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Medical Forum / General / Dentistry / February 2007

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NTI Use

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Dartos - 14 Feb 2007 14:27 GMT
Sometimes I get the feeling that the NTI just hasn't
been given the credit that it deserves and I am
amazed that more people haven't heard of the device.

After answering the last 'TMJ' question, I checked the
NTI website for dentists in Kansas City who list that
they use the NTI.

Seven years ago, there might have been 5-10.  Now there
are more than 80! (including suburbs)  There may be
that many more who don't choose to be listed.

It may not be as flashy as veneers and bleaching, but
it is making it to the mainstream.

:-)
D
Tim Dixon - 14 Feb 2007 20:02 GMT
> Sometimes I get the feeling that the NTI just hasn't
> been given the credit that it deserves and I am
[quoted text clipped - 13 lines]
> :-)
> D

Steve keep in mind that not every dentist who provides the NTI has chosen to
be listed in the "Find-a-Dentist" database at www.headacheprevention.com

I think there are currently 15,000 + dentists (general and specialists) that
are currently using the NTI just in the USA.  There are thousands more
world-wide and the list grows daily.  There are several million devices in
service at this time as well.  NTI is slowly making it to mainstream
dentistry as is considered in many neuro practices as first line defense for
migraine pain prevention.

This month in San Diego there will be a two day ABC's of TMD's (trigeminally
mediated disorders- coined by James P. Boyd DDS and Andrew Blumenfeld, MD)
course at the Sheraton with James P. Boyd DDS and Barry Glassman, DMD,
presenting as well as a 3rd day holding a Botox® Dental course taught by
Andrew Blumenfeld, MD, a national expert and trainer in Botox®.

Slowly but surely new clinicians are being trained in the use of NTI and the
cause and effect will only grow in time.

As always,

TD
Dartos - 14 Feb 2007 21:17 GMT
Nice to see the way that they are spreading.

It is a popular treatment modality with most on the other dental
site that I frequent also.  Hard to beat 'most effective', 'least
expensive', simplest, and 'least invasive' all in the same device.

I wonder how many I've made over the years.  I think I can safely
say 'hundreds'.

D

> Slowly but surely new clinicians are being trained in the use of NTI and the
> cause and effect will only grow in time.
>
> As always,
>
> TD
Newbie - 14 Feb 2007 22:38 GMT
>Nice to see the way that they are spreading.
>
[quoted text clipped - 6 lines]
>
>D

Makes me wonder: Do ya think Dr. Jim & Co. have kept records of
your orders ? You could find out a more specific number.
Bet it's thousands.

Dr. SM said once started making the NTI that I would never go back.
And am glad to say that I haven't !!!

>> Slowly but surely new clinicians are being trained in the use of NTI and the
>> cause and effect will only grow in time.
>>
>> As always,
>>
>> TD
equesnel@unm.edu - 14 Feb 2007 23:48 GMT
> Sometimes I get the feeling that the NTI just hasn't
> been given the credit that it deserves and I am
[quoted text clipped - 13 lines]
> :-)
> D

I'm curious now -- how much does this NTI device cost?  It looks
simple enough and must be much easier to use than the old-fashioned,
bulky night guard I have.

Eva
Steven Fawks - 15 Feb 2007 04:21 GMT
> I'm curious now -- how much does this NTI device cost?  It looks
> simple enough and must be much easier to use than the old-fashioned,
> bulky night guard I have.
>
> Eva

How much did you pay for your bulky, ineffective piece of C*** that
you have?  The NTI is worth twice that much, but probably won't
cost you any more.

I could tell you what I charge, but I'm in the rural midwest and
know that the NTIs help me almost as much as they help my patients.

;-)
Steve
equesnel@unm.edu - 15 Feb 2007 15:47 GMT
> > I'm curious now -- how much does this NTI device cost?  It looks
> > simple enough and must be much easier to use than the old-fashioned,
[quoted text clipped - 11 lines]
> ;-)
> Steve

I paid $350 for the piece of c***.  It's OK -- you don't need to tell
me how much you charge.  I can research it myself or maybe ask about
it today.  I'm going in this morning for a follow-up with the oral
surgeon.  Thanks, Steve.  :-)  Oh, and the $350 was the price I paid
back in the 1980s.  So I'm sure they're more now.

Eva
The Webby - 15 Feb 2007 22:27 GMT
> > > I'm curious now -- how much does this NTI device cost?  It looks
> > > simple enough and must be much easier to use than the old-fashioned,
[quoted text clipped - 19 lines]
>
> Eva

In all fairness, the 1980s were a long time ago in many ways.  But in
some cases, it wouldn't matter whether a "splint" or a "splint" is used.  
If the treatment doesn't fit the diagnosis ... anything done will be
"c***".

I paid $1500.00 for a particular type of "splint" that even the dentist
who recommended it thought it would more than likely not change a thing.  
The idea was to try to make space inside the joints to free up the
displaced discs which were "locked" out of place following surgical
trauma during orthognathis (not TMJ) surgery.  My discs were fused in a
space that was also found to be fused; joint to skull.  The "splint"
didn't have a chance of making any difference whatsoever.  It wasn't
about stopping clenching or bruxing.  It was about encouraging the
condyles to move downward and to stay there! That was a 24/7 device and
no mouth closing without splint in place was allowed without risking any
progress that had been made.  It was a difficult time all about pain and
severe loss of jaw function and nothing got better.

As helpful as the NTI has become in all sorts of applications, it
wouldn't have made any difference in my case.  So ... you have to be
careful to remember that the NTI is only as good as it is if it is
prescribed for use in a properly selected patient candidate.  !!  ;-)  
Otherwise, you just get another piece of "c***".

Webby
The Webby - 15 Feb 2007 22:30 GMT
In article
<tmjiatroepidemic-8A0286.14273415022007@news.phx.highwinds-media.com>,

> The idea was to try to make space inside the joints to free up the
> displaced discs which were "locked" out of place following surgical
> trauma during orthognathis [sic] (not TMJ) surgery.

Typos, typos.  *orthognathic* ...

Webby
equesnel@unm.edu - 17 Feb 2007 21:18 GMT
> In article <1171554475.449000.28...@a75g2000cwd.googlegroups.com>,
>
[quoted text clipped - 48 lines]
>
> Webby

Well, a lot of what you said just went right over my head.  I dunno.
I have to keep trying to find a solution.  That's all I know for
sure.  Meep.

Eva
The Webby - 18 Feb 2007 02:20 GMT
> > In article <1171554475.449000.28...@a75g2000cwd.googlegroups.com>,
> >
[quoted text clipped - 54 lines]
>
> Eva

Okay.  Fifteen-hundred (1500) dollars -- $1500.00 was a lot to spend on
a "splint" in 1984 for one month's use, all the while knowing that it
more than likely would not help the situation.  But, on the other hand,
it was a drop in the bucket compared to how much I had already spend
trying to find a solution to my problems that started *only* after a jaw
surgery went horribly wrong and secretly so ... Trying to find a
solution to a secret ... now that's not easy.  All in all, the $1500.00
splint didn't work and I ended up needing maxillofacial surgery anyway.  
First the surgeon had to operate to remove a large fractured piece of
bone that was lodged and fused to my cheekbone.  That was a much more
complicated surgery than expected and the recovery time took months.  As
soon as I was strong enough, but extremely debilitated, the surgeon had
to go into both joints and chip away all the bone that had fused the
joints to the skull.  

Splints?  Splints don't work for a problem like that.  Not *any* splint
because the only solution to those problems was the knife.  My point is
that no matter how effective an NTI is, it's only effective if it's
being used to treat something that it is effective at treating.

Soooo......  that may be even more confusing but that's the way my life
got to be once the snowball started rolling down the snowy slope.  BTW,
all my care to date has cost probably around three-quarters of a million
dollars (maybe more -- maybe less).  There's no point in counting.  You
may say that my situation doesn't seem to apply.  I would say it does.

Webby
equesnel@unm.edu - 18 Feb 2007 16:10 GMT
> In article <1171747090.681872.258...@v33g2000cwv.googlegroups.com>,
>
[quoted text clipped - 85 lines]
>
> Webby

Wow!  I am sorry you've had such a hard time.  Maybe I should stop
complaining now.  It sounds like you've been through the ringer.  My
problems are much smaller than yours.  I just grind my teeth and have
a sore jaw, which makes my ear hurt, which gives me a headache.  Bless
your pea-picking little heart.  I hope you are coming out of the dark
now.  I wish you well, and I hope you heal.

Eva
hannelypo@gmail.com - 16 Feb 2007 21:26 GMT
> How much did you pay for your bulky, ineffective piece of C*** that
> you have?  The NTI is worth twice that much, but probably won't
[quoted text clipped - 5 lines]
> ;-)
> Steve

What exactly does the NTI do? I am thinking that a well-fitted
mouthpiece/tooth protecter for martial arts or hockey will work just
as good. Unless the NTI/nightguard has other advantages of course...?
Steven Fawks - 16 Feb 2007 22:46 GMT
Conventional bite guards and even sports guards will protect teeth
from damage.

They will not do anything to reduce clenching and sometimes even
increase the clenching activity and intensity.

There are lots of symptoms from clenching that merely protecting
the teeth will not address.

The NTI will reduce the clenching and make take pressure off of the
TMJ, and reduce the hyperactivity of the temporalis muscle.  Lots
of pain goes away (neck, head, tmj, sinus).

If you have zero headaches and no jaw pain, trying an OTC product
(or conventional 'horseshoe') may be fine.  They are much larger
and more difficult to sleep with, but they are cheaper (the OTC
stuff).

D

> What exactly does the NTI do? I am thinking that a well-fitted
> mouthpiece/tooth protecter for martial arts or hockey will work just
> as good. Unless the NTI/nightguard has other advantages of course...?
Newbie - 19 Feb 2007 14:33 GMT
>> How much did you pay for your bulky, ineffective piece of C*** that
>> you have?  The NTI is worth twice that much, but probably won't
[quoted text clipped - 9 lines]
>mouthpiece/tooth protecter for martial arts or hockey will work just
>as good. Unless the NTI/nightguard has other advantages of course...?

Soft mouth guards don't work for TMJ problems, period.

It acts like a chew toy, and you will grind harder.
The Webby - 21 Feb 2007 15:01 GMT
(This reply is the second of two posts which are out of sequence.  Cox
service interruption)

In article <1171815045.102820.283310@v45g2000cwv.googlegroups.com>,
equesnel@unm.edu wrote:

[cut]

> Wow!  I am sorry you've had such a hard time.  Maybe I should stop
> complaining now.  It sounds like you've been through the ringer.  My
[quoted text clipped - 4 lines]
>
> Eva

(I tried to post this and one other yesterday.  Cox had a server
problem.  If for some reason these posts show up twice, it's because Cox
couldn't say whether they were lost for good or ???)

No, no.  I didn't in any way intend by my words to minimize your
problem.  Please accept my apology if it seemed that way to you.  

You were fortunate in some ways that your "condition" which
"necessitated" (my word, not yours and so it may not be correct to say)
a "splint" as treatment did not escalate into TMJ surgery or jaw surgery
for treatment.  Many people were treated for "tinnitus" with total joint
replacement surgeries back then.  I don't know how much of it continues
today.  

The "best minds" of dentistry were for the most part doing their best to
help patients.  But it's easy to create a monster with a "good idea"
that given time, proves not to have been such a "good idea" afterall ...
and in some cases, those ideas were disastrous (TMJ surgeries and joint
implants, for instance).

My "story" is a long one and just so you understand, I'm okay and living
my life with what I've had to learn to live with.  That's just the way
it is.  I have artificial jaw joints that haven't failed since placement
in Jan. 1992.  The long time regulars here in smd know my situation
well.  I've been here in smd since 1994 and so have many others.  

Thank you for your best wishes and I certainly offer the same to you!

Webby
 
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