Learn more about the Science behind TAG
Tourette syndrome and chronic tic disorders are increasingly recognized among school-aged children.
T.A.G. Rx Form for Dental Offices
Dr. Balanoff Has Over 30 Years Of Experience In Dental Orthotic Design, Research & Implementation. He is passionate about helping those with Tourette Syndrome.
All research, results, and intellectual property were donated to the Tourette Associates of America. Our goal is to help the further study and development of a non-invasive and non-pharmaceutical treatment for patients with Tourette Syndrome.
This can be an emotional and hands-on event for patients, parents and practitioners. Patience with the patients is very important.
That is why Dr. Balanoff prefers to speak with every doctor before the patient appointment. His time is free for both patients and doctors.
3 things we tell patients to expect from the the prescribing dentist
First
Dentists will take Upper and Lower Impressions of the teeth and gums using Polyvinyl Siloxane (PVS). Some offices will take digital impressions and send the digital file to the lab. However, the bite registration is still analog. A bite registration material is required and will be physically shipped to the lab.
Second
Establish the Vertical Dimension for the TAG Appliance (Doctor Directions Below)
Third
Take a Bite Registration (BR) in PVS. Wax does not work very well and is not recommended. You must get an accurate recording of the vertical dimension (VD) when the tics are at least prevalent. (The BR must allow us to articulate the model. We need the BR to allow the models to be tripoded for an accurate representation of what is happening clinically.) Please make sure that both the anterior and posterior areas are recorded.
How do you determine the correct vertical dimension to mitigate tics?
First...
Count the number of vocal and motor tics for two minutes with nothing in the patient’s mouth. Record that measurement.
Second...
Place a tongue depressor between the upper and lower jaw just mesially to the mesial marginal ridge of the first molar. Count the number of vocal and motor tics for two minutes with the tongue depressor between the jaws of the patient’s mouth. Record that measurement.
Next...
Place two (2) tongue depressor between the upper and lower jaw just mesially to the mesial marginal ridge of the first molar. Count the number of vocal and motor tics for two minutes with the tongue depressor between the jaws. Record that measurement.
Then...
Place three (3) tongue depressors between the upper and lower jaw just mesially to the mesial marginal ridge of the first molar. Count the number of vocal and motor tics for two minutes with the tongue depressor between the jaws. Record that measurement.
Repeat...
Continue placing additional tongue depressors and opening the vertical dimension until there is NO FURTHER improvement in the mitigation (decrease) of both motor and vocal tics.
Finally
Record the OPENED VD with PVS