Mouthguards are essential dental devices designed to protect teeth from potential damage caused by grinding (bruxism), contact sports, or impact injuries. 

Mouthguards play a crucial role in protecting your teeth from the damaging effects of teeth clenching and grinding, known as bruxism. These protective devices act as a barrier, preserving enamel and preventing complications such as jaw pain and tooth wear. Whether for nighttime use or during high-impact sports, selecting the right mouthguard is essential for comfort, durability, and effective protection. Depending on individual needs, you may opt for an upper, lower, or even both upper and lower mouthguards, with guidance from a dental professional.

1. Types of Mouthguards

Mouthguards come in various forms, each with distinct levels of comfort, protection, and affordability. Here are the main types:

a. Custom-Made Mouthguards:

• Created by a dental professional using a mold of the patient’s teeth for a precise fit.
• Provides the best comfort and protection, ideal for those with severe bruxism or engaged in contact sports.
• Available for both upper and lower teeth, which helps answer questions like, “Do mouthguards go on top or bottom?“ Custom-made guards can be made for the upper, lower, or both rows, depending on individual needs​

b. Boil-and-Bite Mouthguards:

• These are semi-customizable guards that are softened in hot water and then molded to the teeth by biting down.
• Affordable and more comfortable than stock mouthguards but less precise than custom-made options.
• Suitable for moderate use, such as casual sports or less severe grinding.

c. Stock Mouthguards:

• Ready-made and inexpensive, available in stores without customization.
• Often designed only for the upper teeth, leading to common questions like, “Why are mouthguards only for top teeth?“

2. Comparing Upper and Lower Mouthguards

When choosing a mouthguard, understanding the distinctions between upper and lower options can help individuals select the best solution for comfort and protection. Here’s a closer look at the benefits and uses of each:

a. Upper Mouthguards:

Upper mouthguards are the most commonly prescribed type, as they cover the entire top row of teeth. This design offers substantial protection against impact or grinding, commonly needed for athletes and individuals with bruxism.

Upper guards tend to stay securely in place due to the natural fit against the top jaw, making them an effective option for preventing damage. This answers the question, “Do mouthguards go on top or bottom?“ as most standard mouthguards are designed for upper teeth due to ease of wear and stability​.

b. Lower Mouthguards:

Although less common, lower (or bottom teeth) mouthguards can be beneficial for people with specific dental needs, such as a unique bite alignment or discomfort with upper guards. Bottom teeth mouthguards may also be suitable for those managing jaw-related conditions, as they offer customized protection that can enhance comfort.

These mouthguards are typically recommended by dentists when upper options are less suitable, addressing queries like, “Why are mouthguards only for top teeth?” Bottom guards may be ideal for individuals with personal preferences or dental needs that require alternative protection​.

3. Consulting a Dental Professional:

Consulting a dental professional is crucial for selecting the right mouthguard, especially for conditions like bruxism or TMJ. A dentist will recommend the appropriate type, whether upper, lower, or both, based on your needs. Custom mouthguards ensure optimal fit and protection for your teeth and jaw.

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FAQs 

1. Do mouthguards go on top or bottom?

Mouthguards are typically worn on the top teeth, as they offer better stability and protection. However, in certain cases, bottom teeth mouthguards may be used, depending on individual needs.

2.  Can you wear a top and bottom night guard?

Yes, it’s possible to wear both a top and bottom night guard if recommended by a dentist, particularly for individuals with severe grinding or jaw alignment issues.

3. What is the difference between an upper and lower mouthguard?

Upper mouthguards are more common, providing full coverage for the top teeth, while lower mouthguards are used less frequently but may be needed for specific dental concerns or comfort.