“…Several previously published studies have investigated barriers to mouthguard use, identifying a multitude of potential issues including construction (e.g., durability, cost, fit, comfort, and availability; DeYoung, Robinson, & Godwin, 1994; Gardiner & Ranalli, 2000), players’ perceptions of mouthguards (e.g., factors such as a lack of knowledge of injury risk or mouthguard effectiveness and concerns over decreased comfort, ability to communicate, and athletic performance; Berry, Miller, & Leow, 2005; DeYoung et al, 1994; Gardiner & Ranalli, 2000; Hawn, Visser, & Sexton, 2002; Maestrello-deMoya & Primosch, 1989; Morton & Burton, 1979), peer pressure, and the attitudes, knowledge, and beliefs of parents (Diab & Mourino, 1997; Gardiner & Ranalli, 2000; Pribble, Maio,& Freed, 2004; Walker, Jakobsen,& Brown, 2002), coaches (Berg et al, 1998; Gardiner & Ranalli, 2000; Hawn et al, 2002; Ranalli & Lancaster, 1995), and referees/officials (Gardiner & Ranalli, 2000; Hawn et al, 2002; Lancaster & Ranalli, 1993). Similar to previous studies, we found that overall, among both athletes who have a mouthguard but never wear it and athletes who do not have one and have made a decision not to wear one, the main reasons for not doing so were similar; that is, they were not required to wear one (65.3 %) and they felt they could not breathe or talk while wearing one (61.5 %).…”