Performance Mouthwear

Performance Mouthwear appliances are customized mouthguards based on the principles of TM Joint stability and neurological balance. This is the same scientific basis for our treatment of TMJ pain and joint stabilization patients. It has been known for decades that mandibular position affects balance, strength, stamina, and flexibility.

Many of the world’s most elite athletes instinctively place their jaws into a comfortable, optimal Jaw position, which triggers a natural response and optimal physical performance. In addition, the optimal jaw position can also allow for maximum oxygenation by increasing the size of the airway. A power mouthguards’ technology is intended to help physically place your jaw in the most optimal position, thus improving overall reaction time, performance and airway.
Hundreds of years ago, a few people were on to something: Ancient Greek athletes who bit down on leather straps for an edge during competition; Viking and Roman warriors who clamped down on leather bits for focus on the battlefield. They knew something here worked, but the concept itself never evolved. Until now.


A Performance mouthguard is not a boil and bite piece of rubber, nor is it the mouthguard that your local coach provides to the high school football team. Each patient receiving a performance mouthguard has a thorough TMJ evaluation including imaging of the Jaws as well as the head and neck are taken, then precise models are taken of the teeth. Pulsed radiofrequency is placed on the muscles of the jaw and neck to create complete relaxation of those muscles.


During Monday Night Football telecast of the Saints thrilling 35-28 victory over the Atlanta Falcons in the Louisiana Superdome, color analyst and former Tampa Bay Buccaneers and Oakland Raiders Head Coach Jon Gruden talked about a new mouthpiece that many Saints players are using this season.

The revolutionary product is called: Pure Power Makkar. It is designed to be more than just a mouthguard and strives to increase balance, strength, flexibility, range of motion and endurance.

Numerous Saints players are wearing the mouthpiece, which was specially fitted for each individual player during consultations at the Saints practice facility.

How does it work?

The Science is based on the position of the lower jaw when the lower jaw is in the right position it aligns the neck with the spine. When the body is in a perfectly erect position, you experience the above-noted benefits. Unfortunately, 95% of the population is not in proper alignment.

The proper alignment of the lower jaw is defined, via a tens machine. This machine relaxes the major muscle groups of the face and thereby putting the jaw in a relaxed state. Once the right position of the jaw is found, it is captured with a bite registration material. This bite is then sent to a lab and incorporated into a re-positioning device (mouthpiece).

This special bite is the foundation of an athlete unlocking their true potential. Once the athlete bites into the PPM, the muscles in their face become completely relaxed, which allows them to use more of their upper and lower body strength.


To help reduce the chances of suffering from a concussion, it is important to always wear a protective mouthguard while participating in sports. The implementation of this properly-fitted mouthguard with the prescribed thickness separates the mandible (lower jaw) from the maxilla (upper jaw). This limits the chance of obtaining a concussion via a direct blow to the jaw. This, as well as wearing properly fitted protective headgear and chin straps allows for the utmost protection from dangerous head trauma.


By Matt Goldstein – Article Courtesy of
I have more balance so it adds to my overall capability, breathing, stamina and strength. I can lift more weight for more reps.

Boxingtalk caught up with junior welterweight contender Dmitriy Salita, who commented on the most-talked-about mouth guard in sports, the Pure Power Mouthguard, as well as his opponent this Saturday night, Derrick Campos. Dmitriy has been using the Pure Power Mouthguard for three months and is convinced it’s made him a different fighter. “It’s the best mouthpiece I have ever used. When I have rough and intense sparring sessions there is no pain,” Dmitriy claimed.

“I have more balance so it adds to my overall capability, breathing, stamina and strength. I can lift more weight for more reps. I noticed the difference right away.” Earlier in the week, Boxingtalk published an article in which three TMJ dentists explained through neuro-muscular dentistry and physiology, that when the overbite is adjusted appropriately and the TMJ is less restricted, facial, head, neck, trap, shoulder, spinal, glute and hamstring muscles become relaxed.

The Pure Power Mouthguard must be fitted by a trained dentist who can accurately measure the patient’s overbite in order to be adjusted appropriately. More information can be found at

Dmitriy went on to discuss his preparation for the Derrick Campos fight this Saturday night on the undercard of Joe Calzaghe-Roy Jones Jr. “I am in great condition and I have been in camp since Sept 1st. I feel that this is going to open a lot of doors for me and I want to fight the best fighters in my division.” Dmitriy continued, “Campos is a good puncher and he hurt a few guys so I have to watch out for that. I hope my mouth guard won’t get tested too much,” he said jokingly.

In closing, Salita added, “I think this is going to be a great fight and Calzaghe-Jones is going to be a great fight. I am the best Jr. Welterweight in the world.” Dmitriy Salita currently holds a record 28-0 with 16 knockouts. Salita and Calzaghe-Jones can be seen this Saturday night on HBO PPV.

If you are an athlete looking for that extra edge to improve your football, golf, MMA, running, or any sport for that matter, visit our office to see if you are a candidate for a Power Mouthguard!

Click on the Compendium cover to read research on performance mouthpieces.


Performance Mouthwear Specialist Los Angeles

Cortisol, known as the regulator of the immune response, is a hormone controlled by the adrenal cortex. This powerful hormone is also known as an adrenal cortical hormone, a glucocorticoid and hydrocortisone or simply cortisone. Cortisol has a catabolic (muscle breakdown) effect on tissue and is associated with a decrease in anabolic (muscle growth) hormones like IGF-1 and GH. Thus reducing levels of cortisol is ideal for an athlete to achieve tissue growth and positive adaptations to exercise training.

Playing many different roles in the body, cortisol can have a negative impact on sleep, mood, sex drive, bone health, ligament health, cardiovascular health, and athletic performance, potentially causing fatigue and inflammation. Its primary functions are to increase protein breakdown, inhibit glucose uptake and increase lipolysis (the breakdown of fats).

While cortisol in normal amounts is necessary for proper metabolic function, a chronically elevated cortisol level has adverse effects on health, mood, body composition, and performance. Elevated cortisol secretion from physical or mental stress or lack of a good nights sleep causes fat, protein, and carbohydrates to be rapidly mobilized in order for the body to take action against the stressor. This is sometimes referred to as the ‘fight or flight’ response.

The mobilization of these nutrients in addition to epinephrine and a number of other endocrine hormones allows the body to take quick action when presented with stress. During this mobilization, cortisol and adrenaline increase while DHEA (Dehydroepiandrosterone) and testosterone decrease. A chronically elevated cortisol level causes the body to enter a state of constant muscle breakdown and suppressed immune function, increased risk of injury while reducing muscle.

It is only with chronically elevated cortisol levels that performance will suffer, but the effect is dramatic. Excess cortisol suppresses the immune system, producing a greater risk of upper respiratory infections and depressed levels of testosterone. On top of that, the body will be in a catabolic state — breaking down muscle and storing fat. In addition to reducing muscle and getting sick, suppressed testosterone means suppressed recovery. Aerobic and anaerobic muscle fibers need time to repair and recover from hard workouts to improve their capacity to exercise.

Elevated cortisol and suppressed testosterone do not allow maximized recovery, leading to slower performance gains. A Swiss study of elite male cyclists suggested that ratios of anabolic to catabolic hormones (ie. testosterone/cortisol or IGF-1/cortisol) may be useful markers for the detection of overtraining (Hug et al. 2003). In fact, scientists use this Free Testosterone/Cortisol ratio to evaluate an athlete’s training state. A ratio where cortisol is elevated indicates overtraining, so the modulation of this ratio can be key for those athletes who are susceptible to overtraining.

A literature review of hormonal responses to exercise by Steinacker et al. (2003) suggested that with glycogen deficiency, cortisol levels are elevated and induce a “myopathy-like state” in skeletal muscle.

And it’s not only what is eaten but when. Breakfast is a necessity, which will help regulate blood sugar and cortisol prior to workouts. In a recent paper by Dr. Mark Davis and Dr. Adrienne Brown, it was clearly demonstrated that ingesting carbohydrates during exercise modulates many of the endocrine hormones, including cortisol. To ensure that glycogen stores are not depleted, carbohydrates should be ingested while exercising along with a high-quality recovery drink with high levels of carbohydrates immediately following exhaustive exercise.

The bottom line: endurance training should not be attempted on a high protein, low carbohydrate diet.

A high dose of B vitamins and calcium can help regulate the endocrine hormones necessary for proper cortisol control. Supplementing (on an empty stomach) with 4+ grams of branched-chain amino acids (BCAAs) and 6+ grams glutamine following exhaustive exercise can have a dramatic effect on cortisol. In fact, in a 25-week study of intercollegiate swimmers, the group supplementing with BCAAs and glutamine showed a significant decrease in serum cortisol. A study was done by Stone entitled “Effects of Vitamin C on cortisol and the Testosterone: cortisol ratio” showed a decrease in cortisol levels in 17 junior elite weight lifters.

This study also showed that the individuals taking vitamin C (an extra gram a day) improved their testosterone to cortisol ratio by over 20%. This type of decrease in cortisol can lead to increased muscle and connective tissue hypertrophy and enhanced recovery from training. Since vitamin C also decreases the chance of suffering from a cold or flu infection by 30% and may aid in collagen synthesis, it would be wise to take some extra vitamin C when involved in an intense training program. Beta-Carotene, which is oftentimes used for healthy skin function, may also minimize cortisol levels according to Dr. Sapse. He suggested this in an abstract he presented at the 1997 conference on cortisol and anti-cortisols.

Cortisol References

Bishop NC, Gleeson M, Nicholas CW, Ali A. Influence of carbohydrate supplementation on plasma cytokine and neutrophil degranulation responses to high-intensity intermittent exercise. Int J Sport Nutr Exerc Metab 2002 Jun;12(2):145-56
Brenner IK, Zamecnik J, Shek PN, Shephard RJ. The impact of heat exposure and repeated exercise on circulating stress hormones. Eur J Appl Physiol Occup Physiol 1997;76(5):445-54

Cook NJ, Ng A, Read GF, Harris B, Riad-Fahmy D. Salivary cortisol for monitoring adrenal activity during marathon runs. Horm Res 1987; 25(1):18-23

Ding JH, Sheckter CB, Drinkwater BL, Soules MR, Bremner WJ. High serum cortisol levels in exercise-associated amenorrhea. Ann Intern Med 1988 Apr;108(4):530-4

Gleeson M, Lancaster GI, Bishop NC. Nutritional strategies to minimize exercise-induced immunosuppression in athletes. Can J Appl Physiol 2001;26 Suppl: S23-35

Green, KJ, Croaker, SJ, Rowbottom, DG. Carbohydrate supplementation and exercise-induced changes in t-lymphocyte function. Journal of Applied Physiology 2003 95: 1216-1223.

Hug M, Mullis PE, Vogt M, Ventura N, Hoppeler H. Training modalities: over-reaching and over-training in athletes, including a study of the role of hormones. Best Pract Res Clin Endocrinol Metab. 2003 Jun; 17(2): 191-209.

J Mark Davis, Adrienne S. Brown Carbohydrates, Hormones and Endurance Performance. Gatorade Sports Science Institute® 2001; 14 (1).

Lac G, Berthon P. Changes in cortisol and testosterone levels and T/C ratio during an endurance competition and recovery. J Sports Med Phys Fitness 2000 Jun;40(2):139-44

O’Connor PJ, Corrigan DL. Influence of short-term cycling on salivary cortisol levels. Med Sci Sports Exerc 1987 Jun;19(3):224-8

Ronsen O, Kjeldsen-Kragh J, Haug E, Bahr R, Pedersen BK. Recovery time affects immunoendocrine responses to a second bout of endurance exercise. Am J Physiol Cell Physiol 2002 Dec;283(6): C1612-20

Steinacker JM, Lormes W, Reissnecker S, Liu Y. New aspects of the hormone and cytokine response to training. Eur J Appl Physiol. 2003 Nov 8 [Epub ahead of print].

Textbook of Medical Physiology; ninth edition. Guyton and Hall, W.B. Saunders Company, Philadelphia,
PA Copyright 1996 Textbook Overtraining in Sport: Kreider R.B.; A.C. Fry, and M.L. O’Toole, Human Kinetics; pgs 323 and 329. Copyright 1998.

The Cortisol Connection. Shawn M. Talbott PH.D. Publishers Group West, Hunter House Inc, Alameda CA Copyright 2002

Leave a comment