4 Ways to Increase Patient Acceptance for Nightguards in Your Practice

Offer nightguard solutions for your patients who brux, snore or suffer from migraines.

January 7, 2025
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John Bernhard, Director of Product Management for Glidewell
4 Ways to Increase Patient Acceptance for Nightguards in Your Practice

At Glidewell, thousands of nightguards and preventive care appliances prescribed by dentists are produced every day. In fact, during a typical production day, Glidewell fabricates a nightguard about every 30 seconds.

With this in mind, I started thinking about the dentists who choose not to prescribe nightguards. If so many dentists prescribe nightguards as a regular practice offering, why are there still some dentists who haven’t adopted them? Are they aware of the benefits? What can we do differently to serve those dentists? How can we help them grow their practices and profits with these easy-to-implement, affordable products?

And then I realized that maybe it wasn’t the dentists who needed convincing, but their patients. Patient acceptance rates are generally higher for dental procedures the patient deems “absolutely necessary.” Preventive care often doesn’t fall into that category. Some patients see nightguards as “elective” or “optional” — and it’s likely many dentists describe preventive care in that way.

In order to increase patient acceptance for preventive care, and specifically nightguards, here are four areas dentists and their teams should target when speaking to patients.

1. Protection of Natural Teeth

Teeth grinding, also known as bruxism, is a common issue that can lead to significant dental problems. Many patients grind their teeth unconsciously during sleep, which can cause tooth wear, fractures, and even tooth loss. But because this largely occurs at night when the patient is asleep, it can be difficult for them to feel a real sense of urgency about it. Demonstrating to patients what bruxing can do to natural teeth over time is important: If you have intraoral scans that show tooth wear or chipping due to bruxism, this could help patients better visualize something that’s occurring when they’re not even aware of it.

Protection of Natural Teeth

Show your patients how their teeth grinding is affecting their teeth over time. The choice to prevent further damage becomes an easy one with an affordable nightguard.

Nightguards like the Comfort3D Bite Splint or Comfort H/S Bite Splint act as a protective barrier, preventing further damage to patients’ teeth. With these simple solutions available, it’s important to remember that preventive dental care isn’t about “scaring the patient into treatment compliance.” It’s about demonstrating your genuine care for their natural dentition and the significance of preserving it for as long as possible.

2. Complementary Treatment Pairing

Cost plays a large role in patient acceptance. With nightguards affordably priced at Glidewell, it can benefit your practice to simply pass those savings on to your patients. If a patient has just undergone significant dental surgery with full-mouth restorative work, they may feel hesitant about spending additional money on a nightguard. However, when you discuss a nightguard as an affordable solution to protecting their dental investment, it moves from being an “add-on” expense to being a complementary value-add to their treatment. Pairing a dental restoration with a nightguard gives peace of mind to the patient and a sense that you have their best interest in mind.

Complementary Treatment Pairing

Safeguard your patients’ dental restorations with nightguards. When you pair a nightguard with restorative solutions, patients with parafunctional habits can appreciate the extra care you’ve taken to ensure their overall treatment success.

3. Dental Sleep Medicine

Another nightguard option for patients helps address a condition they might not even know you can help them with: snoring and obstructive sleep apnea (OSA). Using a nightguard is very effective in treating patients with sleep-disordered breathing, with a compliance rate shown to be as high as 90% over a 2.5-year period.1 It is also associated with greater patient satisfaction than nasal continuous positive airway pressure (CPAP) therapy.2 For an easy way to screen for patients in your practice who might benefit from a dental sleep appliance, consider using the STOP-BANG Questionnaire. This questionnaire can assess a patient’s risk for OSA and also help you introduce nightguards as a potential solution.

Dental Sleep Medicine

Ask your patients to fill out the STOP-BANG Questionnaire to make it easier to identify patients who could benefit from a dental sleep appliance.

Dental sleep nightguards work by gently shifting the lower jaw forward to activate the airway muscles and ligaments to prevent the airway from collapsing. The Silent Nite® 3D Sleep Appliance is a 3D-printed, custom-fitted nightguard that is adjustable in 0.5 mm increments, with up to 10 mm of advancement. With a fully digital workflow, the device offers maximum comfort for the patient and a simpler workflow for you. (Please note that all impressions must be submitted digitally to ensure maximum accuracy and speed; prescriptions via traditional impressions will be filled with a thermoformed Silent Nite appliance.) And provisional mandibular advancement devices (PMADs) make it easy on you to get the ball rolling: A provisional sleep nightguard can be prescribed to the patient immediately while they seek a medical diagnosis for their condition. Ultimately, being able to give a patient their life back with a better night’s sleep is an easy selling point for higher patient acceptance.

4. Migraine Prevention Therapy

With over 30 million people in the U.S. suffering from migraines, you have an opportunity to help your patients get out of pain with a migraine prevention nightguard.3 Like dental sleep appliances, migraine prevention devices offer a unique opportunity to the millions of Americans who see a dentist annually, but not a physician.4 And just like the STOP-BANG Questionnaire to screen for potential OSA patients, migraine prevention therapy can begin with a simple screening question: Do you suffer from headaches or migraines?

Migraine Prevention Therapy

Migraine patients are desperate to get out of pain. Provide them with a solution and schedule a follow-up to assess whether they are experiencing relief.

While not all patients’ migraines are dental-related, those that are caused by jaw clenching can greatly benefit from an anterior disclusion nightguard like the FDA-cleared NTI-tss Plus® migraine prevention device. The NTI-tss Plus is a non-pharmacological solution for tension-type headaches. It covers the anterior teeth on either the upper or lower arch, and its design keeps the posterior teeth and canines out of occlusion — reducing clenching intensity and protecting against tooth damage. Over one million devices have been prescribed, making it a product your patients can have faith in.

Conclusion

Overall, nightguards offer numerous benefits, from protecting teeth and dental work to improving sleep and preventing migraines. If your patients experience symptoms of bruxism, TMJ disorders, snoring, OSA, or migraines, it’s worth discussing nightguards as a treatment option for them. Taking this proactive step can lead to a healthier, more comfortable life for your patients, and greater opportunities to engage with them in the long term. Patient acceptance of nightguards begins with the realization that “selling” a solution isn’t nearly as effective as providing healthcare with compassion. When we make that the focus of our work, everyone wins.

NTI-tss Plus is a registered trademark of Boyd Research, Inc.

References

  1. Yoshida K. Effects of a mandibular advancement device for the treatment of sleep apnea syndrome and snoring on respiratory function and sleep quality. Cranio. 2000 Apr;18(2):98-105.

  2. Ferguson KA, Ono T, Lowe AA, Keenan SP, Fleetham JA. A randomized crossover study of an oral appliance vs. nasal-continuous positive airway pressure in the treatment of mild-moderate obstructive sleep apnea. Chest. 1996 May;109(5):1269-75.

  3. Migraine Research Foundation. (2021, January 15). Migraine Facts. Migraine Research Foundation. migraineresearchfoundation.org/about-migraine/migraine-facts/.

  4. VanDevanter N, Combellick J, Hutchinson MK, Phelan J, Malamud D, Shelley D. A qualitative study of patients’ attitudes toward HIV testing in the dental setting. Nurs Res Pract. 2012;2012:803169.

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