An introduction to oral appliance therapy with occlusal splints, nightguards, and more!
Bright Dental Brianna Rafetto D.M.D., P.A. of Middletown, Delaware, never stands still when it comes to acquiring training and technologies to support additional and advanced dentistry services. With Dr. Rafetto’s commitment to ongoing education and investments in state-of-the-art tools, there is certain to be a treatment to restore or sustain the health, function, and beauty of your smile. These comprehensive and sophisticated dental services also transcend treating the teeth and gums. We can also ease the far-reaching effects of conditions like temporomandibular joint disorders (TMJDs) with occlusal splints.
What are occlusal splints?
These special devices fall under a treatment option called “oral appliance therapy.” The splints designed by dentist Brianna Rafetto, D.M.D., are custom fitted to your teeth and mouth. So, due to the customized nature of these appliances, they fit comfortably and are designed to function as intended for the effective treatment of occlusal disease. These conditions relate to the alignment of the upper and lower teeth when biting down. How these teeth come together can affect the health and function of neighboring and supportive issues and structures. These splints and related appliances support a balanced bite and improve patients’ quality of life by addressing the many symptoms and complications associated with such imbalances.
What options might be appropriate for me?
Depending on your needs, Dr. Rafetto may recommend appliances such as splints or “nightguards.” While the two are often used interchangeably, they have different design features and functions. Nightguards primarily protect the teeth, gums, and other structures from the effects of chronic teeth grinding or bruxism. Individuals with bruxism often grind their teeth and clench their jaws while asleep, a condition known as “nocturnal bruxism.” So, the “guard” is placed in the mouth before and worn during sleep. By cushioning the teeth, nightguards prevent tooth chips and cracks and damage to both natural tissues and dental restorations.
Occlusal splints may also be used to address the complications of bruxism, notably temporomandibular joint (TMJ) symptoms. They reposition the lower jaw to promote a more natural “bite.” This repositioning allows the TM or jaw joint and its interconnected muscles to relax. Once relaxed, patients report improvements in the frequency and severity of headaches, facial and jaw pain, jaw stiffness and “locking,” and other TMJ disorder symptoms.
Why should I choose Bright Dental Brianna Rafetto D.M.D., P.A.?
Yes, you can find oral appliances at the store or online. However, these devices are designed to fit “all mouths,” which generally means they fit “no mouths”! When splints, guards, and other appliances do not fit well, they are uncomfortable and cause sores and other damage. They also tend to have low “patient compliance,” what good is a device that does not get worn?
Our truly custom-fit appliances are a great investment in your smile, health, and well-being. They are made precisely for your one-of-a-kind mouth. So, patients note that they are easy to adjust to and comfortable to wear. Due to their precision fit, they provide optimal protection to the teeth and restorations and also offer an effective therapeutic option by addressing the source of TMJD troubles. You also benefit from Dr. Rafetto’s use of only the highest quality materials. Your appliance is designed to hold up well, no matter what your teeth may put them through!
Occlusal Splints and Nightguards FAQs
How long will it take to get used to my nightguard?
A nightguard reduces the space in your mouth, so it’s natural to experience a bulky feeling or increased salivation. However, many patients adjust quickly, usually within 2-3 weeks. To ensure you adjust faster, wear your mouthguard consistently. Since your nightguard is customized, it will soon feel like part of your natural nightly routine.
How long do nightguards last?
Good question! Our nightguards are created from high-strength materials that resist everyday wear. Custom nightguards tend to last longer than store-bought versions. On average, they can last 2-5 years, although it depends on how hard you grind. If you notice signs of wear or tear, talk to your dentist about replacement.
Can I use my nightguard in sports?
No. Sports guards and nightguards may look similar, but they are different. Nightguards are designed to absorb teeth-grinding forces, not impact. If you play contact or high-risk sports, you need an athletic guard designed to absorb shocks from blows, knocks, and falls.
Your teeth deserve the right protection. If you both grind your teeth and play sports, you need two separate guards for the right job.
Can an occlusal splint affect my bite?
A well-fitted nightguard shouldn’t shift your bite. However, it can if it doesn’t fit well and only covers certain teeth. While this is not common, it’s possible. That’s why it’s important to choose a customized nightguard and inform your dentist if something feels off.
Signs of an affected bite include:
- Your front teeth no longer touch
- Chewing feels different, or your bite feels uneven
- Jaw discomfort or tightness
- You feel pressure on certain teeth
Any of these symptoms requires immediate attention. Your dentist will adjust or replace your mouthguard to help prevent the need for future orthodontic care.
Should I wear my nightguard every night?
Your mouthguard only works when it’s in your mouth. Your dentist will recommend wearing it every night if you grind your teeth regularly. Skipping nights leaves your teeth exposed to damage. Think of it like a seatbelt. You wear it every time, not just when you remember.
What are the alternatives to nightguards?
Occlusal splints are effective, but they are not a one-size-fits-all solution. Your dentist may recommend combining them with other treatments for the best results. Other alternatives or complementary treatments to nightguards include Botox, stress management, and orthodontics.
Does insurance cover the cost of nightguards?
It depends on your plan. Many insurers cover nightguards when grinding is diagnosed as a medical issue, but it’s not a guarantee. Our team is happy to check your benefits before treatment begins.
During regular visits to our office in Middletown, DE, she will also check the condition of your splint or guard and make any adjustments or recommendations for care as needed—for the long, healthy “life” of your appliances. If you suspect you could benefit from our expertise in oral appliance therapy, just give us a call today at (302) 391-6222.
