DDS System

Help your patients eat less!
by Louis Malcmacher*  Dental Economics, August 2004  (see "columns")

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Something interesting occurred in the dental industry just a few short months ago. It will be very interesting to see how it will play out. On May 19, the DDS System introduced a behavior-modification appliance to help people eat slower and eat less. The dental appliance, when worn by the user, forces that individual to eat slower, which then triggers the satiety response.  The satiety response has been known in nutritional literature for a long time. Basically, it takes 10 to 20 minutes for your stomach to tell your brain that it is full. We in America eat much too fast and fail to utilize this satiety response to warn us that we are full. This has certainly been a big factor in the obesity crisis in America. 

The DDS System is a behavior modification way to train people to eat slower, letting their brain know that they are full, so that, ultimately, they will consume fewer calories and reap the benefits.  The device is quite intuitive and easily mainstreamed into the dental practice. After an initial examination, our auxiliaries have all the skills needed to create this device. It is as simple as taking an alginate impression, pouring the model, filling out a lab form, and sending the case into the lab. 

This device [See a photo of the DDS Appliance] was created and patented by a woman with torus palatinus, [see a picture of a torus palatinus] and it basically mimics her condition. She realized that at dinner, while she was sitting across from -her husband, it would take her 25 bites to finish a hamburger, while it would only take him five bites. She was thin and he was heavy. Knowing this small piece of information, you can now look at your patients with large maxillary torus palatinus differently to determine whether they are perhaps generally thinner than those without a torus palatinus.  The DDS System can only be dispensed by certified dentists.

A certification course is available through the company for a yearly fee. I must tell you that I was quite impressed with the certification course, because I am usually skeptical of these kinds of things. This was solid information that really informed me about the major issues in eating behavior today. With this information, it makes it much easier to talk to patients about this DDS device.

When information about this device hit the media, it hit like a virtual thunderstorm. Just about every major newspaper across the United States picked up the story, as did CNN, Fox, ABC, NBC, CBS, and hundreds of other channels across the United States. An estimated 50 million people saw a story about the DDS System. The company reported three million hits on its Web site in the first three days of launch, with 250,000 people doing searches for a dentist near them. If you had to put a price tag on the public relations that the DDS System received, it would be in the range of $30 million of free publicity. There were a number of skeptics in these news reports as well. In my opinion, the skeptics added a real dimension to this form of behavior modification. Certainly, people donít need this device; they just need to learn to eat slower. The problem is they donít learn to eat slower and thatís why this device can be a valuable addition to their efforts in weight management. I have had a number of patients who have chosen to use this device, with all of the informed-consent issues clearly spelled out.

The comparison to custom-tray bleaching when it was first introduced to dentistry almost 30 years ago is amazing. Dentists were skeptics then, with many saying no one would want bleaching because it was too expensive, people would lose the trays, and the process wouldnít work. Here we are in 2004 and it is estimated that 95 percent of dental offices offer custom-tray bleaching. Could the same thing happen with the DDS System? Only time will tell! Weight control in this country is a $55 billion business, and it is clear that patients are interested in tools to help them. Dentistry now has a new tool for patients to help them combat their obesity problems, in addition to all of the other wonderful services we now offer.

*Dr. Louis Malcmacher is an international lecturer and author known for his comprehensive and entertaining style.  An evaluator of Clinical Research Associates, Dr. Malcmacher is a consultant to the Council on Dental Practice of the ADA. For close to two decades, Dr. Malcmacher has inspired his audiences to truly enjoy practicing dentistry by providing the knowledge necessary for excellent clinical and practice management skills.  his group dental practice has maintained a 45% overhead 1988.  Fro details about his speaking schedule, Dr, Malcmacher can be reached at (440) 892-1810 or via e-mail at


My fondest dream has has become a lucid reality. Just click on the words "DDS System" and you will find Scientific Intake's website describing a removable orthodontic retainer-like device that is custom-fitted, which your wear when you eat. If I understand it correctly it forces you to take smaller bites, consequently, you eat more slowly and the "satiety center" in your brain says:  "you are full" way earlier than YOU usually say it.   On their site you will see it described as "... a patented approach to eating less... a behavior modification system that retrains your eating habits without rewriting your menu". According to President, William Longley, you can already choose among more than 3000 trained dentists who stand ready to  provide this incredibly publicized "behavior modification device".  The cost typically ranges between $350 and $500.  So why am I "kvelling*"  like my only daughter just produced my first grandchild?  It's simple. With the use of this device, dentists have just repositioned themselves as world leaders who are now openly willing and able to help people modify their eating habits and to attack the problem of eating too much where it begins - at the patient's mouth.  *kvell is a Yiddish word meaning to gush effusively.  In brief, I have company. OJW  Is also a behavior modification system which promotes eating less. Unlike the DDS system, however, OJW is designed to and claims to  promote weight loss. Both are  in dire need of extensive research in order to prove their effectiveness. I can see a day when OJW and the DDS system can be used in tandem as a significant behavior modification system helping those who wish to lose weight and subsequently continue their success by maintaining their modified eating habits.  My best wishes to William Longley and the DDS System. Let the nay-says rant and rave. We shall prevail because we believe we stand for the right thing.