Night Guard Options: Over-the-Counter vs. Custom vs. Dentist-Made
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Introduction
If you’re grinding your teeth, dealing with jaw tension, or waking up sore, your next question is usually:
“Which night guard should I use?”
Over-the-counter, online custom, dentist-made… the choices are confusing.
But the truth is simple: the right night guard is the one that protects your teeth, supports your jaw, and maintains your vertical height at night.
In this guide, I’ll break down the three main types—OTC, custom, and dentist-made—in a clear, no-fluff comparison.
By the end, you’ll know exactly which option fits your mouth, your symptoms, and your budget.
1. Over-the-Counter Guards: The Cheapest—but Not Always Safest
OTC guards include boil-and-bite, stock guards, and soft retail options.
Pros: cheap, fast, everywhere.
Cons: uneven thickness, poor fit, deform quickly sometimes
OTC guards can work temporarily—but not for long-term jaw support.
2. OTC Guards Often Don’t Last
Soft, squishy materials break down quickly—especially for heavy grinders.
This means deeper bite marks and less protection within weeks.
For grinding relief, see:
➡️ “How to Stop Jaw Pain at Night Naturally”
https://getreviv.com/blogs/content/how-to-stop-jaw-pain-at-night-naturally
5. Preformed mouthguards (Online) – The Sweet Spot for Most People
This includes brands like Reviv ONE and Reviv TWO.
They’re pre-designed, pre-formed, precision-made, and tested on thousands.
They offer:
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Controlled vertical height
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Consistent thickness
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Safe materials
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Predictable jaw support
And they cost far less than dentist-made guards.
Explore them here:
➡️ https://getreviv.com/products/reviv-one
➡️ https://getreviv.com/products/reviv-two
7. Dentist-Made Guards – The Most Precise (But Not Better)
Dentist-made guards use lab impressions and acrylic materials.
They’re durable but they are typically 'indexed' and that is a bad thing in my view.
8. Dentist-Made Guards Are Often Hard Acrylic
Hard acrylic is great for heavy grinders…
…but it can also:
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Feel rigid
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Be uncomfortable
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Require multiple fittings
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Crack if dropped
10. The Fit: OTC vs. Custom vs. Dentist
You don't want an 'exact' fit.
11. Breathability and Comfort
OTC guards often block breathing due to bulk.
Custom guards sit more comfortably, allowing jaw rest and easier sleep.
Reviv ONE was designed specifically to feel light, smooth, and easy to wear.
12. Durability Differences
OTC: weeks
R2: 6–12 months
Dentist-made: 1–3 years
Durability impacts cost—and also the safety of your enamel.
13. Bite Stability Matters More Than Price
What actually matters:
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Flat plane design
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Even pressure distribution
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Stable vertical dimension
Reviv’s flat plane design matches what top dentists use for TMJ support.
See:
➡️ “What Is a TMJ Mouthguard and How to Fit It?”
https://getreviv.com/blogs/content/what-is-a-tmj-mouthguard-and-how-to-fit-it-correctly
15. Dentist Guards Require Multiple Appointments
Custom dental guards require:
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Initial consult
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Impression
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Fitting
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Adjustments
This is part of why they cost $600–$1,200.
17. Heavy Grinders Need More Support
If you grind through every guard you buy, you need a stronger material.
Reviv TWO is built specifically for this level of wear.
Explore it here:
➡️ https://getreviv.com/products/reviv-two
18. Cost Comparison
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OTC: $10–$40
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Reviv: $50–$150
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Dentist-Made: $600–$1,200
Custom online guards offer the best price-to-performance ratio.
19. Which Option Protects Your Enamel Best?
Protection comes from:
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Thickness
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Durability
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Even contact
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Consistent height
Reviv’s flat, even surface ensures stable, predictable protection.
20. The Simple Rule: Choose the Guard That Supports Your Jaw, Not Just Your Teeth
The best night guard isn’t the most expensive—it's the one that preserves:
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Dental height
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Jaw alignment
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Airway support
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Enamel health
This is why thousands choose Reviv over OTC and over pricey dentist-made options.
FAQs (10+)
1. Are dentist-made guards always better?
They’re more precise, but not always necessary.
2. Do OTC guards work long-term?
Rarely—they wear out fast and don’t support jaw mechanics.
3. Are custom guards safe?
Yes—if they use medical-grade materials and a flat-plane design (Reviv does).
4. What if I grind heavily?
Reviv TWO is built for heavy grinders.
5. Will a night guard fix my bite?
It won’t move teeth, but it improves jaw stability.
6. Can OTC guards cause jaw pain?
Yes—if they change your bite unevenly.
7. How long does a custom guard last?
6–12 months depending on grinding intensity.
10. Which Reviv should I pick?
Reviv ONE for moderate clenching.
Reviv TWO for heavy grinding.
Conclusion
Choosing the right night guard doesn’t have to be confusing.
Prefit mouthguards—like Reviv ONE and TWO—offer the best balance of comfort, support, and protection without the dentist’s price tag.
If you want a guard that supports your jaw, protects your enamel, and actually lasts, Reviv is the simplest, smartest choice.
👉 Buy Reviv Mouthguard or other Reviv products by clicking here