miniComfort

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How does the miniComfort® function?

The miniComfort® restores canine disclusion and disrupts the habit of parafunctional activity through a process of biofeedback.


How long should a miniComfort® last?

Typically one-to-three years. Heavy chewers may require a new one in a shorter period of time.


What about day time wear of the miniComfort®?

Daytime, nighttime, anytime. This appliance must be left out of the mouth for at least 8-10 hours each day.


Are there any special precautions for miniComfort® patients?

“Wear and Care” sheet. It lists all patient pertinent information.


What about the patient who prematurely keeps wearing through the miniComfort®?

Simply because of its soft comfortable nature, the miniComfort® will not last for years. Shoes and gloves also wear out. Contact lenses are disposable. Tires wear out. Bruxism and other parafunctional habits are extremely destructive forces. Patients must own the dysfunction and if they want to prevent major damage to their teeth over a lifetime then they need to understand prevention is the best route, and that is, the earlier the better.

As soon as a patient presents with a worn canine cusp tip the miniComfort® should be prescribed. Females at age 16 years are usually prime candidates. During the miniComfort® co-diagnosis is the perfect time to begin discussing physical therapy, and awareness and biofeedback training. These same discussions should be incorporated even at the initial seating of their first miniComfort® . Remember, both awake bruxism and sleep bruxism are both parafunctional muscular activities. Present-day science relates these parafunctional activities to stress and anxiety.


What is the youngest age at which a patient may wear a miniComfort®?

Although many pre-adolescent children clench and brace their teeth, the earliest recommended age for miniComfort® is 16 – 17 years of age and post orthodontic status. A miniComfort® could be fabricated for any patient providing it will not dislodge during sleep. To prevent growth interruption with this appliance, it could be made at three-month intervals with a new impression for each. For even younger patients, retention may be an issue.


Can a miniComfort® be used with implant supported or retained restorations?

The miniComfort® is perfect for all implant cases. Although the materials that dentistry uses in the fabrication of these restorations are virtually indestructible, the implant screws and fixtures, the restorations, and the opposing dentition are all subject to the extreme forces of parafunctional activity.


Can the miniComfort® be used with removable dentures and partials?

Oftentimes complete removable dentures are worn all night long. The miniComfort®  will help redistribute undue forces on the patient’s anterior maxillary ridge when appropriately placed discluding elements shift forces more posteriorly. Usually, with completely edentulous cases in which the patient insists on night time wear, it is best to place broader discluding elements more distal to the upper canines. These discluding elements will contact the upper denture at or near the middle of the anterior-posterior fulcrum of the upper denture. This design will greatly reduce the traumatic forces being directed to the maxillary edentulous area. With partial dentures, the elements should interact with the maxillary canines as usual.


Can the miniComfort® be used with opposing orthodontic hawley, clear retainers, and bonded wire retainers post-orthodontics?

Absolutely. The post orthodontic patient can wear the miniComfort® . The only contraindications would be: 1) that the orthodontist objects and 2) the existing hawley appliance is made with an anterior deprogrammer. The miniComfort® is ideal for use with lower bonded retainers. Its soft nature is perfect for engaging the lower wire in a most gentle manner.


Can a miniComfort® be used by patients wearing CPAP devices?

Yes, many patients that wear these breathing devices still clench and brace their teeth during sleep. The minimal opening of the vertical dimension allows for lip continence.


If a patient does not want to wear the miniComfort/can’t wear the miniComfort included in our full arch cases or the doctor does not want one sent with the case, does that affect the warranty?

Does not affect warranty. The doctor may make warranty to the patient based on compliance, splint wear and regular hygiene visits.

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