The signs
Teeth that wear down or become flat, cracks or small chips, sensitivity to cold, jaw pain or stiffness on waking, headaches at the temples, or a partner who hears you grinding at night. Stress, tiredness and some sleep disorders make bruxism worse.
The custom night guard
An impression of your teeth is taken and a rigid guard is made to fit. It's worn at night. It doesn't always stop clenching, but it wears instead of your teeth and spreads the forces to relieve the jaw.
The guard is adjusted when fitted, then checked at a follow-up. A soft guard from a pharmacy can help for a few days, but it doesn't replace a guard made and adjusted by a dentist.
What else helps
Noticing clenching during the day (teeth shouldn't touch at rest), cutting back on coffee and stimulants in the evening, and reducing stress. If heavy snoring or breathing pauses at night go with it, talk to your doctor too.
Frequently asked questions
How long does a night guard last?
Usually several years, depending on how hard you grind. Bring it to every check-up so we can check the wear.
How do I clean it?
Rinse it and brush it gently every morning in cold water, then store it dry in its case. Avoid hot water, which can warp it.
Can bruxism damage crowns?
Yes, which is why a night guard is often recommended to protect crowns, implants and cosmetic restorations.