Night guards are custom made from the patient’s teeth and made of a dense hard acrylic with a soft internal lining that goes against the teeth. They act to protect your teeth, jawbones and muscles in order to reduce the symptoms of teeth grinding, clenching and/or jaw pain.

Whether it is the popular NTI or a more traditional full coverage night guard, Dr Adusumilli will discuss your options and help you make the best choice for your needs.

Bruxism is a very serious condition that causes unnatural wear and damage to your teeth, often requiring expensive repairs. However, the damage is not limited to your teeth. It can also affect the tissues that support your teeth, and lead to facial pain, headaches and TMD.

Common signs :

  1. Teeth that are sensitive to heat or cold
  2. Grinding or clenching of the teeth (bruxism)
  3. Notches on your teeth especially near the gums:
    Occlusal Disease


Common symptoms:

  1. Front teeth that look thin, worn-out or chipped
  2. Waking up with tired facial muscles
  3. Teeth or dental work that fractures or breaks
  4. Jaw pain
  5. Unexplained headaches

Even for people who grind their teeth uncontrollably, having a balanced bite is beneficial. Less damage is caused when you have an even bite that disperses forces more uniformly. Just like tires on your car, if properly balanced, will have a longer tread life, so having your bite balanced will mean a healthier future for you and your teeth. In addition, wearing a mouth guard is the most basic way to protect the teeth from damage.

The NTI TSS (Nociceptive Trigeminal Inhibition Tension Suppression System) is a small plastic device that is originally designed to prevent headache and migraine caused by teeth clenching and grinding.The objective of the NTI is to relax the muscles involved in clenching and teeth grinding. The NTI TSS device is an anterior bite stop, worn over the two front teeth at night to prevent contact of the canines and molars. It is fitted by a dentist trained in the technique, who can quickly customize such a device for a patient’s mouth. The NTI TSS decreases the strength of tooth clenching by triggering a nerve reflex that relaxes the muscles, and at the same time prevents the molars from touching. It aids the user in stopping unconscious forceful clenching and biting, preventing common consequences such as worm out teeth, jaw pain and inflammation and tension headaches. Scientists believe that most migraine sufferers have their headache as a consequence of teeth clenchingNTI TSS has been approved by the FDA in 1988 for the treatment and prevention of “bruxism, temporomandibular disorders (TMDs), occlusal trauma, tension-type headaches and/or migraine”.