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What is a Night Guard for teeth?

Have you ever woken up with a headache or jaw pain? The first thought many people have in these situations is that they may be stressing too much at work. While that may be a contributing factor, the problem could be more serious. Speak with your dentist to understand the situation and explore simple treatment options, such as night guards. This article will give you an understanding of what a night guard for teeth is, who needs one, and how BDC can help. 

 

What Is a Night Guard?

A night guard is a mouthguard that protects your teeth while you sleep. Some call it a dental appliance, a nocturnal bite plate, or an occlusal guard. They are commonly sold in stores and pharmacies. That said, some professionals warn against buying these types of night guards for several reasons, including that improper use can harm your health.

 

Medical cross-section diagram comparing a stressed jaw joint (TMJ) caused by clenching versus the relief provided by a custom dental night guard. The top image shows inflammation in the temporomandibular joint; the bottom image shows the night guard absorbing bite force.

How Night Guards Work

By properly placing a night guard in your mouth, you create a cushion between your upper and lower teeth. That cushion absorbs the bite force created by clenching and grinding. The result is a reduction in stress on your teeth, jaw, and the joint that connects your lower jaw to your skull (also known as the temporomandibular joint, or TMJ). This stress relief may help alleviate symptoms such as worn enamel, tooth fractures, and jaw pain.

 

Types of Night Guards

1. Stock

Stock night guards are worn as-is and aren’t customized. You can buy this option at the store, and it costs the least, requires the least effort, and takes the least time compared to the other types. But there are downsides to this option as well. For example, it may not fit your mouth perfectly, which can cause discomfort or even impact your breathing while sleeping. They also tend to be less durable, requiring more frequent replacements than custom night guards. Typically, they need to be replaced every few months.

2. Boil-and-Bite

Boil-and-Bite night guards are still bought at the store but are more customized by forming around your teeth after you boil them in water and bite into them. They are still a cost-effective option compared to custom night guards. Because of their more customized fit, they offer greater comfort and protection than stock night guards.

3. Custom-fit

Custom-fit night guards are professionally made by a dentist to fit your bite and mouth shape. In terms of comfort and fit, this is the best option. Because of the precise fit that comes with this type of night guard, it offers a superior level of both protection and durability. If well cared for, this type of mouthguard can last for several years. The downsides to custom-fitted guards relate to cost and convenience. They are the most expensive option, and you have to schedule a visit with your dentist.

 

Comparing Night Guard Types: Stock vs Boil-and-Bite vs Custom

Use the chart below to compare the three most common types: stock night guards, boil-and-bite night guards, and custom-fitted night guards.

Feature Stock Night Guard Boil-and-Bite Night Guard Custom-Fit Night Guard
Level of Customization No customization — worn as-is Moderate — molded at home High — made by a dentist for your mouth
Comfort & Fit Often uncomfortable; poor fit More comfortable than stock; improved fit Best comfort and precision fit
Protection for TMJ Symptoms Basic protection Moderate protection Maximum protection for clenching and grinding
Durability Low — may need replacing every few months Moderate — longer-lasting than stock High — can last several years with care
Breathability May affect breathing during sleep Better breathability than stock Designed to fit without obstructing airflow
Ease of Purchase Over-the-counter at pharmacies or online Also over-the-counter; mold at home Requires dental appointment and impressions
Cost Lowest cost option Affordable; mid-range cost Most expensive upfront
Best For Occasional or short-term use Budget-conscious users needing better fit TMJ patients and long-term use
Level of Customization
Stock Night Guard No customization — worn as-is
Boil-and-Bite Night Guard Moderate — molded at home
Custom-Fit Night Guard High — made by a dentist for your mouth
Comfort & Fit
Stock Night Guard Often uncomfortable; poor fit
Boil-and-Bite Night Guard More comfortable than stock; improved fit
Custom-Fit Night Guard Best comfort and precision fit
Protection for TMJ Symptoms
Stock Night Guard Basic protection
Boil-and-Bite Night Guard Moderate protection
Custom-Fit Night Guard Maximum protection for clenching and grinding
Durability
Stock Night Guard Low — may need replacing every few months
Boil-and-Bite Night Guard Moderate — longer-lasting than stock
Custom-Fit Night Guard High — can last several years with care
Breathability
Stock Night Guard May affect breathing during sleep
Boil-and-Bite Night Guard Better breathability than stock
Custom-Fit Night Guard Designed to fit without obstructing airflow
Ease of Purchase
Stock Night Guard Over-the-counter at pharmacies or online
Boil-and-Bite Night Guard Also over-the-counter; mold at home
Custom-Fit Night Guard Requires dental appointment and impressions
Cost
Stock Night Guard Lowest cost option
Boil-and-Bite Night Guard Affordable; mid-range cost
Custom-Fit Night Guard Most expensive upfront
Best For
Stock Night Guard Occasional or short-term use
Boil-and-Bite Night Guard Budget-conscious users needing better fit
Custom-Fit Night Guard TMJ patients and long-term use

In closing, the custom night guards are a worthwhile investment when you factor in their comfort, higher level of protection, and longevity.

Who Needs a Night Guard?

People typically need a night guard to protect their teeth from grinding or clenching at night. The exact reasons why people clinch or grind their teeth aren’t entirely understood. There are many reasons why people clench or grind their teeth.

The habit of doing this without noticing it is known as bruxism. Bruxism can happen both when you’re awake and asleep. When awake, common causes are anxiety, stress, anger, frustration, or tension. Regardless of when bruxism occurs, it can have significant implications for your teeth and jaw. Left unchecked, bruxism can cause severe damage to your teeth and jaw. Bruxism has a direct connection to TMJ(temporomandibular joint) disorders because of the stress it puts on the jaw.

Besides bruxism, there are many reasons a person might need an occlusal guard. The jaw can come under stress due to injuries, arthritis, or other factors. These issues can cause TMJ disorders. If you wake up with jaw pain or headaches, you may be experiencing TMJ symptoms. If you are being treated for TMJ or bruxism, it is crucial to ensure your teeth do not sustain further damage. Nightguards are perfect for this situation. 

How dentists diagnose the need

Dentists diagnose the need for a night guard primarily by evaluating your symptoms, teeth, and jaw. During this evaluation, the way your teeth fit together(also known as your bite) is likely to be checked. It is also very common for dentists to ask about your lifestyle and review your medical history before recommending a nightguard. 

 

Benefits of Using a Night Guard

There are many benefits to wearing a night guard. The primary benefit is the protection of teeth from clenching and grinding. The full list of benefits includes:

  • Prevents Tooth Damage
  • Relief from pain caused by TMJ/TMD
  • Improving sleep quality for certain people
  • Reduces Headaches
  • Reducing the frequency of dental repairs

 

How Ballwin Dental Care Customizes Night Guards

Our process for customizing your dental appliance is as follows:

1. Consultation

We meet with you to discuss your symptoms, if any, and understand your situation.

2. Impressions

We take impressions of your teeth to create a custom fit. 

3. Lab Work

We send your impressions to the lab, where your custom mouthguard is made. 

4. Fitting

We ensure the night guard seats properly, feels comfortable, and stays securely in place.

5. Adjustments

We fine-tune the bite, smooth edges, and correct any pressure points so the guard protects the teeth without causing irritation or jaw issues.

All this work is to make certain we personalize your nightguard to your jaw alignment, bite, and clenching pattern. As a final step in getting you your nightguard, Ballwin Dental Care will provide you with education on caring for your new appliance.

How to Care for your Night Guard

  • Rinse your mouthguard before and after each use
  • Regularly clean with soap and cool water
  • Store the nightguard in a dry container with ventilation
  • Avoid contact with heat(including sunlight and hot water)
  • Periodically check for wear and tear, so you know when to replace it
  • Keep your guard away from pets
  • Never chew on your night guard

 

 

Check if you need a Night Guard

Nightguards are a simple and effective way of protecting your teeth and jaw from the adverse effects of bruxism and TMJ while you sleep. If you suspect that you’re clenching or grinding your teeth at night, speak with a dentist to prevent long-term damage.

Ballwin Dental Care will work with you to assess whether you need a nightguard and determine the best treatment plan to restore your comfort and health. 636-227-2552 or click here to schedule an appointment with our experienced team. Ballwin Dental Care is proud to serve patients in Ballwin, Manchester, Ellisville, Wildwood, and Chesterfield. We can’t wait to make you the best night guard for bruxism you can buy!

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