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The 8 Best Night Guards for Grinding Teeth of 2024

Our experts recommend the Chomper Labs Hybrid Night Guard for relief from grinding

Verywell Health / Kristin Kempa

Sleeping should be the one daily activity when your entire body is at rest, but that’s not always the case. Some health problems don’t stop just because you fall asleep, causing you to wake up in the morning with sleep-related aches and pains; one of the most common of these is bruxism, or grinding your teeth , and according to Dr. Rhonda Kalasho, DDS, CEO of TruGlo Modern Dental, it’s often brought on by snoring, stress, sleep deprivation, and sleep apnea. 

“Pain in the jaw or lower face when waking up in the morning is a common sign a person was clenching or grinding while they were sleeping,” she explained to Verywell Health. “Some patients may find it hard to yawn or chew through the day [and] some patients may even experience headaches or neck pain along with their jaw pain.”

What can you do to ease the pain of bruxism? In addition to treating any root causes of your nightly grinding (like addressing your sleep apnea , for example), you can wear a night guard, a device that Kalasho said will keep your jaw muscles at rest, relieving any negative impact on the temporomandibular joint (TMJ). 

Not all night guards are created equal, however, and since wearing one with a proper and comfortable fit is one of the most important things to consider, you need to know how to find a night guard that can offer relief without exacerbating existing issues. In general, dentists recommend being fitted for a night guard through your dentist’s office to ensure a perfect fit, but we know that’s not always possible or even affordable. We researched the options for over-the-counter (OTC) and mail-order night guards to see which ones could reliably stand in for professionally fitted devices.

  • How We Selected
  • What to Look For

Why Trust Verywell Health

Best overall, chomper labs the hybrid night guard.

Chomper Labs

Hard outside, soft inside

100-day trial for free returns

For moderate to heavy clenching and grinding

One of the toughest parts of choosing a night guard for yourself is figuring out which type you need. Should you pick hard or soft? Thin or thick? And how hard, exactly, do you grind your teeth at night, anyway?

The Hybrid Night Guard from Chomper Labs gets our best overall pick because it eliminates the need for you to have all these questions answered. Its unique hybrid design means you get the best of both worlds, with a hard exterior to protect against even heavy grinding and a soft interior that gently conforms to your teeth. It also sits in the middle as far as thickness goes at 2.5 millimeters, neither the thinnest nor the thickest option available at Chomper Labs.

As far as everything else, we like the business model of Chomper Labs: This mail-order company sends you an impression kit for free, complete with instructions and a prepaid return mailer, then turns your night guard around in an impressive amount of time (you should get it back about a week after they receive your impression). Chomper Labs also promises to keep tweaking your night guard, free of charge, until it fits exactly right, and also offers a 100-day return policy and six-month warranty for damage.

Key Specs: Material : Polyester/EVA | Coverage : Upper and/or lower

Best Budget

Sporting smiles dual laminate grinding night guard.

Sporting Smiles 

Backup guards offered at a discount when bundled

Only a 30-day warranty

Longer shipping time than competitors

If you like the idea of working with a mail-order company to receive a customized night guard but want to keep the cost under $100, the Dual Laminate Sporting Smiles night guard is a more affordable alternative to the hybrid night guard from Chomper Labs. It features the same hard-on-the-outside but soft-on-the-inside style of construction, which makes it appropriate for moderate grinding and clenching, though it is just a little bit thicker at 3 millimeters.

What really makes this night guard our best budget pick—on top of its lower base cost—is the fact that you can add extra or backup night guards onto your order upfront and save money. Instead of buying two separate guards at $95 a piece, for example, you can add an extra for only $50.

Key Specs: Material : Laminate/EVA | Coverage : Upper and/or lower

Best for Braces

The clear club multi-color guard.

clearclub.com

Three-month renewal plan saves you money

Three thickness options

Kid-friendly multicolored night guards available

Less options for hard vs. soft or hybrid guards

Buying and wearing a night guard when you also have braces can be difficult, and in many cases, a professionally-fit night guard from your dentist or orthodontist is the best way to go. When you have braces , your mouth is changing all the time; a professional fitting allows you to get exactly what you need without damaging your braces is often the best approach, says Jaclyn Tomsic, MD, oral and maxillofacial surgeon at Ohio’s Center for Oral, Facial, and Implant Surgery.

But having to get a brand new night guard from your dentist every few months can get pretty expensive. If that’s not for you, we suggest signing up for the night guard subscription plan at ClearClub: Not only are the night guards more affordably-priced than they are through a dentist, but you can save a good deal of money by subscribing to a renewal plan upfront. 

With a renewal plan, ClearClub will send you a new night guard every three, four, or six months for less than a one-time purchase. A new impression wouldn’t be necessary each time, but if your braces are changing the shape of your teeth frequently, you can make a new impression and always have a night guard that fits your current mouth. Finally, we love that ClearClub offers cool multi-color night guards, sure to appeal to the tween and teen braces-wearing set.

Key Specs: Material : Acrylic/EVA | Coverage : Upper and/or lower

Best “Boil and Bite” Style

Dentek professional-fit maximum protection dental guard.

 Amazon

Mold your night guard right at home

Easy steps for heating and shaping

Less comfortable than mail-order or dentist-made guards

If you’re not interested in fussing with an impression kit that you have to send back to a company before sitting around and waiting to receive your night guard, you can custom-fit a night guard for yourself right at home with the Dentek Professional-Fit Dental Guard kit. This is a “boil and bite” type of mold that’s often sold OTC, and the process is simple: You heat the dental guard in a forming tray, wait for it to cool down a bit, then bite down onto the night guard in the tray to make an impression of your teeth. Once the guard has cooled and hardened, you have a customized device to wear right away.

This is an option that’s both affordable and convenient, but keep in mind that it’ll never be quite as comfortable as a mail-order night guard or one fitted through your dentist’s office. These types of night guards are often bulkier than others, too, but we chose the Dentek because it’s designed to have a slimmer profile and be less awkward in your mouth. It also guarantees six months of wear without damage (or you can contact Dentek for a refund).

Key Specs: Material : Unspecified plastic | Coverage : Upper

Best for Daytime Grinding

Chomper labs the daytime ultra thin night guard.

Chomper Labs 

Thin construction allows for speaking while wearing

Barely visible to others

Subsequent replacements are almost as expensive as the original

Grinding and clenching your teeth may not only happen while you’re sleeping—stress and anxiety can cause you to grind during the daytime, too. Although there are other ways to cope with daytime grinding, like meditation and relaxation techniques , sometimes you just need to be able to pop a dental guard in your mouth to protect your teeth. Some people may also use a night guard like this during the day to prevent cheek or nail biting.

We recommend the Daytime Ultra Thin Night Guard from Chomper Labs if this sounds like you. Because it was designed with daytime wear in mind, it’s significantly thinner than other night guards (only 0.8 millimeters) so it won’t interfere with your speech. The hard plastic is comfortable and discreet, protecting your teeth while staying in place. You can also choose whether to fit the guard for your upper or lower teeth, depending on what’s more comfortable for you during the day.

Some retailers offer discounts for replacement guards, the cost is $120 at Chompers Lab, just $30 shy of the original price.

Best Hard for Heavy Grinding

Pro teeth guard hard night guard.

Pro Teeth Guard 

Available in a variety of sizes

60-day warranty/return policy

May last between two and five years

If you know you’re putting a ton of stress and strain on your teeth at night while you sleep, you need to step up your night guard game—and the Pro Teeth Hard Night Guard is the strong defense you need against heavy nighttime grinding and clenching.

Made from elasticized acrylic, this hard night guard is about 1.5 millimeters thick, so even though it’s tough on grinding, it’s not overly bulky or uncomfortable to wear while you sleep. We also like that the acrylic construction allows the night guard to be firm and protective but still somewhat flexible: Pro Teeth says that you can soak or rinse the night guard in warm water before inserting it if you need to slightly adjust the fit. Finally, Pro Teeth suggests this night guard may be able to last anywhere from two to five years, making it an ultra-durable option on top of its other benefits.

Key Specs: Material : Elasticized acrylic | Coverage : Upper and/or lower

Best Disposable

Plackers grind no more night guard.

Each guard can be used for three nights

No boiling or fitting required

Interchangeable upper/lower teeth design

Won’t be as comfortable as a customized guard

Maybe you only grind your teeth when you travel or when you’re sick, or maybe you’re getting some dental work done and don’t want to cause any unnecessary damage while you sleep. Whatever the reason, there may be a time when you just need occasional protection against grinding and clenching, and these disposable night guards by Plackers may be the perfect temporary solution.

These partial coverage night guards are ready to be used right out of the box, no shaping or trimming required (which is good in some cases, but they won’t give you any kind of customized fit). They’re designed to keep your back teeth separated with a small bite plate, so they don’t need to be fitted over every single one of your teeth; this reduces the possibility of irritation and discomfort.

You get 16 disposable mouth guards in each package, but each one can be used for up to three nights for a maximum of 48 nights of coverage. We also like that they have a unique reversible design, which makes them work for either your upper or lower teeth.

Key Specs: Material : Unspecified plastic | Coverage : Upper or lower

Best for Minimalists

Brux night guard.

Brux Night Guard 

Customize your fit at home

Remold the shape at any time

Fits over the front teeth only

Larger than some other guards

Not for use with braces or other oral appliances

If you don’t like the idea of sticking a piece of plastic into your mouth that covers all the teeth on your upper or lower jaw, we get it. That’s why we chose the Brux Night Guard as our best pick for the minimalists, i.e. the people who just want a little bit of extra grinding protection without all the traditional night guard coverage.

The Brux Night Guard is designed to fit over your front teeth on either the upper or lower jaw; in doing so, it holds your mouth open just enough to keep your back teeth apart, ensuring that none of your teeth will come into contact with one another while you sleep. We also like that the Brux is fitted at home, with a boil and bite customization process, and can actually be remolded at home in the same way any time you need to change or update your fit. It’s a bit bulkier than other night guard options, but since it only covers a small section of your teeth, it may still be more comfortable for some users than a full upper or lower guard.

Key Specs: Material : Unspecified plastic | Coverage : Upper and/or lower

How We Selected the Best Night Guards for Grinding Teeth

To find the best night guards for grinding your teeth, we asked dentists to tell us what to look for when choosing a guard from someplace other than your dentist’s office. (While springing for a professionally-fitted night guard is the best practice, there may be times when you need a cheaper or more temporary option.) They emphasized the importance of overall fit, profile, and coverage, as well as making sure you choose a guard that works for bruxism and isn’t designed for other activities, like contact sports. 

We searched for night guards for a variety of different needs, as well as guards that could be customized for the correct fit, either at home or through a mail-order service. For the most part, we steered clear of stock night guards without any custom-fitting options since those can cause more problems than they aim to solve.

The experts we talked to included:

  • Dr. Rhonda Kalasho , DDS, CEO of TruGlo Modern Dental
  • Jaclyn Tomsic , MD, oral and maxillofacial surgeon at Ohio’s Center for Oral, Facial, and Implant Surgery
  • Thomas J. McCarthy , DDS, director of product development at SportingSmiles
  • Matt Asaro , DDS, of Asaro Dental Aesthetics in Los Angeles, California

What to Look for in Night Guards for Grinding Teeth

Type of mold.

There are essentially three types of molds you can choose from outside of your dentist’s office, and they each serve a different purpose.

  • Stock or pre-fit guards are sold as is, and can’t be customized or changed in any way. This may be fine if you have relatively straight teeth and only plan to use the night guard occasionally, but this type can be uncomfortable for many people, especially with more frequent use.
  • Boil and bite molds allow you to customize your fit right at home. You heat the night guard in hot water, then once it’s cooled down enough, you put it in your mouth and bite down to form the impressions of your teeth on the inside of the guard. Once the guard has fully cooled, it should retain those impressions until you reheat it.
  • Mail-order night guards are made with a kit that the company sends out to you. You make a dental impression following the kit’s directions, then send the kit back to the company. They create a night guard based on your impression and mail you your customized device.

One thing to note with the boil and bite molds is that sports mouthguards featuring this technology are not the same as night guards for bruxism, so make sure you don’t buy a sports guard, said Thomas J. McCarthy, DDS, director of product development at SportingSmiles: “When you form a boil and bite sports mouthguard, you get an impression of your opposing teeth on the mouthguard—this can lock in your jaw, causing more issues than [the] teeth grinding.”

Overall comfort and fit is an important part of finding the right night guard. If your night guard is painful or ill-fitting, you probably won’t wear it, defeating the purpose of getting one in the first place.

A good place to start is by looking for a slimmer or lower-profile night guard, McCarthy said. Many OTC guards are bulky and awkward, turning people off the first time they try to sleep with one. On the other hand, several of the mail-order customized guards are designed to be thinner, not only fitting more comfortably over your teeth but also becoming less visible to others while you wear them.

There are night guards that can be worn on your upper teeth, ones that can be worn on your lower teeth, and several that can be customized to fit either your lower or upper teeth. So which one do you need? Honestly, it’s mostly up to you.

“Either is appropriate and often [it’s your] preference,” Tomsic said. “Lower bite guards are often more common for clenchers and grinders, and uppers are more common to treat TMJ [temporomandibular joint disorders].”

The same is essentially true for night guards that cover all of the teeth on your upper or lower jaw versus the ones that provide only partial coverage, either by connecting bite plates together with a thin strip or only affixing to your front teeth. When it comes to choosing, it’s mostly a matter of personal preference or comfort.

Material 

Most night guards are made of some kind of plastic; usually a composite of multiple synthetic plastics, like polyester, polyurethane, and acrylic. Many of them are also thermodynamic, becoming more flexible after coming into contact with warm water, for minor adjustments.

All night guards are manufactured differently, but many of the ones included on our list specify that they are made with plastics that are free of BPA , latex, and phthalates. However, if you’re concerned about the material content of your night guard, be sure to check with the individual retailer or manufacturer of any product before choosing one.

According to Kalasho, if night guards are well-kept and regularly cleaned, they should last you around five years. There’s a lot of variation here, though; OTC night guards likely won’t last nearly as long, while some professionally-fitted brands might last even longer. If you’re purchasing a mail-order night guard, take a look at how often the retailer recommends replacing it and learn to recognize the signs of wear , such as altered fit, cracks or tears, discoloration, and oral sores or injuries. You might also want to consider the retailer’s warranty or return policy.

As for how to care for your night guard, you should wash it every day with regular soap and water, said Kalasho, but “resist using your toothbrush to clean the guard, as that can end up staining [it].” You should also always store your night guard in a protective case when not in use.

Frequently Asked Questions

You can take a simple approach, rinsing your night guard with warm water and a designated toothbrush. You can also use oral cleaning tablets weekly or monthly to cleanse and disinfect your night guard, said Matt Asaro, DDS, of Asaro Dental Aesthetics in Los Angeles, California. He recommends a product like Retainer Brite, available on Amazon .

Just keep in mind that if you choose to brush your night guard with a toothbrush, it should be a separate one you only use for cleaning your night guard. As Kalasho said, using your regular toothbrush can cause staining.

It’s important to understand exactly what a night guard does for bruxism, said Asaro: “Night guards don’t correct any symptoms…it won’t make you stop grinding, it will only protect the teeth during sleep.”

In other words, you shouldn’t be waiting around for weeks for your night guard to stop you from grinding your teeth—it won’t actually do that at all! But it will start protecting your teeth from your grinding and clenching right away, starting the first night you put it in. Soon after that, you should notice a decrease in any bruxism symptoms you were having, like jaw pain or headaches, as your sore muscles relax, recover, and heal.

It depends on how severely you grind or clench your teeth at night, said Tomsic: “Patients with more severe grinding and clenching typically use a hard night guard, [while] people with mild bruxism, or isolated clenchers but not grinders, [can] use a soft night guard.”

Sarah Bradley has been writing health content since 2017—everything from product roundups and illness FAQs to nutrition explainers and the dish on diet trends. She knows how important it is to receive trustworthy and expert-approved advice about over-the-counter products that manage everyday health conditions, from GI issues and allergies to chronic headaches and joint pain.

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The Clinical Use of Night Guards: Occlusal Objectives

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Are you looking for ways to provide better service for your patients? Set yourself apart from the rest of the dentists in the area? Offer a service that is relatively easy to deliver, of value to your patients, and profitable for your practice? It is time that we, the dental community, re-engineer our practices to treat occlusal disease as effectively as we learned to treat bacterial disease.

Growing up in the 1950s, I learned from television commercials that if I brushed my teeth twice a day and visited the dentist twice a year, I could keep my teeth for a lifetime. In the 1970s dental school added daily flossing to the regimen but basically supported the concept that patients could also keep their teeth for their lifetime by following these basic preventive measures.

THE EVOLUTION OF PREVENTION

What about the year 2004? If I tell my patients the same thing as in the past, am I telling them all they need to know? Or, am I helping to perpetuate an old-fashioned concept that needs to be discarded?

Since 1950 dentistry has enjoyed unprecedented success in the ability to help our patients keep their teeth. Through the use of fluoride, sealants, and increased awareness of nutrition and dental hygiene, caries has been greatly reduced. Our understanding and treatment of periodontal disease has greatly prolonged tooth retention. On the medical side, our colleagues have increased life expectancy; people now live at least 20 years longer than they did in the 1950s. The result is that people are retaining more of their teeth and living longer. Men and women over the age of 80 now make up the fastest growing population segment in the United States! 1

As practicing dentists, what do we need to know to help our patients keep their teeth healthy for this potentially longer life? Have you ever seen a patient who has little or no new decay, little or no active periodontal disease, and yet he or she is at risk of losing teeth due to the loss of enamel from occlusal disease? What if the patient brushes twice a day, flosses every day, and bruxes every night? See the patient in Figure 1. Not yet 40 years old, she shows no signs of caries or periodontal disease but is at great risk of occlusal disease.

It is incumbent on the proactive practitioner of the 21st century to be able to diagnose and treat occlusal disease with as much confidence as he or she has treated the bacterial diseases of caries and periodontal disease. This article is written to make you and your team more aware of what you can do to help your patients keep their teeth.

NIGHT GUARDS

A common definition of a night guard is an acrylic splint, either maxillary or mandibular, that assists the condyles in reaching their most anterior superior position in the fossa (centric relation). 2 These types of appliances are also known as centric relation splints, occlusal appliances, and orthotics. As long as they accomplish the same objectives, they vary only in name, and I use the terms interchangeably. A variety of different appliances made from a variety of different materials have been used through the years (Figure 2).

OCCLUSAL OBJECTIVES

What are the desired objectives of a well-constructed night guard or occlusal appliance? Again, the goals are to allow the condyles to seat in their most anterior superior position (centric relation), to provide for anterior disclusion (cuspid guidance), and to have posterior point contact in centric occlusion and no posterior contact in any eccentric movement. 3 If these are achieved, then the masseter muscles will become more relaxed and unable to exert the magnitude of harmful force when posterior interferences are present. 4

Now that we understand the objectives of a night guard, let’s discuss some of its indications. All dentists are familiar with the indication of occlusal splint or night guard therapy for the treatment of temporomandibular joint dysfunction (TMD). It is not within the scope of this article to discuss TMD; entire textbooks are devoted to this topic alone. 5 However, in addition to the traditional TMD patient, there are a host of other patients in our practices who can benefit from this treatment modality.

As we know (but may not be conveying to our patients), the greatest harm to the teeth and supporting structures occurs during parafunction, not during normal function. This becomes the first indication for treatment with a night guard: to protect the dentition during parafunctional habits (Figure 3). The 2 most commonly observed parafunctional habits are clenching and bruxism. One common misunderstanding appears to be how to diagnostically distinguish between the two. Clenching, or excessive vertical force, can be easily distinguished from bruxism, or “grazing” destructive forces, by looking closely at the lower second molars (or the most terminal lower tooth). Clenchers have an almost indistinguishable cupping on the occlusal table of the terminal tooth, an area hollowed out by the opposing lingual cusp. Bruxers are grazers who will wear the teeth flat, or in an early stage show wear facets and flat spots on posterior and/or anterior teeth. Either of these parafunctional habits can occur during daytime, nighttime, or both. 

A second indication of the need to provide a night guard for a patient is the increasing use of porcelain in dental restorations. The posterior gold reconstruction we provided our patients 30 years ago wore with time; the porcelain reconstruction does not. Furthermore, we have all seen the destruction of natural enamel when it opposes traditional feldspathic porcelain. The patient in Figure 4 shows the destructive capacity of porcelain against enamel. Throughout my 24 years in private practice I have observed that temporomandibular joints and occlusion change with time, but porcelain does not. This alone is a cause for TMD.

Lastly, consider the brittle nature of porcelain and the concepts we know of fracture propagation. Normally, function does not seem to be of great concern to the long-term prognosis of all-ceramic crowns and veneers. However, parafunction can be of great harm to these types of restorations in particular. As a matter of routine, I provide a night guard to all of my patients with porcelain reconstructions. This helps me sleep better and keeps me from bruxing! The added safety net of a night guard can protect the ceramic restorations themselves when they oppose each other; it can also protect the natural dentition from the destruction that can occur when opposing porcelain. In addition, it can provide a degree of protection to the temporomandibular joints.

A third and often-overlooked indication for night guard therapy is to aid a patient with excessive tooth sensitivity to temperature. I have been very successful in treating these patients when I suspect nocturnal clenching to be the causative factor. Clues to look for include tooth mobility, the cupping of the lower occlusal terminal tooth, and the widening of the periodontal ligament space in teeth that are the recipients of excessive force. 

Finally, we are all familiar with the recent use of the term “abfraction.” What we were taught in dental school as being toothbrush abrasion or erosion did not encompass what I have observed with others to be the more common condition now known as abfraction. This is the gingival V-shaped lesion that is caused by excessive occlusal trauma (Figure 5). The occlusal trauma causes tooth flexure, and it is at the point of flexure that microtrauma to the hydroxyapatite crystals occurs. It is most commonly observed on the facial aspect of the tooth, but can also occur lingually. Night guard therapy can help prevent further abfractions after traditional therapy of restoration and occlusal equilibration has been completed.

Although by no means an exhaustive list, the above are the most common indications for night guard therapy. Depending on the age of your patients and the types of restorations they have had, as many as 30% of your patients will fall into the category of those who would benefit from a night guard. 6 With need this great, how can a night guard be easily and predictably done in the dental office?

NIGHT GUARD DELIVERY

Depending on state laws, the majority of the chairside procedures can be delegated to a competent chairside assistant. The assistant generally will enjoy providing this beneficial service, and it tends to be a welcome change from the routine of assisting the dentist. First, obtain an excellent set of alginate impressions. Take special precaution to snap removal of the impression from the mouth, as rocking causes distortion that leads to an ill-fitting appliance. Immediately pour the alginate impressions in a good quality stone or die stone. Second, take a facebow transfer for mounting on a semiadjustable articulator to minimize chairside adjustments at the delivery appointment. Again, this is a delegated task in my office. Many different articulator companies have simplified this procedure from dental school days so that this can be done in less than 5 minutes. 

Another way to reduce delivery time is to take a centric relation bite record for use when mounting the models. Through the years, I have tried countless techniques and materials, and have personally found the easiest and most reliable to be the centric relation wax record technique that is taught at the Pankey Institute. 7 As long as centric relation is obtained, any technique (power centric, leaf gauge, bimanual manipulation, etc) or material (wax, ZnOE paste, vinyl siloxane, etc) that you prefer will work. With these office procedures completed, I have found the laboratory can consistently produce a night guard that can be delivered to the patient in less than 15 minutes (with adjustments). Figure 6 illustrates a properly adjusted maxillary night guard with posterior point contact and anterior disclusion.

Another aid that has made the delivery appointment faster is the choice of material I instruct the laboratory to use. On the advice of my National Dentex laboratory (Smith Dental Prosthetics, Florida), I tried a new material called Thermo-Guard. Previously, I had used a hard, clear, heat-cured acrylic, which can be very unforgiving at the delivery appointment if there is any inaccuracy in the alginate impression (blebs, undercuts, etc). Even though it is heat-cured, Thermo-Guard remains ever so slightly resilient to provide for increased patient comfort. In addition, the night guard can be placed in warm water for a few minutes and then seated at the delivery appointment. Any small discrepancy is overcome by the softened material, so the appliance seats easily and then returns to its original state of hardness. Finally, Thermo-Guard has a milky white opacity after processing that gradually disappears, but can make it easier to read the articulating paper marks at the delivery appointment than it is to read the marks on a clear acrylic splint. 

A common question ap-pears to be which arch the night guard should be placed upon. An easy rule of thumb is to cover the more uneven anterior teeth. If the mandibular incisors are crowded, rotated, and of uneven height, a mandibular appliance will more easily achieve the desired objectives in most cases. On the other hand, if the maxillary incisors are the more uneven plane, a maxillary appliance is probably a better choice. The patient in Figure 7 would be best served with a mandibular appliance since that is the arch with the most uneven anterior teeth. If there is no difference, it is a matter of the operator’s choice; personally, I have found the maxillary appliance easier to fit and adjust and easier for the patients to accommodate to.

  

WIDESPREAD BENEFITS

Night guard therapy offers a number of benefits. The patient benefits by receiving a service that goes beyond the preventive dentistry concepts of the past to encompass the patient’s comprehensive needs of today. The dentist and staff benefit by offering a service that varies from the traditional drill-and-fill treatments that cause greater stress to the dental team. The entire office benefits from the additional sense of fulfillment that comes from helping patients to its maximum ability, and the business experiences financial benefits when providing this much-needed service efficiently and productively.

If we as a profession are to continue the advances we have offered to our patients in the past, our focus at the start of the new millennium should be on learning to treat occlusal disease as effectively as we have treated caries and periodontal disease. Success in the treatment of this third cause of tooth loss will benefit our patients by helping them keep their teeth as they live longer and healthier lives.

1. Peterson PG. Will America Grow Up Before It Grows Old? New York, NY: Random House; 1996:15-30.

2. Dawson PE. Evaluation, Diagnosis, and Treatment of Occlusal Problems . 2nd ed. St Louis, Mo: CV Mosby; 1989.

3. The L. D. Pankey Institute. Syllabus for Continuum One . Key Biscayne, Fla: The L. D. Pankey Institute; 1992; section V:1-7.

4. Williamson EH, Lundquist DO. Anterior guidance: its effect on electromyographic activity of the temporal and masseter muscles. J Prosthet Dent . 1983;49:816-823.

5. Okeson JP. Management of Temporomandibular Disorders and Occlusion . 3rd ed. St Louis, Mo: CV Mosby; 1993.

6. Christensen GJ. Abnormal occlusal conditions: a forgotten part of dentistry. J Am Dent Assoc . 1995;126:1667-1668.

7. The L. D. Pankey Institute. Syllabus for Continuum One . Key Biscayne, Fla: The L. D. Pankey Institute; 1992; section I:10.

Dr. Cowie is a 1976 graduate of Northwestern University Dental School and practices in Jacksonville, Fla. He has completed close to 2,000 hours of continuing education, including continuums at the Dawson Center for Advanced Dental Studies, the Society of Occlusal Studies, and The Pankey Institute. Dr. Cowie has lectured on occlusion and night guard therapy in more than 20 states in the last 2 years. He can be reached at (904) 771-0568, drcowie.com , or [email protected] .

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Protect Dentistry with Panthera Sleep® Night Guard

The  Panthera Sleep Night Guard  is touted for great comfort and more robust protection, even though it is the smallest full-arch night guard on the market. Read more about its benefits!

Panthera Sleep Night Guard

Night guards, a sub-category of occlusal splints, are the most widely prescribed orthoses in dentistry. The recognized role of night guards is the protection of natural dentition and restorations from damaging parafunctional forces and, in some cases, headache relief and treatment of muscle soreness or TMJ pain.

Night guards can be used as a permissive splint/muscle deprogrammer (Dawson) and as a muscle relaxation/stabilization appliance (Okeson). 1,2

The groundbreaking, teethprotecting Panthera Sleep® Night Guard is the smallest fullarch night guard on the market.

Continuing their long-revered trend for innovation in dentistry, Panthera Dental has announced that the Panthera Sleep ® Night Guard is now available. It is manufactured using the finest CAD/CAM technology which greatly reduces the need for appliance adjustment and allows for easy reproducibility.

Additionally, the Panthera Sleep ® Night Guard is comprised of Polyamide 12 (nylon material), the same 3D printed material used in the fabrication of their seminal Panthera D-SAD sleep apnea oral appliances. This medical grade material combines durable rigidity on the occlusal surfaces and comfortable flexibility on the buccal and lingual surfaces, enabling the guard to engage undercuts for retention rather than ball clasps, which can encourage tooth movement.

Polyamide does not deteriorate in open air and does not need to be stored in water like hard acrylic splints. Nor does it become brittle or fracture under parafunctional forces as many thermoformed splints do. The splint does not need to be heated before seating like thermal acrylic splints. Also, Panthera Sleep ® Night Guard won’t absorb odors, stains, and other gunk after only 30 days of use like dual laminate devices do.

The ground-breaking, teeth-protecting Panthera Sleep ® Night Guard is the smallest full-arch night guard on the market. It provides greater comfort and more robust protection than anything else available along with the accurate fit of the D-SAD and the laudable service and expertise you’ve come to expect from Panthera Dental. Easier delivery. Higher quality. Extra strength. Your patient’s dentistry will be the true testament to its effectiveness.

Panthera Sleep Night Guard

  • Dawson P.E., A classification system for occlusions that relates maximal intercuspation to the position and condition of the temporomandibular joints, The Journal of Prosthetic Dentistry, 1996, V.76, N.1, 60-66
  • Okeson JP, The effects of hard and soft occlusal splints on nocturnal bruxism, J. Am. Dent. Assoc. 1987; 114:788-91.

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Smile Comfortably

Common Night Guard Side Effects (and How to Prevent Them)

Last updated on June 30, 2023 Leave a Comment

Common Night Guard Side Effects (and How to Prevent Them)

For many people, night guards offer relief from jaw pain, headaches, and other issues related to clenching and grinding. But can a night guard cause problems or make certain issues worse?

It may not be the norm, but for some people, night guards can exacerbate bruxism symptoms or cause new issues to develop. While this typically is a matter of wearing the wrong night guard for your needs, it is still something to be aware of. That’s why we’re taking a look at potential night guard side effects — and how you can prevent them.

Table of Contents

A primer on night guards.

Bruxism — the unconscious clenching and grinding of the teeth — can lead to various health problems. From constant headaches to cracked molars, unchecked bruxism can be painful. So, how do you bring it in check?

There are multiple treatment options available, but the go-to is wearing a night guard. These removable dental appliances prevent the teeth from coming together. While you can technically still clench and grind, this barrier should stop damage to the teeth and take pressure off the jaw joints.

Night guards are not one-size-fits-all. In addition to getting better results from custom appliances (which you can get from a dentist or online ), you need the right type of guard for your bruxism. The four most common types of guards are:

  • Soft Night Guards : Somewhat gummy and flexible, these work for mild-to-moderate clenching and light grinding.
  • Single-Layer Hard Night Guards : Because these are thin, they are great for those with daytime bruxism. They also work for light grinding at night.
  • Dual Laminate Night Guards : Featuring a soft inner layer encased by a hard outer shell, this type is best for heavy grinding and moderate clenching.
  • Hard Flexible Night Guards : Ideal for the most powerful clenching and grinding, these guards are strong but have slight flexibility for greater jaw comfort.

Night guards need daily care and you should replace them whenever you see signs of wear. Depending on the type you get and the severity of your bruxism, you may need to replace yours as little as every five years or as often as every three months.

Common Night Guard Side Effects

Most people who wear night guards don’t have any problems and get relief from their symptoms. But some have side effects and might even develop new issues.

One problem with wearing a night guard is that many people buy over-the-counter, generic night guards. While those appliances have their place, many can vary so much in size that it’s impossible for one size to fit all.

Remember: any appliance that doesn’t fit well doesn’t protect your teeth. In fact, the opposite is often true. Let’s explore some of the side effects people have reported.

Shifting Teeth

If your night guard isn’t custom-fitted to your mouth, your teeth might shift out of place. Using one that only covers your back teeth might cause them to shift because the force of your clenching and grinding isn’t evenly dispersed among all your teeth, only a few. In the same vein, certain specialty appliances only cover your front teeth. These appliances can cause front teeth to shift because the pressure is too much for their roots.

Irritated Cheeks, Lips, and Gums

Some night guards that aren’t made to fit your mouth can rub your cheeks or tongue, causing sore spots. If they aren’t trimmed well, they can also cut your delicate oral tissues. Most night guards only come halfway up the tooth, but if yours is too big, it might touch and irritate your gums.

Worse TMJ Symptoms

It’s important to remember that night guards don’t cure the cause of temporomandibular joint (TMJ) pain; they only help relax the muscles and protect your teeth from the damage of clenching and grinding. Sometimes, while you’re asleep and unaware, your lower jaw might jut forward and slide your bottom teeth over the front of the night guard, creating a bite like a bulldog. This strains the jaw joint and can cause pain, headaches, and difficulty chewing.

Bite Changes

If your teeth are shifting because you’re wearing a night guard that doesn’t fit, it may also change your bite. Some night guards bought online or in stores have no way to properly fit your teeth. An ill-fitting night guard can actually change your bite, causing pain in your jaw.

Some people have a strong gag reflex that makes wearing an appliance unbearable, especially a one-size-fits-all style that is designed to fit the widest variety of mouths. It’s often because they are too long or too high and cover part of the soft palate — the back part of the roof of your mouth.

Tooth pain can occur if you’ve been clenching on one side or one spot more than another. If you’re wearing a night guard, this might make a couple of teeth sore or sensitive. But sometimes, it’s the appliance itself that puts pressure on one or more teeth unevenly. This usually happens with an ill-fitting night guard but can happen with one that’s custom-made too.

Increased Clenching and Grinding

Some bruxism appliances have been found to increase clenching and grinding. In many cases, soft guards cause people to chew on them while they sleep. Many dentists have moved away from recommending upper night guards because some styles allow contact on the back teeth but create an open gap between the front teeth. This causes an uneven bite and can lead to even more clenching, grinding, and TMJ problems.

Cavities and Periodontal (Gum) Problems

As with any oral appliance, you have to take care of it (and your mouth) to keep your teeth healthy. Failing to brush your teeth for two minutes twice a day, floss once a day, and brush your night guard with a toothbrush and toothpaste daily can cause bacteria and plaque to build up. When plaque builds up, you increase your risk of getting a cavity and developing periodontal disease.

Bacteria causes odors, and if you don’t clean your night guard regularly, it can get smelly fast. Brushing your night guard when you take it out of your mouth can help keep it clean and bacteria-free. Another cause of stinky night guards is not brushing your teeth well before putting it in your mouth. Food particles can get trapped inside, and without contact with saliva to rinse them away, they can grow bacteria.

Preventing Problems

Ideally, you’ll never experience any of these side effects. The good news is that quite a few of them are well within your control. For the side effects caused by that can be avoided, here are some ways to minimize your risk of developing any severe issues:

  • Take Care of Your Appliance : One of the best ways to keep your night guard clean is to brush it with a soft-bristled toothbrush and a little non-abrasive toothpaste when you take it out in the morning. Make sure you lay it on a clean, dry surface until it’s dry, and then store it in its case. Every couple of weeks, soak your night guard in water for up to 30 minutes with a denture-cleaning tablet.
  • Practice Good Oral Hygiene : Brushing for two minutes twice a day and flossing at least once a day can keep cavities and gum disease at bay. By keeping your mouth clean, you minimize transferring bacteria to your night guard, where it can stay pressed against your teeth all night. Seeing your dentist for regular cleanings and exams can also help detect small problems early, when they’re easier and less expensive to repair.
  • Make Sure It Fits Properly : By choosing a night guard that fits well, you can eliminate many potential side effects. If it doesn’t, talk to your dentist about a custom night guard that’s made to fit an impression of your teeth. Custom night guards can also be bought online. They will send you a kit and instructions to take your own impressions and they’ll make you a custom night guard, often for much less than a dental office. Make sure you choose a company with many positive reviews, like one of the ones in our guide to the five best online night guards .
  • Schedule a Consultation With Your Dentist : If you clench or grind your teeth or wake up with tooth pain, jaw pain, or headaches, we suggest scheduling an appointment with your dentist. They will be able to examine your mouth and determine the cause of your discomfort and recommend treatment options.

Final Thoughts

A night guard can be an easy way to get relief from clenching and grinding. But, it might also cause side effects that make your discomfort worse. By scheduling an appointment for an exam with your dentist, choosing a night guard that fits well, and caring for it properly, you can relax those muscles and get the rest you need.

Frequently Asked Questions

How are bruxism and sleep apnea related.

When you’re asleep and you can’t breathe, one of the ways your body instinctively opens your airway is by grinding your teeth. Grinding brings your jaw into a forward position, opening the airway and helping you breathe.

I just got a night guard and my teeth are sore. Is that normal?

When you wear your night guard, it shouldn’t cause real pain but slight soreness is normal. If it does cause genuine pain, it means it isn’t fitting properly. It might feel a little awkward at first, but you should never experience any pain while wearing your night guard.

If I have sleep apnea; should I use a night guard?

Bruxism is often a response to your body’s inability to breathe during sleep. Treating the sleep apnea might help you stop clenching and, luckily, many sleep apnea devices hold the lower jaw in a forward position. This protects your teeth, keeps your airway open, and reduces the likelihood of clenching and grinding. Speak with a professional to figure out if you should use a night guard or apnea device.

Can a night guard cure my clenching and grinding habit?

There is no cure for bruxism. A night guard can help relieve your symptoms and relax your jaw a bit, but there’s no way to permanently cure the habit. Wearing a night guard can help prevent damage to your teeth, though.

I don’t want to risk the side effects. Are there other ways to treat bruxism?

Even though a night guard is one of the simplest and most common ways to stop bruxing your teeth, you can also try sleep apnea therapy and stress reduction techniques. Your dentist can help guide you to the treatment method that’s right for you.

Can I wear my night guard during the day?

Yes! Although, if it’s a bulky night guard, you might not be able to speak clearly and it might feel awkward.

I can’t seem to get over my gag reflex. What can I do?

You should schedule an appointment with your dentist to ensure your night guard fits correctly. If it does, ask your dentist if they can modify your night guard. Sometimes they can be trimmed back and made smaller. If that doesn’t work, ask your dentist if they can make a super-thin appliance or recommend non-appliance therapy.

I clean my night guard every day and it still smells. What can I do?

After you clean your night guard, you need to make sure it’s completely dry before you put it in its case. If you’re diligent about cleaning your night guard and letting it dry, give your dentist a call and ask if they have any professional-strength cleaners you can use.

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4 Men Charged in Moscow Terror Attack That Killed at Least 137 People. Here’s What to Know

A Russian court charged four men with terrorism on Monday after an attack on a Russian concert hall on Friday night killed at least 137 people , making it the deadliest terror attack in the country in two decades.

Over 100 people remained in hospital, some of them in a serious condition. Islamic State has claimed responsibility for the attack.

Three of the four suspects—Dalerjon Mirzoev, Saidakrami Rachabalizoda, Muhammadsobir Fayzov, and Shamsidin Fariduni—pleaded guilty to all charges, according to Moscow courts’ official Telegram channel. The men are citizens of Tajikistan and will be placed in pre-trial detention facilities until May 22, according to Russian courts.

After unverified videos of their interrogations circulated on social media, courtroom images published by Russian media showed one suspect brought in by wheelchair with a missing eye, another with a bandage where his right ear should be, another with a black eye, and a fourth with a swollen face, Reuters reported .

Here is what to know about the attack. 

Who is responsible for the Moscow attack?

A U.S. official who spoke to the Washington Post on condition of anonymity said there was “no reason to doubt” Islamic State’s claim of responsibility for the attack. While Islamic State has not said which of its branches is responsible, U.S. officials believe ISIS-K, a branch based in the Khorasan Province of South-Central Asia and is active in Russia, is behind the attack.

Islamic State has claimed responsibility for previous attacks on Russian civilians, including the bombing of a commercial airplane flying from Sharm-el-Sheikh, Egypt to St. Petersburg in 2015 that killed 224 people. 

How has Russia responded?

The attack came just days after Russian President Vladimir Putin declared victory in the country’s presidential election, which was called “preordained ” by the Associated Press.

Putin vowed to punish those responsible. 

“The criminals in cold blood, purposefully went to kill and shoot at point-blank range our citizens and our children, as the Nazis did who committed massacres in the occupied territories. They planned to stage a demonstrative execution, a bloody act of intimidation,” he said in a televised speech after the attack. “All perpetrators, organizers, and sponsors of this crime will be fairly and unavoidably punished, whoever they are or whoever directs them.”

Putin did not refer to the Islamic State in his public address following the attack and said the accused were “moving toward Ukraine” before being caught and that “a window was prepared for them from the Ukrainian side to cross the state border.”

Ukraine has strongly denied any involvement in the attack. “Ukraine certainly has nothing to do with the shooting/explosions in the Crocus City Hall (Moscow Region, Russia). It makes no sense whatsoever,” wrote Mykhailo Podolyak, an adviser to Ukrainian President Volodymyr Zelensky, on X shortly after the attack .

Russia held a day of mourning on Sunday with a memorial outside the concert hall. 

Multiple Russian lawmakers have called for reinstating the death penalty in the country for the attackers. A moratorium on the death penalty was established by former President Boris Yeltsin in 1996, and Russia has not carried out executions since then.

Missed warnings from the U.S.

Earlier this month, the U.S. government issued an advisory to American citizens in Russia warning of a planned terror attack in Moscow that would target large gatherings like concerts. The warning was based on intelligence suggesting that ISIS-K was engaging in activity inside Russia. The U.S. shared this information with the Russian government as part of its “duty to warn” policy, National Security Council spokeswoman Adrienne Watson said in a statement on X .

The Kremlin dismissed the warnings as American propaganda and said that they were an attempt to meddle in the Russian election, according to the BBC . 

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Building in flames

At least 115 killed and scores wounded in Moscow concert hall attack

Islamic State claims responsibility after gunmen in combat gear opened fire and reportedly set off explosives at Crocus City Hall

  • Moscow attack – latest updates
  • Moscow concert hall attack: what we know so far

At least 115 people have been killed and 145 wounded in Russia’s worst terror attack in years, as gunmen in combat fatigues opened fire and detonated explosives in a major concert hall on the outskirts of Moscow.

Russian media say authorities have detained 11 people.

Three children were among the dead, Ria cited the regional healthcare ministry as saying on Saturday. Authorities had earlier said five children were among the victims and that about 60 people were in serious condition.

Islamic State claimed responsibility for the attack late on Friday, in a post on Telegram in which the group claimed its gunmen had managed to escape afterwards. A US official said Washington had intelligence confirming Islamic State’s claim.

Photos showed Crocus City Hall engulfed in flames as videos emerged showing at least four gunmen opening fire with automatic weapons as panicked Russians fled for their lives.

In one clip, three men in fatigues carrying rifles fired at point-blank range into bodies strewn about the lobby of the concert hall.

The assailants also apparently detonated explosives during the attack. At least two blasts took place at the concert hall on Friday evening, news agencies reported.

Video still showing chaotic scenes at the concern hall

Video published online showed horrific scenes of some people begging for help from the roof of the concert hall as it burned behind them. Other video footage showed people screaming, crawling on their hands and knees out of the music venue or fleeing down stairwells.

One witness said he was about to settle into his seat when he heard “several machine gun bursts” and “a lot of screams”.

“I realised right away that it was automatic gunfire and understood that most likely it’s the worst: a terrorist attack,” the man, who gave his name as Alexei, told Agence-France Presse.

Another concertgoer described scenes of panic as terrified people tried to escape. “A stampede began. Everyone ran to the escalator,” he told Reuters. “Everyone was screaming; everyone was running.”

At least three emergency helicopters had been deployed to extinguish the fire. There had been a partial collapse of the roof of the Crocus City Mall, local media reported. Shortly after midnight, the emergencies ministry said the fire had been contained.

A witness told the Mash Telegram channel that there were “at least five” attackers and that they were “bearded”.

“They act like trained fighters,” the account read. “At the moment of entering the building, the guards and people standing at the door were killed. Then they blocked the main entrance.

“The terrorists are armed with [Kalashnikov] assault rifles. Some carried vests with various ammunition. At least two of the attackers are carrying backpacks, possibly with molotov cocktails.”

In his first comments on the shooting, President Vladimir Putin wished all those injured in the terrorist attack a speedy recovery. The Kremlin said he was being updated by security chiefs about the situation, including from Alexander Bortnikov, the head of the Federal Security Service (FSB).

Russian investigators published pictures of a Kalashnikov automatic weapon, vests with multiple spare magazines and bags of spent bullet casings. A grainy picture was published by some Russian media of two of the alleged attackers in a white car. Moscow mayor Sergei Sobyanin said that the Moscow government would cancel all cultural, sporting and other mass events for the weekend after the attack, as Russian railways and other major utilities said they were increasing security.

Sobyanin called the attack a “great tragedy”. At least 70 ambulances had been dispatched to the site.

Earlier this month, western countries led by the US had issued terror warnings and told their citizens not to join public gatherings in Russia.

On 8 March, the embassy wrote it was “monitoring reports that extremists have imminent plans to target large gatherings in Moscow, to include concerts, and US citizens should be advised to avoid large gatherings over the next 48 hours”.

Islamic State said late on Friday its fighters had attacked on the outskirts of Moscow, “killing and wounding hundreds and causing great destruction to the place before they withdrew to their bases safely.” The statement gave no further detail.

The US had intelligence confirming Islamic State’s claim of responsibility for the shooting, a US official said, adding that Washington had warned Moscow in recent weeks of the possibility of an attack.

“We did warn the Russians appropriately,” said the official, speaking on condition of anonymity, without providing any additional details.

Russian media reports said riot police units were sent to the area as people were being evacuated and Speznaz units of the Russian national guard began storming the building later on Friday evening.

The shootings at the concert hall were reminiscent of some of Europe’s worst terrorist incidents such as the attack on the Bataclan in Paris in November 2015. Russians are likely to recall the Nord Ost terrorist attack in Moscow in 2002, when gunmen took hostages at a theatre, ultimately leading to the deaths of 40 hostage takers and 132 hostages.

The Moscow attack was the deadliest attack in Russia since the 2004 Beslan school siege , in which 334 people, including 186 children, were killed after being held captive by militants for two days.

Vehicles of Russian emergency services are parked near the burning Crocus City Hall concert venue

The British embassy in Moscow condemned Friday’s attack. “We condemn the terrorist attack at the Moscow region’s Crocus City Hall. It’s a horrible tragedy. We offer sincere condolences to the relatives and loved ones of those hurt and killed in today’s events,” the embassy said in a statement on its Telegram channel.

The UN security council condemned what it called a “heinous and cowardly terrorist attack”.

White House national security spokesperson John Kirby said the “images of the attack were just horrible and just hard to watch”. The White House had no indication that Ukraine was involved in the attack, Kirby added. Russia is fighting a major war in Ukraine.

Yulia Navalnaya, the wife of late Russian opposition leader Alexei Navalny, who died in February in a Russian penal colony, described the attack as a “nightmare”, adding in a post on X: “Condolences to the families of the victims and recovery to the injured. All those involved in this crime must be found and held accountable.”

A top Ukrainian official said the country had no involvement in the attack.

“Ukraine certainly has nothing to do with the shooting/explosions in the Crocus City Hall,” Mykhailo Podolyak, an adviser to the Ukrainian presidential administration, wrote on X.

“It makes no sense whatsoever. Ukraine has never resorted to the use of terrorist methods.”

Dmitry Medvedev, the ex-president of Russia and now deputy chairman of its security council, wrote that “if it is established that they are terrorists of the Kyiv regime, it’s impossible to treat them and those who inspired them differently.

“They all should be found and relentlessly destroyed as terrorists. Including officials of the state that committed such an evil thing. Death for death.”

There was no evidence that Ukraine had any involvement in the attacks.

The attack took place at a sold-out concert by the Russian Soviet-era rock band Piknik. Crocus City Hall, capacity 6,200, is one of the largest and most popular music venues in the Moscow oblast.

The warnings from the western embassies came shortly after Russia said it had foiled a planned shooting by an Afghan group linked to Islamic State.

The FSB said it had foiled an attack on a Moscow synagogue by Islamic State’s affiliate in Afghanistan, known as Isis-Khorasan or Isis-K, and seeks a caliphate across Afghanistan, Pakistan, Turkmenistan, Tajikistan, Uzbekistan and Iran.

Putin changed the course of the Syrian civil war by intervening in 2015, supporting President Bashar al-Assad against the opposition and Islamic State.

Russian authorities had also recently carried out raids against armed Islamist militants in the region of Ingushetia, leading to firefights between police and the fighters. Putin had called the March warnings from western embassies a “provocation”.

“All this resembles outright blackmail and the intention to intimidate and destabilise our society,” he said earlier this month.

Russia has not faced a large terrorist attack on its own territory since 2017, when 14 people were killed in a blast on the St Petersburg metro .

Suicide bombers killed 34 people in Volgograd in 2013 shortly before the Sochi Olympics. And in 2011, suicide bombers killed 30 people at Moscow’s Domodedovo airport.

Reuters contributed to this report

  • Moscow concert hall attack
  • Islamic State

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Night Mouth Guards

May 23, 2019

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Once again, what may be best for me in regards of a night guards could very well, be a horrid experience for you. Atlantic Dental Smile strives to make this experience easier. If your dentist doesnu2019t yet work with Atlantic Dental Smile, just ask!

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Presentation Transcript

Night Mouth Guards Contact Address: 387 Manhattan Ave, suite 202 Brooklyn, NY 11211 Phone: 718-306-6815 Website URL: https://www.citidental.com/ About US At Atlantic Dental Smile our bite splints can make a world of difference for your bruxing and grinding patients, alleviating pain and preventing further destruction of existing healthy dentition. All our bite splints and night guards are constructed to your occlusal plane specifications on the upper or lower arch. Choose from soft for night guards or select hard for bite splints. No matter which you choose, each appliance will provide excellent fit and retention. A lot of people, whether they admit it or not have issues with grinding their teeth at night, extreme sounds of snoring and some people even have issues of stopping their breathing. We are going to go over some guidelines for night guards, as in what they are, what they can be used for and which types of night guards are considered to be the best out on the market. A night guard, also known as a bite guard or a dental mouth guard are used at night to defend a person’s teeth, as well other vigorous structures simply by offering a shielding barrier in regards of the upper and lower portions of a person’s teeth. Once again, what may be best for me in regards of a night guards could very well, be a horrid experience for you. Atlantic Dental Smile strives to make this experience easier. If your dentist doesn’t yet work with Atlantic Dental Smile, just ask! Related Searche Night mouth guards | Partial dentures | Zirconia implants | Affordable dentures | Full service dental lab| PFM crowns | Zirconia crowns | Dental lab Brooklyn | Dental lab outsourcing | EMax Veneers | Crowns & Inlay's | Brooklyn | New York | NY. Nearby Locations Bridgeport | Long Island | Middletown | Ridgefield | Freehold Township 06605 | 11735 | 10940 | 06879 | 07728 Additional Details

Hours: Monday-Thursday - 9am–5pm – Saturday - 9am–2pm Fri - Sun Closed Payment: Cash, all cc GMB Listing https://goo.gl/maps/rdh1YjKp6eHtmSuL9 Google Map https://www.google.com/maps/d/viewer?mid=1Kpd0Qn2a- FceY1aid9g_33B1PWJqSUxF&ll=40.72641825935268%2C-73.81320057465916&z=9 Social Profiles https://web.facebook.com/Night-Mouth-Guards-1478806638922126/ https://twitter.com/NMouth98 https://www.instagram.com/night2233555/

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298 views • 13 slides

MOUTH

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MOUTH

MOUTH. ?. PURPOSE(S) OF THE STRUCTURE AT THE END OF THE POINTER?. SALIVARY GLANDS. MAKES ?. WHAT DOES THIS ENZYME DO?. ESOPHAGUS. What is peristalsis? . How long is this structure?. Where does it start and where does it end?. STOMACH. Chemicals are made here?.

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MOUTH

Lingual Lipase. FFA + DAGs (miniscule amounts). Lipids: Triacylglycerols. 1a. Cholesterol esters Phospholipids. Lingual Lipase ("acid-stable"). FFA + DAGs (small amounts). 1b. MOUTH. Triacylglycerols. STOMACH. STEP 1: Digestion in the Mouth and Stomach.

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Red Guards

Red Guards. The PLA reading Mao’s Little Red Book. Phase I: Red Guards (1966-69). 8 August 1966. 16 point decision Red Guards destroy the “four olds”: Thought Culture Customs Habits. Phase I: Red Guards (1966-69). Purge of party cadres Deng Xiaoping Purge of intellectuals.

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mouth

mouth. esophagus . stomach. small intestine. large intestine. rectum. mouth.

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Mouth

Mouth. Mouth. I am the mouth. I produce saliva which loosens and softens the feed and eases passage to the stomach. My saliva contains bicarbonate which buffers the acid found in the stomach. The more forage I chew, the more saliva I produce. Esophagus. Esophagus.

356 views • 14 slides

Mouth

Mouth. Esophagus. Stomach. Small Intestine. Large Intestine. Rectum. Liver. Pancreas. Gallbladder. The process of digestion begins here. Food is broken down into smaller pieces by chewing (mechanical) and saliva (chemical). The tube that carries chewed food to the stomach.

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Dental Night Mouth Guards

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Learn about Mouth guards and get customized guard from dentist Malvern road

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A reputed dentist Malvern road will help you to get a customized version of this product. Citra Dental Group is one such destination where you can get the best support in this regard.

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Best Mouth Guards for Teeth Grinding

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Night Mouth Guards

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Dental Splints and Mouth Guards

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A Close Look at the Types of Mouth Guards

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Using Retail Security Guards To Prevent Night Time Robberies

Using Retail Security Guards To Prevent Night Time Robberies

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Moscow Nightlife • A Complete Guide

Moscow is the capital of Russia and is one of the most populated cities in the country. Apart from traditional architecture, the city has been modernized to keep up with time. The nightlife of Moscow is exceptionally vibrant. You can find several casinos, nightclubs, and bars in the city. If you were planning a trip to Moscow and were confused about what during the night, don’t worry! Here are some of the best night-time experiences that you must try in Moscow!

When can you experience the nightlife in Moscow?

Although the bars and nightclubs are open daily, it is most vibrant on Saturdays and Fridays. Moscow residents like to work hard, and only on these days, they let their guard down. You can party for 12 hours straight on these days. There is almost no crowd on the other days of the week. Usually, the nightlife of Moscow begins at 11 am. You can catch your dinner early to prepare for all the partying. Most of the parties in clubs go on till 3 am. But the fun doesn’t end there. You can look for after-party clubs after that. 

Best bars in Moscow

Moscow bars are extremely lively. From beautiful women to authentic drinks – the bars in Moscow have a lot to offer. In recent times, several establishments have popped up. If you are a tourist, it can be difficult for you to pick out the right one. To clear your confusion, you can refer to the below-mentioned list of bars for your night-out in this city: 

This joint is not extremely glamorous and yet, is one of the most popular bars in Moscow. Kamchatka is a beer bar that has a vintage Soviet feel to it. The décor of this bar makes it look like a cafeteria and adds a dash of old-world charm to it. It is one of the most affordable bars in Moscow. Most locals tend to hang out here. The menu is simple yet hearty. If you want to avoid noisy places and enjoy a drink in peace, this is where you need to be in Moscow.

  • I Like Wine

The bar is appropriately named, as you can get an extensive collection of wine at this joint. Wines are collected from all parts of the world and delivered to the customers at this bar. You can even get a couple of cocktails on the menu. But mostly wine lovers visit this pub. This wine bar also has a good food menu. The prices are extremely pocket-friendly, and you can eat on a budget at this place.

  • Solyanka Bar

It is one of the indie bars in Moscow. The party atmosphere of this bar is infectious. Located in an old mansion, it serves fusion cuisine during the daytime. But at night, it becomes the hippest joint in town. The drinks are expensive but worth it. The DJs play the latest hits to keep up the spirits of the partygoers. The place lives up to its indie bar reputation as the décor is extremely rustic. The brick walls, exposed bulbs, and second-hand furniture make it a go-to spot for all the hipsters in Moscow.

You can always find students in Strelka as it is one of the popular bars in the city. The view from this bar is breathtaking as it overlooks the Moscow River. The 70s inspire the décor. It is aesthetic and yet comfortable. Moreover, the cocktail menu at this bar is fantastic. The concoctions are prepared by using local ingredients. Perhaps this is the reason why bar hoppers prefer this bar over others. If you are lucky, you will be able to witness one of the weekly concerts and events held here. 

If you want to experience something vintage, this is the place you should visit. Terma Bar is one of the oldest bars in the city. You can find over 150 alcoholic beverages at this bar. The bartenders are incredibly skilled and put up a show with fire while they prepare your drinks. There is an adventurous food menu at the club which serves Uzbek cuisine. Moreover, the bar is open 24/7, so you can drop by at any time.

Do you hate bars where the music is so loud that you cannot talk to anyone else? If you do, you can visit ‘Noor.’ This electro bar is located on Tverskaya street. It is incredibly cozy, and the music’s volume levels are kept in check to promote conversations. On weekends, you will be able to attend live music events of national and international artists. The décor of this club is chic and is an ideal place to grab a couple of drinks with family and friends.

  • City Space Bar and Lounge

The City Space Bar and Club provides a stunning view of Moscow. This bar is located on the 34 th floor of a hotel. It is highly exclusive, and only those who can afford to spend big bucks visit this bar. The drinks and food are not cheap at City Space Bar and Lounge. However, it is worth it!

  • Mendeleev Bar

This bar might be hard to locate as it is built behind a Chinese Shop. But you should put into finding the bar as if it is worth the experience. As soon as you enter this place, you will be able to see a dark cellar. You can find a long list of alcoholic beverages at this place. Moreover, if you are lucky, you will be able to witness the occasional jazz concerts hosted in this secret bar.

  • Chinese Pilot Jao Dao (Kitaysky Lyotchk Dzhao-Da)

If you want to avoid the glitz and glamour, Kitaysky Lyotchk Dzhao-Da is the perfect place for you. The décor of this bar is extremely rustic. The youth of Moscow mostly visits it because it is incredibly affordable. You can always find new artists and musicians hang out here. On almost all days of the week, you will be able to witness live music performances at Kitaysky Lyotchk Dzhao-Da. From Punk Rock to Afro beats – different kinds of artists like to perform at this joint. Moreover, you can find some of the most affordable yet best Russian wines and beers. If you feel hungry, you can try out their Russian cuisine consisting of traditional Russian soups, blinis, and salads.

Located in the former Krasny Okytyabr Factory building, Gypsy is a brightly lit, colorful bar in Moscow. There is an indoor as well as an outdoor sitting arrangement. You can sit on the terrace on the deck chairs and enjoy the beautiful view of the Moscow River. There are over 300 disco balls used to light up this place. The drinks are affordable, and you will have a good time at this place.

Go on a night tour in Moscow

Moscow is a city that is rich in terms of culture and heritage. If you are not a party person, you can ditch the usual options and book yourself a seat in one of the Moscow tour events. Several companies offer different night-time tour packages for tourists in Moscow. But why should you depend on a guide when you can roam around on your own? A food tour will help you to discover the unconventional spots in the city as well. It can be difficult for a tourist to find out about Khitrovka and Kitay Gorod on his/her own.  Try to look for tours which take you to ‘Annushka’ – the infamous former restaurant on rails in this city.

Best nightclubs in Moscow

After you have had a drink or two, you can head over to the latest dance club. There are several options for dance clubs in Moscow. People usually party till the wee hours of w night on weekends. Here are some of the best ones:

It is a highly spacious dance club that allows you to dance freely. It is built using several levels. The audio system of this club is top-notch, which is perhaps why top Russian Bands perform at this joint. The drinks are excellent as the bartender has access to some of the best alcohol in the country. Moreover, you can get good finger food to complement your drinks as well.

  • Vermeil Club

As soon as you reach the club, you will be greeted by the bright lights at the entrance. Vermeil Club is located right across the river and is near Kremlin. The club has a very friendly atmosphere, and the service is top-notch. If you like to try different kinds of alcohol, this is the right place for you. You will get tons of options when it comes to beers, cocktails, and wines.

Moreover, the food is cooked perfectly and presented elegantly at Vermel Club. Since it is a dance club, you will find some of the best DJs in Moscow play at this joint. It is the perfect place to party in this city.

A lot of international as well as Russian artists play at ’16 Tons’. Located in Presnenskiy Val, it is one of the best places to dance all night long. There is a fully functional brewery at this place, and hence, you need to try out their assorted beer collection. Named after a Merle Travis song, this place is ideal for all the music lovers who like to party.

  • Looking Rooms

Want to dance till the wee hours of the night in Moscow? Look no further! Looking Room is the place for you. All the regular party goers in Moscow visit this place. This club is open till midnight on every other working day. But on Fridays and Saturdays, it remains open for its customers till 6 am. The place is extremely spacious and can host around 800 people at the same time. You can find the DJs at this joint play the best House music in Moscow during one of the epic parties of ‘Looking Room.’

  • Night Flight

If you are looking for something exclusive, this is the place you should be. It is not easy to get entry to this fancy nightclub in Moscow. You need to be extremely wealthy to gain access to this club. Why? Because it was built for VIPs. Located on Tverskaya Street, it is a place if you want to experience something extravagant in Moscow.

  • London Night Club

Located in Prospekt Vernadskogo, the London Night club is visited by both tourists as well as locals. The staff does not discriminate between the tourists and the Russians. As long as you are ready to spend, you will get good service. The cocktails at this joint are one of the best in the city. The bar is filled with good-looking men and women. Hence, your chances of meeting someone new are quite high at London Night Club. 

This place is always bustling with energy. The Soho Rooms have been in the business for years. It was closed down in 2017 for renovations. But it is back with a bang. The club is sprawled across three floors. There is a pool as well as a bar at this club. The parties hosted by Soho Rooms go on till at least 4 am. If you like commercial music and lively places, you should pay a visit to this club.

The only word that will come to your mind when you see this club is ‘posh.’ Club Oblaka is one of Moscow’s extravagant, high-end nightclubs. Mostly the club plays Russian Pop. Unlike any other club, the party doesn’t only occur on Fridays and Saturdays. Only the rich can afford to visit this club, and they like to party on all the days of the week. The VIP service available at this club is top-notch, and you should visit this club if you can spend a lot.

LGBTQIA bar and clubs in Moscow

Although none of the bars can discriminate against the LGBTQIA community, there are a few unique hangout spots for the community. You can meet new people as well as enjoy yourself with your old buddies at:

The Boyz club is a popular LGBTQIA nightclub in Moscow. Mostly the youth of the city visit this highly energetic joint. The place is extremely spacious. It has around three bars, one lounge bar, and two dance floors. If you do not enjoy dancing, you can start using karaoke equipment instead. The parties at this place are to die for. Boyz Club stays open till 10 am on weekends. The parties that are hosted at this place are wild. You can find several music events as well as drag shows at Boyz Club regularly. 

It is probably the most famous and oldest LGBTQIA bar in Moscow. Propaganda opened its doors for its customers back in the year 1997. It functions as a café in the morning where you can get the best cuisines in town. But at night, the whole look of this place changes. The LGBTQIA night events are hosted mostly on Saturdays. It is a place where everyone feels accepted. The staff is extremely friendly and quick with orders. 

If you want to witness cabaret shows, this place should be on your itinerary.  The energy of this club is infectious. Despite the decors being changed almost every year, the bar has held onto its authenticity. The warm and comfortable atmosphere can make anyone feel at home. The travesty shows are held on every Friday and Saturday. These shows begin at 1.30 am and go on all night long. 

  • Central Station

Central Station is another decent LGBTQIA club in the city. There are about two dance floors with very different kinds of vibes. You can call your entire gang to their karaoke club and have a gala time. During the summer, you can hang around on the terrace. Drag shows are a regular event at Central Station. The prices are reasonable, and the staff is extremely efficient at this place. 

Located in Pokrovsky Boulevard, Mono Bar is a famous hangout spot for people from the LGBTQIA community. The club was started in 2014 and, since then, has gained a lot of regular customers. Mostly you will be able to hear European as well as Russian music at this club. There is a balcony which is the smoking area. If you want to meet more people, it is ideal for visiting this place after midnight on Fridays and Saturdays. 

After-party clubs in Moscow

The Russians like to party hard, and hence, the party goes on till dawn. After the party ends around 1-3 am in certain clubs, you can head over to a couple of after-party venues to have fun. Here are some of the best ones in Moscow:

People who party at high-end clubs tend to visit Miks for the after-party. There is plenty of alcohol for you to get wasted. The DJs at this joint mostly like to play Tech and House. Do not worry about the price, as the cover charge is minimal at Miks. The place is dimly lit and is the perfect place to end the night.

Gazgolder offers a more Berlin like after-party atmosphere to its guests. The cover charge is a bit more than the other clubs, but it is worth it. The décor of this place is trendy and creative. The place is huge, and you can sit in the outdoor area during the summer months. On some days, the after-party might continue till the next afternoon. All in all, if you want to party like an animal, this is the place you should visit. 

Voda is an ultra-hip joint where you can head over for the after-party. It is a small yet vibrant place where you can get good cocktails. The décor of this club is incredibly quirky. You have to ring the doorbell to get inside the club. The walls are made up of exposed concrete. The main venue downstairs is properly lit. Lime-stone staircase, wooden beams, and bar stools give the place a vintage vibe. The DJs mostly play Electronic music at this pub. One of the most exciting features of this club is that there are no menus. It would be best to inform the bartender what you want to drink, and he will serve it to you. Do not worry, as all the mixologists can converse in English. 

This after-party venue makes you feel like you have been transported to Berlin. The interiors of this place have an industrial feel to them. During the day, this acts as a bike repair shop. But at night, you can party at Entuziast till late at night. Mostly the hipsters tend to party at this place. The bar is made up of metal, and you can see racing flags all over the place. You can get a wide array of choices when it comes to beers and cider. Craft beer is extremely popular at this joint.  During the summers, you can sit outside on the beach chairs arranged on the deck. The snacks are light and ideal for eating with a pint of beer. 

There are so many different things to do in Moscow during the night. Whether you want to grab a couple of drinks or dance into the night with your friends – you will find a spot for yourself in this city. It is advisable to try out almost all the places mentioned above when you are visiting Moscow. The Russian party life is different from any other culture. They believe in working hard and partying even harder. They mostly like to party when they are done with their work for the week. If you want to experience that culture, you must prepare yourself to party till the sun comes up. It will be one of the most memorable experiences of your life.

Keep exploring!

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