Bruxism Treatment Guidelines

Introduction to Bruxism Treatment

Boil-and-bite guards are recommended for over-the-counter (OTC) use, allowing for better adaptation to teeth compared to stock guards, as suggested by the American Academy of Pediatrics 1
Ethylene vinyl acetate copolymer (EVA) is recommended for OTC night guards due to its effectiveness and safety, according to the American Academy of Pediatrics 1

Hard materials, such as acrylic resin, offer better durability for severe bruxers, although they may not be the most effective OTC option 1
Soft materials may be more comfortable initially but wear out faster with heavy grinding, highlighting the importance of material selection based on individual needs 1
Hard acrylic resin is the most common and generally most effective material for long-term management of temporomandibular disorders (TMDs), offering durability and stability 2

Custom-fit guards create an impression of the upper teeth, improving fit and effectiveness, and are preferred over stock guards without customization 1
Full coverage of either upper or lower arch is preferred, with upper arch guards being typically more comfortable and less likely to dislodge during sleep 1
Hard full coverage stabilization splints show efficacy for TMD management, and are recommended by dental professionals 2

Night guards can reduce tooth wear and damage from grinding, alleviate morning headaches and jaw pain, and protect dental restorations from fractures, as reported by the American Dental Association 1
However, night guards do not stop the underlying bruxism behavior, and quality varies significantly between products, emphasizing the need for proper selection and use 1
Hard splints that don't account for occlusion may cause adverse events like tooth movement and malocclusion 2

Individuals with severe bruxism, TMD symptoms, or complex dental situations should consult a dental professional for a custom-made appliance that provides optimal protection and proper occlusal relationship, as recommended by the American College of Prosthodontists 1
Material selection should consider the specific TMD diagnosis and symptoms, as well as durability requirements based on the severity of bruxism or clenching 2, 3

Night guards should be cleaned thoroughly before and after each use, stored in a ventilated container when not in use, and replaced when signs of significant wear appear, to ensure safety and effectiveness, as suggested by the American Dental Association 1