 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Dentistry / September 2005Cost of a splint
I recently asked a dentist friend of mine the following question: "What should I expect to pay for a splint? Approximately. I want to have an idea so I'll know whether the price I am being quoted is reasonable." And he replied: "They range from $275 to over $1000 depending on the science/time behind it." Wow, pretty wide range. Does that sound about right? Phil >I recently asked a dentist friend of mine the following question: > [quoted text clipped - 10 lines] > >Phil Splint meaning what? > Splint meaning what? Sorry for the lack of specificity. You can partially blame that on the dentists who suggested I should wear a splint for using the word "splint" with no descriptor in front of it. The splint I am referring to is a basically a nightguard. Apparently, I grind my teeth while I am sleeping. Or maybe I just clench them; I'm not really certain. One dentist I saw did specify the type of splint. He said that he thinks that an "anterior-guided splint" would be the best choice for me. And my dentist friend mentioned a "full arch splint." But he also indicated that few dentists understand how to make them correctly. Phil > One dentist I saw did specify the type of splint. He said that he > thinks that an "anterior-guided splint" would be the best choice for > me. And my dentist friend mentioned a "full arch splint." But he also > indicated that few dentists understand how to make them correctly. Did your question get answered ??  Signature/ Amatus / >> >> Splint meaning what? [quoted text clipped - 13 lines] > > Phil > > One dentist I saw did specify the type of splint. He said that he > > thinks that an "anterior-guided splint" would be the best choice for > > me. And my dentist friend mentioned a "full arch splint." But he also > > indicated that few dentists understand how to make them correctly. > > Did your question get answered ?? More or less. Although I still don't know what an "anterior-guided splint" is. Of course, that wasn't my question (at least not directly). I guess I'll have to ask that dentist what he's talking about because very few (if any) dentists use that terminology. Phil >He said that he > thinks that an "anterior-guided splint" would be the best choice for me. The NTI is a type of anterior guided splint. Dental School taught something totally different, and if the dentist is stuck in the path DS led him into, he is not capable of change. Signature/ Amatus / >> > >> > One dentist I saw did specify the type of splint. He said that he [quoted text clipped - 10 lines] > > Phil >> Splint meaning what? > [quoted text clipped - 12 lines] > >Phil There is no correct way to make a full arch splint. NTI rules ! headacheprevention.com -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Very well stated. :-) Fawks > There is no correct way to make a full arch splint. > [quoted text clipped - 4 lines] > > W_B I recently asked a dentist friend of mine the following question: "What should I expect to pay for a splint? Approximately. I want to have an idea so I'll know whether the price I am being quoted is reasonable." And he replied: "They range from $275 to over $1000 depending on the science/time behind it." Wow, pretty wide range. Does that sound about right? Phil Flap's Reply: An occlusal splint? For TMJ? Bruxism? Flap http://flapsblog.com >I recently asked a dentist friend of mine the following question: > [quoted text clipped - 16 lines] > >Flap REPLY I was thinking broken bones ...... the cost of plaster has skyrocketed. Joel >http://flapsblog.com If it is a traditional, full coverage splint, it isn't likely to be *worth* $10. JME, Fawks > I recently asked a dentist friend of mine the following question: > [quoted text clipped - 10 lines] > > Phil > If it is a traditional, full coverage splint, it isn't likely > to be *worth* $10. > > JME, > Fawks I think I know what your answer is going to be, more or less. However, for the benefit of those who may not, or who may be reading this years from now, I have to ask: What do you mean by that statement? Phil Traditional, full-coverage splints aren't worth the alginate to take the impression, the acrylic to fabricate one, or the time in the chair to adjust. I made quite a few the first 20 years of my practice since there wasn't much of an alternative. It was very rare that any patient had significant improvement and they usually ended up in the end table drawer (or the trash). NTI's are far superior in many ways. Fawks >>If it is a traditional, full coverage splint, it isn't likely >>to be *worth* $10. [quoted text clipped - 7 lines] > > Phil > Traditional, full-coverage splints aren't worth the alginate > to take the impression, the acrylic to fabricate one, or the > time in the chair to adjust. Don't forget spending months with the patient coming in to the office every week or two for an adjustment as the condyle repositioned in the fossa. By the time the patient got any relief, you would have had to bill $2K to have broke even on the office costs. Signature/ Amatus / > > Traditional, full-coverage splints aren't worth the alginate [quoted text clipped - 21 lines] >> >> Phil Traditional, full-coverage splints aren't worth the alginate to take the impression, the acrylic to fabricate one, or the time in the chair to adjust. I made quite a few the first 20 years of my practice since there wasn't much of an alternative. It was very rare that any patient had significant improvement and they usually ended up in the end table drawer (or the trash). NTI's are far superior in many ways. Fawks > Steven Fawks wrote: >>If it is a traditional, full coverage splint, it isn't likely >>to be *worth* $10. >>JME, >>Fawks > I think I know what your answer is going to be, more or less. However, > for the benefit of those who may not, or who may be reading this years > from now, I have to ask: What do you mean by that statement? > Phil Flap's Reply: NTI's have indications but so do more traditional splints - both soft and hard. Flap http://flapsblog.com > NTI's have indications but so do more traditional splints - both soft > and hard. Like much of what Falp says, this is incorrect. Signature/ Amatus / > Traditional, full-coverage splints aren't worth the alginate > to take the impression, the acrylic to fabricate one, or the [quoted text clipped - 30 lines] > > http://flapsblog.com > Traditional, full-coverage splints aren't worth the alginate > to take the impression, the acrylic to fabricate one, or the [quoted text clipped - 8 lines] > > Fawks My dentist friend doesn't seem to think much of the NTI. I suggested that he come here to discuss it, but he doesn't seem at all interested. I'm going to ask him if it's okay for me to post some of his comments here. Then you folks can discuss his criticisms of the NTI-tss. I will then forward your comments to him. I think this will be worthwhile since I'm sure that he's not the only dentist to think the way he does. My guess is that he got a lot of his ideas from the continuing education courses he has taken. Who knows, maybe he will begin to reconsider his position regarding the NTI. Then again, maybe he's right and you guys are wrong. ;-) Phil >Who knows, >maybe he will begin to reconsider his position regarding the NTI. Then >again, maybe he's right and you guys are wrong. ;-) > >Phil Sorry that's just not possible. <g> -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > I think this will be worthwhile since I'm sure that he's not the only > dentist to think the way he does. My guess is that he got a lot of his > ideas from the continuing education courses he has taken. Who knows, > maybe he will begin to reconsider his position regarding the NTI. Then > again, maybe he's right and you guys are wrong. ;-) Maybe he took CE from B. Stack, or was brainwashed in DS to only use the famous horse-shoe. Signature/ Amatus / >> Traditional, full-coverage splints aren't worth the alginate >> to take the impression, the acrylic to fabricate one, or the [quoted text clipped - 22 lines] > > Phil After you spend $10,000 going to LVI or Pankey and 'buy' into their theories, it's hard to accept the fact that the emperor has no clothes. :-) Fawks > I think this will be worthwhile since I'm sure that he's not the only > dentist to think the way he does. My guess is that he got a lot of his [quoted text clipped - 3 lines] > > Phil Well said Fawks. > After you spend $10,000 going to LVI or Pankey and 'buy' into > their theories, it's hard to accept the fact that the emperor [quoted text clipped - 10 lines] >> >> Phil > After you spend $10,000 going to LVI or Pankey and 'buy' into > their theories, it's hard to accept the fact that the emperor > has no clothes. > > :-) > Fawks Does the name "Pete Dawson" ring a bell? My dentist friend has mentioned him several times, and has basically indicated that his own approach is based on what he learned from this Dawson fellow. Phil > Does the name "P D" ring a bell? My dentist friend has > mentioned him several times, and has basically indicated that his own > approach is based on what he learned from this Dawson fellow. Aha! You have a bit too much knowledge for an average patient. You are either much more interested in dentistry than any lay-person I have ever met, or you have a line in the water. Try chasing backwards along the research cited by Dr. D. Signature/ Amatus / >> After you spend $10,000 going to LVI or Pankey and 'buy' into >> their theories, it's hard to accept the fact that the emperor [quoted text clipped - 8 lines] > > Phil >> Does the name "P D" ring a bell? My dentist friend has >> mentioned him several times, and has basically indicated that his own [quoted text clipped - 5 lines] > >Try chasing backwards along the research cited by Dr. D. The poster is either Carabelli or Sue Madden ... Wait a minuite ... Is Carabelli really Sue Madden? > > Does the name "P D" ring a bell? My dentist friend has > > mentioned him several times, and has basically indicated that his own [quoted text clipped - 5 lines] > > Try chasing backwards along the research cited by Dr. D. I have a scientific background, so maybe that has something to do with it. Besides, whoever said that I am an average patient? :-) I only know what I've been told by various dentists, dental web sites, etc. The problem is that some of the info is conflicting, and I don't know which is valid and which is BS. So I am trying to figure that out. So, what motivates me? It's simple, really. I don't want to spend $1000 and end up with a next-to-worthless acrylic horseshoe. Before I spend that kind of money on a splint, there had better be (properly designed) clinical studies validating its efficacy. Phil >I have a scientific background, so maybe that has something to do with >it. Besides, whoever said that I am an average patient? :-) Okay, convince me you do not have a baited line in the water and we will happily go into great detail for you. Amatus >> > Does the name "P D" ring a bell? My dentist friend has >> > mentioned him several times, and has basically indicated that his own [quoted text clipped - 20 lines] > >Phil .. Amatus . > So, what motivates me? It's simple, really. I don't want to spend > $1000 and end up with a next-to-worthless acrylic horseshoe. Before I > spend that kind of money on a splint, there had better be (properly > designed) clinical studies validating its efficacy. There are few if any of these kinds of study, owing in no small part to the fact that the symptoms are often subjective, objective measurements are not reproducible, and so much is based on the patients' own reporting of improvement. In short, nailing down valid parameters in repeated measures ANOVA compatibility is practically impossible. So, you won't find any epidemiological studies on the NTI vs conventional splint therapy. Therefore, from a $$$ standpoint alone, I would suggest you have an NTI made. Over your'n, it costs anywhere from 250$ to 450$, and what you need to know is what has been described here. You definitely want a practitioner who has placed more than a few, and preferably, as SF has said, you want a practitioner who has fought his way through a few tough cases and pulled them out on the winning side. Me, I'm still learning to place NTI's, but from the results I have had in placing a few (somewhere between fifteen and twentyfive; I don't keep stats) I would definitely say the NTI is your best bet. Now.... go steal a chicken.... SP SignatureTake out the TRASH to reply I think Pankey was first and Dawson was his protÈgÈ. They are often used in the same sentence. Well respected leaders in their day. They even talked of using a Lucia jig in some of their treatment. An NTI is basically a Lucia jig on steroids. The big difference is that Pankey/Dawson (and to an extent LVI) are 'Occlusionists'. That is they believe if they can construct the *perfect occlusion*, then destruction of teeth and jaw pain will disappear. They do have excellent schemes to plan reconstruction and design a dentition that will be resistant to bruxism/clenching. These reconstructions are far beyond the average person's finances and do not fully address parafunction. NTI doc's are 'anti-occlusionists'. We believe that stopping *too much occlusion* is what really matters. Stopping parafunction prevents most symptoms and preserves the teeth. Total reconstruction to get 'the perfect bite' (which is debatable and very elusive anyway!) is usually not necessary. More effective/less expensive. What's not to like? JME, Fawks >>After you spend $10,000 going to LVI or Pankey and 'buy' into >>their theories, it's hard to accept the fact that the emperor [quoted text clipped - 8 lines] > > Phil >I think Pankey was first and Dawson was his protÈgÈ. >They are often used in the same sentence. There was a third guy, Dr. Hanky. But they figured they would not get much business if the company were named, Hanky-Pankey." >Well respected leaders in their day. They even talked >of using a Lucia jig in some of their treatment. An NTI [quoted text clipped - 32 lines] >> >> Phil >>I think Pankey was first and Dawson was his protÈgÈ. >>They are often used in the same sentence. [quoted text clipped - 3 lines] >But they figured they would not get much business if the company were >named, Hanky-Pankey." I think you have him confused with Mr. Hankey from South Park. Or was that Mr. Haney from Green Acres ? Naw, it was Mr. Hankey. Hankey, Pankey; either way it's just useless sh*t. HideeHo ! -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > NTI doc's are 'anti-occlusionists'. We believe that stopping > *too much occlusion* is what really matters. Oh.... ...And here I was thinking we were Anti-Bob religious terrorist heathen anarchy-driven Lexan pushers.... ;-) SP SignatureTake out the TRASH to reply >> After you spend $10,000 going to LVI or Pankey and 'buy' into >> their theories, it's hard to accept the fact that the emperor [quoted text clipped - 8 lines] > >Phil We do not know him personally, but when we want to up the fees quite a bit, we toss out his name ...... Why do you ask? Joel > After you spend $10,000 going to LVI or Pankey and 'buy' into > their theories, it's hard to accept the fact that the emperor > has no clothes. > > :-) > Fawks I am never ever going to open one of you posts again with a beverage in hand. VBG Dan >I recently asked a dentist friend of mine the following question: > [quoted text clipped - 10 lines] > >Phil Yep. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2009 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.