Case #2: Boil & Bite Mouthguard
This case is from a hockey accident in which the individual was wearing a boil & bite mouthguard. Trauma to the face occurred which split his upper lip, requiring stitches. Even with a custom mouthguard, tissue trauma will still occur, however, the mouthguard can help prevent teeth from cutting through the lip. With the store bought mouthguards, coverage often is limited to the exposed surfaces of the teeth, and as a result, when trauma occurs, teeth will often still break as in this case where the tooth fractured off at just below the gumline. As you can see, the store bought mouthguards provided inadequate coverage and force distribution to protect the teeth, whereas a custom professional mouthguard would have spread out these forces over the bone as well as across the teeth to prevent this kind of trauma. The result, the loss of a tooth that could have been saved. The cost, ~$4,500 for a new tooth that is a pretty close replica of the original, but never the same. Unfortunately, I do not have a photo of trauma itself, but you can see the x-ray of the fractured tooth as well as the final implant restoration.