Catapult Education Reviewers have given GrindRelief PRO the Catapult Education Vote of Confidence.
Jaw pain and worn dentition from clenching or grinding habits are now the norm in our practices requiring us to be on our toes to identify as presentation can vary from worn dentition to a migraine. So, what if you were told you can provide instant gratification to all of these patients in a few minutes with the use of one device. We have all suffered from clenching and bruxing issues at some point in our lives, and when it is left untreated can cause wear and fracture of the dentition, notching or chipping at the gum-line, sensitivity on virgin teeth and bone loss under the gum line. Global issues such as loss of vertical inside the mouth can cause the patient to look aged by creating enhanced folds and wrinkle lines, being that the musculo-skeletal system of the face, neck and back are so interconnected there can be radiating pain to the neck or shoulders along with migraines, and chronically can aggravate already poor-quality sleep and personality disorders in those who suffer. As practitioners we will make many recommendations after the initial interview and say, “let’s get you sleeping on time” or utilize “some warm compresses on the masseter muscles for starters to help with relaxation” but that is likely not going to be the thing your patient wants to hear before they head on over to the dentist next door or to the internet for a DIY solution for their painful symptoms. So there goes your moment to be the hero of the day providing the instant gratification they expected when they walked into your practice.
Cue, GrindRelief Pro, a custom chairside device we can present to our patient in a few minutes to help them instantaneously feel relief (Fig. 1).
This is a thermoplastic device that can be fitted onto the upper or lower teeth and covers only the front 6 to 8 teeth making it more likely that your patient will be compliant because it will be more comfortable for them to use without messy impressions, without high lab costs and small comfortable size to immediately reduce muscle activity same day for your patient (Fig. 2).
The learning curve for you as the practitioner on this device is minimal and there is the satisfaction of knowing that you made a custom-fitted appliance for your patient. The creation of this device is simple and easy so let’s walk through the steps together. Simply take warm water, whether it is a warm bath or a mug of water you have microwaved for 90-120 seconds, dip the device until it is submerged shell side down, and wait until the plastic goes from being white to translucent (Fig. 3).
The trick is to fold the material into the shell prior to seating it onto the teeth to ensure all the material is molded around the dentition (Fig. 4).
My preference is to deliver the device to the mandibular dentition but this can mean there are undercuts to be aware of (Fig. 5).
As you seat the device make sure to use the central power bar as a reference to be centered on the teeth and gently seat it with mild pressure (Fig. 6).
You will find that you have to border mold the thermoplastic material into the shell and this will also help smooth the material and prevent it from having sharp edges that need adjusting at the end (Fig. 7).
Next have the patient bite down gently to ensure seating is secure, after which you should unseat the device to ensure it is not locked into any undercuts or between the teeth. Reseat the device until it sets and the thermoplastic has returned to its original white color (Fig. 8).
If you are creating the device for the upper teeth you may find that you will need to contour the central power bar to conform to the shape of the palate or the frenulum but the steps will remain the same.
In conclusion, different conservative treatments namely soft diet, warm compresses, behavioral therapy along with lifestyle changes, oral appliances, drugs (anti-inflammatories and muscle relaxants), injection of botulinum toxin as well as low-level laser therapy can also be used for treatment long term but an immediate solution is required. GrindRelief provides instantaneous relief necessary for assessing the need for additional treatment. Best of all, what a great feeling to tell your patient this is something that insurance will cover or will come at very low cost, with immense value add to their overall wellbeing, especially if it is an unexpected expenditure for them at that visit while they consider the other cost burdens of rehabilitative restorative treatment! Let this device become the main attraction in your practice and let the feel good from this be the viral marketing practice builder you never saw coming.
The Catapult Education evaluators were each given 10 GrindRelief devices to distribute to their patients giving us ample product to evaluate and understand the nuances of the device. The providers all personally manipulated the device and did not leave it to other office personnel. Most used a microwave oven while some used a water bath to warm the water but would advise caution due to the extreme heat of the water. It was felt that the product did have a small learning curve associated with it and it would be advised to practice using the device once before starting to work with it on patients. Still nearly 90% the evaluators were able to get the right fit on the first try. 89% of the reviewers commented that the tutorial video provided was exceptional and helpful to guide along with the user instructions that shipped with the product. One thing to note about the thermoplastic, once it is fully transparent, is to ensure you manipulate it with moistened gloves, as it can pull and create strings along with sharp edges when it catches on instruments. It was found by the evaluators that the fit of the product was acceptable on the maxillary and mandibular dentition, 50% delivered it on each arch, but the limiting factor would be patient comfort to ensure compliance and to avoid placement on existing crowns and dentures. Most practitioners felt that they would invest in some additional presentation items like a delivery case and cleaning agents along with the device to ensure the patient. While material is provided for a vacuum-formed splint on the opposing arch 100% of the evaluators felt that it was not necessary to do so. The patient education brochures provided along with the product are thorough and nicely laid out and were the preference over a wall poster to give a nice personal touch to your patient's welcome folio of information.
In one scenario a middle-aged patient presents to the office with chief complaint of a large painful sore on the side of his tongue, complains he doesn’t sleep well and has razor sharp cusps on his premolars with most of the occlusal anatomy totally ground away. He is an accountant that works long hours and late nights, under tremendous stress especially now that everyone is dealing with small business loans from the pandemic. There is a high likelihood that telling this patient to drink warm soup and go to bed on time to avoid stress is not going to happen anytime soon. With the ongoing pandemic he may not get into his sleep study to deal with his chronic sleep apnea issues right away either.
In another scenario we have an adolescent student who presents with shoulder and upper back pain, jaw tightness and a sense of constant fatigue. He is in college, working a job to make ends meet, and to make matters worse his mother recently died of cancer causing him to be under stress all the time. There is a high likelihood that therapy and antidepressants are not going to be the immediate cure for his clenching and bruxing.
In another scenario a middle-aged IT consultant presents with pain on a few endodontically treated teeth and after some discussion we uncover that he clenches in the daytime while working on the computer and now has a few endodontically treated teeth that are starting to ache again. Upon checking radiographs and occlusion we find there is great balance but the clenching and grinding are causing discomfort and asking this patient to stop working so much and administering medications for his clenching habit are probably not going to be the resolution since the stressor is a part of his lifestyle.
In all of these scenarios my patients’ felt immediate relief and also felt other symptoms like radiating pain and poor sleep improved. In the Catapult evaluation, it was noted that 90% of the patients reported relief within one week, reaffirming the effectiveness of the device. While these results are not guaranteed I find comfort in knowing my patient didn’t use a DIY remedy and that an immediate relief device was available for treatment. I like knowing my patient will be able to carry it along easily and be compliant in using it because of its size. Highly recommend having this on hand at your practice to keep up with evolving lifestyles requiring immediate gratification, and over 90% of the evaluators said they would recommend this to their colleagues.
For more product information: GrindRelief PRO