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.
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 offer reduced rates for services by supervised students or faculty.
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.
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!
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.
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.
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 $!
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!
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.
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!!!!
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.