Currently the one without side effects reports from my clients are the customizable ProSomnus. It has to be properly designed for and closely monitored and modified by response by a dental expert.

Trick is to determine if the grinding of teeth is from mild sleep apnea which would be the underlying contribution to the symptoms.

Dear Karar,

I have experience with LL laser therapy application and polarized light.

It depends on the case: * Soft (resilient, custom made) appliances can be used to treat myo-facial pain (due to spasm and bruxism) as night guard. *Hard appliances in cases where soft appliances are in-applicable, and for clicking to restore the TMJ disc to its normal position (the latter mostly painless). *Low level LASER therapy is useful for myo-facial pain. *Medications (NSAIDs + Muscle relaxants with or without low doses of Diazepam. * Active or Passive Exercises for the muscles of mastication and physiotherapy (massage with heat application)

know a day the most applicable way to treat TMD with using Essex material 1.4 mm then apply cold cure resin above to reach hight of bite correction not more than 5mm ,with gentle bite on the resin ,this is the best way to treat .

Article Soft versus hard occlusal splint therapy in the management o...

Occlusal appliances such as a mouth guard or stabilization bite splint can protect the orofacial structures from damage. The soft mouth guard is usually recommended for use only on a short-term basis because degradation can occur rapidly. The hard occlusal stabilization splint, covering a full dental arch, is particularly useful (e.g., for protecting teeth) for patients who are frequent and severe grinders or clenchers.

The use of an oral appliance that pushes the mandible forward to improve breathing during sleep (mandibular advancement appliance), also reduces the frequency of RMMA and sleep bruxism. It remains possible that the short-term effect of any device or appliance is associated with muscle fibers and spindle adaptation to changes in jaw position or to tongue position and airway patency.

All answers are correct and each device or method is applicable for a certain case for each patient depending on his/her condition. I hope now you got good options to treat your patient. All the best

Thanks a lot to all of you doctors

Thanks doctor

Dear author , thank you for sharing this excellent question.

I agree with Prof Zaid Dreachi.

With kind regards..