Custom vs. Over-the-Counter Night Guards: Which Is Right for You?

March 25, 2025

If you grind your teeth at night (bruxism), a night guard is essential to protect your smile. But should you choose a custom dentist-made guard or an over-the-counter (OTC) option?

This guide breaks down the key differences in fit, durability, cost, and protection—so you can make the best choice for your dental health.

Key Differences at a Glance

Feature	Custom Night Guards	OTC Night Guards
Fit	Precise dental mold for perfect fit	One-size-fits-all or boil-and-bite
Comfort	Thin, comfortable, easy to sleep in	Often bulky and harder to adjust to
Durability	Lasts 2-5 years with proper care	Typically lasts 6-12 months
Protection	Best for severe grinding/TMJ	Only suitable for mild cases
Cost	$200 -$ 500 (may be insurance-covered)	$20 -$ 100 (out-of-pocket)

Custom Night Guards: The Gold Standard

Pros:

✅ Perfect Fit – Made from dental impressions for optimal comfort
✅ Superior Protection – Hard or dual-layer materials prevent tooth damage
✅ Long-Lasting – High-quality materials withstand years of grinding
✅ TMJ Relief – Proper alignment reduces jaw strain

Cons:

❌ Higher upfront cost
❌ Requires a dentist visit (for impressions)

💡 Best for: Heavy grinders, TMJ sufferers, or those wanting long-term protection.

👉 Get a Custom Night Guard from New Smile Life

Over-the-Counter (OTC) Night Guards: Affordable but Limited

Pros:

✅ Lower cost – Budget-friendly option
✅ Immediate availability – No dental appointment needed

Cons:

❌ Poor fit – Can slip or cause discomfort
❌ Less durable – Wears out quickly
❌ Minimal protection – May not prevent tooth damage long-term

💡 Best for: Occasional grinders or temporary use while waiting for a custom guard.

Which One Should You Choose?

Pick a Custom Night Guard If You:

✔ Grind your teeth frequently or severely
✔ Have TMJ pain or jaw discomfort
✔ Want a long-term solution
✔ Have dental insurance coverage

Pick an OTC Night Guard If You:

✔ Only grind occasionally
✔ Need a short-term or emergency solution
✔ Are on a tight budget

Final Verdict

While OTC guards are cheaper upfront, custom night guards provide better comfort, durability, and protection. If you grind regularly, investing in a dentist-recommended guard can save you money on future dental repairs.

Need the best protection? Try a custom night guard from New Smile Life.

FAQ

Q: Can I use an OTC guard if I have severe bruxism?
A: It’s not recommended—OTC guards lack the proper support for heavy grinding and may worsen jaw pain.

Q: Does insurance cover custom night guards?
A: Many plans do if prescribed for bruxism/TMJ—check with your provider.

Q: How do I clean my night guard?
A: Rinse daily and brush gently with a toothbrush. Avoid hot water to prevent warping.

For more details, visit New Smile Life today!