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© 2019 Michael B. Bruno D.M.D.

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117 East 77th Street, Suite 1B, New York, NY 10021

PROTECTIVE OCCLUSAL GUARD

 
Bruxing
Bruxing is when a person clenches and grinds their teeth. It has been estimated that over 30% of all adults grind their teeth at night while they sleep. 

 

This subconscious action is a way of dealing with daily stress and anxiety.  As a patient wears down their enamel, the teeth become flat, allowing them to grind more easily.  A person who grinds at night may awake with discomfort in the muscles of the jaw and face, but left unguarded, bruxing can cause a variety of problems including cracked or broken teeth, abfractions, gum recession, sensitivity to temperatures, headaches, and Temporal-Mandibular Joint (TMJ) pain.

Night Guards do not stop night time grinding; rather they are designed to act as a buffer between the upper and lower teeth. 

 

Dr. Bruno’s assistant will take impressions of the patient's upper and lower arches.  A bite impression is also required.  These impressions are poured in stone and used to fabricate the guard by either a Dental Lab Technician or in the Dental Office. Guards which are custom made fit better and last longer than those which are bought over-the-counter.  At delivery, Dr. Bruno will make sure that the guard fits properly and the occlusion (bite) is balanced.  A muscle relaxer may be prescribed for use at night during the first week of wear.

Soft Night Guards
Soft Night Guards are made of a thick poly-vinyl material which is heated and vacu-pressed onto the patient's cast.  Soft Night Guards are good for light bruxers and those who clench their teeth. 
Hard Night Guards
Hard Night Guards are made of a thick acrylic tightly molded to the patient's cast.  Hard Guards are recommended for heavy bruxers and patients who experience multiple symptoms of night time grinding.  Hard Guards can be modified to include Ball Clasps to help retention and / or a Soft Liner for additional enamel protection.