Although stress can aggravate the condition, the underlying cause must be addressed. Clenching, grinding and painful spasms occur when jaws are misaligned. Dr. Mele can realign the jaws quickly using a therapeutic night guard which is custom made to reposition the jaws. This custom made night guard stops the discomfort during the day even when the guard is only worn at night. Patients are amazed at the relief as the muscles relax thus preventing the grinding and clenching completely in most cases. Over the counter night guards are not able to realign the jaws to get this therapeutic result.