Archive for the PPM Category

History was made in the NFL as the New Orleans Saints capture the Super Bowl Title.

Posted in PPM on February 9, 2010 by dukeslc

History was made in the NFL as the New Orleans Saints capture the Super Bowl title. The Saints achieved a milestone two weeks ago when they captured the NFC title, a first in their franchise’s history, only to journey to the greatest showdown of their careers and end it with the most spectacular triumph! Tracy Porter, a PPM devotee, intercepted a pass thrown by Colt’s quarterback Peyton Manning, a defining moment leading to the Saints stunning victory. Not too long ago, Jon Gruden, color analyst and former Tampa Bay Buccaneers and Oakland Raiders Head Coach talked about a new sports product created by Dr. Anil Makkar called the Makkar PPMTM. Gruden cited the recent success of the Saints and claimed that the mouth guard has unleashed game-changing performance benefits in balance, strength, flexibility, range of motion and endurance. That product was in the mouths of a number of team members as they experienced their best season and clinched the greatest victory that created a new chapter in the franchise’s history!

How does it work?

“When the jaw is down and forward, the back of your neck starts aligning with the back of your spine. When you have total alignment you have increased strength, balance, range of motion, and an increase in flexibility and endurance,” said Dr. Anil Makkar. Doctor Makkar also points out that a vast majority of the population is not in proper alignment.

The custom fitting process uses the latest in neuromuscular dental technology. The precise proper alignment of the lower jaw is the goal of this process. Two key technologies are used. The first is known as a “TENS” machine and it relaxes and deprograms the jaw muscles. The second is a K-7 and it tracks jaw movement and position to within a tenth of a millimeter. These devices, along with the principles of neuromuscular dentistry are key to relaxing the jaw and de-programming suboptimal nerve patterns to determine the perfect jaw position – “the sweet spot”, unique to every individual similar to a fingerprint – no two people can have the same. The process takes about 1.5 hours. This machine relaxes the major muscle groups of the face, and thereby putting the jaw in a relaxed state. Once the right position of the jaw is found, it is captured in a dental impression. This bite is then sent to a PPM certified lab where the mouthpiece is custom fabricated. This special bite is the foundation to the athlete’s ability in unleashing their true potential. Once the athlete bites into the Makkar PPMTM, the muscles in their face become completely relaxed, which allows them to use more of their upper and lower body strength.

In addition, it also makes sense that proper positioning relieves the pressure against the cranial nerves, thus relaxing the muscles attached to those nerves giving you added strength, flexibility and balance. Those same pinched nerves affect the brain on the flip side and can alleviate migraine headaches. The articular disc is free from pressure. This makes sense for your increased head range in the “over the shoulder look” (great for wide receivers looking for the ball… or quarterbacks looking for 3 extra inches on the blind side). Relieving pressure on the articular disc also promotes spinal alignment… Once again adding to muscle relaxation and increased strength, flexibility and balance.

In addition, proper jaw alignment naturally opens your windpipe increasing oxygen supply. It’s no wonder Pro Boxers like World Champion Andre Berto, a Makkar PPMTM devotee, have high levels of endurance in the 12th round. Jon Gruden was asked in testing to hold his breath for as long as he could. This was done without the PPM. He hit 40 seconds. With the PPM and 15 seconds recovery he held his breath for 57 seconds. Jon couldn’t believe it! With the PPM, clearly he was able to increase his oxygen intake. According to John Gruden “An NFL player would not put a $2,000 mouthpiece in his mouth if it didn’t work. That I do know.” Other well-known athletes in hockey, baseball, basketball, PGA & LPGA, as well as thousands of amateur athletes share his enthusiasm. Regardless of your sport, whether you’re a pro athlete, an amateur or a fitness enthusiast, the Makkar PPMTM has a proven track record of success.


PPM in the News!

Posted in PPM on November 17, 2009 by dukeslc

If any of you were watching Monday Night Football with the game between the Saints and the Falcons, you might have heard talk about this new amazing mouthguard that the Saints are using that can help achieve better balance, flexibility, stamina, and strength. It uses Neuromuscular principles to achieve the correct bite that aligns the body and opens up the air passages to increase oxygen intake. It’s exciting to see others discover what we have been doing here at Dental Designs of Salt Lake. Dr. David Duke uses those same principles of neuromuscular dentistry to establish bites. We also use the mouthguard (PPM – Pure Power Mouthguard) in all types of sports. Golf is one that you wouldn’t think of, but because of the increase in stability and balance, it has proven itself; just ask Scott McCarren! Let us help you in your sport! Contact our office at Dental Designs of Salt Lake, and Dr. Duke would love to help you.

Here is an article about it in USA Today!

Neuromuscular mouth guard draws performance debate
Updated 2h 18m ago | Comments 4 | Recommend 8 E-mail | Save | Print | Reprints & Permissions |

Enlarge By Andrew Councill for USA TODAY

Redskins defensive tackle Kedric Golston is fitted for a neuromuscular mouth guard, which proponents say helps athletic performance by relaxing body muscles and improving airflow.


The concept of a mouth guard that allows athletes to maximize muscle efficiency throughout the body with the perfect alignment of the lower jaw isn’t new, but the technology is.

Many attempts were made to develop such a product since the 1960s, but that was largely done by guesswork. In 1987, however, Seattle-based Myotronics hit the jackpot with Kinesiograph 7, or K7. Founded in 1966 by the late Bernard Jankelson, Myotronics is credited with producing the jaw-tracking machine.

It uses a magnet below the lower teeth, coupled with a sensor that’s attached around the skull, to follow the jaw’s movement via computer program. It can determine when the muscle fibers are at their optimal position, which is supposed to translate into better strength, balance and flexibility.

“It’ll give you the ability to pinpoint the longitude and latitude in the mouth,” says Alex Naini, a Vienna, Va.-based neuromuscular dentist. “If the jaw muscles are stretched too much, they’re too open. If they’re contracted, they’re working too hard. You want them in between.”

Without the J5 TENS (Transcutaneous Electrical Neural Stimulation), however, the K7 can’t work its magic. The J5 is similar to the treatment patients receive in physical therapy, when high-frequency pulses are sent to stimulate muscles.

“It flushes out your system,” Naini says of the J5, which pumps fresh blood into muscle fibers and drains out waste, namely lactic acid that contributes to muscle tightness and soreness. “It’s like getting a deep-tissue massage.”

By J. Michael Falgoust

ShareYahoo! Buzz Add to Mixx Facebook TwitterMore Fark Digg Reddit MySpace StumbleUpon Propeller LinkedInSubscribe myYahoo iGoogleMore Netvibes myAOL
By J. Michael Falgoust, USA TODAY
Fatigue can be as much psychological as it is physical, especially for an NFL lineman who weighs in excess of 300 pounds late in a 16-game season.
After misplacing his neuromuscular mouth guard for a few games, Derrick Dockery, a 6-6 guard now in his second stint with the Washington Redskins, immediately recognized the difference.

Or so he thinks.

“The hardest part is to distinguish if it’s psychological,” Dockery says. “Is it? … I got more winded the games I didn’t have it in compared to the games I did have it. My breathing felt different when I wore it. It seems like you have more energy.”

All mouth guards are designed to direct and distribute the impact of force to the jaw to minimize injuries such as lacerations, damaged teeth and concussions. Neuromuscular mouth guards are different from the traditional boil-and-bite ones that can be purchased at sporting goods stores, and even from the custom-fitted ones dentists often make for individual players of pro sports teams.

Rather than focusing on the pre-existing relationship where the teeth come together and the jaw joints set in the sockets to find the bite like traditional dentists, neuromuscular dentists relax the muscles for a “verifiable position” that usually results in a joint socket position that’s typically more down and forward.

“If you pull the jaw forward, your tongue is forward, you have more space in the back. It’s that simple,” says Alex Naini of, a neuromuscular dentist in Vienna, Va., outside Washington D.C., who fitted Dockery. “Anything that pulls the jaw forward opens the airway and automatically releases tension in your jaw joints. You have more space to let oxygen into your lungs.”

GALLERY: Making a neuromuscular mouth guard

Pro athletes from various disciplines, including the NBA, soccer, mixed martial arts, boxing, golf and Major League Baseball, have worn neuromuscular mouth guards because they believe they can maximize their natural abilities such as endurance, strength and flexibility.

By aligning the lower jaw over the C1 and C2 vertebrae, which sit atop the spinal column to connect the skull to the spine, a clear path is created to increase air intake. The oxygen bump is supposed to help the muscles perform stronger tasks and repeat those tasks longer.

Use of the appliance — originally developed to treat jaw joint disorders, which includes migraine headaches and ear, neck and joint pain — still isn’t widespread and has yet to gain acceptance among athletic trainers.

“Everybody’s looking for that edge over their opponent,” says Dockery, who also cites better balance and isn’t paid to endorse the product. “If it works, why not try it?”

The power train

It began with a theory in 1950 by the late Bernard Jankelson, the father of neuromuscular dentistry. He coined the name in 1967 after researching with H.H. Dixon, a muscle physiologist, at University of Oregon School of Medicine.

Jankelson graduated from dental school at Oregon in 1924, but biophysics had the imaging technology he needed to test his theory that stimulation could restore muscles to their normal function and resting length to eliminate muscle pain. That technique could then be applied to the jaw and facial muscles to kick-start a chain reaction to make the human body perform at a higher level.

“What we hypothesized is if you can get the muscle healthy before you set the jaw position, you will have a much more desirable muscle to help you generate efficiency for either force or speed,” says Robert Jankelson, 70, who joined his father in 1963 and has practiced for 45 years in the Seattle area.

The teeth function as the “gears,” he says, and it is imperative that they’re in sync with the joints and muscles to make recruitment of strength throughout the body easier.

The key lies in the temporomandibular joint (TMJ) — two three-dimensional ball sockets, one on each side of the face, that connect the lower jaw to the skull. The goal is to restore the ideal position of the balls in those sockets to align the muscles.

“That’s where that mouthpiece comes in. It allows the best joint function and recruitment of the power muscles of the jaw, that’s when you increase your athletic efficiency,” Jankelson says. “This power train goes all the way down, from the teeth, to the neck, the vertebrae, the back. The more you can get those articulations in a chain that will recruit the power muscles, that is your ultimate goal in repositioning the jaw.”

Since the advent of Gatorade in 1965, researchers of all stripes, athletes, athletic trainers and even dentists have sought alternative methods, liquids and devices to boost performance. Most notably, the U.S. Olympic bobsled and luge teams wore custom mouth guards produced by an orthodontist at the 1980 Winter Games. They claimed it was responsible for the bobsledders’ best results in 16 years and best-ever results for the lugers.

The mandibular orthopedic repositioning appliance, or MORA, was touted as a stress reliever for the TMJ that made decathletes stronger and college pitchers throw harder.

The Journal of the American Dental Association, however, published a 1984 study after 14 Louisville football players were tested using no mouth guard, a placebo and a MORA. It concluded there was no difference.

While the MORA was a start, it amounted to educated guesswork.

“It was hard for it to be reproducible, so the studies on its effectiveness were mixed because there was no predictability behind the technique,” says Gary Lederman, a New York-area neuromuscular dentist who has fit athletes such as Shaun Ellis (New York Jets) and Paulie Malignaggi (junior welterweight boxer). “There was no way to evaluate the athlete and find the precise point that it worked.”

David May, his West Coast partner at, has fit a number of mixed martial artists, including Anderson Silva (UFC middleweight champion) and Lyoto Machida (UFC light heavyweight champion).

The difference between the MORA and a neuromuscular mouth guard?

Science, Jankelson says. The MORA relied on an orthodontist’s pinkie fingers being inserted into a patient’s ears to determine if the TMJ is misaligned. Then, in an attempt at realignment, the jaw was pushed forward.

Neuromuscular dentistry relies on the J5 and K7, the latter of which received the Seal of Acceptance from the American Dental Association in 1986 for its safety and effectiveness. The J5 machine uses low-frequency pulses to relax the facial muscles so the optimal position of the jaw can be found by the K7 using computer-assisted tracking.

Struggle for acceptance

Although there are notable athletes who have worn the mouth guard, such as Terrell Owens (Buffalo Bills), Shaquille O’Neal (Cleveland Cavaliers), Michael Redd (Milwaukee Bucks) and Suzann Pettersen (LPGA), it has not become mainstream or picked up by a pro sports league the way Breathe Right strips became commonplace in the NFL.

The New Orleans Saints this season began using neuromuscular mouth guards, which are not available over the counter. Marketing of the product has been minimal, and depending on the fee charged by the lab that makes it, it can cost as much as $2,000, though Naini says she can produce it for less.

The ADA, however, doesn’t recommend neuromuscular mouth guards. Even though it gave the K7 its Seal of Acceptance, the organization doesn’t recognize neuromuscular dentistry as one of the nine specialties. As of 2006, there were 179,594 active dentists in the USA, but neuromuscular dentists aren’t accounted for in those numbers (estimates are about 3%, or 5,388).

“Dentists push your jaw back. That’s what’s taught in dental school. Even though the science is overwhelming, there’s still resistance,” Jankelson says. “Nobody wants to be proven wrong that pushing the jaw back doesn’t make sense.”

John Norwig, the president of the Professional Football Athletic Trainers Society, wants to see the science tested through independent study in the USA, which has yet to happen.

“In the athletic training literature, there hasn’t been any landmark studies. This appliance may be a great breakthrough, but there’s not any hardcore research in any of my professional journals,” says Norwig, who has worked with the Pittsburgh Steelers for 19 years.

“What we try to do is use something that has some science behind it. Years ago, they didn’t use sports beverages, but now sports beverages are the standard of care. … If it’s something that works, I’m sure it’ll make its way into the NFL.”

Says Naini: “A lot of people just haven’t been exposed to it. They don’t understand it. And let’s face it, a lot of athletes who use it like keeping the edge to themselves.”

Pure Power Edge

Posted in PPM on August 7, 2008 by dukeslc

Here is the amazing website that talks about how a mouthpiece can effect an athletes training and performance.  You have to check this out!!         The Pure Power Edge Website

What is a PPM (Pure Power Mouthguard)

Posted in PPM on August 7, 2008 by dukeslc

Kick Boxing with PPM

Posted in PPM, Uncategorized on August 7, 2008 by dukeslc

Balance with PPM

Posted in PPM on August 7, 2008 by dukeslc

Here is a great video of how the Pure Power Edge mouthguard can help in training and balance.