Custom Nightguards & Mouthguards
Protect Your Smile with Custom Nightguards & Mouthguards at CarolinasDentist
Custom oral appliances provide comfort, protection, and peace of mind for patients dealing with teeth grinding, clenching, or sports-related risks. Unlike store-bought options, our appliances are designed specifically for your smile using advanced digital scans for a precise, comfortable fit.
Whether you need a nightguard to prevent damage from bruxism or a mouthguard to protect your teeth during practices and games, we offer durable, customized solutions that keep your smile safe and healthy. Contact us today!
What is bruxism?
Bruxism is the medical term for teeth grinding or clenching, which often occurs during sleep or times of stress. Over time, it can cause tooth wear, jaw pain, headaches, and even cracked teeth. Many patients aren’t aware they grind until symptoms appear or a dentist notices signs during an exam. Fortunately, custom oral appliances, like custom nightguards, offer an effective way to protect your teeth and relieve discomfort, preserving your smile and overall oral health.
What is the process for getting a custom oral appliance?
Getting a custom oral appliance is simple. We start by taking a digital scan of your teeth, ensuring an accurate and precise fit. Our Winston-Salem, The Pointe, and Asheville locations have on-site 3D printers, allowing patients to receive same-day oral appliances. Otherwise, they are sent to an offsite lab to be created. Once ready, we’ll check the fit and make any necessary adjustments. Then, you’ll leave with a durable, personalized guard designed to protect your teeth comfortably and effectively.
How long do custom mouthguards and nightguards last?
On average, a custom mouthguard or nightguard lasts at least 3–5 years, depending on wear and care. Heavy grinders may need replacements sooner, while others enjoy even longer use. Regular dental visits allow us to check the condition of your appliance and make sure it still fits properly. With good care, including cleaning after use, storing it safely, and avoiding extreme heat, your guard can provide years of effective protection and comfort.
Are custom oral appliances worth it?
Custom oral appliances are absolutely worth it. Unlike store-bought guards, they’re made to fit your teeth precisely, ensuring comfort, effectiveness, and durability. They provide reliable protection against grinding, clenching, and even sports-related injuries. By preventing tooth damage, jaw pain, and costly future dental treatments, a custom appliance is an investment in both your oral health and your overall well-being. Most patients find the comfort and peace of mind well worth it!

My hygienist, Shelby was very gentle. She advised me of everything she was doing. During our review she made sure I understood the X-rays. I spoke to Dr. Joyce, she was professional and thorough. I am happy I found their dentist off. To put icing on top, their are open... Read MoreMy hygienist, Shelby was very gentle. She advised me of everything she was doing. During our review she made sure I understood the X-rays. I spoke to Dr. Joyce, she was professional and thorough. I am happy I found their dentist off. To put icing on top, their are open to 7 pm. Yayy!!!! Read Less
Natalie Truss8/14/2025I received my annual cleaning. It was absolutely perfect. The hygienist was very knowledgeable, I then met with the dentist who was extremely knowledgeable. Also, he made a new crown for my front tooth and it is beautiful. I highly recommend this facility for anybody whether it’s a cleaning or... Read MoreI received my annual cleaning. It was absolutely perfect. The hygienist was very knowledgeable, I then met with the dentist who was extremely knowledgeable. Also, he made a new crown for my front tooth and it is beautiful. I highly recommend this facility for anybody whether it’s a cleaning or a dental issue. The staff is friendly the place is immaculate And the dentist and staff are extremely knowledgeable. Read Less

joyce wilkinson12/19/2024I went in to have my wisdom teeth removed. I explained to them that I need all four taken out but it depended on the out of cost price. I did not feel pressured to do anything I wasn’t comfortable doing, and they were very upfront about pricing. At the... Read MoreI went in to have my wisdom teeth removed. I explained to them that I need all four taken out but it depended on the out of cost price. I did not feel pressured to do anything I wasn’t comfortable doing, and they were very upfront about pricing. At the time of my surgery I had 3 nurses in the room with me, all extremely friendly and very wonderful, the surgeon was very knowledgeable and left me feeling very secure to have my wisdom teeth taken out.When I woke up, I was greeted with friendly faces and carefully taken to my ride, where they informed him of the things I need to be doing.All in all, it was a great experience. I have a small fear of dentist and they made me feel very welcomed and secure. I will be going back to have my last two removed. Read Less

Alexis Malena1/16/2021Beautiful, clean facility! Welcoming staff. Great experience overall, despite my dislike of any dental visit I’ve ever had. The assistant (Baylee) was quick to notice my discomfort/nervousness and did all she could to relax me. I really appreciated the effort from all staff to make my appointment as quick and... Read MoreBeautiful, clean facility! Welcoming staff. Great experience overall, despite my dislike of any dental visit I’ve ever had. The assistant (Baylee) was quick to notice my discomfort/nervousness and did all she could to relax me. I really appreciated the effort from all staff to make my appointment as quick and painless as possible! Read Less

Jacqueline Gardner9/25/2023As a new patient in the Cary office, I was delighted with my first visit. The office was spotless and very professional and the staff was top notch. The hygienist Melissa J was extremely thorough and educated and her chair side manner was terrific. The dentist came in and had... Read MoreAs a new patient in the Cary office, I was delighted with my first visit. The office was spotless and very professional and the staff was top notch. The hygienist Melissa J was extremely thorough and educated and her chair side manner was terrific. The dentist came in and had a very detailed conversation with me about my exam and next steps. Kudos to Dr. Lauren Steddum. And the office coordinator Sam helped very well with the wrap-up and administrative matters. I highly endorse this dental practice. Read Less

Steve Frey11/22/2021Dr Steddum and Sierra (I believe) were absolutely amazing. My daughter needed a root canal, they explained everything so well. Their bed side manner was impressive. They wanted to make sure my daughter was comfortable and not in pain. I felt like they truly care! This is now our new dentist!

Brandi Higgins11/12/2024Everyone was so friendly. The office is nice and clean and my appointment was very thorough. All of my needs and concerns were addressed and questions answered. I would definitely recommend.

shauna D3/30/2021I have had some horrific experiences with dental work being done. It was to the point that I neglected going to the dentist for quite a few years. That all changed when I made the decision to go to Carolinas Dental. I have never been more pleased with the professionalism,... Read MoreI have had some horrific experiences with dental work being done. It was to the point that I neglected going to the dentist for quite a few years. That all changed when I made the decision to go to Carolinas Dental. I have never been more pleased with the professionalism, the treatment, the friendliness of the staff, and the quality of work that’s been done. Great job!! Read Less

Linda Monroe12/05/2024I was seen on time, evaluated and out in record time. I'm the worse patient to obtain a good x-ray from but they were patient and proficient. I highly recommended them. Every person I saw provided excellent patient care. Thank you!
Kathey Carthens1/30/2026My experience today at my appointment at the midtown office on Oleander was truly 5 star. I've been coming to this office since we moved to Wilmington in 2012 and every visit has been 5 Star. I used to hate going to the dentist. Not anymore. Now I feel like... Read MoreMy experience today at my appointment at the midtown office on Oleander was truly 5 star. I've been coming to this office since we moved to Wilmington in 2012 and every visit has been 5 Star. I used to hate going to the dentist. Not anymore. Now I feel like I'm visiting good friends. They always make you feel comfortable. Today Dr. Sarah Kinsley worked on me (didn't need any numbing for this job) and she gave me the best and most beautiful smile that I've had in years. I had some small chips in my 2 front teeth that I was self conscience about. Not anymore and I'll flash my pearly whites now to anyone who cares to look. I highly recommend this practice to anyone and especially to all those sissies out there who are scared to visit the dentist - it's really more like visiting good friends! Read Less

Joyce LaSala5/07/2024Melissa delivered the most pleasant, gentle, and friendly cleaning I've ever had. I have a very challenging mouth and she had zero issues expertly cleaning my teeth. I can't praise her enough. My dentist was informative, thoughtful, and thorough. This is a great clinic. I'm excited to have found them.

shoegrease3/27/2024I can't express enough how truly exceptional my experience was at my dental appointment! I absolutely have to give it a full 5 stars! From the moment I walked in, I was greeted with warmth and care. Melissa, the dental hygienist, performed the best cleaning I've ever had—her gentle touch... Read MoreI can't express enough how truly exceptional my experience was at my dental appointment! I absolutely have to give it a full 5 stars! From the moment I walked in, I was greeted with warmth and care. Melissa, the dental hygienist, performed the best cleaning I've ever had—her gentle touch made all the difference, turning what can often be a daunting experience into one that felt serene. And then there’s Dr. Lauren Steddum—her kindness radiates in every interaction. She took the time to explain everything in such a thoughtful way, ensuring I felt informed and at ease. I left not just with a brighter smile, but with a heart full of gratitude. This place is truly a gem! Read Less

Alanna C10/08/2024Okay starting off, I love the greetings from the receptionists. Have never met anyone with such an upbeat, friendly personality. My great experience starts with Melissa (dentist assistant) she is literally the most positive person I have ever come in contact with and her bright attitude encourages me to stay... Read MoreOkay starting off, I love the greetings from the receptionists. Have never met anyone with such an upbeat, friendly personality. My great experience starts with Melissa (dentist assistant) she is literally the most positive person I have ever come in contact with and her bright attitude encourages me to stay calm and enjoy the experience. Mirchandani (dentist) he is accurate, knowledgeable, caring and very professional. He made sure that I felt NO pain while doing my extractions, kept me calm thought out the whole processes. highly proficient and skillfulThe office staff and others very kind ..and I just can’t say enough about how they make going to the dentist a positive welcoming experience.Thanks a lot guys can’t wait to come back in a few weeks! Read Less

L Money3/11/2021As soon as I walked in I felt welcomed. I arrived 15 minutes early to my appointment and was seen 5 minutes after I got there. The staff is friendly. My cleaning and check up went smoothly. I’m glad I found this place. Will be my dentist for as long... Read MoreAs soon as I walked in I felt welcomed. I arrived 15 minutes early to my appointment and was seen 5 minutes after I got there. The staff is friendly. My cleaning and check up went smoothly. I’m glad I found this place. Will be my dentist for as long as I live here. Read Less
Nina9/19/2025I’ve struggled for years to have a positive experience at the dentist, feeling a bit traumatized and ashamed after past crowns and dental procedures. But Dr. Lefeber completely changed that for me. He was gentle, attentive, and efficient, putting me at ease throughout the entire visit. His assistant was equally... Read MoreI’ve struggled for years to have a positive experience at the dentist, feeling a bit traumatized and ashamed after past crowns and dental procedures. But Dr. Lefeber completely changed that for me. He was gentle, attentive, and efficient, putting me at ease throughout the entire visit. His assistant was equally amazing, ensuring everything went smoothly. For the first time in years, I feel confident about going to the dentist again and relieved to have found the right office. I’m looking forward to my next appointment in October! Read Less

Megan Caulk9/13/2024I went yesterday for a dental emergency and I’ve never been by this location before. I was seen my Dr. Finster and she was incredible. Had a back molar that needed a root canal. Not only was she empathetic but listened to my issues and did everything she could to... Read MoreI went yesterday for a dental emergency and I’ve never been by this location before. I was seen my Dr. Finster and she was incredible. Had a back molar that needed a root canal. Not only was she empathetic but listened to my issues and did everything she could to help my pain to get me into the next day. Today I was seen for the root canal procedure and that was performed by Dr. Lefeber. He was amazing and attentive. I’ve never had a dental emergency that was handled so perfectly by any dental team and this team was flawless. Not only are the doctors incredible but so are all of the staff. Every single person I interacted with in my 2 day experience was professional, friendly, caring, and just overall welcoming and helpful. As someone with extreme dental trauma from past and childhood experiences, this is a place that I’m excited to continue to go to for my dental needs. Highly recommend them if you have the fear of the dentist. Read Less

Ashley Tate10/11/2024I really had an amazing experience here. The staff made my experience great. They all were very kind, patient, and helpful. The staff seem to be very knowledgeable and even incorporated some nuggets of information pertaining to environmental stressors and the connections with oral hygiene and health. They were very... Read MoreI really had an amazing experience here. The staff made my experience great. They all were very kind, patient, and helpful. The staff seem to be very knowledgeable and even incorporated some nuggets of information pertaining to environmental stressors and the connections with oral hygiene and health. They were very personable and provided multiple compliments about my oral care and let me know that I’m doing a great job. The staff provided detailed information about the processes during each phase of my visit as well as follow up recommendations. I felt really good and supported after I left my appointment and will definitely be back and will recommend others to this location. The office was easy to find. The staff were very timely with appointments and myself and the other patients didn’t have to wait long at all. The facility was very clean. Read Less
K. Hope9/10/2025I had a great experience from the second I walked into the door. The front staff were super nice, Kayla, my hygienist and the doctor were beyond great and super informative. Justice up front was also very informative regarding what my insurance would cover on different services I may be... Read MoreI had a great experience from the second I walked into the door. The front staff were super nice, Kayla, my hygienist and the doctor were beyond great and super informative. Justice up front was also very informative regarding what my insurance would cover on different services I may be interested in scheduling myself for. Overall a FANTASTIC visit and I will be recommending my friends and family to switch here for their dental needs. Thanks guys! Read Less

Goldie Boyd3/30/2022I have been going to Carolina Dentist since moving to North Carolina. Being new to The area I had to find a dentist. My first experience at Carolina Dentist was positive. I have been going there for almost 3 years now. Thank you Carolina Dentist for the positive experience you... Read MoreI have been going to Carolina Dentist since moving to North Carolina. Being new to The area I had to find a dentist. My first experience at Carolina Dentist was positive. I have been going there for almost 3 years now. Thank you Carolina Dentist for the positive experience you provide to your patients. Read Less
Tammy Gibbs3/05/2025The cleaning I received was the most comfortable one I have ever had. The hygienist was very thorough and gentle.She was also very enthusiastic and took care to always make sure I was comfortable. The office is very modern and gives me confidence that they are staying up to date... Read MoreThe cleaning I received was the most comfortable one I have ever had. The hygienist was very thorough and gentle.She was also very enthusiastic and took care to always make sure I was comfortable. The office is very modern and gives me confidence that they are staying up to date on dental technology Read Less

Blin Richards1/25/2024Love this place! They were very thorough and encouraged patient-based care, which I can appreciate . They didn’t just tell me what I needed, but they broke down the science and showed me all of my x-rays. I felt as if things moved at my pace and they didn’t bully... Read MoreLove this place! They were very thorough and encouraged patient-based care, which I can appreciate . They didn’t just tell me what I needed, but they broke down the science and showed me all of my x-rays. I felt as if things moved at my pace and they didn’t bully me into any excessive treatments. Highly recommend and WILL BE BACK!!! Read Less

DJmee Wheatle2/10/2024I told about my tooth ache, Friday they told me they will have tooth extracted done right now. I forgot the assistant and the dentist who done it, they did amazing job! I have no problem during the extraction was getting done. They make me feel very comfortable and at... Read MoreI told about my tooth ache, Friday they told me they will have tooth extracted done right now. I forgot the assistant and the dentist who done it, they did amazing job! I have no problem during the extraction was getting done. They make me feel very comfortable and at ease. Thanks to my sister and boyfriend for recommending Carolina’s Dentist to me Read Less
Brittani D11/16/2025Today’s overall experience was really great. Melissa was very helpful and ensured that I was comfortable and well informed on how to maintain overall teeth and gum healthiness. She also provided tips on how to improve my flossing, as well problem areas that require more attention. Definitely will recommend her... Read MoreToday’s overall experience was really great. Melissa was very helpful and ensured that I was comfortable and well informed on how to maintain overall teeth and gum healthiness. She also provided tips on how to improve my flossing, as well problem areas that require more attention. Definitely will recommend her to anyone who is interested in choosing your office. Read Less

Ashaad Blackmon10/11/2024CarolinasDentist- Cary provided top-notch, 5- star, Knock Your Socks Off Customer Service from my first telephone call... all the way through the service of extracting a problem tooth for me... all on 4/27/22!!!When a person needs EMERGENCY dental services, they should not have to wait 6-8 weeks to get it.... Read MoreCarolinasDentist- Cary provided top-notch, 5- star, Knock Your Socks Off Customer Service from my first telephone call... all the way through the service of extracting a problem tooth for me... all on 4/27/22!!!When a person needs EMERGENCY dental services, they should not have to wait 6-8 weeks to get it. My tooth had been causing me great pain for weeks. It seemed impossible to get into several dentist offices in this region... until my co-worker found CarolinasDentist!Darrell answered our call and listened patiently to my co-worker lay out the details of my pain. He immediately showed COMPASSION and was able to book my appointment for service on this very same business day for 2pm. We both were ELATED! This practice is very serene, well decorated and full of stellar employees.Sierra, my Dental Assistant was equally as compassionate, patient and understanding of my pain. She was very delicate in her approach about some discomfort that I may feel during the extraction, yet explained everything about my visit & post-op to me, in the most THOROUGH way.Dr. L. Steddum was also compassionate & AMAZING! Not only is she a very skilled Dentist, she educated me and was able to help me relax during the procedure! She talked me through her steps and my tooth was out before I could ever feel anything that I ever feared!Hands down... I'm referring everyone I know or who asks about an excellent dentistry to CarolinasDentist!! Read Less

TeLeishia Holloway4/28/2022