Responses sent to the Editor (copied to NTI-TSS
I found the article "Hope or Hype" in your February issue to be a very
unbalanced report on the NTI device. I am a dentist who has been using
the NTI to help over 100 patients with various types of headache pain,
including migraines, for the past two years. In fact, I have used it to
treat my own tension headaches and migraines with incredible success.
Just as your quoted physician, I was skeptical at first. How could nightly
tooth clenching have any impact on my migraines which, as I was told by
the medical community, had a chemical or hormonal basis? I decided to be
my own guinea pig. My daily tension headaches that were centered around
my temples, NOT my TMJ, disappeared within the first week. And even more
surprising, was that after wearing the NTI for 3 months, I did not get
my monthly "period" migraine for the first time in over 10 years. Patients
using the device are getting similar results. All report a reduction in
their migraine intensity and frequency.
I realize this is one doctor's anecdotal report. However, it was clear
that your "experts" have not familiarized themselves with the scientific
background or protocol, but have dismissed the device based on their own
preconceived notions. The public would be better served by their further
study of the NTI with an open mind. Perhaps they would find that pericranial
muscle tension caused by tooth clenching is just one more piece of the
Joyce Warwick, DMD
with interest "Hope or Hype", which negatively profiled the NTI-TSS system,
and had to wonder who prompted this impromptu opinion poll. There were
no comments from anyone who has actually used the NTI device, and when
I see that type of investigative report, I have to paint the resulting
opinions with skepticism.
I would question why any practitioner who truly has the best interest of
the patient at heart would deny that patient a potential migraine reduction
treatment that is non-surgical, reversible and does not involve taking
medications. To say there is "no clear link between clenching and migraines",
in the mind of those of us who have employed the NTI for years in our
practice, seems disingenuous at best and self-serving at worst.
I would hope that you offer another voice to the many migraneurs who
have received considerable relief from the NTI after many years of
of that, at least contact the developer of the NTI or a few of the
many dentists who use this non-invasive regimen daily in our practices..
Kent Smith DDS
p.s. Maybe not so coincidentally,
my hygienist, who was recently fitted with the NTI, just told me she has
stopped taking all of the medications prescribed for her by physicians
attempting to treat her migraines. Don't tell her there is "no clear link"!
Perhaps in the interest
of unbiased journalism, your publication should interview Dr. Jim Boyd,
the doctor who created the NTI. He has substantial data supporting
the efficacy of the NTI and as any person associated with the medical field
should realize, the FDA does not blithely approve anything. I myself
wear an NTI every night and have experienced a dramatic reduction in both
the number and severity of headaches. I have many patients who are
also success cases. If you were a migraine or tension headache sufferer,
would you rather wear a fairly small and inexpensive (compared to a lifetime
of various meds) device with no side effects or constantly take the latest
"new and improved" drug with any number of unwanted side effects that is
not as effective in the first place? I am not aware of any drug that
has the percentage of effectiveness that the NTI has! Now obviously,
migraine can be multifactorial, and the NTI is not touted as a cure-all.
Other therapies need still to be researched, but I feel that much of this
"anti-hype" is territorial bristling by some MD's and some pharmaceutical
companies who feel threatened by dentists being on "their turf".
Please consider running another article featuring Dr. Boyd and the NTI.
You will be doing a good service as well as correcting a biased article. Thank
you very much!
Mark A. Scantlan, D.D.S.
It always bothers me when
publications allow biased "experts" to speak to the public without at least
presenting the other side of an issue. The NTI protocol is new.
It doesn't surprise me that the bulk of the "world health literature" is
based on other tenets. The fact that they point to a brain component
does not mean that a significant percentage of events are not triggered
by excessive cranial musculature activity. In other words, both could
be true at the same time. Finally, I would wonder if the person criticizing
the FDA for accepting the clinical trial results has actually read the
study and the supporting literature before pooh-poohing the "idea" behind
the NTI. It seems his opinion is based on his preconceptions, not
on science. If they are on scientific grounds, why doesn't
he explain where he finds the science inadequate, or offer a way to make
the studies more rigorous? I think his agenda is clear. He
wants only to support his preconceptions.
Stanley S. Groom D.D.S.
Your article would have
carried more weight if you had interviewed dentists making the appliance
who have had poor results. Unfortunately, they're pretty hard to find.
I'm in daily communication with dozens of dentists who fabricate hundreds
NTIs for their patients who suffer with headaches. The results are overwhelmingly
positive. Patients regularly report how this appliance has changed their
lives after years of medical tests and medications which gave them no relief.
I don't believe your article had one comment from anyone very familiar
or in any way experienced with the NTI. Your article has done a disservice
to anyone who reads it, patient or doctor, and is discouraged form further
H. William Greenberg, DMD
I wanted to take a moment of time and inform you that your article proclaiming
the NTI has no or little use in the treatment of migraine is, at best,
I have suffered from migraines and severe tension headaches (the combination
is often called Transformed Migraine or Chronic Daily Headache) since birth.
I have been through every treatment known to the medical establishment
to rid myself of the daily chronic pain. My journey started when
I was eight and finally reached a turning point just over four years ago
(I am now 33) when I met Dr. Jim Boyd. At first I had doubts about
the NTI but it was truly an inexpensive and non-invasive offering of treatment
when compared to what I had already endured. I visited Dr. Boyd's
clinic when he was working out of the Detroit area and was fitted with
an NTI. Within two days of use I noticed my tension headaches had
been eliminated and they have yet to return. The migraines I suffered
from were eliminated by at least 50% in the following weeks. I suddenly
had my life back.
My local dentist, Dr. Tom Curtis, had his doubts as well. He worked
with Dr. Boyd to ensure proper adjustments were made to my NTI. Based
on my success Dr. Curtis has now fitted dozens of patients with the NTI
and has told me that at least 80% of these patients are reporting a significant
decrease in their chronic migraine headaches. Given that the NTI
is relatively inexpensive when compared to other migraine treatments (a
10mg Zomig pill costs $18.00) I feel you should have advised those seeking
treatment for migraines to at least consider it as a valid option.
My prognosis: HOPE not hype!
I was somewhat disappointed and dismayed at the comments on the NTI in
your recent article. The NTI is a recent protocol and it is understandable
that many are not fully up to date and informed about the
potential of the NTI. But,
to make a remark decrying the FDA for approving the NTI says more
about those who expose themselves publicly than about the approval process.
was cautious when I began offering the NTI to patients. My initial trial
was an outstanding success, I also made one for my wife to see if it was
tolerable at night. She had been medically diagnosed as having
sinus infections and had
followed a regime of anti-biotics and prescription analgesics for 15 years.
A week after using the NTI she told me her morning headaches had gone.
Since August the only headaches she has experienced were when she misplaced
I have placed 40 so far and several have experienced overnight success,
several needed fine tuning and progressed to remission and two have
not had much change. My results in this sample are certainly in the range
that the FDA approval found.
Anecdote is not the plural of data but before one makes a statement that
is at best ignorant one should investigate the findings of fellow professionals.
I would recommend that the nay sayers in the article do their research,
try the NTI on patients and come back to the scientific
a more professional appraisal. Anything else is poor science and not
worthy of publication.
Michael Pilon CD BSc DDS
I am one of those patients
who invested in the "Hope or Hype" NTI device as a preventative for migraine.
While I am sure there are plenty of Dentists who will differ with your
opinion, as a user of the device, let me state, it has been the only effective
preventative I have ever used. I have tried many.
Perhaps these "experts" are
only dismayed because the pharmaceutical companies whose stocks they own
won't be getting as many $250 per month prescriptions written for their
overpriced and marginally effective medications. My cost for migraine related
treatment, including prescriptions, office visits and emergency room treatment
was well over $5000 last year alone. So far this year, I have spent $257
for Maxalt 10mg. MLT (that's 18 tablets, of which I still have 10 left
and have only taken one since January 14, the day my NTI was
fitted), and I purchased
the NTI. The $300-$800 you quoted for the NTI is nothing for the migraine
patient, and it is absolutely nothing for the prescription medication manufacturers.
My real concern with your
article, as a former editor of a daily newspaper with a circulation of
11,000, is your total lack of journalistic balance. Finding two people
to cast a dubious cloud over a competing medical device is not a difficult
thing to do. Some real research where you interview dozens of people, pro
and con, both in
the profession and patients
would perhaps have some meaning, but you would have to break a sweat and
maybe even work up a headache in the process. One question I would suggest
you ask your experts: "Have you
read the protocols, indications
and clinical performance data regarding the NTI?" If the answer to that
is "no" then your "experts" may just as well be used car salesmen, since
neither uneducated doctors nor used car salesmen understand the principles
behind the NTI, but both do know where their bread is buttered.
I was very disappointed in your recent article on the NTI device for migraines.
I am a 47 year old woman who used to wake up with migraines 5 out of 7
days plus ear pain in my left ear. I clenched my back teeth
at night when I slept to
the point that I wore a hole in one of my lower crowns. The NTI device
prevents the back teeth from touching during sleep, making clenching an
impossibility. As a result of wearing it
faithfully at night for
the past 6 months, my migraines have been reduced significantly (maybe
1/month) and I have NO ear pain.
Your magazine should interview the developer, Dr. Jim Boyd, for some factual
research before printing the opinions of doctors who know little to nothing
about the device.