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    The document provides an instructional guide for using the Nite-Guide appliance to straighten teeth in children ages 5-7 years old just during sleep, describing the indications for treatment including overbite, overjet, and crowding, the treatment process involving passive guidance of teeth into ideal positions, and examples of successful cases with stability after treatment.

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    The document provides an instructional guide for using the Nite-Guide appliance to straighten teeth in children ages 5-7 years old just during sleep, describing the indications for treatment including overbite, overjet, and crowding, the treatment process involving passive guidance of teeth into ideal positions, and examples of successful cases with stability after treatment.

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    16 views15 pages

    Nite-Guide English 1

    Uploaded by

    luzmaydalunar
    The document provides an instructional guide for using the Nite-Guide appliance to straighten teeth in children ages 5-7 years old just during sleep, describing the indications for treatment including overbite, overjet, and crowding, the treatment process involving passive guidance of teeth into ideal positions, and examples of successful cases with stability after treatment.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 15

    NITE-GUIDE TM

    INSTRUCTIONAL GUIDE

    TABLE OF CONTENTS

    Introduction 2
    part 1
    Indications and Insurance 12

    Measurement 16

    Treatment / Compliance/
    Retention 20 part 2

    Contraindications 24

    Example Cases 25

    Review and Pre / Post 36 part 3

    Contact Us 44
    2

    INTRODUCTION
    The uniquely designed Nite-guide appliances can straighten teeth
    in over 90% of 5 to 7 year old patients just while they sleep.

    A good example is Heather. At 5 years of age she was a good


    candidate for the Nite-Guide Interceptive treatment because she
    has at least 3 orthodontic problems.
    3

    INTRODUCTION continued
    Her lower erupting adult centrals are already overlapped and will
    probably become even more crowded when the wider adult lat-
    erals begin to erupt.

    She has a 6 mm. overbite in her deciduous dentition which


    according to research has a great possibility of deepening to
    8 mm. in her adult dentition and a third problem which is a 6 mm.
    deciduous overjet.
    4

    INTRODUCTION continued
    This 6 mm. overjet will carry over into her adult dentition.

    Here she is at 9 years of age. Her overlapped lower incisors were


    guided into ideally pre-positioned sockets and have straightened.
    5

    INTRODUCTION continued

    Such teeth exert pressure against adjacent teeth which in turn


    forced the upper and lower jaws to expand by 4 mm.
    6

    INTRODUCTION continued
    Heather’s overjet has also been eliminated due to the function of the
    Nite-Guide appliance which encourages lower jaw advancement.
    7

    INTRODUCTION continued
    The Nite-Guide appliance design restricts the adult anteriors
    from over erupting and keeps them level with the posterior teeth,
    thereby preventing the development of a deep adult overbite.

    At 16, the stability of the Nite-Guide results can be seen in


    Heather’s case.
    8

    INTRODUCTION continued
    She still has an ideal Class I occlusion, with a perfect overbite and
    overjet, and no crowding in the lower.

    Ideal Class I Occlusion

    Perfect Overbite

    Perfect Overjet

    No Crowding
    9

    INTRODUCTION continued
    She has been out of retention for 3 years.

    Since the periodontal fibers are disjoined during the adult incisal
    eruption stage, orthodontic corrections are obtained by only pas-
    sive wear of the Nite-Guide, which easily guides the incoming teeth.
    Periodontal Fibers
    10

    INTRODUCTION continued
    Incoming Teeth

    Once the adult incisors have fully erupted these periodontal fibers
    join to lock in an ideal occlusion rather than a malocclusion, which
    in many cases can result in extraction’s with full fixed appliances
    and high percentage of relapse.
    11

    INTRODUCTION continued

    Ideal Occlusion Malocclusion

    Extractions Fixed Appliances

    The Nite-Guide procedure allows these periodontal fibers to act


    like a built in retainer for life.
    12

    INDICATIONS AND INSURANCE


    Typical candidates for the Nite-Guide Interceptive Treatment are
    children about 5 to 7 years of age with 1 1/2 mm. or more of
    overbite, 3 mm. or more of overjet, potential crowding, and
    anterior open-bites.

    1 1/2 mm. + Overbite 3 mm. + Overjet*

    * Corrects most overjets over 4 mm.


    13

    INDICATIONS AND INSURANCE continued

    Potential Crowding

    Anterior Open-Bite*

    * Where thumb-sucking habits have been corrected


    and where no anterior tongue-thrust exists.
    14

    INDICATIONS AND INSURANCE continued


    Treatment is ideally started when the lower adult central incisors
    first break tissue. Typical records consist of a panoramic x-ray film,
    study casts and a lateral cephalometric radiograph taken in office
    or by an x-ray lab.

    The temporomandibular joints should be checked for any clicking


    crepitus or displacements of the mandible and noted on the
    patient’s record.
    15

    INDICATIONS AND INSURANCE continued


    Dental insurance with orthodontic coverage is applicable by using
    categories 8010 for fee approval.

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