I wear a lower for the day, and an upper at night.
Last week my dentist(TMJD specialist) formed another night lower to fit with the upper, because the top one wasn't doing its job, because my ear pain came back. The night lower just fits over my middle bottom incisors. THey really aren't bad to sleep in.
Now, two days later, my ear pain is gone, and the tenderness all around my ear is much better. He keeps working with me, which I am very grateful.
It has been a painful, and sometimes very frustrating journey.
I still watch what I chew, stay away from straws, gum, steak,etc.
And try to stay calm, because stress does aggravate the problem.
No one understands who hasn't been there, and the splints are worth it all if they help with the pain. My students were very patient with me when I first started splint therapy 6 weeks ago. Some could identify because they have braces or retainers.
Hang in there!