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I've looked about lately for a custom mouth guard, my boil 'n bite just doesn't cut it anymore. I went with just an upper guard from StarsGuards, just awaiting Jeff's email ;).
Some places do give the option of having a custom double mouth guard [upper and lower] with the slit for breathing like you have now; but most places just offer the upper type.
It all depends on how much you are going to wear it and how much you value your teeth. I have no idea about this 'brain padding', a mouth guard does exactly that, protects your teeth.
Your best bet if you want a custom, read though all the custom mouth guard threads in the review section and do some research on Google/emails until you find a company your happy with then pursue it.
Hope this helps.
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