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NTI Tension Suppression System
The FDA has cleared for marketing
for the first time, a device that prevents medically diagnosed migraine
pain, tension-type headache, and jaw disorders ("TMJ"), without drugs
or surgery, through the reduction of trigeminally innervated muscular
activity.
Are you one of those who are uneasy regarding dentistry? Check out the
book: "I hate Dentists!"
(and the section on the
NTI-tss)
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Migraine Prevention -- Headache Prevention
The N.T.I. Tension Suppression System is a prefabricated polycarbonate
matrix that a dental practitioner retro-fits to the patient's
teeth . It is completely different from any other type of
mouthpiece. Here's the rationale.
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Chronic symptoms of the head and neck
can often be attributed to:
A) Headache -- the temporalis muscle (it closes and clenches
the jaw)
B) Sinus pressure and pain -- the lateral pterygoid
muscles (it moves the jaw side to side and/or forward)
C) Neck stiffness and pain -- trapezius
muscle (it stabilizes the skull during jaw clenching
and grinding)
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Contraction of the lateral pterygoid (B, above) simply
moves the jaw sideways (or if both contract, front wards). If
the temporalis (A, above) contracts simultaneously (clenching),
the intensity of the temporalis contraction dictates the degree
of resistance the lateral pterygoids encounter when they attempt
to move the jaw sideways (grinding). As temporalis
contraction intensity increases, the lateral pterygoids must work
harder, creating symptoms where the lateral pterygoid muscle
is attached: at the jaw joint and sinuses. This
conflicting and/or isometric contracting of the musculature (called "parafunction",
which occurs during sleep with considerable intensities) obligates
the trapezius (across your upper back and shoulders and attaches
at the base of the skull, C, above) to maintain a tightened
posture, thereby causing stiff and sore shoulders and/or neck.
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(above) When there is temporalis contraction (clenching) exclusively
(no lateral pterygoid activity, that is, not sideways of forward
movement), the jaw joint and sinuses are less strained, while resultant
temporalis pain may be considerable. Tension-type headache
patients without jaw disorders clench their jaws 14 times more intensely
while sleeping than do asymptomatic controls You can feel your temporalis
muscles bulging out when clenching vigorously.
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"Traditional" full coverage dental mouthpieces.
Top: Soft and covers over the entire arch Bottom: Hard
and covers only the biting surfaces |
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A traditional dental mouthpiece, or splint, reduces the resistance
to side-to-side movement thereby reducing the effort and
resultant strain to the jaw joint and sinuses (so long as clenching
intensity isn't too intense). However, the same splint
also provides an ideal clenching surface, where maximum clenching
intensity may increase and/or allow jaw joint problems to perpetuate. |
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The NTI device is a pre-fabricated matrix that your
dentist retro-fits and customizes to your front teeth (sometimes
the device is adapted to the lower front teeth...it will still work
the same). |
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If only the front teeth are engaged (like biting on a pencil,
for example), the temporalis is prevented from achieving its
maximum contraction intensity! |
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The NTI device snaps into place and fits comfortably on either
the upper or lower front teeth. It is worn during sleep and
prevents the intensity of muscular parafunction. For migraine
sufferers, there is a more discreet version for daytime use, which
is usually required (in addition to the pictured nighttime device)
for 6 to 8 weeks for best results.
Chronic, intense nighttime muscular parafunction has been shown
to be a considerable influence on the triggering of migraine
events. In clinical trials, 82% of medically diagnosed
migraine patients had a 77% reduction in migraine episodes within
the first eight weeks of use.
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