iNTERRA Inoffice Nightguard: In-Office Convenience

Author : Julie Cullen
Published Date 02/17/2009
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iNTERRA Inoffice Nightguard

Michael A. Miyasaki, DDS


Dr. Michael A. Miyasaki maintains a private practice in Sacramento, California, focusing on comprehensive, minimally invasive esthetic restorative dentistry and function. He lectures an publishes internationally and also serves as an evaluator of dental products for many dental manufacturing companies.

Every week patients come into my practice with worn teeth or a fractured tooth, filling, or crown. As I seek a cause, they often mention that they're a "clencher" or "grinder." Personally, I find that patients who present like this without any other associated discomfort can be a challenge to manage. I always discuss the occlusal issues and possible treatment options, but often the patient just wants the tooth fixed (even if it is fractured because of occlusal stresses) and that's all. My dilemma as the clinician is how to prevent the new restoration from failing when it will undergo the same occlusal stresses that caused the current crown to fail. Fortunately, there's a convenient solution for the clinician and patient--DENTSPLY Caulk's iNTERRA Inoffice Nightguard system.

Read more to find out why Dr. Michael Miyasaki thinks that iNTERRA (DENTSPLY Caulk)

  • is convenient and affordable for your patients
  • will save money for your practice.

In-Office Speed and Convenience
iNTERRA is made of a visible light-cured (VLC) material, which means it can be fabricated quickly and without the unpleasant odor associated with the liquid/powder acrylic materials that always seems to permeate through the entire office and tastes anything but great in the patient's mouth. iNTERRA does not require an impression, bite registration, or the associated time consuming model work, which all results in great time-savings. The VLC material is molded directly over the patient?s dentition, achieving excellent adaptation and creating a snap-on fit, which means there's no need for metal clasps.

An Affordable Solution
I have made these custom-fabricated appliances to be placed on either the upper or lower arches. Patients report them to be comfortable, which is good for compliance. I like fabricating these as full coverage type appliances, so that for extended use there is little chance for extrusion or intrusion of the teeth. For our practice, the iNTERRA Inoffice Nightguard system allows us to provide a one-visit solution. We don't have to wait for a laboratory-fabricated nightguard appliance. With no associated lab fee, this appliance is much more time- and cost-effective for the dental practice and patient. In today's economy, providing an affordable solution to patients who brux is a good line extension service for your practice. The bottom line: the iNTERRA system allows us to offer patients an easy, affordable custom-fitted appliance to address their occlusal issues.

Clinical Tips for Proper Occlusion

  1. Reseat the night guard and have the patient tap into articulating paper. Carefully adjust the acrylic so that there are even point of centric contact.
  2. Have the patient go into excursive movements. If anterior guidance is to be developed, a posterior open bite develops as the occluding teeth slide laterally, discluding the posterior teeth.
  3. Use functional chew cycles by placing the articulating paper between the teeth and the acrylic. Ask the patient to chew normally on the paper to be sure there are no interfering inclines on the acrylic in function.
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