Re: A Migraine Treatment Patients Can Really Sink Their Teeth Into
Mark & Steven Bornfeld wrote:
Tim Dixon wrote:
From Practical Neorlogy, October 2005
By Andrew Blumenfeld, MD and James Boyd, DDS
Conventional pharmacotherapies for migraine headache can have
undesirable systemic side effects, and medications currently accepted
for prophylactic treatment (e.g., propranolol, amitriptyline,
verapamil) rarely have a better than 55 percent efficacy. Furthermore,
the potential teratogenic effects of some migraine prophylactic agents
(e.g., divalproic sodium) make birth control a necessity in women of
childbearing age. Along with these shortcomings, compliance becomes an
issue; frequently, transformation to chronic daily headache occurs.
A new non-pharmacologic method for prophylactic treatment of medically
diagnosed migraine pain as well as tension-type headaches, called the
Nociceptive Trigeminal Inhibition Tension Suppression System, is an
intra-oral device that reduces trigeminally-mediated muscular activity
and the resultant noxious afferent input. In patients with migraine
and tension-type headache, pericranial muscle tenderness (specifically
of the temporalis) is a common complaint, frequently detectable upon
palpation. Intraoral devices have been used to protect teeth from the
intense hyperactivity of the trigeminally-innervated muscles of
mastication, primarily the temporalis and masseter muscles.
These devices have no systemic effects and are thus safe in pregnancy,
lactation and in elderly patients on multiple other medications. There
are two types of intraoral devices now currently available: the
traditional full-occlusal splints and dis-occlusion splints. The
full-occlusal splint covers all of the teeth. Such splints still allow
hyperactivity to perpetuate or intensity for as least 50 percent of
patients by providing the necessary resistance to clench on. A
dis-occlusion splint allows only reciprocating anterior incisor
contacts, thereby inhibition trigeminally -innervated pericranial
muscular contraction (most notably, of the temporalis) to less than a
third of maximum.
Nocturnal trigeminal motor hyperactivity and the resultant noxious
afferent input can be interrupted by a dis-occlusion splint such as
the NTI and allows the practitioner to give his patient a
non-pharmaceutical option for migraine prevention. The NTI device is
essentially a prefabricated matrix which a dentist custom fits to the
patient. When used during times of muscular parafunction (i.e., during
nocturnal jaw clenching, a common trait of migraineurs) the NTI device
has been shown to reduce migraine events by 77 percent in 82 percent
of subjects.
Best to you and yours, Stovie--keep that pipe warm!!
Steve
Sorry Tim--I replied to the wrong post!
Happy New Year!
Steve
--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
.
Relevant Pages
- Re: A Migraine Treatment Patients Can Really Sink Their Teeth Into
... Furthermore, the potential teratogenic effects of some migraine prophylactic agents make birth control a necessity in women of childbearing age. ... Along with these shortcomings, compliance becomes an issue; frequently, transformation to chronic daily headache occurs. ... In patients with migraine and tension-type headache, pericranial muscle tenderness is a common complaint, frequently detectable upon palpation. ... A dis-occlusion splint allows only reciprocating anterior incisor contacts, thereby inhibition trigeminally -innervated pericranial muscular contraction to less than a third of maximum. ...
(sci.med.dentistry) - A Migraine Treatment Patients Can Really Sink Their Teeth Into
... Conventional pharmacotherapies for migraine headache can have undesirable ... lactation and in elderly patients on multiple other medications. ... A dis-occlusion splint allows only ...
(sci.med.dentistry) - Magnetic Field Device May Zap Away Migraines
... Some migraine sufferers may be able to avoid medication by zapping ... "I think for migraine, it's extremely likely that this will ... researchers looked at 201 patients who suffered from ... Magnets, an Attractive New Option? ...
(misc.health.alternative) - Acetaminophen-Aspirin-Caffeine Combo better than Sumatripan for Migraine
... Acetaminophen-Aspirin-Caffeine Combo Better Than Sumatriptan for Early ... treatment of migraine. ... Patients in the sumatriptan group were more likely to have pain reduced ... but the proportion of responders in the AAC group was ...
(alt.support.mult-sclerosis) |
|
