Dentaltown February 2022 - 33

EARNED PLACEMENT
appliance causes supraeruption. I asked
him, 'If you had a patient in treatment and
you needed to extrude #2 and #15, but
you couldn't place any brackets on them,
couldn't use an appliance, and the teeth
were in normal function 16 hours every
day, how long would it take to move
those molars?'
" You know what he said? 'I couldn't
do it, so maybe it's actually intrusion.' "
That takes us to the next myth...
MYTH #2:
" All of the forces from
the appliance are on the
opposing anteriors. This
intrudes them and causes
an anterior open bite. "
Myth busted: I always want what's
best for my patients-always. So I dug
deeper on this myth. At first glance, it
seems to hold some water: All the bite
forces are centered on the opposing
anteriors while the NTI is worn. The myth
is full of holes and easily debunked when
we consider the device reduces bite
forces by approximately 70%. In this case,
less is more.
MYTH #3:
" It's so small, patients
will swallow it. "
Myth busted: The standard coverage
of the NTI-tss Plus is canine-to-canine.
The small size makes it extremely comfortable
for patients to wear at night.
Several bruxing patients told me, " Uh-uh,
no way, I'm not wearing a nightguard. "
After showing them how small the NTI-tss
Plus is, they changed their minds and
wear it every night.
Relatively speaking, it is very small
and because of this, some clinicians tout
the myth that the device is frequently
swallowed and aspirated. Consider that the
device is much larger than any temp crown
your patient is sleeping in. Also, consider
dentaltown.com \\ FEBRUARY 2022 33
that the device is custom-fabricated for
an ideal fit. At delivery, we always instruct
patients to use all the force they can
muster to try to remove the device with
their tongue or lips.
Lastly, consider what was found in
the Patterns of Use for an Enhanced
Nociceptive Trigeminal Inhibitory Splint
published in 2011. It documented more
than 78,000 NTI deliveries by more than
500 dentists and there were " no cases
of aspiration verified by radiographic
imaging. " 4
MYTH #4:
" It changes people's bites. "
Myth busted (kind of): Is this true?
Maybe you've even seen a case yourself.
They aren't exactly Yetis, but they're close.
This claim is tied to the first two
debunked myths. My patients are aware of
this potential side effect because treatment
is explained thoroughly, and they sign an
informed consent form.
In extremely rare occurrences, can
the NTI therapeutic protocol potentially
contribute to a bite change? In Patterns
Fig. 1

http://www.dentaltown.com

Dentaltown February 2022

Table of Contents for the Digital Edition of Dentaltown February 2022

Howard Speaks: It's What You Say—And How You Say It
Professional Courtesy: Powered By People And Technology
Continuing Education Update
Poll: Endodontics
Message Board: What’s the Best Margin Style for Zirconia? Shoulder, Chamfer, Modified Chamfer? Which Bur?
Message Board: Aggressive Reactions to Nasty Social Media Posts
Product Profile: Comfort3D Bite Splint
Enhancing Efficiencies -- Dr. Daniel Bird
6 Steps To Consistently Maximize Your Productivity -- Dr. Derek Williams
Ad Index
3's A Charm -- Dr. John A. Wilde
Reviews And Raises -- Sandie Baillargeon
Bring Out Your Best -- Jay Geier
Dentally Incorrect
Dentaltown February 2022 - Intro
Dentaltown February 2022 - Cover1
Dentaltown February 2022 - Cover2
Dentaltown February 2022 - 1
Dentaltown February 2022 - 2
Dentaltown February 2022 - 3
Dentaltown February 2022 - 4
Dentaltown February 2022 - 5
Dentaltown February 2022 - 6
Dentaltown February 2022 - 7
Dentaltown February 2022 - 8
Dentaltown February 2022 - 9
Dentaltown February 2022 - Howard Speaks: It's What You Say—And How You Say It
Dentaltown February 2022 - 11
Dentaltown February 2022 - 12
Dentaltown February 2022 - 13
Dentaltown February 2022 - Professional Courtesy: Powered By People And Technology
Dentaltown February 2022 - 15
Dentaltown February 2022 - Continuing Education Update
Dentaltown February 2022 - 17
Dentaltown February 2022 - 18
Dentaltown February 2022 - 19
Dentaltown February 2022 - Poll: Endodontics
Dentaltown February 2022 - 21
Dentaltown February 2022 - Message Board: What’s the Best Margin Style for Zirconia? Shoulder, Chamfer, Modified Chamfer? Which Bur?
Dentaltown February 2022 - 23
Dentaltown February 2022 - 24
Dentaltown February 2022 - 25
Dentaltown February 2022 - Message Board: Aggressive Reactions to Nasty Social Media Posts
Dentaltown February 2022 - 27
Dentaltown February 2022 - 28
Dentaltown February 2022 - 29
Dentaltown February 2022 - Product Profile: Comfort3D Bite Splint
Dentaltown February 2022 - 31
Dentaltown February 2022 - 32
Dentaltown February 2022 - 33
Dentaltown February 2022 - 34
Dentaltown February 2022 - 35
Dentaltown February 2022 - Enhancing Efficiencies -- Dr. Daniel Bird
Dentaltown February 2022 - 37
Dentaltown February 2022 - 38
Dentaltown February 2022 - 39
Dentaltown February 2022 - 40
Dentaltown February 2022 - 41
Dentaltown February 2022 - 6 Steps To Consistently Maximize Your Productivity -- Dr. Derek Williams
Dentaltown February 2022 - 43
Dentaltown February 2022 - 44
Dentaltown February 2022 - 45
Dentaltown February 2022 - 46
Dentaltown February 2022 - 47
Dentaltown February 2022 - 48
Dentaltown February 2022 - Ad Index
Dentaltown February 2022 - 3's A Charm -- Dr. John A. Wilde
Dentaltown February 2022 - 51
Dentaltown February 2022 - 52
Dentaltown February 2022 - 53
Dentaltown February 2022 - 54
Dentaltown February 2022 - 55
Dentaltown February 2022 - Reviews And Raises -- Sandie Baillargeon
Dentaltown February 2022 - 57
Dentaltown February 2022 - 58
Dentaltown February 2022 - 59
Dentaltown February 2022 - 60
Dentaltown February 2022 - Bring Out Your Best -- Jay Geier
Dentaltown February 2022 - 62
Dentaltown February 2022 - 63
Dentaltown February 2022 - Dentally Incorrect
Dentaltown February 2022 - Cover3
Dentaltown February 2022 - Cover4
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