If you wake up with jaw pain, headaches, or worn teeth, you may be grinding at night. A custom night guard from Innova Smiles is the most effective way to protect your teeth and relieve bruxism symptoms.
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I had been waking up with terrible headaches every morning. My night guard from Innova Smiles changed everything. I wake up pain-free now.
Thomas B.
Night guard patient
Precision Digital Fit
Digital scanning creates a perfectly calibrated appliance — far more accurate than over-the-counter options.
Premium Materials
Hard or dual-laminate guards designed for durability, comfort, and long-lasting protection.
TMJ Relief
Properly balanced night guards reduce muscle tension, jaw pain, and morning headaches.
Protect Your Investment
Night guards protect existing restorations — crowns, veneers, and implants — from grinding damage.

I had been waking up with terrible headaches every morning. My night guard from Innova Smiles changed everything. I wake up pain-free now.
Thomas B.
Night guard patient
Professional Memberships & Clinical Fellowships






Your care is led by Dr. Ambereen Fatima, D.D.S. — Fellow, ICOI (FICOI) · Fellow, AAIP (FAAIP)
Among fewer than 3% of U.S. dentists with dual implant fellowships
A night guard (occlusal splint) is a custom-fabricated dental appliance worn during sleep to protect teeth from the damaging forces of bruxism (teeth grinding and jaw clenching). Custom guards at Innova Smiles in Marlborough are made from precise digital scans and medical-grade materials, providing superior protection and comfort compared to over-the-counter alternatives.
Medically reviewed by Dr. Ambereen Fatima, D.D.S. — FICOI · FAAIP
A night guard (occlusal splint) is a custom-fabricated dental appliance worn during sleep to protect teeth from the damaging forces of bruxism (teeth grinding and jaw clenching). Custom guards provide superior protection and comfort compared to over-the-counter alternatives.
Most people who grind their teeth are completely unaware of it — it happens during sleep. These are the telltale signs that bruxism may be damaging your teeth.
Over-the-counter night guards are one-size-fits-all — they are often too thick, too soft, and poorly fitted. A poorly fitting guard can actually worsen jaw clenching by giving the muscles something to “grip.”
Custom night guards are calibrated to your exact bite. The material hardness, thickness, and coverage are determined by your specific grinding pattern and jaw anatomy — resulting in better protection and significantly greater comfort.
From evaluation to delivery — the entire process typically takes just two short appointments over 1-2 weeks.
We examine wear patterns, muscle tension, and joint function to understand the severity of your grinding and whether a night guard is the right solution.
A precise 3D digital scan replaces traditional impressions — faster, more accurate, and completely comfortable.
Your custom appliance is crafted in 1-2 weeks from premium materials, calibrated to your exact bite.
We fit the guard, verify comfort and bite balance, and provide care instructions. Minor adjustments ensure a perfect, comfortable fit.
Custom night guards are often partially covered when bruxism has caused documented dental damage. We verify your benefits upfront. Financing available for out-of-pocket costs — starting from a single monthly payment that is less than a coffee habit.
Insurance Coverage
50–80%
Most PPO plans cover when bruxism is documented
HSA / FSA
Eligible
Pay pre-tax and save on your guard
Lasts 10× Longer
3–5 Years
vs. months from store-bought alternatives
Most PPO plans cover custom night guards when bruxism is documented. We verify your benefits upfront. For any remaining balance, 0% financing is available through CareCredit and Cherry.
Teeth grinding and jaw clenching (collectively called bruxism) affect an estimated 10–15% of adults — and most are completely unaware it's happening. The evidence accumulates slowly: flattened tooth enamel, cracked cusps, worn-down restorations, morning jaw soreness, and chronic headaches. At Innova Smiles, we identify and document bruxism using clinical examination and digital photographs of tooth wear patterns, then design a custom-fabricated appliance precisely fitted to your bite.
Over-the-counter mouth guards are made from soft materials that allow the jaw to still compress and grind — they may protect teeth marginally from impact, but they do nothing to reduce the muscular activity driving the grinding. Custom hard-acrylic night guards fabricated from a precise digital impression of your teeth do two things simultaneously: they create a protective barrier for tooth surfaces and they deliberately alter the bite just enough to reduce the hyperactivity of the masseter and temporalis muscles. Patients who switch from OTC guards to properly fitted custom appliances typically report significant reductions in morning symptoms within the first two weeks.
For moderate-to-severe bruxism, a night guard may be necessary but not sufficient on its own. In cases where grinding is driven by obstructive sleep apnea, treating the breathing disorder often resolves the grinding completely — and we screen for airway obstruction in every bruxism patient using CBCT 3D airway imaging. For patients with significant jaw muscle hypertrophy and pain from chronic clenching, dental Botox injections into the masseter muscle can reduce clenching force by 30-40% within 2 weeks and are highly effective in combination with a night guard. We also evaluate for TMJ dysfunction, which often coexists with bruxism and requires its own targeted treatment approach.
A custom night guard is a small investment that protects a lifetime of dental work — and delivers better sleep starting the very first night.

Eliminating grinding unconsciously allows your jaw muscles to relax — wake up without headaches or jaw soreness.

Reduced jaw tension and better sleep quality cascade into improved energy, focus, and overall wellbeing.

Fewer morning headaches and jaw aches mean you wake up ready for your workouts, runs, and daily activities.
A custom night guard from Innova Smiles costs a fraction of what it takes to repair ground-down teeth. Same-day impressions, delivery in 2 weeks, and a fit that lasts years — not months like store-bought guards.
“No more jaw pain in the morning. This was a game-changer.”
— Brian K.
Our treatment recommendations are informed by peer-reviewed research and clinical evidence.
Occlusal splint therapy is a viable treatment for sleep bruxism, with adjustable biofeedback splints most effective at reducing episodes
BMC Oral Health, 2024 PubMed
Occlusal splints reduce bruxism episodes and improve patient-reported symptoms, enhancing overall well-being
J Dent, 2021 PubMed
Digital impressions reduce retake rates by up to 50% vs. traditional molds
Industry consensus, 2020
Same-day emergency scheduling reduces risk of complications from delayed treatment
ADA, 2023
For patients with significant jaw tension, grinding, or TMJ discomfort, a custom night guard protects your teeth while therapeutic Botox relaxes the overactive jaw muscles causing the problem. Many patients find this combination provides the most complete, lasting relief.

In-depth guides from Dr. Fatima to help you make confident, informed decisions.
Bruxism — the involuntary grinding or clenching of teeth during sleep — affects an estimated 8–10% of adults. Left untreated, it causes progressive enamel loss, cracked teeth, failed restorations, and chronic jaw pain (TMJ disorder).
Store-bought night guards promise protection but deliver poor results. The soft, one-size-fits-all material tends to encourage clenching rather than preventing it, and the imprecise fit causes discomfort that leads patients to stop wearing the guard altogether. A guard you do not wear provides zero protection.
Custom night guards from Innova Smiles are fabricated from lab-grade materials in the precise thickness and hardness calibrated for your grinding pattern. They fit precisely, balance your bite, and are comfortable enough to wear every night.
For patients with TMJ disorder, a properly balanced night guard can significantly reduce muscle tension and joint loading. When combined with therapeutic Botox injections in the masseter muscles, many patients achieve dramatic relief from chronic jaw pain and headaches.
The masseter muscle can be hypertrophied from years of clenching, causing persistent pain. Botox relaxes the muscle at its source while your night guard prevents further tooth damage.
Dr. Fatima selects the appropriate guard design based on your bruxism severity and unique bite:
A well-made custom night guard typically lasts 3–5 years for moderate grinders. Signs your guard needs replacing include visible worn-through areas, cracks, or a change in fit. Bring your guard to every hygiene appointment — we check for wear and can advise on timing.
Rinse with cool water before and after each use. Clean gently with a soft toothbrush and mild soap — never toothpaste, which is abrasive. Store in the ventilated case provided and keep away from heat, which can distort the material.
Located at 340 Maple St Suite 100, Marlborough, MA 01752. Serving Hudson, Framingham, Northborough, Southborough, Shrewsbury, Westborough, and all of MetroWest. Call (508) 481-0110 to schedule your night guard appointment.
Redefining the dental experience in Marlborough through uncompromising quality, advanced precision, and personalized hospitality.
Your comfort is our clinical priority. From spa-like amenities to gentle anesthesia techniques, we ensure an anxiety-free experience.
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We exceed standard protocols. Our studio far surpasses American Dental Association and CDC sterilization standards to ensure the highest level of patient safety.
In-depth guides from Dr. Fatima to help you make confident, informed decisions.
Conveniently located in Marlborough, MA, we serve patients from Gleasondale, Cordaville, Nobscot, and surrounding communities.
Real reviews from families across MetroWest Massachusetts.
Transparent Pricing
Quality dental care is an investment that pays dividends in confidence, comfort, and long-term oral health. Here is what to expect for custom night guards.
Custom Night Guards
Personalized to Your Treatment Plan
Flexible monthly financing available with 0% interest options
A custom-fitted night guard protects your teeth, crowns, and dental work from grinding damage — often preventing thousands of dollars in future repairs. Our lab-fabricated guards last years longer than over-the-counter alternatives.
0% APR financing available through CareCredit and Cherry. No-interest plans up to 24 months.
0% Interest Monthly Plans
Flexible terms up to 24 months with approved credit
Available through CareCredit and Cherry. Subject to credit approval.
Night guards may be partially covered under your dental plan. Many plans allow one guard every few years.
We handle verification for you
Our team contacts your insurance provider, determines your benefits, and gives you a clear cost breakdown before treatment begins.
No obligation. Your estimate is always free.
Prices are estimates. Your actual cost depends on treatment complexity and insurance coverage. We always provide a written estimate before treatment begins.
A custom night guard creates a protective barrier between your upper and lower teeth, absorbing and distributing the enormous forces generated during clenching and grinding. This prevents the direct tooth-on-tooth wear that destroys enamel over time. Many patients also notice relief from morning jaw soreness and tension headaches, since the guard can subtly reposition the jaw into a more relaxed, strain-free position.