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CostHelper > Health & Personal Care  > Dentistry & Orthodontics > Night Guard

Night Guard Cost


How Much Does a Night Guard Cost?

 
low costSports Mouth Guard: $3-$25average costDo-it-yourself Night Guard: $15-$250high costCustom Fit by Dentist: $200-$1,100
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Teeth clenching or grinding wears down tooth enamel and can lead to cracks, cavities, gum soreness and other wear-related problems. A night guard is a plastic device worn in the mouth while sleeping to soften the impact of clenching or grinding, and some may also be worn in the daytime.

Typical costs:

  • Some people get relief using a football or boxing mouth guard for $3 -$25 from a sporting goods department or store, or online. For example, the Shock Doctor Evermax Mouth Guard by Everlast costs $10-$16. However, many people find sports mouth guards to be too big, bulky and uncomfortable.
  • Do-it-yourself night guards start around $15 -$25, but can cost up to $80-$250. These range from a boil-and-bite type that is softened by hot water to adapt it to the individual's mouth; to a "custom" guard in which the person uses a kit to make their own dental impression, and then mails that to the manufacturer. For example, the Dental Hygiene Preferred Day/Night Mouth Guard Kit< with two (small and large) boil-and-bite mouth guards costs $20-$30. And NightGuardLab.com offers a variety of do-it-yourself mail-in dental impression kits ranging from $55 for a soft, flexible night guard for light to moderate grinding and clenching, to $176 for a hard acrylic night/day guard for heavy to moderate grinding and clenching.
  • Having a dentist custom-fit a night guard can cost $200-$600 with an average price of $300-$500, but can be $800-$1,100, depending on type of materials (soft plastic or hard acrylic), location and the dentist. For example, CostHelper readers report paying $225-$600 for a custom-fit night guard, at an average cost of $452. The process typically includes an initial office visit to make impressions of both the upper and lower teeth as well as a return visit to fit the fabricated night guard in the patient's mouth. A night guard from a dentist is usually smaller and more closely fitted than over-the-counter or mail-order models.
  • Many policies now pay 40%-100% of the costs of having a dentist provide a night guard If there are symptoms of grinding and wear. However, some policies limit how often a night guard can be purchased, like once every four years. Dental insurance typically does not cover over-the-counter or mail-order night guards.
Related articles: Retainers, Cavity Filling, Teeth Cleaning, X-Ray, Teeth Whitening, Braces

What should be included:
  • Bruxism is the official name for grinding, gnashing or clenching the teeth at night; the Mayo Clinic provides an overview of bruxism[1] and treatment guidelines[2] .
  • A night guard can be placed on either the top or bottom teeth. If placed on top, the guard cushions the lower teeth and vice versa. Whether a guard is fitted to the top or bottom jaw may depend on the amount and type of dental work in the teeth -- and some dentists have a preference for either the upper or lower position. Most night guards fill the whole mouth; but some fit over the front teeth and keep the back teeth from touching.
Additional costs:
  • If a custom-made night guard is lost or damaged replacement costs will be the same as having a new one made unless the mold used to create the original night guard is still available. With a usable mold, the cost of replacement may be discounted by as much as 50%. However, dental labs do not store these molds, throwing them away after a short period of time. A few dentists give the molds to their patients to keep, but if major dental work has been done or the teeth have shifted since the mold was created, a new impression and mold may be needed.
Discounts:
  • Dental school clinics[3] offer reduced rates for services by supervised students or faculty.
  • The National Institute of Dental and Craniofacial Research provides tips for finding low-cost dental care[4] .
Shopping for a night guard:
  • Over-the-counter night guards are available from most drug stores or big box discount stores, or from sites like Amazon[5] or DrugStore.com[6] .
  • Search for local dentists through the American Dental Association[7] . WedMD.com lists things to consider when choosing a dentist[8] .
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments
Night Guard
Amount: $80.00
Posted by: Mrs. E in Salem, VA.Posted: November 12th, 2016 10:11AM
Type: Soft custom
I have worn a soft custom night guard for 10+ years. My dentist gave me my mold so whenever I needed a new one I would drop by his office and in a day or so pick up my new one. Unfortunately my dentist has retired and I am looking for a dentist who will make a new appliance with my old mold. If I can't find a dentist who will work with me I am going to order one of the kits to make my own.
To those who gave up on the night guard too soon I say, "give it a couple of weeks!" You are not use to having something foreign in your mouth. Be patient!
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Models/molds
Amount: $400.00
Posted by: Florida dds in Ft Lauderdale, FL.Posted: July 27th, 2015 07:07PM
Type: Occlusal guards
I'm a dentist and I have been reading all the comments here. I have to say, there is no point in insisting on keeping your "molds" since there's nothing that your dentist will do with them once they are used. Often, the lab alters the mold in order to remove the guard from the models and then they can't be used to make another one anyway. Also, the teeth shift quickly if you are not wearing your guard on a nightly basis; and if it's been more than a couple of weeks without wearing your guard, you will likely need a new model anyway. Also, the cost for the night guard isn't just for the "plastic"; it is for the dentist's time combined with the lab fee to fabricate it, plus the chair time that it eats up in our office. Dental school is not cheap and most of us have hundreds of thousands of dollars in student loans that we must repay somehow, while at the same time being compensated for the incredibly disgusting job of fixing people's filthy mouths.
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Night Guard!
Amount: $10.00
Posted by: Jonathan L. in Richmond Hill, Other.Posted: March 20th, 2015 09:03AM
Type: Custom!
It cost $300 to make the night guard, but my dad's insurance was able to cover majority of the fee. So we I ended up paying $10. My dad even got one for himself since it was so cheap. The night guard is made of hard acrylic and is made for and wraps around the upper part of the teeth.
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The acrylic one is no help at all
Amount: $0.00
Posted by: Old-Fashioned in Ann Arbor, MI.Posted: March 16th, 2015 06:03PM
Type: Acrylic
In the past I had 4 different bite guards over the years, made and fitted by my dentist and they all worked fine, were worth the outlay. I continued to grind my teeth, but was protected against damage from the unconscious habit. They wear out though and have to be replaced. Now dentists seem to have shifted to these hard acrylic guards that do not work for me. My teeth hurt and the alignment of my mouth is distorted. If i don't wear the guard I end up with blood on my pillow; if I do I feel I'm hurting my teeth in another way.
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Too expensive
Amount: $433.00
Posted by: TMJ Sufferer in Redlands, CA.Posted: January 29th, 2015 09:01AM
My dentist said I have TMJ and wants me to wear a nightguard which they said costs $575! I could get a discount and pay $433. When I said that's ridiculous and overpriced for a piece of plastic the manager offered me $100 off that for a total of $331. I will try an over the counter one before I pay that much for plastic.
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Night Guard
Amount: $390.00
Posted by: TrumpetTitan in Aberdeen, MD.Posted: January 7th, 2015 03:01PM
Type: Dentist made
January 2015. It was made with a thermosetting plastic. The dentist recommended it when I mentioned minor soreness while eating hard foods. I wish she mentioned the price. Insurance may not cover it...
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Occlusal guard
Amount: $625.00
Posted by: a user in Denver, CO.Posted: January 2nd, 2015 12:01PM
Type: custom
Dental insurance will not cover this so I was originally told it would be between $375-400 out of pocket cost.
Shocked by the $625 price tag!!! which included impressions and fitting.
I will be having a discussion with the dentist about the cost, seems a bit much for a piece of plastic, also, it is not right for the dentist to produce estimates so far from actual cost.
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Denton Texas night guard for TMJ
Amount: $1,780.00
Posted by: Harley Mama in Denton, TX.Posted: September 8th, 2014 09:09AM
Type: custom
I thought a lot of my new dentist in Denton, then they want $1,780 for a piece of plastic to get my teeth inline and help with TMJ! I read what other people are paying and think this cost is outrageous for a piece of plastic! then they said my insurance company MAY NOT pay for it so I have to fork over the cost OUT OF POCKET and they would reimburse me if the insurance pays. I have extreme pain in my jaw on that side they said I have TMJ and headaches. STUPID insurance company can just pay my NEUROLOGIST bills when I start seeing one! I refuse to pay for this OUT OF POCKETE when I have insurance! It is a scam, these overpaid overpriced doctors and insurance companies!
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Night Guard Cost- Sentinel Mouthguard Co.
Amount: $138.50
Posted by: JS2007 in San Diego, CA.Posted: August 24th, 2014 07:08PM
Type: Online night guard lab
I have had about 8 mouthguards over the years. I have terrible bruxism and have cracked 3 crowns and broken a front veneer from the grinding. I have broken several of those mouthguards by chewing on them while asleep. My dogs have found a few of them after they fell out of my mouth during the night; and, they made expensive chew toys for my canine family members.
All of my previous mouthguards have cost me $400.00 and greater. None of them have been as comfortable to wear as the product I purchased from Sentinel. I was concerned that it might not fit well because I am used to the dentist spending a lot of time fine tuning the mouthguard with a drill in order to get a good fit. It was nice to not have to go through all of that work with the dentist and still get a wonderful fit. This has got to be the most comfortable mouthgard I have ever worn.
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Did I overpay?
Amount: $550.00
Posted by: joebeca in Gainesville, FL.Posted: August 14th, 2014 06:08PM
Type: not sure
For that price what should they be made of? I probably should have researched it prior...
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Nigh Guard
Amount: $850.00
Posted by: _ar_ in Los Angeles, CA.Posted: July 31st, 2014 07:07PM
Type: Custom
Think the cost is outrageous and that I am probably being gouged by my new LA dentist. But this is the third dentist to tell me I should get one. Apparently I am grinding away my previous dental work, wearing down my enamel, etc. For 850, which i took out a line of credit for, this better be the best quality night guard. Ugh.
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second mouth guards $$$
Amount: $1,100.00
Posted by: SusanLynn in Denver, CO.Posted: June 14th, 2013 08:06AM
Type: hard acrylic
The first mouth guard for grinding was soft acrylic. Cost: $400. It made the problem worse and then TMJ was a problem, jaw popping out, pain. Now broke a crown grinding so have another appointment for $1100 night guard, hard acrylic. Does this work? Is it worth it? Not sure, but I'm captive till some relief is found
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Night Guard for Grinding
Amount: $900.00
Posted by: RPM in Greenville, SC.Posted: February 19th, 2013 03:02PM
DDS tells me that he can tell I grind my teeth at night from the wear on my teeth. After the impressions were done today, I find out that it's $900 and insurance won't pay for it, but they have a payment play. $900!!!!.... Are you kidding me?? I'm calling them tomorrow and cancelling it. I'll wear something else. My wife doesn't notice I grind my teeth.
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First Timer
Amount: $640.00
Posted by: ATB in Chicago, IL.Posted: January 2nd, 2013 07:01PM
Type: Custom
Ugh! For the last couple years, my dentist has told me that she suspects that I am clenching. I dismissed it as my teeth are in great shape and I'd never had any pain. Fast forward to a few weeks ago, when I started having horrific headaches and jaw pain. Also, I'd been noticing for the last couple months that when I fall asleep, I often wake up underbiting in a very awkward way upfront. Long story short, they convinced me to get the molds for a custom night guard. $640 is the price and I do not have dental insurance. I figured it would maybe be $300 but this is ridiculous. Still, I did it. I think it may be worth it in the long run because I don't think I'm going to be able to stop doing it on my own. It will take two weeks for the thing to be made and then I have to go back and be fitted. I'll consider it an investment, especially if it prevents me from pain and wearing down enamel. Oh, and they did mention to keep it away from my dog, which I definitely will!
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Bite Guard
Amount: $650.00
Posted by: Tammie in Salem, VA.Posted: June 18th, 2012 03:06PM
Type: Custom Upper Guard
Very disappointing experience with the custom-made acrylic bite guard (for upper teeth). It was supposedly designed to stop nighttime clenching but failed to do the job. It has also contributed to my bite being 'off' and my front teeth becoming misaligned. I don't know what the answer is for my clenching/TMJ issues but I am now out over $1,500 (bite guard, retainer w/bite plane, physical therapy, meds) in my attempts to get past my TMJ disorder and no one seems to be able to help (nor will they accept responsibility when the treatments they recommend fail). There is no money-back guarantee with healthcare and I have yet to find any provider who seems to actually give a hoot. I am actually worse after being treated by three dental professionals (family dentist, local orthodontist, regional oral surgeon).
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Dog Ate My Night Guard
Amount: $500.00
Posted by: Disappointed Woman in greenville, NC.Posted: August 30th, 2011 02:08PM
Type: Dual Acrylic
I am looking for a place to order another nightguard. I am fortunate that my dentist gave me my impressions 1 year ago after my fitting. Now that I need another night guard, my dog ate it, my dentist doesn't want to use the same impressions. Why? It's only been 3 nights since I last used it. Not to mention the other options they provided for me to bond, braces (partial bar on front 2 teeth)or veeners. None of which will assist me with grinding at night.
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Lied to by dental office!
Amount: $400.00
Posted by: Splintless in Coral Springs, FL.Posted: June 16th, 2011 01:06PM
Type: Custom
I had a custom bite gaurd made at the end of 2009. At first, I had problems getting in the routine of wearing it every night; I had originally purchased it because of wear and tear grinding my teeth. Then I began having problems with headaches and my TMJ, and the only way I foun relief was by wearing the bite gaurd. I was told that after the first initial payment to having the bite gaurd made, there was a serial number printed on the bite gaurd that would be kept with my chart in the event that I needed to replace the bite gaurd. Imagine my dismay when I misplaced the bite gaurd and was not only told by an incredibly crass front desk receptionist that no such policy exists, but that my dental impressions that I paid HUNDREDS for were just thrown away without my knowledge; she followed up that statement by saying I would have to pay full price and go through the whole process again!!! I've learned my lesson; find a new HONEST dentist and keep the mold!!!!
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Night Guard
Amount: $225.00
Posted by: JLinIowa in INDEPENDENCE, IA.Posted: May 26th, 2011 03:05PM
Type: Custom by dental lab
I had a custom dental night guard made 16+ years ago. It lasted for years and finally broke. Back then it was $125. Since then I've used OTC ones but decided to go ahead and get a custom made one again. What a difference. It was $225 and the best money I've spent in a long time. No jaw pain, etc now. And my dentist has always given me my models (molds) to take home.
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Night Guard
Amount: $400.00
Posted by: ABC in Whitby, Other.Posted: January 11th, 2011 12:01PM
Type: custom
My dentist suspects that I might grind my teeth at night and recommended me a night guard. It cost me $400 for 2 visit (impression + fitting). It fits me comfortably, but i still think that $400 for a piece of cheap plastic is a bit too much. However, the insurance covers it. I would have tried to make it myself otherwise. Also ask dentist for the mold...otherwise the lab will throw it away!
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Night Guard
Amount: $18.00
Posted by: Mommyjessa in Orange, CA.Posted: May 20th, 2010 01:05PM
Type: OTC
Our dentist said our 14 yr. old son was grinding his teeth. He recommended getting him fitted for a night guard. Getting one from our dentist was too expensive. Bought an over-the-counter one that you boil and fit. Works great. Saved $!
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night guard
Amount: $500.00
Posted by: Blue Eyes in Richmond, VA.Posted: January 20th, 2010 12:01PM
Type: custom
same story - dog ate guard after 4 months. Insurance paid for it, but only 1 every 4 years. Lab destroyed the mold - why? For 1/2 price, lab will use previously made mold used for bleaching.
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Night Guard
Amount: $486.00
Posted by: a user in bridgewater, NJ.Posted: December 17th, 2009 10:12PM
Type: Custom
For about 2 years my dentist kept advising me to get one of these anti-bruxism splints. I kept disregarding; thinking it's a waste. But, recently, I had to get fillings on my teeth (occlusal surfaces too) due to grinding the teeth. So, I then got the dentist-made orthotic splint, for $486 and 2 visits (1 for making the impressions/molds that they sent away to dental lab; the other for fitting.) Dental insurance did not cover it! They should, since bruxism is a condition that can cause problems. My problem is that constant wearing this at nights sometimes feels that my bite is changing; dont know why.
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Night Guard
Amount: $600.00
Posted by: a user in Saugus, MA.Posted: December 4th, 2009 09:12AM
Type: Custom
Keep them away from pets!! My daughter and I were not told it cost me $600 a piece and my dog ate them both. What really annoyed me was that my dentist threw away the molds (impressions) that I paid for. He wants me to pay all over again. I think that is a gouge!
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External Resources:
  1.  www.mayoclinic.com/health/bruxism/DS00337
  2.  www.mayoclinic.com/health/bruxism/DS00337/DSECTION=treatments-and-drugs
  3.  www.ada.org/267.aspx
  4.  www.nidcr.nih.gov/oralhealth/popularpublications/findinglowcostdentalcare/
  5.  www.amazon.com/s/ref=nb_ss_gw/002-2566125-5946431?initialSearch=1&url=search-alias%3Dhp...
  6.  www.drugstore.com/search/search_results.asp?N=0&Ntx=mode%2Bmatchallpartial&Ntk=All&srch...
  7.  www.mouthhealthy.org/en/find-a-dentist.aspx
  8.  www.webmd.com/oral-health/guide/finding-dentist
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