A mouthguard is a protective device for the mouth that covers the teeth and gums to prevent and reduce injury to the teeth, arches, lips and gums. A mouthguard is most often used to prevent injury in contact sports, as a treatment for bruxism or TMD, or as part of certain dental procedures, such as tooth bleaching. Depending on application, it may also be called a mouth protector, mouth piece, gumshield, gumguard, nightguard, occlusal splint, bite splint, or bite plane.
The exact origins of the mouthguard are unclear. Most evidence indicates that the concept of a mouthguard was initiated in the sport of boxing. Originally, boxers fashioned rudimentary mouthguards out of cotton, tape, sponge, or small pieces of wood. Boxers clenched the material between their teeth. These boxers had a hard time focusing on the fight and clenching their teeth at the same time. Since these devices proved impractical, Woolf Krause, a British dentist, began to fashion mouthpieces for boxers in 1892. Krause placed strips of a natural rubber resin, gutta-percha, over the maxillary incisors of boxers before they entered the ring. Phillip Krause, Woolf Krause’s son, is often credited with the first reusable mouthpiece. Phillip Krause’s invention was highlighted in a 1921 championship fight between Jack Britton and Ted "Kid" Lewis. Lewis was a school friend of Krauses’ and the first professional to utilize the new technology, then called a ‘gum shield.’ During the fight, Britton’s manager successfully argued that the mouthpiece was an illegal advantage. Philip Krause was an amateur boxer himself and undoubtedly used his own device before 1921.
There have been other claims to the invention of the mouthguard as well. In the early 1900s, Jacob Marks created a custom fitted mouthguard in London. An American dentist, Thomas A. Carlos, also developed a mouth guard at approximately the same time as Krause. Carlos claimed that he made his first mouthpiece in 1916 and later suggested his invention to the United States Olympian Dinnie O’Keefe in 1919. Another dentist from Chicago, E. Allen Franke, also claimed to have made many mouth guards for boxers by 1919. The mouthguard’s relevance was again brought to the center of attention in a 1927 boxing match between Jack Sharkey and Mike McTigue. McTigue was winning for most of the fight, but a chipped tooth cut his lip, and he was forced to forfeit the match. From that point on, mouthguards were ruled acceptable and soon became commonplace for all boxers. In 1930, descriptions of mouthguards first appeared in dental literature. Dr. Clearance Mayer, a dentist and boxing inspector for the New York State Athletic Commission, described how custom mouthguards could be manufactured from impressions using wax and rubber. Steel springs were even recommended to reinforce soft materials.