Night Guard in North Bethesda, MD

Night guards, is the general term used to describe laminate or acrylic appliance positioned b/w upper and lower teeth for various purposes as: shielding the teeth and restorations at night preventing nighttime teeth grinding and clenching or during sports games where appropriate, preventing chipping and fracturing from occlusal trauma, preclude teeth movement and tilting, keeping TMJs properly position to relax hyperactive muscles and decrease TMD symptoms. Despite complicated terminology, night guards can be divided into different groups based on their application and intentions to use. 

Traditionally, dentistry focuses only on the teeth. This is why most night guards are designed solely to protect the teeth from damage. In our office depends on the clinical situation we can use a traditional or neuromuscular approach to choose and fabricate occlusal orthotic. Neuromuscular dentistry focuses on all three major factors of the stomatognathic system: the teeth, muscles, and jaw position. This approach allows us to reduces primary pain in the jaw, as well as secondary pain in the neck, head, and shoulders. 

 Using a neuromuscular approach means that we look into the relationship between the teeth, muscles, and jaw joint position recording all data with specially designed computerized equipment. We then use this information to fabricate a night guard that will hold your jaw in the most relaxed position in order to promote healing and a reduction of TMD symptoms. 

You may benefit from wearing a custom night guard if you experience any of the following on a regular basis: 

  • Jaw pain
  • Problems biting and chewing
  • Pain while biting and chewing
  • Tooth pain
  • Facial pain
  • Inability to open or close the mouth completely
  • Popping or clicking noises when the mouth opens/closes
  • Headaches/migraines
  • Ear pain/tinnitus
  • Teeth grinding or clenching at night 

In our office in order to determine which night guard / orthotic appliance will work best for you or if you will benefit from wearing a night guard, we will perform a comprehensive evaluation of your teeth, muscles, and jaw position using advanced diagnostic technology such as: 


Electromyography (EMG) is a diagnostic technique that uses electrodes attached to the skin to record the electrical activity of muscle tissue. By measuring the electrical activity of a particular muscle, EMG provides information about which muscles are resting properly and which muscles are hyperactive. This information is then used to develop a treatment plan that balances muscle tone with proper bite position to reduce TMD symptoms. 


T-scan is the only diagnostic technique used to analyze occlusal forces that can measure both time and the force of biting pressure. By using ultra-thin disposable sensors that translate pressure into a digital image, T-scan produces a digital map of the mouth that shows areas of the uneven occlusal force. This information can then be used to make the necessary adjustments in order to even out the bite force. T-scan can also be used after placing dental restorations to ensure the bite force is evenly distributed. 

K7 Mandibular tracking system

The K7 evaluation system records multiple aspects of lower jaw movements delivering comprehensive information regarding nerves and muscles activity, removing guesswork from diagnostic and treatment planning for TMD and occlusal disorders by allowing doctors to identify and isolate the real cause instead of providing palliative treatment and ignoring the actual source of the problem.