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TMJ Splints and Day/Night Orthotics Explained

If you've been told you need a "splint" or an "orthotic" for jaw pain, you probably have questions. Is it just a mouth guard? Do you wear it all day or only at night? And will it actually help? A splint can be a very useful part of TMD care, but it works best when you understand what it does and what it doesn't do.

This guide walks through how TMJ splints work, why some patients wear one during the day and a different one at night, and how a splint fits into a bigger plan for calming an irritated jaw joint.

The basics

What Is a TMJ Splint?

A TMJ splint is a custom appliance, usually made of hard acrylic or a similar material, that fits over your upper or lower teeth. You may also hear it called an orthotic, an occlusal splint or a bite splint. Unlike a store-bought guard, it is shaped to your teeth and set so your jaw comes together in a specific, planned position.

That position is the whole point. Depending on what is behind your symptoms, a splint may be designed to:

1

Support the joint

When the small disc inside the joint has slipped out of place, which often shows up as clicking or locking, the splint guides the jaw into a healthier joint position while tissues settle.

2

Relax the muscles

When the problem is mostly sore, overworked chewing muscles, the splint gives the jaw a comfortable, relaxed position to rest in instead of the clenched one it has gotten used to.

How it works

A Splint Only Works When Your Teeth Touch It

Here is something most people are never told: for most of the day, your teeth shouldn't be touching at all. A healthy resting jaw sits slightly open, with your lips closed and your teeth apart. Your teeth only need to meet briefly when you chew and swallow.

Lips together, teeth apart. A splint helps your jaw relearn that resting position.

That means a splint isn't working when your teeth are apart. It does its job when you bite, clench or swallow. People with jaw pain are often clenching far more than they realize, sometimes because of stress, concentration or a new habit, and the joints and muscles simply can't keep up.

A day splint adds a few millimeters of material between your teeth. At first it feels like it's in the way, but your jaw quickly adjusts and starts resting a little further open. Over time, that new resting position becomes your habit, which is one reason patients can eventually be weaned off a daytime splint.

Think of a splint like crutches. Crutches don't heal a sprained ankle, but they take pressure off while it heals. A TMJ splint plays the same supporting role for an irritated jaw joint and tired muscles.
Day vs. night

Why Some Patients Wear Two Different Appliances

Your jaw behaves very differently when you're awake than when you're asleep, so many TMD plans use two appliances set to the same jaw position.

Day splint (lower teeth)

Worn on the lower teeth because it's less noticeable and easier to talk with. It helps retrain your resting jaw position. If chewing is what hurts, your dentist may even suggest eating with it in for a while, then easing off as things improve.

Night appliance (upper teeth)

Worn on the upper teeth while you sleep, when you have no control over clenching or grinding. It protects the joints and teeth during the hours you can't monitor, and nighttime protection is often recommended long term.

Nighttime clenching is sometimes connected to how you breathe during sleep. If there are signs of a sleep-breathing problem, your dentist may recommend a sleep study and, in some cases, an oral sleep appliance that serves as your night appliance while also helping keep your airway open.

Choosing the right design

Not All Splints Are Built the Same

There are dozens of splint designs on the market, and new "breakthrough" appliances appear all the time. A few practical points help cut through the noise:

  • Full coverage is the common choice. Appliances that cover all your teeth and give them an even bite help keep your teeth stable over months of wear.
  • A planned bite beats a guess. A splint with a defined bite guides your jaw to a position your dentist has chosen, rather than letting it wander wherever it drifts.
  • Front-only stops have limits. Small appliances that let only your front teeth touch can reduce clenching force, but they don't stop clenching and usually aren't a long-term, stand-alone answer.
  • Soft store-bought guards are not TMD treatment. They aren't fitted to your bite or set to a planned jaw position.
What to expect

The Typical Splint Timeline

Every case is different, but many patients follow a similar path:

1

Exam first

A TMD evaluation looks at jaw movement, the joints and the muscles to decide which kind of splint makes sense.

2

Adjustments

A first check a few weeks after delivery, then roughly monthly visits to fine-tune the fit and bite. Call sooner if anything is uncomfortable.

3

Weaning off

After several months, as symptoms settle, the day splint is gradually phased out. Night protection usually continues.

A splint is rarely the only piece. It often works alongside habit awareness, gentle jaw care and other supportive treatments such as cold laser therapy. Independent research reviews have found that the evidence for splints used on their own is limited, which is exactly why they're best treated as support within a complete plan rather than a cure in a box.

Next steps

Is a Splint Right for Your Jaw?

If you're dealing with jaw pain, clicking, locking, headaches or a sore face in the morning, the first step is finding out what's actually going on. At Valley Tongue Tie & Sleep Wellness, we see patients from Bethlehem and across the Lehigh Valley for TMJ and jaw pain evaluations and build care around each person's needs.

FAQ

Common Questions About TMJ Splints

What is a TMJ splint?

A TMJ splint, also called an orthotic or occlusal splint, is a custom-made appliance that fits over your upper or lower teeth. It gives your jaw a stable, comfortable place to come together and can help guide the jaw joint and chewing muscles into a healthier position while they calm down.

Is a TMJ splint the same as a night guard?

Not exactly. A basic night guard mainly protects your teeth from grinding. A TMJ splint is designed around your jaw joints and muscles, with a bite set to a specific position. Neither one stops clenching or grinding on its own; they make it harder for those habits to cause damage.

Why might I need a day splint and a night splint?

Your jaw behaves differently awake and asleep. A day splint is usually worn on the lower teeth because it is less noticeable and easier to talk with, and it helps retrain where your jaw rests. A night splint is usually worn on the upper teeth to protect the joints and teeth during sleep, when you have no control over clenching.

How long will I wear a TMJ splint?

Many people wear a day splint for several months, with adjustment visits along the way, and then gradually wean off it as symptoms settle. Nighttime protection is often recommended long term. Your plan depends on what is causing your symptoms.

Can I just buy a mouth guard at the store?

Over-the-counter guards are not shaped to your bite or set to a planned jaw position, and a soft guard can even encourage some people to chew on it. If you have jaw pain, clicking or locking, a custom appliance chosen after an exam is the safer route.

Does a splint fix TMD by itself?

Usually not. A splint works best as support while the joint and muscles heal, alongside habit changes and other care your dentist recommends. Research on splints alone is limited, which is why they are best used as part of a full treatment plan.

Sources

References

  1. National Institute of Dental and Craniofacial Research (NIDCR). Temporomandibular Disorders (TMD). nidcr.nih.gov/health-info/tmd
  2. Cleveland Clinic. Temporomandibular Disorders (TMD): Overview. my.clevelandclinic.org
  3. Riley P, Glenny AM, Worthington HV, et al. (2020). Oral splints for temporomandibular disorder or bruxism: a systematic review. British Dental Journal, 228(3), 191–197. doi.org/10.1038/s41415-020-1250-2
  4. Riley P, Glenny AM, Worthington HV, et al. (2020). Oral splints for patients with temporomandibular disorders or bruxism: a systematic review and economic evaluation. Health Technology Assessment, 24(7). doi.org/10.3310/hta24070

This article is for patient education and does not replace a clinical exam. If jaw pain, clicking or locking is affecting you, schedule an evaluation with our Bethlehem office.

Wondering if a splint could help?

Call Valley Tongue Tie & Sleep Wellness in Bethlehem to schedule a TMD evaluation. We serve patients throughout Bethlehem and the Lehigh Valley.

(484) 767-7782
TMJ & jaw pain TMD care Contact

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THE INFORMATION, SOFTWARE, PRODUCTS, AND SERVICES INCLUDED IN OR AVAILABLE THROUGH THIS PRACTICE WEBSITE MAY INCLUDE INACCURACIES OR TYPOGRAPHICAL ERRORS. CHANGES ARE PERIODICALLY ADDED TO THE INFORMATION HEREIN. THIS PRACTICE AND/OR ITS SUPPLIERS MAY MAKE IMPROVEMENTS AND/OR CHANGES IN THIS PRACTICE WEBSITE AT ANY TIME. ADVICE RECEIVED VIA THIS PRACTICE WEBSITE SHOULD NOT BE RELIED UPON FOR PERSONAL, MEDICAL, LEGAL OR FINANCIAL DECISIONS AND YOU SHOULD CONSULT AN APPROPRIATE PROFESSIONAL FOR SPECIFIC ADVICE TAILORED TO YOUR SITUATION.THIS PRACTICE AND/OR ITS SUPPLIERS MAKE NO REPRESENTATIONS ABOUT THE SUITABILITY, RELIABILITY, AVAILABILITY, TIMELINESS, AND ACCURACY OF THE INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS CONTAINED ON THIS PRACTICE WEBSITE FOR ANY PURPOSE. TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, ALL SUCH INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS ARE PROVIDED "AS IS" WITHOUT WARRANTY OR CONDITION OF ANY KIND. THIS PRACTICE AND/OR ITS SUPPLIERS HEREBY DISCLAIM ALL WARRANTIES AND CONDITIONS WITH REGARD TO THIS INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS, INCLUDING ALL IMPLIED WARRANTIES OR CONDITIONS OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE AND NON-INFRINGEMENT.TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL THIS PRACTICE AND/OR ITS SUPPLIERS BE LIABLE FOR ANY DIRECT, INDIRECT, PUNITIVE, INCIDENTAL, SPECIAL, CONSEQUENTIAL DAMAGES OR ANY DAMAGES WHATSOEVER INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF USE, DATA OR PROFITS, ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE USE OR PERFORMANCE OF THIS PRACTICE WEBSITE, WITH THE DELAY OR INABILITY TO USE THIS PRACTICE WEBSITE OR RELATED SERVICES, THE PROVISION OF OR FAILURE TO PROVIDE SERVICES, OR FOR ANY INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS OBTAINED THROUGH THIS PRACTICE WEBSITE, OR OTHERWISE ARISING OUT OF THE USE OF THIS PRACTICE WEBSITE, WHETHER BASED ON CONTRACT, TORT, NEGLIGENCE, STRICT LIABILITY OR OTHERWISE, EVEN IF THIS PRACTICE OR ANY OF ITS SUPPLIERS HAS BEEN ADVISED OF THE POSSIBILITY OF DAMAGES. BECAUSE SOME STATES/JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES, THE ABOVE LIMITATION MAY NOT APPLY TO YOU. IF YOU ARE DISSATISFIED WITH ANY PORTION OF THIS PRACTICE WEBSITE, OR WITH ANY OF THESE TERMS OF USE, YOUR SOLE AND EXCLUSIVE REMEDY IS TO DISCONTINUE USING THIS PRACTICE WEBSITE.


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TRADEMARKS


The names of actual companies and products mentioned herein may be the trademarks of their respective owners.The example companies, organizations, products, people and events depicted herein are fictitious. No association with any real company, organization, product, person, or event is intended or should be inferred.Any rights not expressly granted herein are reserved.

NOTICES


Please contact us by phone at (484) 767-7782 or by mail at 1424 Broadway Bethlehem, PA 18015

TERMS & CONDITIONS

This Practice website is offered to you conditioned on your acceptance without modification of the terms, conditions, and notices contained herein. Your use of this Practice website constitutes your agreement to all such terms, conditions, and notices.


MODIFICATION OF THESE TERMS OF USE


This Practice reserves the right to change the terms, conditions, and notices under which this Practice website is offered, including but not limited to the charges associated with the use of this Practice website

LINKS TO THIRD PARTY SITES


This Practice website may contain links to other websites ("Linked Sites"). The Linked Sites are not under the control of this Practice and this Practice is not responsible for the contents of any Linked Site, including without limitation any link contained in a Linked Site, or any changes or updates to a Linked Site. This Practice is not responsible for webcasting or any other form of transmission received from any Linked Site. This Practice is providing these links to you only as a convenience, and the inclusion of any link does not imply endorsement by this Practice of the site or any association with its operators.

NO UNLAWFUL OR PROHIBITED USE


As a condition of your use of this Practice website, you warrant to this Practice that you will not use this Practice website for any purpose that is unlawful or prohibited by these terms, conditions, and notices. You may not use this Practice website in any manner which could damage, disable, overburden, or impair this Practice website or interfere with any other party's use and enjoyment of this Practice website. You may not obtain or attempt to obtain any materials or information through any means not intentionally made available or provided for through this Practice websites.

USE OF COMMUNICATION SERVICES


This Practice website may contain bulletin board services, chat areas, news groups, forums, communities, personal web pages, calendars, and/or other message or communication facilities designed to enable you to communicate with the public at large or with a group (collectively, "Communication Services"), you agree to use the Communication Services only to post, send and receive messages and material that are proper and related to the particular Communication Service.


By way of example, and not as a limitation, you agree that when using a Communication Service, you will not:


• Defame, abuse, harass, stalk, threaten or otherwise violate the legal rights (such as rights of privacy and publicity) of others.

• Publish, post, upload, distribute or disseminate any inappropriate, profane, defamatory, infringing, obscene, indecent or unlawful topic, name, material or information.

• Upload files that contain software or other material protected by intellectual property laws (or by rights of privacy of publicity) • unless you own or control the rights thereto or have received all necessary consents.

• Upload files that contain viruses, corrupted files, or any other similar software or programs that may damage the operation of another's • computer.

• Advertise or offer to sell or buy any goods or services for any business purpose, unless such Communication Service specifically allows such messages.

• Conduct or forward surveys, contests, pyramid schemes or chain letters.

• Download any file posted by another user of a Communication Service that you know, or reasonably should know, cannot be legally • distributed in such manner.

• Falsify or delete any author attributions, legal or other proper notices or proprietary designations or labels of the origin or source of software or other material contained in a file that is uploaded.

• Restrict or inhibit any other user from using and enjoying the Communication Services.

• Violate any code of conduct or other guidelines which may be applicable for any particular Communication Service.

• Harvest or otherwise collect information about others, including e-mail addresses, without their consent.

• Violate any applicable laws or regulations.


This Practice has no obligation to monitor the Communication Services. However, this Practice reserves the right to review materials posted to a Communication Service and to remove any materials in its sole discretion. This Practice reserves the right to terminate your access to any or all of the Communication Services at any time without notice for any reason whatsoever.Materials uploaded to a Communication Service may be subject to posted limitations on usage, reproduction and/or dissemination. You are responsible for adhering to such limitations if you download the materials.

LIABILITY DISCLAIMER


THE INFORMATION, SOFTWARE, PRODUCTS, AND SERVICES INCLUDED IN OR AVAILABLE THROUGH THIS PRACTICE WEBSITE MAY INCLUDE INACCURACIES OR TYPOGRAPHICAL ERRORS. CHANGES ARE PERIODICALLY ADDED TO THE INFORMATION HEREIN. THIS PRACTICE AND/OR ITS SUPPLIERS MAY MAKE IMPROVEMENTS AND/OR CHANGES IN THIS PRACTICE WEBSITE AT ANY TIME. ADVICE RECEIVED VIA THIS PRACTICE WEBSITE SHOULD NOT BE RELIED UPON FOR PERSONAL, MEDICAL, LEGAL OR FINANCIAL DECISIONS AND YOU SHOULD CONSULT AN APPROPRIATE PROFESSIONAL FOR SPECIFIC ADVICE TAILORED TO YOUR SITUATION.THIS PRACTICE AND/OR ITS SUPPLIERS MAKE NO REPRESENTATIONS ABOUT THE SUITABILITY, RELIABILITY, AVAILABILITY, TIMELINESS, AND ACCURACY OF THE INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS CONTAINED ON THIS PRACTICE WEBSITE FOR ANY PURPOSE. TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, ALL SUCH INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS ARE PROVIDED "AS IS" WITHOUT WARRANTY OR CONDITION OF ANY KIND. THIS PRACTICE AND/OR ITS SUPPLIERS HEREBY DISCLAIM ALL WARRANTIES AND CONDITIONS WITH REGARD TO THIS INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS, INCLUDING ALL IMPLIED WARRANTIES OR CONDITIONS OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE AND NON-INFRINGEMENT.TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, IN NO EVENT SHALL THIS PRACTICE AND/OR ITS SUPPLIERS BE LIABLE FOR ANY DIRECT, INDIRECT, PUNITIVE, INCIDENTAL, SPECIAL, CONSEQUENTIAL DAMAGES OR ANY DAMAGES WHATSOEVER INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF USE, DATA OR PROFITS, ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE USE OR PERFORMANCE OF THIS PRACTICE WEBSITE, WITH THE DELAY OR INABILITY TO USE THIS PRACTICE WEBSITE OR RELATED SERVICES, THE PROVISION OF OR FAILURE TO PROVIDE SERVICES, OR FOR ANY INFORMATION, SOFTWARE, PRODUCTS, SERVICES AND RELATED GRAPHICS OBTAINED THROUGH THIS PRACTICE WEBSITE, OR OTHERWISE ARISING OUT OF THE USE OF THIS PRACTICE WEBSITE, WHETHER BASED ON CONTRACT, TORT, NEGLIGENCE, STRICT LIABILITY OR OTHERWISE, EVEN IF THIS PRACTICE OR ANY OF ITS SUPPLIERS HAS BEEN ADVISED OF THE POSSIBILITY OF DAMAGES. BECAUSE SOME STATES/JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES, THE ABOVE LIMITATION MAY NOT APPLY TO YOU. IF YOU ARE DISSATISFIED WITH ANY PORTION OF THIS PRACTICE WEBSITE, OR WITH ANY OF THESE TERMS OF USE, YOUR SOLE AND EXCLUSIVE REMEDY IS TO DISCONTINUE USING THIS PRACTICE WEBSITE.


COPYRIGHT AND TRADEMARK NOTICES


All contents of this website are Copyright © 2023 Valley Tongue Tie & Sleep Wellness Center. All Rights Reserved. All logos are trademarks and service marks of Valley Tongue Tie & Sleep Wellness Center. All other trademarks, service marks and logos used in this website are the property of their respective owners.

TRADEMARKS

The names of actual companies and products mentioned herein may be the trademarks of their respective owners.The example companies, organizations, products, people and events depicted herein are fictitious. No association with any real company, organization, product, person, or event is intended or should be inferred.Any rights not expressly granted herein are reserved.

NOTICES

Please contact us by phone at (484) 767-7782 or by mail at 1424 Broadway Bethlehem, PA 18015

ACCESSIBILITY STATEMENT

We are committed to providing a website that is accessible to individuals with disabilities, in conformance with the Web Content Accessibility Guidelines (WCAG) 2.1, Level A & AA.


To this end, we regularly test our website in accordance with best practices, using automated and manual testing and with the assistance of accessibility consultant eSSENTIAL Accessibility which is supported by a diverse team of accessibility professionals including users of assistive technologies. We also make available an assistive CX technology application which our customers who have trouble typing, gesturing, moving a mouse, or reading can use for additional accessibility, however it is not required to use our website. The application is free to download and it incorporates tools such as mouse and keyboard replacements, voice recognition, speech enablement, hands-free/touch-free navigation, and more.


We welcome your feedback. If you encounter any accessibility barriers or otherwise have difficulty using our website due your disability, please contact our office and we will make any necessary changes.

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