upper or lower

I have been advised to get a night guard for my teeth grinding. I cracked a tooth and will get a crown. But they did not tell me whether I should get a lower or upper? What would you recommend for significant teeth grinding.

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Jul 27, 2013
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Upper or Lower night guard
by: Dr. Spainhower

Hello,

This is a question that comes up every time we dentists we recommend a night guard.

The answer to your question is it really doesn't matter...unless, there is/are some factors unique to you that would preclude the upper or the lower.

So, generally if you just need protection for grinding teeth, an upper or lower will do just fine.

It's when a TMJ patient has more severe problems with popping and clicking or even jaw locking, the upper appliance serves better to prevent or reduce those symptoms. Otherwise generally a lower appliance can work just as well as an upper.

The lower appliances are easier to speak with, so if you need to wear an appliance during waking hours, then the lower might work better for you.

Have a grateful week!

Sincerely,
Dr. Spainhower

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