Bruxism is involuntary grinding or clenching of teeth, most commonly during sleep but also during waking hours under stress. Up to 10% of adults have significant bruxism, and many are unaware until a dentist identifies the wear pattern. Untreated, it flattens, chips, and cracks teeth, erodes enamel permanently, causes premature failure of crowns and fillings, enlarges the jaw muscle, and drives TMJ pain and morning temple headaches.
Las Vegas sees above-average rates because of its 24/7 shift work and disrupted sleep, casino and hospitality stress, stimulant exposure, and entertainment-industry pressure — all of which increase nocturnal grinding.
Treatment starts by confirming the grinding pattern, then protects the teeth with a custom guard.
A clinical exam identifies wear patterns, crack lines, and muscle tenderness.
Bone levels, root condition, and any TMJ involvement are assessed.
Taken for your custom night guard.
Your guard is made in about 1–2 weeks in the appropriate material (soft, hard, or dual-laminate).
The guard is fitted, and any needed restorative repair is scheduled after grinding is controlled.
Custom guard ready in about 1–2 weeks
Wear-pattern diagnosis, X-rays, and lab-fabricated occlusal splints
Night guard, occlusal adjustment, and restorative repair at one practice.
Lab-fabricated guards that fit precisely and do not shift at night.
Convenient access across Clark County.
Most PPO plans cover night guards under TMJ or restorative benefits.
Worn or cracked teeth restored once grinding is under control.
| Factor | Custom Night Guard | Store-Bought Guard |
|---|---|---|
| Fit | Precise, lab-fabricated | Shifts during sleep |
| Bite | Preserves your bite | Can change the bite when worn |
| Comfort | Comfortable enough to wear nightly | Often abandoned within weeks |
| Effectiveness | Clinically effective | Limited |
At Boca Dental & Braces, cost should never stand between you and the care you need. We accept Nevada Medicaid and many major dental plans, verify your benefits at no charge, and offer flexible payment options — so you can move forward with confidence.
Boca Dental & Braces provides bruxism diagnosis and treatment — night guards, occlusal adjustment, and restorative repair — at 9 Las Vegas locations serving Henderson, Summerlin, North Las Vegas, and Clark County. Most insurance accepted.
Choose your nearest Boca location and we'll confirm within one business hour. Same-day and next-day appointments available.