Efficient.  Economical.  Effective.




The next evolution in NTI dental splint therapy:

P
ORDER
INTRODUCTION PAGE
CHAIRSIDE SPLINTS:
      NTI-tss devices
      BruxSplint (full coverage)
ASSISTANCE with NTI protocol
     NTI 2.0 Chairside delivery protocol 
     ThermoPlasticBeads / Indications
      COMMON OVERSIGHTS
      Invisalign integration
      Orthodontic bracket adaption
      Upper or Lower?  Flowchart
      TROUBLE SHOOTING
     Contraindications
      Interpreting Patient Responses
ADMINISTRATION
     Documents
           Informed Consent, Brochures,
         
MSDS, Headache Questionaire,
          Recent articles

EDUCATION 
      TMD, Parafunction, Migraine
LABORATORY PROVIDED
       Keller Lab's NTI-plus     
SUPPORT 
      Contact for assistance

Opposing
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.

Therapeutic protocol insights upon lower NTI delivery




Fabrication and Delivery
Using Thermoplastic Beads    How to extend and increase retention     Insights to improve success
Fabrication Flow Sheet, Upper or Lower?




Upon initial seating of a TPB-loaded device, border mold the excess and allow to begin to cool. When the TPB material becomes grey but not yet fully opaque, pump the device on and off a couple of times, and then allow to set until nearly white, then immerse in cold water.

For optimal retention, initially remove the device with a snapping motion and drop into a cup of cold water. It will quickly harden. The internals can be trimmed with a scalpel. Pre-sculpt the device prior to loading with the TPBs. Following final set, you can use a large lab bur for external sculpting with quick, brush strokes to avoid gumming up the blades. To make smooth again (if necessary), dip just the external edge portion back into hot water for 4 to 5 seconds, then seat back onto the teeth.

TPBs-0.jpg
TPBs-melting.gif
TPBs-5.jpg
Less than a teaspoon of TPBs
will adequately reline an NTI device
Submerge the TPBs in hot
water (or microwave in a mug
of water)...
...the beads will coalesce...
TPBs-6.jpg
TPBs-7.jpg
seated-w-TPB.jpg
...and become like putty.
Load device after confirming
a acceptable try-in
Final delivery
Right-exc.JPG
Protrusive.JPG
Left-exc.JPG
No canine contact
If clenching in protrusive is painful, distal end of DE should be sloped to reduce degree of condylar rotation.
Reduced/sloped DE in protrusive.
 
 
retaining-TPB.JPG
 
 
To prevent the dislodgement of the TPB material (shown at left), wrap the material around the lingual wall and allow to fill the spaces adjacent to the Discluding Element.

<>The devices can easily be extended to acquire more retention by adding more TPB  to existing cured TPB material.  Create a "sticky" surface on the TPB material, by dipping the exposed TPB material (at the distal ends of the device) into very hot water for 3-5 seconds, or use a torch/flame across the surface to quickly create a sticky surface.  Place warm, clear putty stage TPB onto the sticky surface and it will "bond" to the sticky layer.  Place back onto the teeth and manipulate the additional TPB material to create distal extensions of the device.  When the materials cools slightly to achieve its grey opacity stage, remove and replace, remove and replace (thereby eliminating any excessively prominent undercuts), OR, allow to cool completely to its white opaque finish, thereby providing for its maximum retention.





FABRICATION AND DELIVERY INSIGHTS WHEN USING ACRYLIC: