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A True Breakthrough in Treating TMJ and Sore Jaw Pain
 Do you clench or grind your teeth at night?
 Do you get headaches in the morning? 
 Does your jaw clenching bother your 'significant other'?
 Do you get headaches in the morning? 
 Are you waking up with neck or shoulder pain?  From sore jaws?
 Is it difficult to for you to open your mouth wide?
 Do you suffer from TMJ?
 Do your teeth look or feel worn down?
 Are you suffering from migraines?  From whiplash?

Have we got a
miracle treatment for you!

Although we all grind only on our back teeth, the NTI night guard keeps these teeth from touching at night. This means NO clenching and grinding of your teeth while you sleep, and an often-dramatic reduction in jaw pain and headaches upon awakening, and throughout the day!

The FDA-approved dental device that can help stop headaches, sore jaws, stiff necks, and sensitive teeth

"One out of five patients wake up with varying degrees of head, neck, or facial pain   They are ideal candidates for an NTI type appliance to wear at night."  However, if treatment is ignored, continued abuse of the TMJ, clenching and grinding CAN lead to the following:

 Increasing sensitivity of the teeth to hot and cold drinks.
  Loss of natural shape and white color of your teeth.
 Increased staining and yellowing of the teeth.
In severe cases, TMJ or clenching problems can lead to jaw surgery.
There is a greater chance for fractured teeth.
There is an increased chance of root canals

You may have heard Diane Sawyer on Good Morning America discuss this on TV lately.  It's the new miracle that can eliminate most of your headaches - even migraines.  In fact, this little miracle is approved by the FDA specifically for treatment of migraine headaches.  

What does clenching my teeth have to do with these problems?
The high-intensity contractions of these powerful muscles become painful and the forces generated cause pain to surrounding tissues, joints, and other muscles. By reducing the intensity of the clenching, you're effectively minimizing the source of the pain-in may cases, in just a few days.

What can we do to help?

In one office visit we can create a custom-made NTI-tss. The tiny, clear-plastic device fits over your top two front teeth. You only wear the NTI while you sleep at night. It makes clenching virtually impossible. In a few days or weeks, your clenching reflex is suppressed. Morning headache pain, neck pain, sore jaws, and other related pain associated with involuntary intense clenching usually begins to resolve and disappear


TMJ SCREENING QUESTIONNAIRE

THE FOLLOWING QUESTIONS are part of the TMJ screening questionnaire routinely used in Dr. BEDI office.  They are useful in identifying jaw joint disorders such as clenching and grinding, morning pain, and related headaches.  If two or more apply, please discuss this with your dentist and/or physician.  You may be a candidate for relief from these problems by being fitted with an NTI night splint.
___ Do you sometimes wake up feeling 'headachy'?
___ Do you clench or grind your teeth during the day, or night?
___ Do you ever wake up with neck or shoulder pain? 
___ Do you have difficulty or pain, when opening your mouth?
___ Does your jaw frequently feel stiff, tight, sore or tired?
___ Do you have pain when chewing?
___ Do you ever wake up with pain in your temples or ears?
___ Do you hear clicking or popping sounds when you chew? 
___ Have you ever sought treatment for a TMJ disorder or for headaches?
___ Do your teeth occasionally feel sensitive to cold drinks? 
___ Do your sometimes hear a ringing or buzzing sound in your ears?
___ Do your back teeth occasionally hurt when you are chewing?
___ Do you suffer from jaw pain?
___ Do you have any jaw or shoulder/neck pain from past whiplash?
___ Do you experience dizziness frequently?
___ Are you under a lot of stress?
___ Does it appear you can't open your mouth as wide as you used to?
___ Do your teeth look or feel worn-down?
 

How does the NTI actually work?

The NTI is a small, clear, custom-fitted, plastic device that is about 1 inch wide.  It is placed over the upper or lower front teeth (see picture at the top of page).  The opposing front teeth contact against this device in a way that keeps the back teeth from contacting each other. If those back teeth are not allowed to bang, or clench together, the powerful muscles in your temples can't tighten to produce discomfort or pain. It is this clenching that is considered a significant trigger for even migraine headaches! Studies show that the front teeth are the main ones that give feedback to allow these temple and cheek muscles to RELAX, and this is why the NTI contacts only the front teeth. 

For further questions about TMJ, jaw clenching pain, or the use of the NTI night guard,  please don't hesitate to contact our office by clicking on: contact, or simply call: (813) 780-1403. 
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Frequently Asked Questions About the NTI

Q: What does "NTI" stand for?  A.  Nociceptive (relating to the perception of things that could be harmful); Trigeminal (the nerve that controls the major muscle of mastication, or chewing); Inhibition.  In other words, NTI = Noiciceptive Trigeminal Inhibitor, a device that inhibits the electrical signals to the large cheek muscles, and thereby comfortably controls nightly teeth grinding, bruxing, clenching, and the subsequent pain associated with it.

Q.  Won't teeth supra-erupt while wearing the NTI at night?  A. No. The NTI device is worn primarily while sleeping. Teeth can not supra-erupt since the teeth are stimulated by eating (the night-guard is NOT worn while eating)  

Q.  I heard that some people may get a little open bite.  Is this true?  A.  Although uncommon, if there is any occurrence of a small open bite (space between the upper and lower front teeth) during treatment, this is due NOT to super-eruption of the back teeth, but to a better and more healthy repositioning of the TMJ jaw joint.  It also only occurs in the reduction of TMJ symptoms.  These tiny openings are hardly noticeable!  Note: Dr. BEDI has fabricated over 400 NTI night guards, and has seen only a handful of open bites.  In those cases, the patients are the happiest they've been, due to suppression of their clenching, headaches, and jaw pain when wearing the night guard.

Q. Can you swallow it?  A. Made properly, the NTI device cannot be removed without using your hands. In fact, during the delivery of the NTI, Dr. BEDI will tell the patient to "try as hard as you possibly can to push out the guard with your tongue, lips and teeth! Take 10 seconds, a minute, or however long you wish to try to push it out. The pressure and effort you are trying to loosen the night guard is FAR more than any possible clenching you would ever do in your sleep." 

"GO ON, TRY HARDER!"

They simply can't push out or loosen the guard!  The night guard is secure.  Yet, the removal of it in the morning is easily done only WITH your hands.

Q. Is there a difference between the NTI and the traditional dental night guard device or TMJ splint?  A. Yes. Traditional flat-plane splints and night guard devices provide a surface for you to "bite down on." New studies show, however, that these devices can actually increase the intensity of your clenching reflex, often to over 104% of your normal bite.* The NTI is smaller and more unobtrusive than a night guard and appears to be more successful at doing what night guards try to do. This is because all of your opposing teeth contact against a night guard, so you can still clench and grind and tire out your temporal muscles. Your back teeth cannot contact when you wear an NTI, so the temporal muscles cannot contract. 

With the NTI in place, your teeth are protected from excessive force, and the temporal muscles get a chance to relax.  In fact, high-intensity clenching has recently been found to be the real cause of the problem. With the advent of the revolutionary NTI device, we can begin to solve the real problem: actually preventing your back teeth from clenching intensely and coming into contact with each other. Stop intense clenching, stop the source of the pain.  NTI suppresses the clenching reflex by preventing the posterior teeth from contacting each other. There is no surface to bite down on or bite into. The temporalis muscles are kept from contracting with their usual intensity.  The clenching reflex is suppressed and almost eliminated.  The NTI helps to keep the clenching and bruxing from happening!

*Boyd JR: Splitting the headache & solving the sinuses. Bloomfield Hills, MI: Headache Prevention Institute; 1996:40.

Migraine Relief: "The NTI has also received FDA approval for use in people who suffer from migraine headaches, and has been shown to reduce migraine symptoms significantly in 75% of people using the device.

Whiplash and TMJ Injuries  
Whiplash may produce delayed jaw pain!

CHICAGO--One in three people exposed to whiplash trauma is at risk of developing delayed TMJ symptoms that may require treatment, according to research recently published in The Journal of the American Dental Association.

Have you ever been in an automobile accident, or know a friend who has hurt their spine through whiplash?  Cervical spine injury, caused by so-called whiplash, has had an alarming increase in recent years, no doubt due to  increased traffic density, and the accompanying frequency of auto accidents.  Whiplash injuries are capable of producing a large number of symptoms. These symptoms can include headache, neck pain, shoulder pain, dizziness and tinnitus. Jaw pain may or may not be a prevalent complaint. However, doctors seeing whiplash patients must be aware that whiplash can cause TMJ injury and that the symptoms can mimic cervical (neck bones) injury.  Our office helps to screen patients who complain of jaw-related problems with a past history of whiplash.

You are a special individual. Your personality, your lifestyle, your dreams, your goals, and the way you take care of yourself - all of these things and more - are unique, Important. A source of pride and accomplishment, the good feelings you have about yourself.

                           You care.
                                        We care.

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