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Dental Tribune United Kingdom Edition

CosTech Implant CentreCosTech Implant Centre Savingyou £100* £250 All For Just perunit Comparison How does 'CosTech Complete' compare to Stock prices*? Lab Analogue: £25 Stock abutment + Screw: £140 Lab Crown and charges: £185 Total: £350 *Based Average Prices with ZirconArch® Crown . † T&C Apply SAVINGYOU UPTO £100 per unit† CeramicVeneer Anatomically Reduced Copings Zirconia Abutment Titanium Basis Laboratory Analogue Fitting Screw Implant Complete Customised Implant Abutments You will pay one single price for any restoration, which includes everything you require on the technical side. The completed case includes: NoHiddenCharges!Our clear pricing promisewith no hidden chargesmeans no shocking bills atthe end of the month. Hybrid Zirconia-Titanium Abutment1 Any Elite Restoration2 Soft Tissue Model3 Location Jig6 Laboratory Analogue4 Fitting Screw5 All The Elite Service Promises7 TheAllInclusiveLaboratoryImplant RestorationSolution March 2012, CosTech is proud to launch the Complete laboratory implant solution. Every patient is unique and now with customised zirconia abutments , we can tailor the full implant restoration to your patient. Contact Costech Implant Centre Today for further information 01474 320076 Illustrations & images courtesy of Amman Girrbach © Choose Any Elite Restoration from: PFM e.max® Press ZirconiaFC ZirconArch Full Metal Crown days of hypofunction before very minimal eruption oc- curred2 . Given that NTI-tss appliances are only worn dur- ing the night, and normal func- tion continues during the day, then this would suggest there is no chance of supra-eruption occurring through use of NTI- tss – and the lack of reported cases on the FDA database would support this theory. A further common con- cern surrounding the NTI-tss appliance is the likelihood of patients swallowing or even aspirating the device in their sleep. In a technical analysis of the NTI-tss how- ever Dr Wes Shankland found that tongue force required to dislodge the device is far greater than the mean maxi- mum tongue-tip pressure of the human being – and this is not even to consider the di- rection of the forces required to dislodge the device3 . Given these considerations, and the fact that the forces generated by a bruxism sufferer would actually aid in retention of the appliance, Dr Shankland concludes that “it seems to- tally inconceivable, within reasonable certainty, that an NTItss [sic] appliance could be dislodged by a patient while sleeping.”4 If any further proof of the suitability and safety of the NTI-tss appliance were needed, readers should con- sult the FDA website (www. fda.gov). It should be noted that thus far, for over 1.5 mil- lion NTIs in use, there has not been a single reported case of swallowing, aspiration, disk perforation, or any other ma- jor concern linked with the NTI-tss appliance. This is particularly significant factor when taken in light of other medical/dental treatments and devices that can’t boast such overwhelmingly positive results. In any branch of the healthcare profession, cli- nicians should strive to base their decisions on the very latest evidence-based research relevant to their field of study. Evidence- based research is, after all, the benchmark by which the best healthcare outcomes can be achieved. In dentistry, evidence-based research is particularly important as it al- lows clinicians to form their own, independent assess- ments of treatments and their suitability for patients. In light of some of the mixed messages in the me- dia concerning NTI-tss, the Stapelmann and Türp review is most timely. The authors considered only the best available evidence to estab- lish their conclusions and determined that “the NTI-tss device may be successfully used for the management of Bruxism and TMDs”.1 The review also suggests that the NTI-tss splint may benefit pa- tients with symptoms of TMD and possibly those with mi- graines/headaches. As with any treatment, one of the most important considerations of any practitioner should be patient compliance. For the best, most successful out- comes, clinicians should en- sure patients’ willingness to comply with instructions and return as recommended for follow-up care.. With these findings firmly in mind, there is every reason for clini- cians to embrace the NTI-tss splint as an effective treatment for Bruxism, migraine, and TMDs. DT • A list of references are avail- able from the Editor About the author For more information on S4S call 0114 250 0176, Email info@s4sdental.com or visit www.s4sdental.com ‘In any branch of the healthcare pro- fession, clinicians should strive to- base their decisions on the very latest evidence-based research relevant to their field of study’ 27March 26-April 1, 2012United Kingdom Edition Product Spotlight