Teeth grinding, medically known as bruxism, is a common yet damaging habit. It can wear down enamel, crack teeth or dental work, and cause chronic jaw pain. In Boston – especially near busy hubs like South Station and the Financial District – stress and late nights can make bruxism worse. Congress Dental Group, conveniently located at 160 Federal St in downtown Boston, treats many patients who grind their teeth at night. Our experts recommend custom-fitted night guards to protect your smile and prevent dental damage. In fact, studies show sleep bruxism affects about 8% of middle-aged adults, and recent surveys found over 70% of dentists are seeing more patients with stress-related grinding and clenching. This article covers everything you need to know about night guards in Boston – from how they work to where to get one near South Station – with practical tips and expert advice.
What is Bruxism (Teeth Grinding) and Why Is it a Problem?
Many people grind or clench their teeth unconsciously during sleep. Known as sleep bruxism, this condition often goes undetected by the patient. Teeth grinding can also occur during the day under stress (awake bruxism), but nighttime grinding tends to exert hundreds of pounds of force on teeth. Over time, this can lead to:
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Tooth damage – worn-down enamel, chipped or cracked teeth, broken fillings or crowns.
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Jaw issues – temporomandibular joint (TMJ) pain, stiffness, and clicking sounds.
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Facial pain and headaches – morning headaches and soreness in the jaw, face or neck.
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Sleep disruption – grinding noises can wake you or your partner, and constant tension can lead to poor sleep quality.
Research shows that untreated bruxism can result in significant dental harm. For example, even routine tooth wear can accelerate if you grind your teeth regularly. The American Dental Association reports that 71% of dentists saw an increase in patients grinding and clenching during stressful times like the recent pandemic. With bruxism on the rise, preventing damage is critical. This is where night guards come in – they act as a protective barrier, cushioning your teeth and stopping direct contact.
How Night Guards Work to Protect Your Teeth
A night guard (also called an occlusal splint or bite guard) is a custom mouthpiece worn over the teeth during sleep. It is typically made of a firm acrylic material and is custom-fitted to your bite. By placing a barrier between the upper and lower teeth, a night guard:
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Absorbs Grinding Forces: Instead of grinding tooth-to-tooth, the hard guard takes the impact, protecting enamel and dental work.
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Reduces Muscle Strain: It prevents the jaw muscles from clenching fully, which can lessen tension and TMJ pain.
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Cushions the Bite: The guard distributes pressure evenly so no single tooth bears excessive force.
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Discourages Clenching: Because the guard changes how your teeth fit together, it can gently discourage the intense jaw clenching that causes headaches and soreness.
As sleep experts note, “night guards can help prevent dental issues and chronic pain” by breaking the cycle of grinding. In fact, dental literature emphasizes that these hard acrylic occlusal devices are intended primarily to prevent or limit dental damage. If you suspect bruxism, a night guard is a simple solution with proven benefits: it protects against chipped enamel, worn-down teeth, and TMJ problems before they require costly treatments like crowns or root canals.
Signs You Might Need a Night Guard
You may need a night guard if you experience any of the following:
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Morning Jaw Pain or Headaches: Waking up with jaw soreness or tension headaches can signal nightly grinding.
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Dental Wear or Damage: Noticeable flattening of biting surfaces, enamel loss, or a chipped tooth without clear cause.
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TMJ Symptoms: Popping, clicking, or limited movement in the jaw joint; earaches or pain around the ear.
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Partner Reports Grinding Noises: Family or partners may hear teeth grinding sounds or clenching at night.
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Stress and Anxiety: High stress is strongly linked to bruxism; if you’re under a lot of pressure or have anxiety, be alert for signs.
Any of these red flags means it’s wise to get a professional evaluation. A dentist can examine your teeth for grinding wear and discuss a custom night guard if needed.
Types of Night Guards: Custom vs. Over-the-Counter
When choosing a night guard, the main categories are custom-fitted guards (made by a dentist) and over-the-counter (OTC) guards (boil-and-bite or stock options). Both can offer some protection, but custom guards provide the best fit and durability.
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Custom Night Guards (Dental-Fit): Made from an impression or 3D scan of your teeth, these hard acrylic guards are crafted in a dental lab to precisely fit your mouth. The exact fit makes them more comfortable and stable. Studies show hard, custom occlusal splints are generally more effective at reducing bruxism damage than generic soft guards. Your dentist can tailor the thickness and shape to your bite. Although custom guards cost more (see below), they have higher success rates because patients actually wear them consistently.
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Boil-and-Bite Mouth Guards: Available at drugstores, these are made of softer plastic that you soften in hot water and then mold around your teeth. They provide some cushioning, but fit is hit-or-miss. Many patients find boil-and-bite guards uncomfortable or find they don’t stay in place, leading to poor compliance. They’re cheaper upfront (often under $50), but not as durable.
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Stock Mouth Guards: Very basic, one-size-fits-all guards. They are inexpensive but least recommended for bruxism because they rarely fit well and can even increase clenching.
Which is best? For persistent teeth grinding, most dentists – including those at Congress Dental Group – strongly advise a custom hard night guard. As one Boston dental practice explains, OTC guards “do not always fit your mouth correctly,” so patients often stop using them due to discomfort. In contrast, a custom-fitted guard from our practice will fit precisely, protecting teeth without causing jaw misalignment. Though custom guards cost more, many patients find their effectiveness and comfort well worth the investment.
Hard vs. Soft Guards
Even among custom guards, you’ll encounter hard (acrylic) versus soft (silicone) materials. Dental research favors hard acrylic splints for bruxism. Hard guards are thicker and prevent teeth from touching; they distribute bite forces and are easier for your dentist to adjust. Studies suggest hard splints may be more effective in reducing grinding activity than soft ones. Soft guards (like those used for sports) can work short-term but often wear out quickly under strong grinding forces. For ongoing bruxism protection, a hard acrylic night guard is usually recommended.
Getting a Night Guard at Congress Dental Group (Downtown Boston)
Residents and workers near South Station and the Financial District have convenient access to Congress Dental Group. Here’s what you can expect if you visit us for a night guard:
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Comprehensive Exam: We’ll first determine if you have signs of bruxism – looking for enamel wear, jaw tenderness, or muscle soreness. You may be asked about morning symptoms or grinding noises reported by a partner. Sometimes we use photos or jaw tests to assess your bite and TMJ health.
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Treatment Discussion: If a night guard is recommended, we’ll explain how it will help and answer your questions. We’ll discuss habits (like caffeine, sleep habits, stress) and offer tips on lifestyle changes that may reduce grinding.
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Impression or Digital Scan: To make your custom guard, we’ll take an impression of your teeth or use a digital 3D scanner. The data goes to our dental lab, where a hard acrylic night guard is molded to fit your bite perfectly.
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Fitting: When the guard is ready, you return for a fitting. We’ll ensure it’s snug but not too tight, and adjust any pressure points. Proper fitting is crucial so it feels comfortable and stays in place all night.
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Follow-Up: We encourage patients to try wearing the guard nightly for a few weeks. Our team will check in and make small adjustments if needed. Over time, we can refine the fit to maximize comfort.
Why Congress Dental Group? Our Boston dentists have extensive experience in restorative and preventive care. We have been recognized by Boston Magazine as top dentists for years. Conveniently located at 160 Federal Street (just steps from South Station), our practice is well-equipped to serve downtown and Financial District clients. From cutting-edge 3D imaging to personalized patient care, we prioritize your comfort. We’ll walk you through the whole process so you feel confident using your new night guard every night.
Tips for Using and Caring for Your Night Guard
Getting a night guard is just the first step – proper use and care are vital to its effectiveness and longevity. Here are actionable tips:
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Wear It Every Night: Consistency is key. Only then will you protect your teeth. Even if you feel better, keep using it because bruxism tends to recur if untreated.
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Clean It Daily: After removing your guard in the morning, rinse it with cool water. Gently brush it with a soft toothbrush (no toothpaste – as abrasives can scratch it). You can also soak it periodically in a denture cleaner or a mild antiseptic solution to prevent bacteria buildup.
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Avoid Heat: Hot water can warp an acrylic guard, so always use cool water for cleaning and never leave it in a hot car or direct sunlight.
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Store Safely: When not in use, store your guard in its protective case (usually provided by the dentist) to prevent damage or loss.
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Inspect Regularly: Check the guard for cracks or excessive wear. A worn guard should be replaced to ensure continued protection. Many custom guards last a few years with good care, but this varies by patient. Report any rough edges or discomfort to your dentist for adjustments.
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Behavioral Tips: While the guard protects your teeth, also address bruxism triggers. Reducing caffeine/alcohol before bed, practicing relaxation techniques (like deep breathing or a warm bath), and maintaining good sleep hygiene can decrease grinding intensity over time.
By following these guidelines, your night guard will work effectively and can last longer – often several years with good maintenance.
Common Questions from Boston Patients
Below are ten “People Also Ask” questions about night guards, with helpful answers tailored to Boston-area patients:
What is a night guard and how does it help teeth grinding? A night guard is a clear acrylic mouthpiece custom-fit to your teeth. Worn during sleep, it cushions the bite so your upper and lower teeth don’t rub together. This prevents damage from grinding forces and reduces jaw tension.
Do I need a night guard? If you grind your teeth or have jaw pain, a dentist can evaluate you. Common signs are morning headaches or worn teeth. An exam at Congress Dental Group can confirm bruxism and determine if a night guard would help prevent further wear.
Where can I get a night guard in Boston near South Station? Congress Dental Group on Federal Street specializes in custom night guards for Boston patients. Our location is just a short walk from South Station, making it easy for commuters and downtown residents to get fitted by experienced dentists.
How much does a custom night guard cost in Boston? Costs vary, but GoodRx reports custom night guards from dentists typically range $200 to $1,000. Factors include material type and lab fees. Some dental insurance plans cover part of the cost; check your plan. We can also discuss payment options at our office.
What is the difference between a night guard and a mouth guard? The terms are often used interchangeably, but generally a night guard is made for sleeping and protects against grinding, while a mouth guard (or sports guard) is thicker and used during sports to prevent injury. Night guards are usually thinner and smoother, optimized for comfort during sleep.
Can a night guard help with jaw pain or TMJ symptoms? Yes. By preventing clenching, a night guard can relieve tension in the jaw joint. Many patients notice reduced jaw stiffness and fewer TMJ-related headaches after using one consistently.
How long will it take to get used to wearing a night guard? It’s normal to take a few nights to adjust. You may feel minor salivation or awareness of something in your mouth at first. Stick with it – most people adapt within a week. Proper fit and gentle practice makes the process quicker.
How long should a night guard last? With proper care, a custom acrylic night guard can last 2–5 years. Heavy grinders may need replacement sooner, while lighter use can extend its life. We’ll monitor wear at check-ups and let you know when it’s time for a new guard.
Can I buy a night guard over the counter? OTC boil-and-bite guards exist, but they rarely match the fit and comfort of a custom guard. For occasional mild grinding, an OTC guard might help short-term, but for regular bruxism, a dentist-fit guard is more effective and encourages consistent use.
Does dental insurance cover night guards? Many dental plans consider night guards a medically necessary appliance, so they may cover part of the cost. Coverage varies by plan. We recommend contacting your insurance provider or our office staff can help you understand your benefits for appliances like night guards.
Frequently Asked Questions (FAQ)
Q: What exactly is a night guard for sleep bruxism?
A: A night guard is a custom-made oral appliance worn during sleep. It’s designed to keep your teeth from grinding together, protecting enamel and reducing jaw strain. It’s often made of sturdy acrylic and fits snugly over your upper teeth.
Q: How do I know if I need a night guard?
A: Symptoms like morning headaches, jaw pain, worn or chipped teeth, and noise of grinding at night suggest bruxism. Our dentists can confirm with an examination. Early intervention with a night guard can prevent serious dental damage.
Q: Are night guards comfortable to wear?
A: Custom night guards are made to fit your mouth precisely, so once fitted they should feel comfortable. You might notice the guard at first, but most patients find them easy to sleep with after a short adjustment period.
Q: Will a night guard fix my teeth alignment?
A: A night guard is not orthodontic. It won’t change your bite or align your teeth. It simply provides a barrier to stop grinding. If your teeth need alignment, we’d discuss orthodontic options separately.
Q: How should I clean my night guard?
A: Rinse your night guard with cool water every morning. Gently brush it with a soft toothbrush and non-abrasive soap or a denture cleanser (avoid toothpaste, as it can scratch the surface). Store it in its case when dry.
Q: Can I chew gum or eat with my night guard?
A: No. The guard should only be worn during sleep. Eating or chewing gum on it can warp the material and shorten its lifespan.
Q: What if my night guard hurts my gums or gets tight?
A: If your guard causes discomfort or sores, stop using it and contact us. It may need to be adjusted. A perfect-fit custom guard should not pinch or irritate your tissues.
Q: Do night guards only protect the top or bottom teeth?
A: Most guards are made for the upper teeth, covering the top teeth completely. The bottom teeth then contact the inside of the guard. This is standard and provides full protection for both jaws.
Q: Can I wear a night guard if I have dentures or dental implants?
A: Yes. We can fabricate a night guard to accommodate dentures or implants. It will be designed so it doesn’t dislodge your dentures at night and still protects your mouth structures.
Q: How do I schedule a night guard consultation in South Station, Boston?
A: Call Congress Dental Group at (617) 574-8700 or visit our office at 160 Federal St. Mention that you’re interested in a night guard for teeth grinding. We’ll set up a convenient appointment to evaluate your needs and take any impressions or scans required.
Conclusion: Protect Your Smile with a Custom Night Guard in Boston
Teeth grinding might seem like a minor issue, but over time it can cause serious damage to your smile, your sleep, and your overall health. A custom night guard is one of the simplest, most effective ways to prevent tooth wear, reduce jaw pain, and protect your dental investments. Whether you’ve noticed signs of bruxism or simply want peace of mind, a professionally fitted night guard offers lasting protection and comfort.
At Congress Dental Group, located just steps from South Station in downtown Boston, we specialize in personalized night guard solutions designed to meet your unique needs. With experienced dentists, advanced technology, and a commitment to patient comfort, we make it easy to stop grinding and start sleeping better. Schedule a consultation today—and take the first step toward a healthier, more protected smile.