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Night Guards & TMJ Guards in Manhattan, NYC

Protecting Your Smile and Relieving Jaw Pain

Night guards and TMJ guards, also known as occlusal splints, are custom oral appliances worn over the teeth, usually while sleeping. While the terms are sometimes used interchangeably, these devices serve different purposes and functions. At my Park Avenue practice in Manhattan, I design advanced, custom-fit solutions for patients who suffer from tooth grinding (bruxism), jaw clenching, or temporomandibular joint (TMJ) disorders.

Night Guards in NYC

night guard is primarily a protective barrier designed to prevent damage from grinding and clenching.

  • Function: Creates a cushion between the upper and lower teeth, absorbing biting force during sleep. While it doesn’t stop grinding or clenching itself, it prevents tooth wear, fractures, and restoration damage.
  • Purpose: Shields your smile from enamel erosion, sensitivity, chips, and damage to porcelain veneers, crowns, or other dental work.
  • Custom Fit: Made from precise impressions of your teeth for maximum comfort, durability, and effectiveness.
  • Materials: Options include soft guards for light grinding, hard acrylic guards for severe cases, or dual-laminate designs that combine comfort with strength.

TMJ Guards & Occlusal Splints

TMJ guard (occlusal splint) is more complex than a night guard. It is specifically designed to treat TMJ disorders by stabilizing the jaw joint and reducing muscle tension.

  • Function: Supports and repositions the temporomandibular joint, helping to relax overworked muscles and promote proper alignment.
  • Purpose: Treats the root cause of TMJ pain, reducing inflammation, relieving muscle spasms, and alleviating symptoms such as jaw clicking, headaches, earaches, and facial pain.
  • Custom Design: Always crafted by a dental professional. A poor-fitting appliance, such as a generic over-the-counter guard, can actually worsen symptoms.
  • Types:
    • Stabilization splint – Covers all upper or lower teeth to prevent clenching and align the bite with the jaw joint.
    • Repositioning splint – Moves the jaw into a healthier position, reducing stress on the joint and improving function.

The Dr. Pia Guard™ – A Revolutionary Approach

For patients who grind and clench, I have created my own signature design, the Dr. Pia Guard™. Unlike traditional night guards, this guard is engineered to gently reposition the lower jaw into a unique alignment that I have developed exclusively in my Manhattan practice.

This innovative design elongates the masticatory muscles, much like yoga or Pilates for the face. By stretching and supporting the jaw muscles, the guard helps them relax, stop contracting, and over time, significantly reduces or eliminates grinding. The added benefit is that it also supports facial muscles for a naturally lifted, youthful look.

The Dr. Pia Guard™ doesn’t just protect your teeth, it transforms the way your jaw functions and feels, delivering both therapeutic and aesthetic benefits.

FAQ: Night Guards & TMJ Guards in NYC

A night guard protects teeth from damage caused by grinding and clenching, while a TMJ guard addresses the root cause of jaw pain, muscle tension, and misalignment.

Over-the-counter guards exist, but they rarely fit well and can be uncomfortable, or even make TMJ symptoms worse. A custom-fit guard from a dentist ensures comfort, durability, and effectiveness.

With proper care, a high-quality custom guard can last anywhere from 3–5 years or longer, depending on the severity of grinding and clenching habits.

No. A night guard does not stop the grinding itself, it cushions and protects your teeth from the damaging effects. However, advanced designs like my Dr. Pia Guard™ can help reduce grinding over time by training muscles to relax.

Yes. Many patients experience relief from chronic headaches, jaw soreness, ear pain, and facial tension once the TMJ joint and muscles are properly supported with a custom splint.

Absolutely. My design uniquely elongates and relaxes the jaw muscles, working almost like yoga or Pilates for your face. This reduces grinding, supports facial structure, and improves overall comfort.

Discover the difference a custom guard can make at my Park Avenue practice in Manhattan, New York City. Schedule your consultation today at www.doctorpia.com.

Schedule your consultation today

381 Park Ave S, #908 New York, NY 10016

Patient Reviews

Brooke Shields
Dr. Pia is a perfectionist and this is what you want for a dentist! She goes out of her way to accommodate her clients. Thanks, Pia!
Achilles Zarbis
I've been seeing Dr Pia for 20 years and she is the best- Dr. Pia is amazing, after my visit I felt much more clean and confident than any other dentist has ever made me feel. I am so appreciative of how much she helped me, her great office, and her kind personality, and I am excited to come back.
Patti Schmidt
Dr. Pia has an attention to detail like my own and really listens to what you want for your teeth. She’s a true artist, and my experience has been wonderful!
Eric Price
Dr. Pia was very helpful and straightforward with options available to me. She took her time to understand what I was looking for and how to be of best help. Unlike other dentists, she doesn’t rush you in/out, and you can tell immediately she actually cares about her work & patients. 10/10 would recommend for anyone seeking cosmetic dentistry work. Thanks!
Agnes Lermani
Dr. Pia is the ultimate cosmetic dentist in New York. Her precision, artistry, and expertise in smile makeovers are unmatched. My results are natural and flawless. Truly life changing. If you want the best, Dr. Pia is the one to trust.
Danielle T
Dr. Pia at Cosmetic Dentistry Center is the best cosmetic dentist I’ve ever been to! I’ve been seeing her for years and I’ve never had a dentist take better care of me. And the best part is they have a massage chair for while you’re waiting!
Aymun Salman
Dr. Pia is the best! Her practice is a far cry from your usual stuffy and boring dentist's office. I came to her specifically because she has been a cosmetic dentistry mainstay in Manhattan for a long time, and her results are consistent and natural.
Emily Van Raay
Dr. Pia is the best for cosmetic dentistry - she flawlessly fixed a discoloration on my tooth as well as my alignment !!
Alina Senkiv
I came here for the Dr.Pia’s experience for do my veneers, and I left very satisfied. The consultation lasted 1 hour and 30 minutes, and the doctor provided me with all the information. She saw me and helped bring all my wishes to life.
Nathalie Lyon
Pia is amazing. She is an excellent doctor. Clear communicator and painless as possible. Her knowledge and craftsmanship is incredible. No one compares. She always goes above and beyond, she gave me my smile back!
Electra Zarbis
Dr. Pia changed my life and gave me better advice than any other dentist. I have had a lot of dental issues and the orthodontists I’ve been to haven’t been very helpful, but Dr. Pia told me exactly what I need to do and what help I need to request from my orthodontist.
Theodora Z
Dr. Pia is a smile MIRACLE WORKER! I had some very challenging dental problems that I had tried to resolve at two other dental offices. I was so disappointed that my front teeth supposedly could not be restored properly.
Paul Marron
I've been seeing Dr Pia for 20 years and she is the best- she's always paid close attention to my dental health and pointed out exactly what was happening (in my case it was grinding) she helped get me fixed up with a proper night guard. She also gave excellent advice to take with me after my appointment. Her staff is also exceptional with scheduling- thank you Maryem for sorting us all out! see you in 6 months!
Nicole
Dra Pia is one of a kind an the best in every way. Her work is outstanding, she is the Michelangelo of smiles! I had the experience myself and highly recommend Cosmetic Dentistry Center NYC. You will be treated as royalty, she is so good in what she does! Her office is beautiful, elegant and chic, and her staff very nice and friendly.
Bryanna John
I just had the best experience with Dr.Pia and her assistant Luz! I had a veneer emergency and Dr.Pia saw me right away. She is so skilled, so knowledgeable, funny, and her office is really a vibe. I love it here. If you ever thought about coming here don’t think about it, JUST DO IT! This office is really the best