A night guard should feel snug and secure without hurting. Here’s how to tell whether yours fits, and what to do if it doesn’t.
By the FixUrSmile Dental Lab team · Updated September 2026
Some tightness, extra saliva, and awareness of the guard are normal for the first few nights. Most people adjust within about a week. Mild pressure that fades within an hour or so of removing it in the morning is also common.

A loose guard can also be a sign it’s worn out. See signs your night guard is not working.
| Boil-and-bite | Custom (lab-made) | |
|---|---|---|
| Fit | Molded at home, often bulky | Made from impressions of your teeth |
| Stability | Can loosen or shift | Snug and even |
| Typical cost* | About $20–$30 | About $50–$200 online; $300–$1,000 from a dentist |
*As reported by GoodRx.
FixUrSmile’s Custom Fit Guarantee covers fit issues reported within 30 days, with a free adjustment and, if needed, one free remake after review.
It should be snug and secure, but not painful. Mild pressure the first few nights is normal; sharp or lasting pain is not.
Some pressure is normal at first. Pain that doesn’t fade after a few nights, or pain on one tooth, may mean the fit is off. Stop wearing it and contact the maker or your dentist.
A well-fitting custom guard shouldn’t. If yours falls out, it may be too loose or worn.
Most people adjust within about a week.
Made from your impressions, $297 per arch. Made in our US dental lab from impressions you take at home, with licensed dentist approval and our Custom Fit Guarantee.
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