|"I recommend that dental experts be involved to consider protecting the jaw.
The jaw has a role to play in transmitting forces to the TMJ Base of Skull due to impact.
If there is a blow to the jaw then where does the force go? ".
- Robert Mongrain, DMD
There are two issues that are at least partially missing in the 'Jaw-Impact and Base of Skull Consequences' debate:
The discussion should be less about what to do about the injury and more about how to reduce the incidence of such injuries in sports. When discussing the use of protective equipment, we must include protecting the jaw from impact in such a way as to reduce forces transmitted into the base of the skull.
An argument that I have heard from people on committees and in the position to make decisions is that there is no research linking blows to the jaw and other injury, therefore we do not need to include the jaw. It is true that there is limited Jaw-impaction research available today.
Let’s look at logic a little. Physics says that for every action there is a reaction. There are numerous blows to the jaw that can be observed in sports every day that result in injuries. One does not need research to watch a player take a blow to the jaw and go down to say that it never happens.
To consider all the effort and science that has been put in to helmet design it does not make sense not to put any effort into protecting the jaw from a blow that we know happens regularly. Most any dentist that you speak to would agree that putting the right material between the teeth to stabilize the jaw in a down and forward position would mitigate force transference to the skull. The only thing at this point that is lacking is extensive research.
I recommend that dental experts be involved to consider protecting the jaw as new standards of testing and product development are considered during this process of attempting to reduce the incidence of injury in contact sports.
Robert Mongrain DMD | 8701 S. Garnett Rd. | Broken Arrow OK 74012