front teeth.

The pendulum used:
• a heavy brass cylindrical impactor
• and a custom clamping chuck system that precisely positioned and retained the plaster dental model during impact

By standardising:
• the impact location
• the force direction
• the positioning
• and the model retention

each impact remained highly controlled and repeatable throughout testing.

Every impact delivered by the apparatus remained the same across all tests, with the type of mouthguard and the impact force remaining the only significant variables.

Impact testing process

What Happens Without a Mouthguard?

In the absence of a mouthguard, the dental plaster cast chipped with extremely small impacts. In fact, the impact tolerated by the model without protection was too low to reliably measure.

This demonstrated how vulnerable unprotected teeth can be during sporting impact.

Destructive Testing: Measuring Mouthguard Failure

To assess protective capacity, the pendulum angle was gradually increased. As the pendulum height increased, so too did the impact energy delivered to the mouthguard and underlying dental model.

Each mouthguard replicate was tested repeatedly until the dental model chipped or fractured. This process is known as destructive or failure testing.

The maximum impact available from the test stand was 8.75 Joules, which caused dental model fracturing in nearly all mouthguards tested.

Using multiple matched replicates enabled:
• repeated testing
• comparative analysis
• and statistical evaluation between mouthguards

This provided a comparative measure of overall “protective capacity.”

How Impact Absorption Was Measured

In addition to destructive testing, the study also assessed how much energy each mouthguard absorbed during impact.

The testing evaluated:
• how energy transferred through the mouthguard
• how force moved into the teeth and jaw
• and how effectively impact was distributed and dissipated

Any energy not absorbed by the mouthguard transferred into:
• the teeth
• jaw structures
• and surrounding tissues

This is why both energy absorption and load distribution play important roles in mouthguard performance.

The calibration of the pendulum and clamping system also allowed researchers to compare how mouthguards behaved at varying impact levels and how effectively forces were distributed around the jaw.

What Did the Sports Mouthguard Impact Testing Show?

Dental damage occurred for all mouthguards at varying levels of impact. However, the degree of protection differed significantly between mouthguards.

Poorly protective mouthguards:
• absorbed very little energy
• allowed damage at relatively small impacts
• and concentrated force onto the front teeth

Better-performing mouthguards generally:
• absorbed more energy
• withstood larger impacts
• and distributed forces more effectively around the jaw

The testing demonstrated that mouthguard protection is influenced by multiple factors, including:
• fit
• material
• construction
• impact absorption
• and force distribution characteristics

What the Results Reinforced for NeoMorph

One of the key observations from the testing was that mouthguard performance is not determined by thickness alone.

The testing demonstrated that better-performing mouthguards were generally those that:

• absorbed more impact energy
• distributed force more effectively
• and maintained stability during impact

These findings highlighted that mouthguard performance is influenced by multiple factors and not simply thickness alone.

This reinforced many of the same challenges our founder had observed clinically over many years working with sports people and orthodontic patients.

Many traditional over-the-counter mouthguards can feel:

• bulky
• uncomfortable
• poorly fitting
• and do not re-mould particularly well for changing dentitions such as braces and aligners.

Many sportspeople are looking for a re-mouldable OTC alternative that sits between traditional boil-and-bite mouthguards and dental-made mouthguards.

NeoMorph was developed with this balance in mind:
• secure fit
• re-mouldability
• comfort
• retention
• and impact performance

The independent testing formed an important part of validating that approach.

Rather than focusing on a single factor such as thickness alone, NeoMorph’s development philosophy has always centred around the broader relationship between:
• fit
• force distribution
• impact absorption
• comfort
• and long-term wearability

Because ultimately, a mouthguard only works properly if athletes are willing to consistently wear it.

Readers interested in reviewing the detailed testing results and comparative performance data can view our full Testing Results page.

About the Author

Amanda Trenerry is the Founder of NeoMorph Mouthguards and a Registered Dental Hygienist with more than 30 years of clinical experience and over 38 years in the dental profession. Her experience spans general dentistry, orthodontics, prosthodontics and dental education. Amanda is passionate about oral health, sports injury prevention and improving access to comfortable, protective mouthguards for all athletes.

Disclaimer: The information contained in this article is intended for educational purposes only and reflects the professional opinions and experience of Amanda Trenerry, Founder of NeoMorph Mouthguards. Testing was conducted under controlled laboratory conditions and results should be interpreted within the limitations of the testing methodology. Individual sporting impacts and outcomes may vary.

Learn More About NeoMorph

Interested in learning more about NeoMorph’s approach to fit, comfort and protection?

Explore our educational resources, fitting guides and product information at Neomorph Mouthguards.

Secure custom fit. Comfortable to wear. Protection you can trust.
Visit neomorphmouthguards.com

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