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The cost of an occlusal guard (night guard) varies greatly depending on where you get it. A custom-fitted occlusal guard ordered from the dentist can cost $300-400 or even more. However, you can also find "boil and bite" mouth guards over the counter for $20 or less. In between, there are services that will customize a night guard for you based on impressions of your teeth that you make at home.
A custom occlusal guard from the dentist will usually do the best job, especially if it's for an extreme clenching/grinding problem, or for TMJ problems. However, many people can't afford them, and over the counter options often work just as well.
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