Dental Mouthguards: Everything You Need to Know From an Insurance Perspective

Mouthguards, often known as dental night guards, are devices that are worn over the teeth to protect them from damage, such as grinding, clenching, or trauma. They are commonly made of soft or hard plastic and can be custom-fitted by a dentist or purchased over-the-counter in a variety of sizes and shapes.

Types of Mouthguards
Custom Mouthguards: Usually made by a dentist or a dental lab using impressions of the patient’s teeth. These mouthguards offer a perfect fit and are often recommended for people who grind or clench their teeth.

Over-the-Counter Mouthguards: These mouthguards can be found in pharmacies or sporting goods stores. They come in various sizes and shapes and are made from softer materials. While they are less expensive than custom mouthguards, they may not fit as well and can be less durable.

Uses of Mouthguards
Mouthguards are primarily used to protect the teeth from the following:

– Grinding or Clenching (Bruxism): Protects teeth from wear and tear, reduces jaw pain and headaches.

– Sports-Related Injuries: Prevents damage to teeth and gums during contact sports, such as football or hockey.

– Sleep Apnea: Some custom-designed mouthguards can help keep the airway open during sleep, reducing snoring and improving sleep quality.

– Teeth Sensitivity: Mouthguards can act as a barrier between teeth and hot or cold substances, reducing sensitivity.

Insurance Coverage for Mouthguards
Dental insurance coverage for mouthguards varies widely depending on the plan and the type of mouthguard being used.

– _Basic Dental Plans_: Many basic dental plans do not offer coverage for mouthguards.

– _Major Dental Plans_: Some major dental plans may provide partial or full coverage for custom-fitted mouthguards that are medically necessary, such as for treating bruxism or sleep apnea.

– _Supplemental Insurance_: There are also supplemental dental insurance plans that specifically cover oral appliances, including mouthguards.

Factors that Affect Coverage
It’s important to note that coverage for mouthguards can be affected by the following factors:

– The reason for using the mouthguard (e.g., bruxism, sports, sleep apnea)

– The type of mouthguard (e.g., custom-fitted vs. over-the-counter)

– The cost of the mouthguard

– The specific coverage provided by your dental insurance plan

Finding the Right Mouthguard
If you think you need a mouthguard, talk to your dentist. They can assess your needs and recommend the best type of mouthguard for you. They can also help you determine if your dental insurance will cover the cost of the mouthguard.

Conclusion
Dental mouthguards are valuable tools for protecting your teeth from damage. Whether you need it for teeth grinding, sports, or sleep apnea, there are various options available to meet your specific needs. By understanding the different types of mouthguards and the insurance coverage available, you can make an informed decision about the best option for you.