NiteBite: The Next Generation in Jaw Comfort-Freedom from Clenching and Grinding!

Clinical

Rx Instructions for using NiteBite

NiteBite® is a custom fit dental protector for relieving head, neck, facial, joint and tooth pain. NiteBite is different. You can solve years of painful symptoms for your patients in a matter of minutes using the body's own proprioceptive physiology. NiteBite triggers the jaw opening reflex within the Freeway Space which relaxes and releases the jaw muscles. Patients experience rapid relief of pain and other TMJ symptoms, often after only one night.


Watch this video to see how
the jaw opening reflex functions.




Fitting process: insert, mold and fit, finished in five minutes
Instructions for Fitting NiteBite

1. The NiteBite® needs to be heated to transparency by placing it in a spoon and into a bowl of water that has been heated to 170-180°F. After about one minute the NiteBite® will become transparent. Water can be heated by electric element, microwave, Insta-hot, or by any convenient method.

2. Insert the transparent NiteBite onto the maxillary incisors by pushing up firmly and evenly with two fingers until the NiteBite fully seats. Maintain the centering notch in position between the central incisors. Use upward and even finger pressure only on the incisal edge of the NiteBite for 2 minutes. The complete seating of the appliance is critical to assure that it is as thin as possible when complete. PLEASE NOTE: There may be a small amount of excess material pushed out beyond the edges of the NiteBite. While holding NiteBite in position after about ½ minute, you can use your thumb or forefinger to smooth any excess material against the patient's teeth, gums or palate. The NiteBite will begin to become opaque. Do not put excess pressure on the palatal portion of the NiteBite. Do not have the patient bite down.

3. WARNING: After the initial 2 minutes, promptly remove the NiteBite by pulling straight down with your fingers. This will prevent the NiteBite from locking into any undercuts (bridges, mal-opposed teeth, diastema, etc.). Inspect the NiteBite for accurate registration of incisal edges, interproximal areas, teeth and palate. If desired you can quickly trim any excess flash with a sharp scissors.

4. Immediately and accurately reinsert the NiteBite into the mouth, holding it centered in place for an additional 2 minutes. The NiteBite can be slightly withdrawn and reseated to further ensure against locking in place. After these additional 2 minutes remove the NiteBite promptly and completely, reinsert and test the fit. Confirm that the patient is not able to remove the NiteBite with their tongue or lips. If not fitting correctly, reheat and repeat steps 1-4. The thermoplastic resin can be adjusted by reheating edges briefly in hot water, reinserting, smoothing and confirming that the patient is not able to remove the NiteBite with their tongue or lips.

5. NOTE: Some interproximal flash can be removed with a sharp scissors. Snugness is important for fit, however, and removing too much interproximal flash may result in a less snug fit.

6. Finish fitting by confirming there are no posterior contacts when the lower incisors occlude with the NiteBite. There should also be no posterior contacts during excursive movements. Some canine contact on excursion is acceptable. NiteBite will create approximately 1 mm of anterior vertical opening in most Class I occlusions. If posterior centric or excursive contact remain, it may be necessary to add resin to the anterior or palatal surface of the NiteBite just enough to eliminate posterior centric contacts. If a Class II occlusion prevents contact of the NiteBite with the lower incisors, add sufficient resin to the anterior palatal surface of the NiteBite to create no more than 1 mm additional VDO within the freeway-space. Assure that there are no posterior centric or eccentric occlusal contacts.

7. Attempt to keep the impact on vertical dimension (VDO) to a minimum, thereby keeping contact on the NiteBite within the freeway-space to a minimum. Consider adjusting the NiteBite to even contacts across the lower anterior teeth with mandibular central incisor contacting first in CR or CO

8. Once the insertion of the NiteBite is complete and you are satisfied that it is snug and that there are no centric or eccentric posterior tooth contacts, check the fit of the NiteBite on the palate. Patients with a flat or narrow palate may experience an area where the NiteBite is pressing on the tissue. Use pressure indicating paste or direct visualization to identify this area. Relieve by cutting back the palatal peripheral extension of the NiteBite until the area of pressure is removed. Use a carbide bur at low speed so as not to create heat and cause the inner lining of the NiteBite to soften. The adjusted area can then be polished with course and medium polishing wheels.

9. The NiteBite is intended to be used at night. Normal tooth-to-tooth contact during the day should prevent super eruption.

10. The NiteBite is intended to relax the jaw muscles. When this occurs, discrepancy between CO and CR may be briefly evident to the patient after removing the NiteBite in the morning. Any continuing discomfort requires follow up observation or equilibration.
CAUTION
FOLLOWING COMPLETION MAKE SURE ONCE AGAIN THAT THE PATIENT CANNOT REMOVE THE DEVICE WITH THEIR TONGUE OR LIPS. If patients can remove NiteBite from their teeth by simply using their lips and tongue, reheat and reseat the NiteBite (as per instructions above) until the proper fit is accomplished. The dental professional should instruct the patient to never insert or remove the device while in the supine position. The device must be removed prior to eating or drinking. The patient should bring the NiteBite to all subsequent dental visits for inspection.

Our instructions, whether verbal or in writing, is given without any warranty. This also applies where proprietary rights of third parties are involved. It does not release you from the obligation to test the products supplied by us as to its suitability for its intended purpose. The application, use and processing of the by you, are beyond our control and therefore entirely your own responsibility. Should liability be established for any damage, it will be limited to the value of the products delivered by us and used by you. (6.4)
Indications of use
For the prevention of occlusal trauma, chronic tension and temporomandibular joint (TMJ) syndrome that is caused by chronic jaw clenching of the mandibular and maxillary teeth. Protection against teeth grinding, bruxism and jaw clenching. Short-term pain relief from muscle spasm due to occlusal interference. NiteBite is customized for the individual patient.

Contraindications
Advanced periodontal disease of the incisors; severe incisor crowding and flaring, provisional restorations or upper
anterior restorations with severe undercuts or very large gingival embrasures.


Description of device
NiteBite has a hard outer shell made of biocompatible medical grade polycarbonate and a moldable inner lining of biocompatible low temperature thermoplastic resin. It is to be custom fit by health care professionals qualified and
licensed to do so for an individual patient's short- or longer-term use.


For more information:
Email NiteBite: info@nitebite.us


 

Buy NIteBite at our Online Store
 

Testimonial of the day
"My jaw feels relaxed in
the morning. I wake up
in comfort."
                                            Arron L.

 
A Simple Solution your patients will love
Watch this video to learn
how NiteBite functions.

Watch this video to learn
how NiteBite is inserted.

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NiteBite® by Randmark Dental Products, LLC      US Patent #8,082,923 & US Patent #8,656,926       FDA cleared for prescription use
© Copyright 2012-2017           Randmark Dental Products, LLC            All Rights Reserved           

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