March 26, 2026
Night Guards: Do You Need One?

You probably don't think much about what your teeth do while you sleep. Most people don't — until they start waking up with a sore jaw, a dull headache, or teeth that seem to be wearing down for no reason.
If any of that sounds familiar, there's a good chance you're grinding or clenching your teeth at night. The dental term is bruxism, and it's a lot more common than people realize. The fix? Often, it's something simple: a night guard.
What Is a Night Guard?
A night guard is a custom-fitted oral appliance — basically a thin, durable tray that fits over your upper or lower teeth. You wear it while you sleep, and it creates a protective barrier between your top and bottom teeth so they can't grind against each other.
Think of it like a seatbelt for your teeth. You hope you don't need it, but when you do, you're glad it's there.
Signs You Might Need One
Teeth grinding doesn't always announce itself. A lot of people don't even know they're doing it. Here are some of the most common signs:
- Morning jaw pain or stiffness — If your jaw feels tight or sore when you wake up, that's a red flag.
- Frequent headaches — Especially tension headaches that show up first thing in the morning.
- Worn, flattened, or chipped teeth — Over time, grinding literally wears your teeth down.
- Tooth sensitivity — Grinding strips away enamel, exposing the more sensitive layers underneath.
- Your partner hears it — Sometimes the person sleeping next to you notices the grinding sound before you notice any symptoms.
- Cheek biting — Waking up with bite marks on the inside of your cheeks is another telltale sign.
If you're nodding along to two or three of these, it's worth a conversation with your dentist.
What Causes Teeth Grinding?
There's rarely a single cause. It's usually a combination of factors:
- Stress and anxiety — This is the big one. When life gets hectic — work pressure, family stuff, financial worries — your body often processes that stress physically, including clenching your jaw at night.
- Sleep issues — Sleep apnea and other sleep disorders are closely linked to bruxism.
- Bite alignment — If your teeth don't line up quite right, your jaw may try to "find" a comfortable position by grinding.
- Lifestyle factors — Caffeine, alcohol, and certain medications can increase grinding.
Here in Sanpete County, we see plenty of hardworking folks who carry their stress in their jaw without realizing it. Ranching, farming, long commutes to work — it all adds up.
Why You Shouldn't Ignore It
Grinding might seem harmless, but over months and years, the damage adds up:
- Cracked or fractured teeth that need crowns or other restorations
- TMJ disorders — chronic pain and dysfunction in the jaw joint
- Gum recession from the constant pressure
- Expensive dental work that could have been prevented
A night guard is one of those things where a small investment now saves you a lot of pain and money down the road.
Custom vs. Store-Bought: What's the Difference?
You've probably seen night guards at the pharmacy — the boil-and-bite kind. They're better than nothing, but there's a real difference between those and a custom-fitted guard from your dentist.
Store-bought guards are generic. They're bulky, don't fit precisely, and can actually make some problems worse if they shift your bite in the wrong direction.
Custom night guards are made from an exact mold of your teeth. They're thinner, more comfortable, and designed to protect your specific bite. Most patients find they forget they're even wearing one after the first few nights.
At our office, getting fitted is simple — we take impressions of your teeth, and your custom guard is ready in about two weeks.
Tips for Getting Used to Your Night Guard
If you've never worn one before, it can feel a little strange at first. Here's what helps:
- Wear it every night — Consistency is key. Your mouth adapts faster when you don't skip nights.
- Clean it daily — Rinse it with cool water and brush it gently with a soft toothbrush. No hot water — that can warp the material.
- Store it in its case — Pets love chewing on night guards. (We've heard the stories.)
- Bring it to your appointments — We can check the fit and look for wear patterns that tell us how your grinding is changing.
When to Talk to Your Dentist
If you're experiencing any of the symptoms we mentioned — jaw pain, morning headaches, worn teeth, sensitivity — bring it up at your next visit. Or better yet, give us a call and come in so we can take a look.
Teeth grinding is one of those problems that's easy to fix early and expensive to fix later. A night guard is a straightforward, comfortable solution that protects your teeth while you sleep.
If you have questions about night guards or think you might need one, give us a call at (435) 462-2070. We're here Monday through Thursday, and we're always happy to help our neighbors in Mount Pleasant and the Sanpete Valley figure out the best plan for their smile.