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Medical Forum / General / Dentistry / August 2005

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Athletic mouthguards for bruxism?

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mikraft@yahoo.com - 29 Aug 2005 17:59 GMT
Is there any reason why the athletic mouthguards sold in sporting goods
stores can't be worn as nightguards to prevent teeth grinding/bruxism?

Thanks. Replies appreciated.
Tim Dixon - 29 Aug 2005 18:30 GMT
Buy one, try one, and I'll bet you answer your own question.

Go to:  www.headacheprevention.com

> Is there any reason why the athletic mouthguards sold in sporting goods
> stores can't be worn as nightguards to prevent teeth grinding/bruxism?
>
> Thanks. Replies appreciated.
W_B - 29 Aug 2005 20:17 GMT
I think that is bad advice.

>Buy one, try one, and I'll bet you answer your own question.
>
[quoted text clipped - 4 lines]
>>
>> Thanks. Replies appreciated.

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Tim Dixon - 29 Aug 2005 20:56 GMT
Well it's not much worse than your reply that "they don't work".  You didn't
tell him why it wouldn't work.

> I think that is bad advice.
>
[quoted text clipped - 12 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
W_B - 29 Aug 2005 21:11 GMT
Don't put the onus on me buddy boy.
I couls accuse you of the same.

Get an NTI
headacheprevention.com

>Well it's not much worse than your reply that "they don't work".  You didn't
>tell him why it wouldn't work.
[quoted text clipped - 15 lines]
>> Take out the G'RBAGE
>> wubbabubbazG@RBAGEyahoo.com

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Tim Dixon - 29 Aug 2005 21:38 GMT
thats more like it...

> Get an NTI
> headacheprevention.com
[quoted text clipped - 26 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
W_B - 29 Aug 2005 21:51 GMT
>thats more like it...
>
>> Get an NTI
>> headacheprevention.com

Beat you to the punch, eh ?
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Tim Dixon - 29 Aug 2005 22:00 GMT
>>thats more like it...
>>
>>> Get an NTI
>>> headacheprevention.com
>
> Beat you to the punch, eh ?

My first post had this included: "Go to:  www.headacheprevention.com"
mikraft@yahoo.com - 30 Aug 2005 18:02 GMT
Re: the apparent problems with the 'boil-&-bite' products, what do
dentists think of "The Doctor's NightGuard," apparently designed by a
dentist?

http://www.dentalconcepts.com/html/nightguard.html

Thanks.
Tim Dixon - 30 Aug 2005 19:39 GMT
I'm not a dentist, don't even play one on TV, but I would avoid all that
boil & bite stuff and look at the NTI.  Go to:  www.headacheprevention.com

> Re: the apparent problems with the 'boil-&-bite' products, what do
> dentists think of "The Doctor's NightGuard," apparently designed by a
[quoted text clipped - 3 lines]
>
> Thanks.
Amatus Cremona - 30 Aug 2005 19:42 GMT
>I would avoid all that boil & bite stuff and look at the NTI.  Go to:
>www.headacheprevention.com

Very good advice.

Signature

/

Amatus

/

> I'm not a dentist, don't even play one on TV, but I would avoid all that
> boil & bite stuff and look at the NTI.  Go to:  www.headacheprevention.com
[quoted text clipped - 6 lines]
>>
>> Thanks.
W_B - 30 Aug 2005 20:05 GMT
>>I would avoid all that boil & bite stuff and look at the NTI.  Go to:
>>www.headacheprevention.com
>
>Very good advice.

Me three !
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
mikraft@yahoo.com - 31 Aug 2005 00:57 GMT
If you're not a dentist, why do you recommend avoiding the product type
I asked about?

Also, the link in your message refers to 'headache prevention.'  I
don't have headaches.  I have bruxism.

Is NTI for teethgrinders who also have headaches?  If not, what is
there to recommend it over other types of nightguards?
Tim Dixon - 31 Aug 2005 01:23 GMT
The boil & fit type of anti-bruxism appliances that can bought OTC will
actually allow you to brux better then if you used nothing.  This is well
documented if one was to look for the data.

The NTI is for parafunctional control, which is what you have, uncontrolled
parafunction.

You can also visit the manufacturers website where you can read all you care
about the device.  www.nti-tss.com

> If you're not a dentist, why do you recommend avoiding the product type
> I asked about?
[quoted text clipped - 4 lines]
> Is NTI for teethgrinders who also have headaches?  If not, what is
> there to recommend it over other types of nightguards?
W_B - 31 Aug 2005 16:01 GMT
>If you're not a dentist, why do you recommend avoiding the product type
>I asked about?

I am a dentist.

>Also, the link in your message refers to 'headache prevention.'  I
>don't have headaches.  I have bruxism.

It's called parafunction and it doesn't matter if you have headaches
or not. You are still damaging your teeth.
The NTI prevents further damage.

>Is NTI for teethgrinders who also have headaches?

NTI is for anyone who exhibits parafunction.

>  If not, what is
>there to recommend it over other types of nightguards?

NTI is the best of the bunch. It works.
Other types cause increased clenching.

--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
LurfysMa - 01 Sep 2005 00:24 GMT
>If you're not a dentist, why do you recommend avoiding the product type
>I asked about?
[quoted text clipped - 4 lines]
>Is NTI for teethgrinders who also have headaches?  If not, what is
>there to recommend it over other types of nightguards?

I asked almost the identical question a few weeks ago. I have no
headaches. I have fractured teeth that 3 dentists said were caused by
bruxism. I have had a hard plastic biteguard for over 10 years.

I was told more or less what you were told. I asked about hard
research data and was pointed to the manufacturer's website. (Red flag
#1) When I questioned that, I got what I considered less that
objective commentary. For a minute I thought I was on
alt.religion.mine-is-bigger-than-yours or somewhere. (Red flag #2)

Several local dentists and an orthodontist told me that the NTI was a
bad idea. They also did not have any hard data -- just hunches and
impressions. Now I am wondering if dentists and used car salesmen go
to the same schools? ;-)

I decided to go to a local dentist who favors the NTI, so I did. After
a half-hour examination, including looking at my biteguard, she told
me that I probably do not grind my teeth (as they are not worn down at
all) and I may not even clench them (because I don't have some little
bumps, forgot the name).

She also mentioned that typically chew through biteguard in a few
years. Mine is over 10 years old and not showing that much wear.

She recommended I do nothing at all and blamed the fractures on huge
fillings early in life and just genetics and old age.

She did explain the NTI better and it sounded like it might offer some
benefits. Not sure it warrants the hyperbole sometimes expressed here,
but it probably works for some people, at least.

She also said that the NTI folds and the biteguard folks seemt o be
embroiled in a holy war and neither side seems to be listening to the
other much. Too much testosterone, I guess. She was quite reasonable.

So, I may still try the NTI because she mentioned something about my
bite guard might be forcing my jaw backwards when it should be more
forward.

Anyway, good luck with your search. It would be nice if the folks who
advocate these solutions could turn down the heat/light ratio.

Cheers
Joel344 - 29 Aug 2005 21:13 GMT
Hey Tim and others,

This is a different issue but .......

I researched this two summers ago as a project with Keyston
Industries. They manufacture the Erkaform and vacuum form equipment fo
custom athletic guards.

There are loads of busted teeth from boil and bite athletic guards
There are studies. If anyone is interested I will publish the link.

Joe

--
Joel34
Stovepipe - 30 Aug 2005 03:43 GMT
> Hey Tim and others,
>
[quoted text clipped - 12 lines]
> http://dentalcom.net/forum/member.php?userid=12View this thread:
> http://dentalcom.net/forum/showthread.php?t=2774

I saw two presentations about mouthguards at the Congress this past
week. Suffice it to say that Ray Padilla (UCLA teams and Olympic games
dental consultant), is a pretty well researched dentist who works in
this area. (Youse can Google Shcolar him). He and others say that the
ONLY mouthguard that works and that is safe is the Pressure Laminated
type that you get from the dental labs. If you have a Pressure machine
(about 2500$ US$), you can do these quite easily yourself. The optimal
thickness it three mm, which means that there must be two sheets over
each other.

He is not big on the vacuum formed ones (suck down machines) like most
of us have in our offices (not good enough adaptation at the cervical of
the teeth). You can check this for yourself by pouring a model from a
mouthguard that you have sucked down.

One of the Japenese reseachers (the only one whose English I could
understand) disagreed. He said that if the model is prepared well (only
the dental arch and not less than FOUR mm of alveolar bone and gums) and
it is SCRUPULOUSLY DRY, you _can_ make a satisfactory suck-down
mouthguard. He showed us a model poured from one he made and it was
quite accurate on the screen. This is true even for the upper teeth,
where a mouthguard is usually worn. You don't need to cover the palate,
as the retention comes from the cervical groove. The only hick he found
was that the material was not thick enough where you want it to be: at
the incisal edges of the upper incisors.

All presenters were in agreement that store bought mouthguards and most
pre-formed plastic ones (like the football teams wear attached to their
face guards) are pure garbage. The mouthguard should fit like a good
denture: the player should not be able to take if off with his/her
tongue; ideally, they should not even be conscious that it is there. A
well made mouthguard is all but invisible to the spectators.

So there.

JME, what do you think of this?

Thanks
SP
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W_B - 29 Aug 2005 20:12 GMT
>Is there any reason why the athletic mouthguards sold in sporting goods
>stores can't be worn as nightguards to prevent teeth grinding/bruxism?
>
>Thanks. Replies appreciated.

Yes, but only one.

They don't work.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
 
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