Nightguards

Occlusal Nightguards for Bruxism

Occlusal Nightguards for Bruxism

At Freels Orthodontics, we offer occlusal nightguards to patients with sleep bruxism. If you’ve ever woken up with a sore jaw, tooth pain, or a headache, then you know the struggle of sleep bruxism. The American Dental Association estimates that it affects 10-15% of adults, and children can experience it too. Because it happens in your sleep, stopping it can be very difficult, but one way to protect your teeth from the damaging effects of grinding is to wear a custom nightguard.

How a Nightguard Helps

Nightguards come in hard, medium, and soft varieties, with the soft ones resembling mouth guards for sports and hard ones resembling clear plastic retainers, though they’re much sturdier and you usually only need one for the upper teeth. Wearing a nightguard provides a cushioning effect so that the upper and lower teeth can’t wear away at each other. It will protect your teeth from external damage caused by grinding, such as chipping and erosion, but as long as the grinding still happens, other symptoms like jaw pain may not change.

Occlusal Nightguards Versus Retainers

While hard guards might look like retainers, they are not necessarily interchangeable. You should never use a normal retainer as a nightguard, because it doesn’t have the necessary thickness to withstand the pressure. You should also be careful about using occlusal nightguards as retainers. If you have a hard guard that is properly fitted to your teeth, it can serve as a retainer, but a soft guard won’t prevent your teeth from shifting.

Cleaning and Storing Your Nightguard

Just like our teeth, a nightguard will accumulate bacteria, plaque, and tartar over time unless it is cleaned. We keep it from building up on our teeth by brushing and flossing, and we have to clean occlusal nightguards regularly too or they will soon become filmy, cloudy, foul-tasting, smelly, and covered in white spots. Always rinse your nightguard after you take it out, then brush it with your toothbrush (but no toothpaste, which is too abrasive for the plastic material) and an antibacterial handwash.

 

Daily cleanings can only do so much, however, which is why it’s important to give your nightguard the occasional deep clean to keep it good as new. Make a mixture of water and baking soda or water and vinegar or just use hydrogen peroxide. Simply soak the nightguard for a few minutes, then rinse it and let it dry. Never use hot water or harsh chemicals like bleach.

 

Unlike braces, occlusal nightguards are only part-time orthodontic appliances, so storage is important. Harmful bacteria thrive in warm, damp enclosed environments — such as the inside of a closed case. Keep your nightguard somewhere safe and cool where it can dry fully between uses. (That’s also how you should store your toothbrush.) Make sure to get directions before heading our way.