APPLIANCE SELECTION = NOT BASED ON SCIENCE 1) One appliance fits all 2) Appliance with best marketing 3) Appliance of guru #3 4) Only appliance taught by Dental School, 5) HYPE-latest and greatest 6) Appliance easiest to deliver 7) Appliance lab provided told you appliance 8) Appliance makes most money 9) Appliance requested by patient
Are you caring for patients needs or just selling an appliance.
Read "Confusing Appliances" or do your own research into science of appliances.
The purpose of each piece MAGIC plastic is hidden somewhere in all that sales rhetoric. Beware there is always limited science in there somewhere, but like all brain washing it is full of half truths. What do you think internet or stores are doing, offering a service ??? You do realize there is no agency that regulates appliances; so, let's invent the "Raleigh appliance" and add some extra plastic for creativity. Our appliance is design to help your wallet loose weight. Boy does that leave bad taste in my mouth !!!
Concern-problems-needs: why appliances are prescribed:
Please research appliance science:
1) Sensitivity: 2) Parafunction 3. Damage to TMD
Appliances side effects 1) soft bite guard:== increase grinding, bulky, difficult breath night, difficult wear 2) Hybrid (soft/ hard): increase clench, can’t reline, cannot repair, cannot adapt to new crown or implant 3) Nightguard - ineffective dual bites, ineffective destructive grinding, breaks/cracks/wears out destructive grind 4) Orthotic-cost, needs refining 6 months, 1 tool ineffective on destructive grind, need for specialist
1. Use for mild to mild (+) damage TMD 2. Design: mostly full coverage, hard throughout, accuracy varies 3. Provides more accurate bite w/o expensive Cr & Br 4. Clenching decreases by degree accuracy 5. Training nightguards at Dawson-Pankey training 6. Do not use on destructive bruxers, they can break them 7. Do not use restricted opening-not accurate or powerful enough
1. Appliance used w/ chewing system orthopedics 2. Requires high degree accuracy 3. Requires 2-3 years as resident to train level of accuracy 4. Design: full coverage, hard throughout, flat post plane, anterior guidance 5. Used for Restricted opening, Osteoarthritis, Destructive parafunction, Chronic jaw pain, Trauma 6. Orthotic is not stand-alone appliance, it requires chewing system orthopedics to be effective 7. What makes orthotic have more benefits: design, material, accuracy
NTI-Anterior Deprogrammer 1. Partial coverage on anterior teeth 2. Changes bite if worn too long 3. Decrease muscle power 4. Do not use in destructive grinder 5. Fo short term or in office use 6. Never use on restricted opening, effusion, or osteoarthritis 7. Good test for atypical toothache 8) Do not use moderate to severe damage TMD 9) Increase loading on TMD's
ARS (Anterior Repositioning Splint) 1. Major changes to bite 2. Need braces or reconstruction to fix bite changes 3. Sets condyle on slippery incline down eminence 4. Causes unstable bite 5. Muscle brace to hold condyle on slick slope 6. Add this muscle bracing to all other muscle recruiters 7. Do not wear 24/7 for prolong period 8) Benefit pulls condyle away inflamed retrodiscal tissue 9) Do not use destructive grinders 10) Do not use on moderate to severe damage TMD
Sources of appliance training:
Dentist appliance training:
Appliances that increase clenching & grinding: 1. Biteguard: soft 2. Hybrid: Soft Hard 3. Nightguard: inaccurate
Facts about appliances
CAUTION: ARS & NTI: Can cause bite changes that cost thousands to correct. 1) ARS: anterior repositioning appliance: brings jaw joint down and forward from it's proper place on slick incline held muscles causing posterior open bite, which has to be treated with braces or crown/bridge. This was invented by self appointed guru, who decided how "he" would treat TMD regardless of science. You decide if these slick salesman based on no science have right to put your jaw joint where a unproven machine says it should go. 2) NTI: prefab anterior deprogrammer: a button plastic on front teeth; deprograms muscles to reduce contraction rate and power, best use is in muscle pain cases or mild damage to jaw joint. The major concern when NTI first came out we did not know the side effect of the appliance. If a patient is worn NTI all time, it can change bite. Most conscientious dentist warn the patient not wear NTI full time, but few patients did not return for guidance and cause anterior open bite.
THE PENNY PINCHER: The patient was told by hygienist and dentist that she needed a nightguard for her clench-grind. She asked cost of the hard nightguard, then researched internet for cost of soft biteguard. She ordered soft biteguard after taking her own impressions without researching purpose of different appliances. The cost difference between the biteguard and the nightguard was several hundred dollars; so, thinking she was getting the same appliance for less he bought biteguard. After 2 weeks of wearing biteguard, her clench/grind increased, tightness in her jaw, and increase in temple headaches. Not only did she waste money buying soft biteguard but she had increase jaw pain and tension headaches which required extensive management.
Purpose orthotic & chewing system orthopedics
With all this science needed to select right appliance, what are chances of getting internet appliance to be effective at treating your specific problem. As grandpa use to say, it be like Blind hog finding an acorn.
APPLIANCE SELECTION = NOT BASED ON SCIENCE 1) One appliance fits all 2) Appliance with best marketing 3) Appliance of guru #3 4) Only appliance taught by Dental School, 5) HYPE-latest and greatest 6) Appliance easiest to deliver 7) Appliance lab provided told you appliance 8) Appliance makes most money 9) Appliance requested by patient
Are you caring for patients needs or just selling an appliance.
Read "Confusing Appliances" or do your own research into science of appliances.
The purpose of each piece MAGIC plastic is hidden somewhere in all that sales rhetoric. Beware there is always limited science in there somewhere, but like all brain washing it is full of half truths. What do you think internet or stores are doing, offering a service ??? You do realize there is no agency that regulates appliances; so, let's invent the "Raleigh appliance" and add some extra plastic for creativity. Our appliance is design to help your wallet loose weight. Boy does that leave bad taste in my mouth !!!
Concern-problems-needs: why appliances are prescribed:
Please research appliance science:
1) Sensitivity: 2) Parafunction 3. Damage to TMD
Appliances side effects 1) soft bite guard:== increase grinding, bulky, difficult breath night, difficult wear 2) Hybrid (soft/ hard): increase clench, can’t reline, cannot repair, cannot adapt to new crown or implant 3) Nightguard - ineffective dual bites, ineffective destructive grinding, breaks/cracks/wears out destructive grind 4) Orthotic-cost, needs refining 6 months, 1 tool ineffective on destructive grind, need for specialist
1. Use for mild to mild (+) damage TMD 2. Design: mostly full coverage, hard throughout, accuracy varies 3. Provides more accurate bite w/o expensive Cr & Br 4. Clenching decreases by degree accuracy 5. Training nightguards at Dawson-Pankey training 6. Do not use on destructive bruxers, they can break them 7. Do not use restricted opening-not accurate or powerful enough
1. Appliance used w/ chewing system orthopedics 2. Requires high degree accuracy 3. Requires 2-3 years as resident to train level of accuracy 4. Design: full coverage, hard throughout, flat post plane, anterior guidance 5. Used for Restricted opening, Osteoarthritis, Destructive parafunction, Chronic jaw pain, Trauma 6. Orthotic is not stand-alone appliance, it requires chewing system orthopedics to be effective 7. What makes orthotic have more benefits: design, material, accuracy
NTI-Anterior Deprogrammer 1. Partial coverage on anterior teeth 2. Changes bite if worn too long 3. Decrease muscle power 4. Do not use in destructive grinder 5. Fo short term or in office use 6. Never use on restricted opening, effusion, or osteoarthritis 7. Good test for atypical toothache 8) Do not use moderate to severe damage TMD 9) Increase loading on TMD's
ARS (Anterior Repositioning Splint) 1. Major changes to bite 2. Need braces or reconstruction to fix bite changes 3. Sets condyle on slippery incline down eminence 4. Causes unstable bite 5. Muscle brace to hold condyle on slick slope 6. Add this muscle bracing to all other muscle recruiters 7. Do not wear 24/7 for prolong period 8) Benefit pulls condyle away inflamed retrodiscal tissue 9) Do not use destructive grinders 10) Do not use on moderate to severe damage TMD
Sources of appliance training:
Dentist appliance training:
Appliances that increase clenching & grinding: 1. Biteguard: soft 2. Hybrid: Soft Hard 3. Nightguard: inaccurate
Facts about appliances
CAUTION: ARS & NTI: Can cause bite changes that cost thousands to correct. 1) ARS: anterior repositioning appliance: brings jaw joint down and forward from it's proper place on slick incline held muscles causing posterior open bite, which has to be treated with braces or crown/bridge. This was invented by self appointed guru, who decided how "he" would treat TMD regardless of science. You decide if these slick salesman based on no science have right to put your jaw joint where a unproven machine says it should go. 2) NTI: prefab anterior deprogrammer: a button plastic on front teeth; deprograms muscles to reduce contraction rate and power, best use is in muscle pain cases or mild damage to jaw joint. The major concern when NTI first came out we did not know the side effect of the appliance. If a patient is worn NTI all time, it can change bite. Most conscientious dentist warn the patient not wear NTI full time, but few patients did not return for guidance and cause anterior open bite.
THE PENNY PINCHER: The patient was told by hygienist and dentist that she needed a nightguard for her clench-grind. She asked cost of the hard nightguard, then researched internet for cost of soft biteguard. She ordered soft biteguard after taking her own impressions without researching purpose of different appliances. The cost difference between the biteguard and the nightguard was several hundred dollars; so, thinking she was getting the same appliance for less he bought biteguard. After 2 weeks of wearing biteguard, her clench/grind increased, tightness in her jaw, and increase in temple headaches. Not only did she waste money buying soft biteguard but she had increase jaw pain and tension headaches which required extensive management.
Purpose orthotic & chewing system orthopedics
With all this science needed to select right appliance, what are chances of getting internet appliance to be effective at treating your specific problem. As grandpa use to say, it be like Blind hog finding an acorn.
Grinding enlarges Medical Pterygoid which reduces pipe size on both sides of air pipe increasing chance of having Sleep Apnea
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