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Not yet recruitingNCT06972823MouthguardsUpdated May 15, 2025

Impact of 3D-Printed and Custom Mouthguards on Speech and Oral Functions in Children Practicing Contact Sports

An interventional study of 3D printed custom-made mouthguards and Traditional custom-made mouthguards in Mouthguard Use, Orofacial Injuries Prevention and 3D Printed Mouthguard, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to participants aged 8 Years to 14 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-15.

Sponsored by Cairo University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Feb 2026, 8 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
8 Years to 14 Years
Sex
All
01

Study summary

This study aims to compare the effects of traditional and 3D-printed custom-made mouthguards on speech and oral functions in pediatric cases who practice contact sports by evaluating the comfort, fit, and performance of both types of mouthguard fabrication methods. The study will be conducted on 60 children who practice contact sports, and the changes in speech, oral functions, the occlusal thickness of the mouthguards, and the cost efficiency will be assessed over a period of one year.

Read the detailed description

This randomized clinical trial will be conducted at Cairo International Stadium, enrolling healthy children aged 8 to 14 who are actively engaged in contact sports and require mouthguards for protection. Eligible participants must be cooperative and have no history of speech or neurological disorders, orthodontic treatment, or dental anomalies that may affect mouthguard adaptation. After obtaining informed consent from parents, participants will be randomly allocated in a 1:1 ratio into two groups.

Group 1 will receive traditional custom-made mouthguards fabricated from alginate impression material. Group 2 will receive 3D-printed custom-made mouthguards created from digital intraoral scans using CAD/CAM and 3D printing technology. All fittings will be adjusted for comfort, retention, and occlusal balance by the principal investigator.

The primary outcomes include changes in oral functions and speech, assessed using a validated Likert-scale questionnaire adapted from Mat Zainal et al. (2024), administered at baseline, 3 months, and 6 months. Secondary outcomes include evaluating the knowledge, attitude, and practice (KAP) toward mouthguard use using a structured questionnaire (Vignesh et al., 2023), cost efficiency via the incremental cost-effectiveness ratio (ICER), and occlusal thickness changes using an Iwanson caliper. This trial aims to determine whether 3D-printed mouthguards provide superior or equivalent function, comfort, and cost-efficiency compared to traditional methods, potentially advancing the standards of pediatric sports dentistry.

02

Conditions studied

  • Mouthguard Use
  • Orofacial Injuries Prevention
  • 3D Printed Mouthguard
  • Traditional Custom-made Mouthguard
  • Speech and Oral Functions

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Keywords

  • 3D printed mouthguard
  • traditional custom-made mouthguard
  • speech
  • oral functiions
  • CAD/CAM
  • 3D printer
  • Children
  • Pediatric Dentistry
  • Contact sports
  • speaking
03

In context

Speech

76 studies on the registry are indexed under Speech; 49 are open to participants now.

This study's planned enrollment of 60 is close to the median of 60 across 62 interventional studies indexed under Speech.

Browse Speech studies →

Lead sponsor

Cairo University is the lead sponsor of 4,909 studies on the registry; 1,445 are open to participants now.

Of its 37 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
8 Years to 14 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Children aged 8-14 years of both ages.
  • Participants actively engaged in contact sports.
  • Children who require mouthguards for protection.
  • Cooperative children.

Exclusion criteria

Exclusion Criteria:

  • Children with a history of speech or neurological disorders affecting oral function
  • Parental refusal to participate.
  • Children currently undergoing orthodontic treatment with fixed appliances.
  • Presence of severe dental anomalies or extensive missing teeth that could interfere with mouthguard adaptation.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    3D printed custom-made mouthguards

    This arm will include participants receiving 3D printed custom mouthguards.

    Device: 3D printed custom-made mouthguards

  • Active comparator
    Traditional custom-made mouthguards

    Participants in the second group will receive traditional custom-made mouthguards.

    Device: Traditional custom-made mouthguards

Interventions

  • Device3D printed custom-made mouthguards

    Participants in the first group will receive 3D printed custom-made mouthguards

  • DeviceTraditional custom-made mouthguards

    Participants in the active comparator arm will receive traditional custom-made mouthguards as an intervention

06

What researchers measure

Primary outcomes

  1. Changes Speech and in Oral Functions

    Oral functions, including speaking difficulty, lisping, nausea, bulkiness, and mouth dryness, will be assessed using a validated questionnaire adapted from the study by Mat Zainal et al. (2024). The questionnaire will be administered at three distinct intervals (baseline, 3 months, and six months)

    Time frame: Six months

Secondary outcomes

  1. Knowledge, attitude, and practice (KAP) of children toward mouthguards

    The study will evaluate the knowledge, attitudes, and practices (KAP) of children regarding the use of mouthguards in preventing orofacial injuries during contact sports. Specifically, the study assesses children's awareness of the risks of orofacial injuries, their understanding of mouthguards as a protective measure, and their current usage patterns. Based on a previous study by Vignesh et al. (2023), a structured and well-adapted questionnaire will be given to all participants in both groups at the initial visit.

    Time frame: initial visit (the first month)

  2. Cost Efficiency of both mouthguards

    This study will also assess the cost efficiency of both types of custom-made mouthguards by calculating the cost per unit, using the U.S Dollar (USD) as the unit of measurement. The incremental cost effectiveness ratio will be calculated after one year. The following equation will be used to measure the incremental cost-effectiveness ratio (Sadatsafavi et al., 2009): ICER=(Mouthguard A cost- Mouthguard B cost)/(outcome of mouthguard A-Outcome of mouthguard B)

    Time frame: one year

  3. Occlusal thickness changes

    This study will assess the wear patterns of both types of mouthguards in children participating in contact sports. The wear patterns will be measured by evaluating the thickness reduction of the mouthguards over time using an Iwanson caliper (measured in millimeters, mm). This method will provide quantitative data on the durability and wear resistance of each type of mouthguard, helping to determine which type maintains its protective properties longer under the stress of regular use (Tewari et al., 2024). The mouthguard thickness will be measured at two distinct timepoints (baseline and three months)

    Time frame: Three months

07

Study locations

1 site
  • Faculy of Dentistry, Cairo University
    Cairo, Egypt
08

References and documents

Publications

  • Vignesh, T. S., Chinni, S. K., Anumula, L., Sannapureddy, S., Kumar, Y. P., & Rohith, V. V. S. (2023). Knowledge, Attitudes, and Practices of Mouth Guards in the Prevention of Orofacial Injuries in Sports Persons-A Cross-sectional Study. Journal of Interdisciplinary Dentistry, 13(2), 84-89.
  • Tewari N, Kahler B, Srivastav S, Goel S. How far have we come? A historic scoping review of dental traumatology literature. Dent Traumatol. 2022 Oct;38(5):345-355. doi: 10.1111/edt.12760. Epub 2022 May 25. PubMed 35612349 ↗
  • Tanaka Y, Maeda Y, Yang TC, Ando T, Tauchi Y, Miyanaga H. Prevention of orofacial injury via the use of mouthguards among young male rugby players. Int J Sports Med. 2015 Mar;36(3):254-61. doi: 10.1055/s-0034-1390498. Epub 2014 Oct 20. PubMed 25329428 ↗
  • Sousa AM, Pinho AC, Messias A, Piedade AP. Present Status in Polymeric Mouthguards. A Future Area for Additive Manufacturing? Polymers (Basel). 2020 Jul 3;12(7):1490. doi: 10.3390/polym12071490. PubMed 32635307 ↗
  • Singh G, Garg S, Damle SG, Dhindsa A, Kaur A, Singla S. A study of sports related occurrence of traumatic orodental injuries and associated risk factors in high school students in north India. Asian J Sports Med. 2014 Sep;5(3):e22766. doi: 10.5812/asjsm.22766. Epub 2014 Aug 28. PubMed 25520762 ↗
  • Sadatsafavi M, Marra CA, Ayas NT, Stradling J, Fleetham J. Cost-effectiveness of oral appliances in the treatment of obstructive sleep apnoea-hypopnoea. Sleep Breath. 2009 Aug;13(3):241-52. doi: 10.1007/s11325-009-0248-4. Epub 2009 Feb 20. PubMed 19229577 ↗
  • Roberts HW. Sports mouthguard overview: Materials, fabrication techniques, existing standards, and future research needs. Dent Traumatol. 2023 Apr;39(2):101-108. doi: 10.1111/edt.12809. Epub 2022 Nov 27. PubMed 36436198 ↗
  • Ntovas P, Ladia O, Kois JC, Rahiotis C, Revilla-Leon M. Digital workflow for the fabrication of custom-fit additively manufactured sports mouthguards with balanced occlusion using an optical jaw tracking system: A dental technique. J Prosthet Dent. 2025 Nov;134(5):1536-1541. doi: 10.1016/j.prosdent.2024.07.021. Epub 2024 Aug 22. PubMed 39174379 ↗
  • Mordini L, Lee P, Lazaro R, Biagi R, Giannetti L. Sport and Dental Traumatology: Surgical Solutions and Prevention. Dent J (Basel). 2021 Mar 23;9(3):33. doi: 10.3390/dj9030033. PubMed 33806915 ↗
  • Mat Zainal MK, Liew AKC, Abdullah D, Soo E, Abdul Hamid B, Ramlee RAM. Changes in oral functions and speech when using custom-fitted mouthguards: An uncontrolled before-and-after study. Dent Traumatol. 2024 Aug;40(4):460-469. doi: 10.1111/edt.12939. Epub 2024 Mar 8. PubMed 38459669 ↗
  • Green JI. The Role of Mouthguards in Preventing and Reducing Sports-related Trauma. Prim Dent J. 2017 May 1;6(2):27-34. doi: 10.1308/205016817821281738. PubMed 28668098 ↗
  • Dias Goncalves VP, Fontes Vieira CM, Colorado Lopera HA. The production and materials of mouthguards: Conventional vs additive manufacturing - A systematic review. Heliyon. 2024 Jul 8;10(14):e34294. doi: 10.1016/j.heliyon.2024.e34294. eCollection 2024 Jul 30. PubMed 39092246 ↗
  • Dolic O, Obradovic M, Kojic Z, Knezevic N, Trtic N, Veselinovic V, Arapovic-Savic M, Umicevic-Davidovic M, Krcic V. Traumatic Dental Injuries in Children and Adolescents from a Major Dental Clinic in Bosnia and Herzegovina: A 5-Year Retrospective Study. Medicina (Kaunas). 2024 Nov 8;60(11):1843. doi: 10.3390/medicina60111843. PubMed 39597028 ↗
  • Del Rossi G, Lisman P, Signorile J. Fabricating a better mouthguard. Part II: the effect of color on adaptation and fit. Dent Traumatol. 2008 Apr;24(2):197-200. doi: 10.1111/j.1600-9657.2007.00570.x. PubMed 18352924 ↗
  • De Queiroz, T. S., da Cruz, B. S., Demachkia, A. M. M., Borges, A. L. S., Tribst, J. P. M., & Paes Junior, T. J. d. A. (2023). Ergonomic sports mouthguards: A narrative literature review and future perspectives. Applied Sciences, 13(20), 11353.
  • Borin-Moura, L., Azambuja-Carvalho, P., Daer-de-Faria, G., Barros-Gonçalves, L., Kirst-Post, L., & Braga-Xavier, C. (2018). A 10-year retrospective study of dental trauma in permanent dentition. Revista Española de Cirugía Oral y Maxilofacial, 40(2), 65-70.
  • Avgerinos S, Stamos A, Nanussi A, Engels-Deutsch M, Cantamessa S, Dartevelle JL, Unamuno E, Del Grosso F, Fritsch T, Crouzette T, Striegel M, Sanchez CC, Okshah A, Tzimpoulas N, Naka O, Kouveliotis G, Tzoutzas I, Zoidis P, Synodinos F, Loizos E, Tasopoulos T, Haughey J, Rahiotis C. Position Statement and Recommendations for Custom-Made Sport Mouthguards. Dent Traumatol. 2025 Jun;41(3):246-251. doi: 10.1111/edt.13019. Epub 2024 Nov 22. PubMed 39578680 ↗
  • Abbott PV, Tewari N, Mills SC, Stasiuk H, Roettger M, O'Connell AC, Levin L. The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) guidelines for prevention of traumatic dental injuries: Part 4: Faceshields for the prevention of dental and oral trauma. Dent Traumatol. 2024 Feb;40 Suppl 1:10-11. doi: 10.1111/edt.12926. PubMed 38363703 ↗

Related links

Individual participant data

Plan to share: Undecided — Individual participant data (IPD) will be shared with qualified researchers upon request, following ethical guidelines and approval from the relevant ethics committee. The data will be anonymized to ensure participant confidentiality and will be made available through a secure data repository.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06972823
Lead sponsor
Cairo University
Responsible party
yasir mohammed hassan aljadani (Master's Candidate, Department of Pediatric Dentistry, Cairo University, Cairo University) — Principal investigator
First posted
May 15, 2025
Start date
Aug 2025 (estimated)
Primary completion
Feb 2026 (estimated)
Completion
Aug 2026 (estimated)
Last update
May 15, 2025

Study contacts

Yasir M Aljadani, Bachelor's degree of dentistry
Contact
yasir.aljadani@dentistry.cu.edu.eg
+201118888921
Gihan M Abuelniel, Doctoral Degree (Professor)
study director · Cairo University
Passant Nagi, Master's Degree
study director · Cairo University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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