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INTRODUCTION PAGE
CHAIRSIDE SPLINTS:
      NTI-tss devices
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ASSISTANCE with NTI protocol
     NTI 2.0 Chairside delivery protocol 
     ThermoPlasticBeads / Indications
      COMMON OVERSIGHTS
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      Orthodontic bracket adaption
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WINGED DEPROGRAMMERS:









Opposing Winged Deprogrammers are intended to be used as diagnostic tools on a "provisionally permanent" basis (shown above prior to being lined with ThermoPlastic).  Once the practitioner has confirmed (or ruled out) the diagnosis through the observation of the change (or persistence) of symptoms, the practitioner may elect to use Opposing Winged Deprogrammers on a long term supervised basis, or transition to Full Coverage Clenching Suppression Splints.



Chairside protocol for delivery Opposing Auxiliary Sliders
(now improved by the recommended Winged Deprogrammers)

Probably the easiest technique with the best compliance is to provide two opposing "sliders" (the Daytime device). The technique provides for minimal vertical dimension while providing for two "slippery surfaces".  By providing for two opposing devices, the often complicating factor of irregularly shaped and/or mal-aligned incisors is overcome.



slope-the-shoulders.jpg

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Alter two of the normal "daytime/sliders" (left) by sloping the distal ends of the incisal platform (right).  Reduce the height of the labial wall, and in most cases, the DE can be pre-sloped (right).  When inserting the thermoplastic, roll a small portion into the depression on either side of the DE, thereby locking in the TP.
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 Deliver and align the two opposing devices so that they occlude at the midline in a protrusive incisal bite.  Above demonstrates the lower DE that slopes apically.  The upper DE slopes palatally.
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 The "opposing sliders" allows for unrestricted lateral excursions...  ...and typically provides for optimal vertical dimension.  Providing for opposing smooth plastic eliminates the grooving that can be caused by the exposed opposing incisal edges.
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 The apically sloped lower DE keeps vertical dimension to a minimum in extreme protrusions.  The DE can be considerably more sloped than depicted here.  The palatally sloped upper DE allows for minimal vertical dimension in retruded clenches.  The lack of a labially protruding DE from either device improves compliance, even though there are two devices to content with.