Re: A Migraine Treatment Patients Can Really Sink Their Teeth Into


"Mark & Steven Bornfeld" <bornfeldmung@xxxxxxxxxxxxxxx> wrote in message
news:pWysf.1988$lv3.1436@xxxxxxxxxxx
> 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

Thats ok Steve, i'll keep my pipe warm too.

For those of you who are NTI providers that might be interested, I will be
happy to provide you with a DVD I produce of Dr. Blumenfeld, free of charge
if you send me your postal mailing instructions to my private e-mail. (just
take out the nospam stuff).

The DVD runs one hour in duration and Dr. Blumenfeld will walk you through
the medical world of medically diagnosed migraine using the FDA approved NTI
for the prevention of migraine. He will show you how to make the diagnosis,
the kinds of treatments currently available, and how the NTI fits into that
model. He also covers marketing of the NTI to Neurologists.

This DVD footage was filmed by me during the May 2005, ABC's of TMD's, put
on by Dr. Boyd and Dr. Glassman and sponsored by Keller Labs and is usually
only available to attendees of those courses. However, feeling generous and
because I think highly of all of you I have decided I will offer you this so
that perhaps it may enhance your practice and open your eyes and mind to the
world of neorolgy.

Dr. Boyd currently practices with Andrew Blumenfeld, MD, (a neurologist
specializing in migraine) at The Headache Center, part of the Neurology
Center at the Scripps Hospital campus in Encinitas, California and lectures
throughout the U.S. and internationally.

Dr Blumenfeld is a member of the American Academy of Neurology and the
American Headache Society. He has published widely in areas of headache and
has been an active researcher in headache and multiple sclerosis. He has
wide experience in botulinum toxin therapy, and is director of the Headache
Center of Southern California



.

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