The goal of this article is to highlight what are desirable occlusal guard designs and what clinical records are required to achieve the desired end results. This article will provide a concise checklist for clinical records and Rx instructions for the lab. The basic design considerations will be covered; however, there is no such thing as a benign occlusion appliance. Any change to occlusion can affect the TMJ, head/neck muscles, and even the airway. By following some basic design rules you can safely and effectively deliver an occlusal guard on asymptomatic patients.