NTI-tss™ Plus

The NTI is the only FDA cleared dental appliance for the treatment of migraine pain and associated tension headaches. NTI is a product made exclusively at NDX. By reducing muscle contraction intensity during parafunctional activity the NTI-tss Plus™ minimizes tooth wear, reduces joint strain and disc load, and decreases muscle tension leading to less migraines and morning headaches.

Click to download the following additional information:
Design Chart
Patient Consent Form
Headache History Questionnaire
Case Submission Recommendations
Tips for Adjusting the Discluding Element

NTI-tss Plus™

Features & Benefits:

  • Save Chair Time: small size makes it easier to seat 
  • Protection reduces clenching intensity by nearly 70%, protecting teeth, muscles and joints 
  • More Options: several design options available

Indications:

  • Migraines and Tension headaches
  • Tooth wear from bruxing and clenching
  • Muscle pain associated with muscle parafunction
  • TMD
  • Diagnostic treatment planning

Contraindications:

  • Advanced periodontal disease

Patient Care Instructions:

  • Simply run the device under warm water (no toothpaste) each time you remove it
  • Do not use alcohol or alcohol-based products for soaking or cleaning
  • Never boil the NTI-tss Plus 

What to Send:

  • Full arch VPS impressions, models or digital files 
  • Maximum Protrusive Measurement 
  • Centric occlusion bite registration 

Turnaround Times

  • Please allow 2 weeks for case turnaround.

Dental Insurance Codes:

All plans are different so the coverage may vary. In general, the same insurance codes for splints, TMJ appliances, habit appliances all apply to the NTI-tss Plus. 

Some useful codes include:
  • D9940 - Occlusal Guard, by report
  • D7880 - Occlusal Orthotic Device, by report
  • D8210 - Removable Habit Appliance
For Medical Submission:
  • CPT 21110-52 Interdental Fixation Device/D 7880 Orthotic Appliance 
  • 2015/16 ICD-10-CM M26.60 Temporomandibular joint disorder, unspecified 
  • 2015/16 ICD-10-CM M26.69 Other specified disorders of temporomandibular joint 

NTI-tss Plus™ Soft

The NTI-tss Plus Soft is a custom fit device fabricated using hard/soft thermo-formed material with a Clear 450® Discluding Element (DE) affixed. The hard/soft material makes the NTI-tss Plus Soft easy to deliver and provides maximum patient comfort. The Crystal Clear DE will ensure the appliance can withstand the wear from even the most intense parafunctional habits.


Extended Length:

The NTI-tss Plus Soft is extended to the 2nd bicuspids for greater retention. (The traditional lab-fabricated NTI-tss Plus only covers the centrals and laterals.)


Features & Benefits:

  • Save Chair Time: small size and soft liner makes it easier to seat 
  • High patient compliance, increased comfort 
  • Less pressure on anterior restorations or compromised natural dentition 

Indications:

  • Extreme crowding
  • Veneers
  • Worn restorations or natural dentition
  • Sensitive teeth

Contraindications:

  • Advanced periodontal disease 
  • Severely worn centrals 
  • Incompatible occlusal scheme 

Patient Care Instructions:

  • Simply run the device under warm water (no toothpaste) each time you remove it 
  • Do not use alcohol or alcohol-based products for soaking or cleaning 
  • Never boil the NTI-tss Plus Soft 

What To Send:

  • Full arch VPS impressions, models or digital files
  • Maximum protrusive measurement

Turnaround Times: 

  • Please allow 2 weeks for case turnaround.

Dental Insurance Codes:

All plans are different so the coverage may vary. In general, the same insurance codes for splints, TMJ appliances, habit appliances all apply to the NTI-tss Plus. 

Some useful codes are: 
  • D9940: Occlusal Guard, by report 
  • D7880: Occlusal Orthotic Device, by report 
  • D8210: Removable Habit Appliance 
For Medical Submission: 
  • CPT 21110-52 Interdental Fixation Device/D 7880 Orthotic Appliance 
  • 2015/16 ICD-10-CM M26.60 Temporomandibular joint disorder, unspecified 
  • 2015/16 ICD-10-CM M26.69 Other specified disorders of temporomandibular joint 

NTI-tss Plus Soft is Bisphenol A Free

NTI-tss Plus™ Daytime

The NTI-tss Plus™ Daytime is a reduced version of the NTI-tss Plus™ that combines a lower profile with a targeted design for habitual daytime clenchers. A smaller Discluding Element separates the posterior teeth and canines in centric, allowing for a reduced vertical. However, due to its design, the NTI-tss Plus™ Daytime is not effective in excursions and should not be worn at night.

Features & Benefits:

  • Smaller Discluding Element is less obtrusive and noticeable for daytime wear
  • Smaller span due to less required retention during daytime use
  • Minimal vertical opening

Indications:

  • Migraine or severe headache patient needing daytime therapy for muscle relaxation and pain relief.
  • A “habit” appliance for daytime bruxer or clencher.

Contraindications:

  • May adversely affect speech or appearance for some patients.

What To Send:

  • Full arch die stone models or VPS impressions
  • Maximum protrusive measurement
  • Centric occlusion bite registration

Dental Insurance Codes:

All plans are different so coverage varies. In general the same insurance codes for splints, TMJ appliances, and habit appliances apply to the NTI-tss Plus™ Daytime.

Some useful codes include:
  • D 7880 Occlusal Orthotic Device, by report
  • D 9940 Occlusal Guard, by report
  • D 8210 Removable Habit Appliance
For Medical Submission:
  • CPT 21110-52 Interdental Fixation Device/D 7880 Orthotic Appliance

NTI-tss Plus™ Universal Therapy Set

Dual arch appliances worn to eliminate any tooth contact and accommodate patients with contraindications on both arches. A standard nighttime NTI is worn in conjunction with a flat plane universal slider on the opposing arch.
 

Indications:

  • Incisal height difference on both arches
  • Patient divots or breaks NTI-tss Plus
  • Veneers on both arches
  • Missing incisor on both arches

Contraindications:

  • If concerned about additional vertical opening, Therapy Set may not be recommended.
  • Some patients are averse to wearing dual arch appliances.

Patient Care Instructions:

  • Clean with warm water and anti-bacterial soap after each use
  • Do not use alcohol or alcohol-based products for soaking or cleaning
  • Never boil the NTI-tss Plus

What to Send:

  • Full arch VPS impressions, models or digital files
  • Maximum protrusive measurement
  • Centric occlusion bite registration

Dental Insurance Codes:

All plans are different so coverage varies. In general the same insurance codes for splints, TMJ appliances, and habit appliances all apply to the NTI-tss Plus™ Daytime.

Some useful codes include:
  • D 7880 Occlusal Orthotic Device, by report
  • D 9940 Occlusal Guard, by report
  • D 8210 Removable Habit Appliance
For Medical Submission:
  • CPT 21110-52 Interdental Fixation Device/D 7880 Orthotic Appliance