My bruxism has gotten so bad that i have already damaged my new mouthguard after 3 nights. do i have another options besides a mouthguard?

Yes: You have to try other 'alternate' therapy(s) at this point. You can try a mandibular advancement device, which is much like a nightguard. You can also try Botox, but I would save that as a last option. The next step may be the use of pharmacology and try a muscle relaxer, in combination with your nightguard. Before you do this, ask you Dentist to re-adjust your nightguard to fit properly.

R/O TMJ : TMJ can be very difficult to treat and overlap several specialists. I hav had the best results with ENT and oral surgery.it can start with a poor bite due to genetics/after trauma/Bruxism secondary to stress. A good nite guard is essential. topical Voltaren (diclofenac) gel and a low dose muscle relaxant like skelaxin/FLEXERIL. /BOTOX& /LIDOCAINE injections can help. Prednisone with quick taper may help.

Yes...: First,is your nightguard a custom made one from your Dentist,which is firm or hard acrylic,carefully adjusted in the office to direct your biting forces properly ?? If so, then get back and see the Dentist for evaluation and adjustment.Second, what is the condition of your teeth? If they are sharp with "potholes" on tips,then they are more destructive - get fixed.Stress therapy and muscle relaxers

Bruxism: may cause tooth wear, teeth movement and even damage or break teeth or even a mouthguard. Currently, no therapy has been proven effective in treating sleep bruxism. See OFP specialist for diagnosis and proper guard fabrication.

Yes: Determine what's causing your brutish and treat the cause. Often brutish is a response to malocclusion...if so, treat the malocclusion. Forget OTC mouth guards, you need a professionally made occlusal orthotic. There are Meds available to support orthotic therapy. Please see Orthodontic Specialist for evaluation. Initial examination usually complimentary.

Botox for Bruxism: Hi Thanks for the question. Sorry you are having so much pain and issues. Botox is an excellent option for Bruxism. You should speak with a plastic surgeon experienced in this to see if it is right for you. Check out my article for some more information http://goo.gl/uxGxIH