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NTI
Tension Suppression System
The most effective FDA-approved method of
migraine prevention
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Less than a teaspoon of
TPBs will adequately reline an NTI device
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Submerge the TPBs in hot
water (or microwave in a mug of water)...
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...the beads will
coalesce...
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...and become like putty.
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Load device after confirming a
acceptable try-in
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Final delivery following
final
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No canine contact
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Protrusive. Distal end of
DE can be reduced if clenching is painful
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No canine contact
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To prevent the dislodgement
of the TPB material (shown at left), wrap the material around the
lingual wall and allow to fill the spaces adjacent to the Discluding
Element.
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Upon initial seating of a
TPB-loaded
device, border mold the excess and allow to begin to cool. When
the TPB material becomes grey but not yet fully opaque, remove the
device with a snapping motion and drop into a cup of cold water.
It will quickly harden. The internals can be trimmed with a
scalpel. Use a large lab bur for external sculpting with quick,
brush strokes to avoid gumming up the blades.
TPBs can be pre-loaded into
a disposable syringe
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Submerge the syringe in
very hot water to melt and coalesce the beads
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Inject into the
device. Syringe with TPBs can be reheated
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TPB material is translucent
upon initial insertion
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Interproximal
"wings" can be trimmed as you would SNAP... or use the "pump on and
off" method prior to immersing in cold water.
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Pre-sculpt the linguo-apico
ledge of the DE prior to loading with TPBs. TPB material has been
"wrapped around" to prevent dislodgement
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To extend
the device to enhance retention, more TPB can be added to existing
cured TPB material.
Dip the exposed TPB material (at the distal ends of the device) into
very hot
water for 3-5 seconds, thereby creating a "sticky" layer. TPB
material in the warm, clear putty stage will "bond" to the sticky
layer, and can be manipulated to extend the extensions of the device.
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To enhance retention, shape
the TPB
material to form "lingual wings" prior to initial insertion.
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Press the
material against the lingual surfaces of the teeth lateral to the
device and allow patient's
tongue to press material against their teeth while biting gently on the
DE. When the materials cools slightly to achieve its grey opacity
stage, remove and replace, remove and replace (thereby eliminating any
excessively prominent undercuts)...
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...then immerse in cold
water, thereby allowing the material to slightly shrink and allow for
"clunck it" fit.
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Crooked or uneven mandibular
incisors make the fabrication of a lower device using SNAP acrylic a
challenge.
The utilization of the TPBs is far less time-consuming, and just as
effective.
Initial insertion while TPB
is
transparent.
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Comfortable closing on device
while TPB cools
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Internal interproximal wings can
easily be excised with a scalpel
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Retruded clench reveals
excessive protrusion of the DE.
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Unaltered device may create
excessive VDO in protrusive
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Labial protrusion of DE
reduced.
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Comfortably clenching
on final devise.
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Reduced distal end of DE
(reduce as needed so as to make
protrusive clenching not painful)
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