D Street Dental Group D Street Dental Group
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Protective Appliances

Custom Nightguards & TMJ Splints in San Rafael

Built to your exact bite to stop grinding, ease jaw tension, and protect your teeth, at night and on the field. Not a one-size boil-and-bite.

Request Appointment Call (415) 453-0744

Medically reviewed by Dr. Steve Truman, DDS · September 2026

Protect Teeth Before Damage Shows

Clenching and grinding (bruxism) often happen during sleep, quietly wearing down enamel, cracking teeth, and triggering jaw soreness and headaches, sometimes for years before it's obvious. A custom appliance stops the damage early, before it becomes a crown or an implant.

At D Street Dental Group, every guard is built to your exact bite from a precise impression, not a bulky drugstore tray that gets pushed out at night. Dr. Steve matches the right appliance to your problem, whether that's grinding, jaw strain, or protection on the field.

Three AppliancesOne Custom Fit

This Is for You If You

What to Expect

  1. Evaluation We examine your bite, wear patterns, and symptoms to recommend the right appliance.
  2. Precise impression We capture your bite so the appliance fits exactly.
  3. Custom fabrication Your guard or splint is built from durable hard acrylic to your specifications.
  4. Fit & follow-up We fine-tune the fit and check it at regular visits so it keeps protecting you.

Why D Street Dental Group

Dr. Steve Truman

Restorative Dentist · Owner

Dr. Steve earned his DDS from the University of the Pacific Arthur A. Dugoni School of Dentistry and served as a clinical instructor. He'd rather protect a tooth than rebuild it, fitting each appliance precisely to your bite so it actually does its job, night after night.

Cost & Membership

A custom appliance costs more than a drugstore version but fits better, lasts longer, and actually protects your teeth. We give you a clear price before fabrication. No surprises.

We're out of network for all dental insurance, and our in-house "D is for Dental" membership saves 20% on treatment, with flexible payment plans. See membership plans →

Nightguard & TMJ Questions

How much does a custom nightguard cost in San Rafael?

More than a drugstore version, but it fits far better, lasts longer, and actually protects your teeth. We give a clear price before fabrication, and members save 20% on treatment.

Is a custom guard better than over-the-counter?

Yes. Boil-and-bite guards are bulky and loose and often get pushed out at night. A custom guard is made from a precise impression of your bite, comfortable, durable, and it stays put.

Can a nightguard help TMJ and jaw pain?

A TMJ splint repositions the jaw to decompress the joint, which can ease morning soreness, tension, and related headaches for many patients. Dr. Steve evaluates your bite to recommend the right one.

How long does a nightguard last?

Hard acrylic guards are built to last years with proper care, depending on how heavily you grind. We check it at regular visits and advise when to replace it.

Do you make custom sports mouthguards?

Yes, a custom sports guard fits and protects far better than over-the-counter options, staying in place so you can breathe and talk more easily. We make them for all ages.

Request Your Appointment

Tell us what you need and we'll reach out within one business day. Prefer to talk now? Call (415) 453-0744.

Protect Your Teeth and Jaw

New patients are always welcome. We'll reach out within one business day.

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