NostiD.M.D.

Mays Landing, New JerseyD.M.D., FAGD, FACE, FICOI

He teaches
this work
to other dentists.

Dr. John Nosti is Clinical Director of Education for the Clinical Mastery Series, faculty at the Misch Institute of Implantology, and the author of the Ultimate Occlusion course series. The complex cases other practices refer out are the ones that come here.

1998D.M.D., UMDNJ — now Rutgers School of Dental Medicine
3Academy fellowships — FAGD, FACE and FICOI
18Articles published in Dentaltown, where he sits on the board
Dr. John Nosti, D.M.D., FAGD, FACE, FICOIMays Landing, New Jersey
TeachingClinical Director of Education, The Clinical Mastery Series
FacultyMisch Institute of Implantology
FacultyArizona School of Dentistry and Oral Health
FellowshipsFAGD · FACE · FICOI
Recognized“Top Dentist”, New Jersey Monthly, by peer vote since 2010

The standard

Teaching a technique to a room of skeptical dentists means being able to defend every step of it.
The Clinical Mastery SeriesClinical Director of EducationMisch Institute of ImplantologyFacultyDentaltownEditorial advisory board

Why it matters who does it

The dentist who teaches the course
is the one doing your case.

Plenty of dentists take continuing education. A much smaller number write it. Dr. Nosti authored the Ultimate Occlusion series — three courses on functional dentistry, full-mouth rehab and complex cases — and teaches them to practicing dentists around the country, along with a live-patient program where they watch him work.

That matters here for a plain reason. Teaching a technique to a room of skeptical clinicians means being able to defend every step of it, including the inconvenient ones. The same standard applies when it is your mouth.

What he teaches, and where

Dr. Nosti holding a hand mirror for a patient to see her new smile
Showing a patient the finished result

The bite is the foundation

Beautiful teeth on a broken bite
do not stay beautiful.

Most cosmetic dentistry that fails does not fail because of the porcelain. It fails because the bite underneath it was never addressed, and the new teeth were asked to absorb forces the old ones had already lost the argument with.

This practice starts at the other end. The joints, the muscles and the way the teeth actually meet are assessed first — with T-Scan digital occlusal analysis and joint vibration analysis where the case warrants it — and the cosmetic work is built on top of a bite that works.

How the bite is assessed

NEIGHBORING TEETH LEFT UNTOUCHED
Single implant between untouched natural teeth
§ 04

The instrument

Paper shows you where.
This shows you when.

A bite is an event, not a picture. T-Scan records which tooth arrives first, how hard, and whether the two sides land together. Play it, or drag through it.

What you are looking at

Each circle is a tooth, and the size and brightness of its bloom is the force on it. The timeline underneath runs from the moment the teeth begin to meet to full closure. In a bite that is destroying teeth, one contact arrives early and alone, and takes the whole load while the rest are still on the way down.

First contact—
Peak force on one tooth—
Elapsed—
Left / right balance—
Dr. Nosti holding a hand mirror for a patient to see her new smile

The standard, in practice

The plan is finished before the first tooth is touched.

Dr. Nosti showing a patient the result that was designed, tested and agreed first

§ 05

Is this for you

Who tends to do well here.

Probably not the right fit

Better served another way

  • Routine cleanings alone — we are glad to do them, but you will not need this page
  • A single straightforward filling
  • Anyone looking for a price over the phone without an examination
  • A case where the quickest option is the only consideration

A good fit

Reconstructive and cosmetic cases

  • Teeth that are worn short, chipping or cracking and nobody has explained why
  • Jaw pain, clicking or morning headaches that have been dismissed before
  • Old crowns and veneers that no longer match or keep failing
  • A smile you have never liked and have been quoted several different plans for
  • Several missing or failing teeth where the whole mouth needs one plan

What the first visit involves

Dr. John Nosti, D.M.D., FAGD, FACE, FICOIJohn R. Nosti, D.M.D.FAGD · FACE · FICOI

The dentist

He teaches occlusion
and full-mouth rehab
for a living.

Dr. John Nosti graduated from the University of Medicine and Dentistry of New Jersey — now Rutgers School of Dental Medicine — in 1998, and completed a general practice residency at Lehigh Valley Hospital the following year. He describes himself as a continuing-education junkie, and the description has held up: the courses he once traveled to take are now courses he writes.

He is Clinical Director of Education for the Clinical Mastery Series, which he co-founded, faculty at the Misch Institute of Implantology, adjunct faculty at the Arizona School of Dentistry and Oral Health, and a clinical instructor with the Hornbrook Group. He authored the Ultimate Occlusion series and a live-patient program in which dentists watch him treat a full-mouth case from start to finish.

1998
D.M.D., University of Medicine and Dentistry of New Jersey — now Rutgers School of Dental Medicine
1999
General Practice Residency, Lehigh Valley Hospital, Allentown, Pennsylvania
Fellowships
FAGD · FACE · FICOI — Academy of General Dentistry, Academy of Comprehensive Esthetics, International Congress of Oral Implantologists
Teaching
Clinical Director of Education, The Clinical Mastery Series — which he co-founded
Faculty
Misch Institute of Implantology · Arizona School of Dentistry and Oral Health · The Hornbrook Group
Published
Editorial advisory board and eighteen articles in Dentaltown; also JAACD, Dental Economics, Inside Dentistry and Dentistry Today
Recognized
“Top Dentist,” New Jersey Monthly, by peer vote since 2010; named a top educator by Dentistry Today

The full record, with sources

§ 06

Where we are

Harding Highway, Mays Landing.

Free parking at the door, and most patients come from Mays Landing, Egg Harbor Township, Galloway and Linwood.

Two members of the practice team outdoors, smiling
The team at Advanced Cosmetic and General Dentistry
Dr. Nosti holding a hand mirror for a patient to see her new smile
Showing a patient the finished result
§ 07

Common questions

Before you call.

What does full-mouth rehabilitation cost?

It depends on how many teeth are involved, what state they are in, and whether the bite has to be rebuilt at a new vertical dimension. The range is genuinely wide, which is why nobody can quote it honestly over the phone.

What you will get at a consultation is an examination, the records the case needs and a written, itemized plan — with the sequence and the fees set out before anything is scheduled.

Why does my dentist keep replacing the same crown?

Usually because the force that broke it the first time has not changed. A restoration that keeps failing is a symptom; the bite is the thing worth investigating. That is the core of what Dr. Nosti teaches.

Do you treat TMJ, or just refer it out?

It is treated here, and it is one of the subjects he lectures on nationally. Assessment comes first — joints, muscles, wear patterns and how the teeth actually meet — and reversible treatment comes before anything permanent.

I have been told I need veneers on all my front teeth.

Possibly. But a second opinion is worth having, because the number of teeth that need treating is a function of what you want the result to look like and what the bite will tolerate — not a fixed figure. Bring the plan you were given.

Keep reading

Next step

Start with an examination and a straight answer.

A consultation includes an examination, the records the case needs and a written, itemized plan. If what you are asking for is not the right treatment, Dr. Nosti will say so and tell you what is.

Call the officeBook a consult