Abstract: Disclosed is a bruxism appliance including a generally U-shaped body having a plurality of apertures therethrough and adapted to be positioned over at least a portion of a first arch of teeth, a first set of bilateral pads disposed on a contact surface of the U-shaped body adjacent to the location of the canines of the first arch of teeth and projecting a first distance beyond the contact surface toward respect teeth of an opposing second arch of teeth, and a second set of bilateral pads disposed on the contact surface of the U-shaped body adjacent to the location of the second molars of the first arch of teeth and projecting a second distance beyond the contact surface toward respect teeth of the opposing second arch of teeth. The apertures are adapted to allow saliva to flow from the interior surface to the exterior surface of the U-shaped body.