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 200500 (may be insurance-covered) 20100 (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!

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