NTI-TSS.com - The most effective FDA-approved method of migraine prevention

 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, pump the device on and off a couple of times, and then allow to set until nearly white, then immerse in cold water.

For optimal retention, initially 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. Pre-sculpt the device prior to loading with the TPBs. Following final set, you can use a large lab bur for external sculpting with quick, brush strokes to avoid gumming up the blades. To make smooth again (if necessary), dip just the external edge portion back into hot water for 4 to 5 seconds, then seat back onto the teeth.

Less than a teaspoon of TPBs will adequately reline an NTI device	Submerge the TPBs in hot water (or microwave in a mug of water)...	...the beads will coalesce...
...and become like putty.	Load device after confirming a acceptable try-in	Final delivery following final
No canine contact	Protrusive. Distal end of DE can be reduced if clenching is painful	No canine contact
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.

Practitioners who use this method pre-warm the TPB's within the syringe far in advance, and keep in a warmed bath throughout the day.

TPBs can be pre-loaded into a disposable syringe	Submerge the syringe in very hot water to melt and coalesce the beads	Inject into the device.  Syringe with TPBs can be reheated
TPB material is translucent upon initial insertion	Interproximal "wings" can be trimmed as you would SNAP... or use the "pump on and off" method prior to immersing in cold water.	Pre-sculpt the linguo-apico ledge of the DE prior to loading with TPBs. TPB material has been "wrapped around" to prevent dislodgement

	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.
	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)...
To enhance retention, shape the TPB material to form "lingual wings" prior to initial insertion.		...then immerse in cold water, thereby allowing the material to slightly shrink and allow for "clunck it" fit.

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.	Comfortable closing on device while TPB cools	Internal interproximal wings can easily be excised with a scalpel
Retruded clench reveals excessive protrusion of the DE.		The unaltered distal end of the DE  may create excessive VDO in protrusive (see below)
Labial protrusion of DE reduced.	Comfortably clenching on final device.	Reduced distal end of DE (reduce as needed so as to makeprotrusive clenching not painful)