NESA XSIGNAL® терапия — поставяне на електроди
NESA · Dental medicine

Precision and calm in the dental practice.

NESA supports dental medicine in bruxism and temporomandibular dysfunction through autonomic regulation.

Information for healthcare professionals

Self-recognition

Do you recognise yourself?

Jaw clenching and teeth grinding

✓you clench or grind your teeth
✓tense or painful jaw
✓mouth breathing
✓tension in the face and neck
✓tongue in a wrong position
✓worse under stress or at night
What happens in the autonomic nervous system

Like a jaw shaped into a clenched fist. Constant stress “clenches the fist”: clenching, grinding and orofacial tension, day and night.

Self-assessment, not self-diagnosis — discuss with a professional.

NESA benefits

Non-invasive modulation of the autonomic nervous system.

01
01

Bruxism

Reduction of muscle tension.

02
02

TMD

Support in temporomandibular dysfunction.

03
03

Calm

Lowering patient stress.

Downloads

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Mechanism, indications, protocols and clinical data for implementing NESA.

PDF NESA presentationBulgarian · NESA ↓ PDFPatient cardFor patients · PDF (EN)↓
NESA XSIGNAL® терапия в денталната практика — електроди на крайниците
Across the four limbs

Microcurrents through the wrists and ankles — the whole autonomic axis at once.

In depth · autonomic regulation

Where anxiety and tension affect the outcome.

NESA (non-invasive ANS neuromodulation, XSIGNAL) complements dental and maxillofacial care. The orofacial region is densely innervated by trigeminal afferents closely wired to autonomic and central circuits. Sustained sympathetic dominance lowers the pain threshold, intensifies muscular tension (bruxism) and delays recovery.

Clinical fields: acute intra-procedure anxiety, pre-operative anxiety, post-procedure recovery, orofacial pain, bruxism, trigeminal neuropathy (I/II), Burning-Mouth syndrome. Three-phase lead-electrode logic: central (sternum, C7) → metameric (C2/C3) → focal (complaint zone, V3 or Gasser ganglion). 60-min session, LOW; HIGH only for B8 with no response after 12 sessions.

Evidence — in context

For dentistry we build on NESA's general ANS evidence. The effect is mechanism-based — ANS modulation, anxiety regulation and HRV. As proof of principle:

+40%

prefrontal alpha waves (10 sessions); −30% anxiety/obsession/hostility (20 sessions) — Álvarez de los Heros, UAH 2019.

HRV

HRV (SDNN) and vagal tone (RMSSD).

Limits & safety: NESA is applied after individual medical/dental assessment. Protocols are guidelines. XSIGNAL is a medical device — applied after individual assessment. Absolute contraindications: pacemaker and pregnancy.

Protocol · 12–20 sessions · 2× weekly · 55 min

Bring NESA into your practice.

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Protocol parameters

Real values from the handbook (INF-CD-022)

Central and mixed bruxism

Sessions~20 (may be >20)
FrequencyInduction → maintenance
Duration60 min
ProgrammesP1 · P2 · P7 · P8 · P9
Guiding electrodeSternum · C2/C3 · C7 · V3
QuestionnairesWeCardio · 3Q/TMD

Trigeminal neuropathy I

Sessionsmin. 20
FrequencyInduction → maintenance
Duration60 min
ProgrammesP1 · P2 · P7 · P8 · P9
Guiding electrodeGanglion Gasseri · C7 · C2
QuestionnairesPCS · VAS · LANSS

Source: NESA protocol handbook · INF-CD-022 (2025-V.1). Standard session 60 min, LOW mode by default.

Therapeutic logic

At the core: programmes P1–P9

Every protocol in this field combines the reference programmes P1–P9 — general homeostasis, body levels, ANS/CNS and targeted nerves — according to the clinical goal.

See programmes P1–P9 →
Limits & safety

Protocols are guidelines.

·

Parameters are guides; the therapist adapts them to the patient.

·

NESA is applied after individual assessment — as part of the overall medical plan.

·

Absolute contraindications (pacemaker, pregnancy, active electrical implants) follow the device IFU.

INDEPENDENT CONSULTING

Before you invest — the independent assessment.

We map clinical goals, workflows, budget and reimbursement — then recommend the solution that meets the department’s needs, not the easiest to sell.

Assessment & selection →
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