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Medical Forum / General / Dentistry / August 2005Bruxism prevention
I had several cracked teeth about 15-20 years ago. Most got root canals. My dentist at the time recommended a night guard. He made a plastic device, sorta like football players and boxers wear, that fits on the upper teeth. I wear it most of the time -- 95% or so. Four years ago, on the day before my wedding, I fractured tooth 15. Probable cause: bruxism. The dentist said it was fractured all the way to the tip of the root. I was extracted and just left empty as tooth 16 had been taken in adolescence and the teeth below still had something to bite against. That healed well and has been fine. This morning, the crown on 19 failed. It had had a root canal some time ago. Now I'm looking at an implant or bridge. It occurs to me that the night guard is not enough. I'm wondering if there is a way to stop the bruxism, rather than just softening it. I keep reading about the NTI. I asked my dentist about it. He had never heard of it. I printed a page from one of the websites mentioned here. He said it looked like a gimmick. I am leary of a device that my dentist doesn't like. Is there any research data anywhere? I see lots of commercial sites. > I keep reading about the NTI. I asked my dentist about it. He had > never heard of it. I printed a page from one of the websites mentioned [quoted text clipped - 3 lines] > > Is there any research data anywhere? I see lots of commercial sites. Point your dentist to www.nti-tss.com for all the background info he could possibly want, and you should visit www.headacheprevention.com where you may want to use the "Find-a-Dentist" database to search your zipcode for an dentist that provides NTI's. Best of luck, TD >> I keep reading about the NTI. I asked my dentist about it. He had >> never heard of it. I printed a page from one of the websites mentioned [quoted text clipped - 8 lines] >want to use the "Find-a-Dentist" database to search your zipcode for an >dentist that provides NTI's. Yes, I have seen those two sites. Where's the RESEARCH DATA? In case the question is still not clear, that's where someone with qualifications and no connection to the manufacturer runs a scientifically-valid study and then publishes their results in a peer-reviewed journal. Then, in the best of all worlds, several other similar groups replicate the study and come to similar or different conclusions. Is there any data like that for the NTI? Nice healthy teeth can last a lifetime. I have never seen a natura tooth go bad all on its own, although there are credible reports righ here at SMD that it happens. Many teeth get restored (filled) and end up being "overstuffed" as on patient used to tell me. I kept thinking of a turkey as it was comin up to Thanksgiving when he told me about this. An overstuffed tooth may undermine unsupported enamel. Hey! Its oka for two years, five years, then "c-r-a-c-k." The patient neve associates the crack with the overstuffing ....... I'll quit now .... Joel Joel M. Eichen DD -- Joel34 > Nice healthy teeth can last a lifetime. I have never seen a natural > tooth go bad all on its own, although there are credible reports right > here at SMD that it happens. I have a tooth sitting on my desk right now that was perfect (no caries or restorations) until fractured by clenching. Eventually split right down the long axis of the tooth.  Signature/ Amatus / > Many teeth get restored (filled) and end up being "overstuffed" as one > patient used to tell me. I kept thinking of a turkey as it was coming [quoted text clipped - 9 lines] > > Joel M. Eichen DDS >>> I keep reading about the NTI. I asked my dentist about it. He had >>> never heard of it. I printed a page from one of the websites mentioned [quoted text clipped - 19 lines] > > Is there any data like that for the NTI? just point your dentist here http://www.nti-tss.com/migraineprevention.html ----------------> in part Direct links to within this article: Background What distinquishes an NTI-tss Clinical Trial Protocol Data and Reuslts LONG TERM EFFICACY -------------------------------------------------------------------------------- FDA 510(k) Premarket Notification #K010876 (FDA's Summary) of the NTI Tension Suppression System (Migraine Etiology Hypothesis, Device and protocol developed by James P. Boyd, DDS) Clinical Investigators Indications for Use approved for marketing, June 21, 2001 Approved Indications for Use for the NTI Tension Suppression System (NTI-tss): 1. A device to be used in the prophylactic treatment of medically diagnosed migraine pain as well as migraine associated tension-type headaches, by reducing their signs and symptoms through reduction of trigeminally innervated muscular activity, and; 2. For the prevention of bruxism and TMJ syndrome through reduction of trigeminally innervated muscular activity |
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