Efficient.  Economical.  Effective.

The next evolution in NTI dental splint therapy:

      NTI-tss devices
      BruxSplint (full coverage)
ASSISTANCE with NTI protocol
     NTI 2.0 Chairside delivery protocol 
     ThermoPlasticBeads / Indications
      Invisalign integration
      Orthodontic bracket adaption
      Upper or Lower?  Flowchart
      Interpreting Patient Responses
           Informed Consent, Brochures,
MSDS, Headache Questionaire,
          Recent articles

      TMD, Parafunction, Migraine
       Keller Lab's NTI-plus     
      Contact for assistance

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.
NTI 2.0 "Winged Deprogrammers"
(click here for chairside delivery protocol)

A therapeutic challenge for a practitioner can arise when using an original NTI-tss device when the incisors that oppose the device are of unequal heights, rotated, tilted, etc., thereby complicating the task of providing a-traumatic occluding on those incisors. In the presence of intense bruxism, occluding incisors that are sharp, beveled, or have a raised and angled corner, tend to shave and chisel into the Discluding Element of the opposing NTI device. The undesired and considerable resistance to excursive and protrusive movements may present the practitioner with a "false negative" in therapeutic outcome, as symptoms may persist, or have minimal resolution, causing the practitioner to believe that the NTI therapeutic protocol was ineffective.

The Solution.

NTI 2.0 "Winged Deprogrammers" solve this potential problem by providing incisal coverage for both opposing incisors, with each device providing for minimal increase in vertical dimension. With a "slippery" plastic vs. plastic interface, excursive movements are met with the least resistance possible, and eliminate any potential for irregularities of occluding contacts. With two opposing devices, there is no necessity for a labially-projecting Discluding Element on a device, as the lower device's incisal edge coverage contacts the upper device's distally-projecting Discluding Element in retrusive clenches while and the upper incisal edge coverage contacts the distally-projecting Discluding Element of the lower device in protrusive movements.

Adjustable Arch Width.

To avoid the problem of having to accommodate for an extremely narrow or board arch,the design of the original NTI-tss device encompasses only the upper two, or lower four, incisors.   With minimal influence from the curvature of the arch, retention of the original NTI-tss device must then depend upon the emergence profile of those incisors, with the apical height of the device's labial wall being potentially excessive in order to capture adequate retention.  When additional retention is required, the practitioner is obligated to extend the device laterally to encompass additional teeth.   When an irregularly aligned lateral incisor engages and binds with the device's labial and/or lingual walls, the practitioner must physically grind on and alter the device to accommodate for the incisor.

The Solution.

NTI 2.0 "Winged Deprogrammers" have laterally extending "wings" that can be easily adapted (bent towards or away from) the patient's arch form, thereby providing for intimate and custom labial adaptation, allowing for a minimal apical height of the device's labial wall, and easy adaptation for an irregularly aligned lateral incisor. (images below from the Winged Deprogrammer's U.S. Patent Pending.  B and C are posterior/internal views).