Will a Night Guard Change Your Bite?
During routine dental appointments, your dentist and hygienist will evaluate the wear on your teeth and gums. If your teeth appear worn down or enamel is eroded in certain areas, it could be a sign of bruxism, chronic jaw clenching, or teeth grinding. Many people are unaware they have bruxism, as it often occurs during sleep. This makes the condition difficult to manage and can lead to ongoing damage due to repeated pressure.
For patients with bruxism, the most common treatment is a night guard worn during sleep. Night guards cushion and protect the teeth and jaw, helping to prevent enamel erosion and reduce stress on the jaw muscles. While over-the-counter night guards are available, many prefer custom-fitted ones made in a dental lab, as they tend to be more comfortable and easier to wear. Though night guards can relieve bruxism symptoms, it’s important to consider both the benefits and potential drawbacks.
What Are the Pros?
Night guards help prevent teeth from grinding against each other, reducing the risk of damage and injury. They also make it harder to clench the jaw by providing a cushioning barrier, which can reduce jaw pain and the risk of developing temporomandibular joint (TMJ) disorders. Custom-made night guards usually offer the best results, as they are tailored to the individual’s bite. Over-the-counter options, while moldable, are often less comfortable and more intrusive.
What Are the Cons?
Night guards treat the symptoms of bruxism but not its root causes. Bruxism can result from various factors, including stress, anxiety, or sleep disorders such as sleep apnea. A night guard may prevent further damage, but it won’t resolve the underlying issue.
In some cases, night guards can also alter the bite, potentially causing an open bite that may require orthodontic correction. This risk is higher in patients with weakened teeth or gum disease. Bite changes are more common with over-the-counter guards due to their lack of precision and fit compared to custom-made alternatives.
Takeaways
For those with bruxism, night guards can be an effective way to absorb the force of clenching and grinding, protect teeth, and relieve jaw stress. While over-the-counter guards are more affordable, they carry a greater risk of bite changes, especially in individuals with preexisting dental issues. Custom-fitted guards, although more expensive, offer a higher level of comfort and protection and may help prevent the need for costly restorative dental work. For many, they are a worthwhile investment in long-term oral health.