Occlusal Guard

An occlusal guard is a custom-fitted removable appliance, worn over your teeth — most often at night — to protect your smile from the effects of grinding and clenching.

Who it helps

  • Patients who grind or clench their teeth (bruxism), especially during sleep
  • Patients experiencing jaw tension, soreness, or TMJ-related discomfort
  • Anyone whose teeth show wear patterns from nighttime grinding

Why custom-fitted is worth it

Unlike an over-the-counter guard, a custom occlusal guard is built from an exact impression or digital scan of your teeth. That means a precise, comfortable fit that stays in place all night, distributes bite pressure evenly, and holds up far better over time.

What to expect

We take a quick scan or impression of your teeth, and your guard is custom-fabricated to fit your bite exactly. At your fitting appointment, we check the fit and make any small adjustments so it feels comfortable from the first night.

Caring for your guard

Rinse it after each use, brush it gently like you would a retainer, and store it in its case during the day. With regular care, a custom occlusal guard holds up for years of nightly wear.

Content reviewed by Jamisen Kohlman, DMD — KoLa Family & Cosmetic Dentistry, Austin, TX.

Frequently asked questions

A custom guard is made from an impression of your own teeth, giving it a precise fit, better comfort, and more effective protection than a one-size-fits-all option.
Typically several years, depending on how heavily you grind. We inspect your guard at regular checkups and let you know when it’s wearing thin.
Rinse and brush it with cool water and mild soap after each use, let it dry fully, and store it in its case. Avoid hot water, which can warp the fit. Full step-by-step care instructions, with a printable PDF, are in our night guard care guide.
Many dental plans cover part of the cost of a custom occlusal guard, especially when grinding is causing damage. We verify your benefits before treatment and offer financing through Cherry.
A custom hard night guard runs $585–$715* at our office fees — more than a boil-and-bite from the store, but molded precisely to your teeth and built to last years rather than months. Insurance coverage varies more for night guards than for most treatments (40–100% among the plans we work with, when covered), so we verify your specific benefits before you commit. Financing through Cherry and CareCredit is available.

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