Index / Dr. Nosti
Teaching & courses
Dr. Nosti is Clinical Director of Education for the Clinical Mastery Series, which he co-founded. He authored the Ultimate Occlusion series and a live-patient program in which practicing dentists watch him treat a full-mouth case from start to finish.
Why people come here
Why this page is on a patient website
Dental websites are full of logos. Many of them represent a weekend attended and a fee paid. A small number represent something harder: being the person at the front of the room, with a hundred practicing dentists in the audience looking for the flaw in your argument.
That is a different standard. Teaching occlusion and full-mouth rehabilitation to skeptical clinicians means being able to defend every step of a technique, including the steps that are inconvenient, slow or expensive. It means your case photographs get examined by people who know exactly where the compromises hide. And it means treating a live patient in front of them, which is the version of teaching that leaves nowhere to hide.
This page exists because it is the most useful thing you can know about the dentist you are considering, and because every item on it is independently checkable.
Appointments
A national continuing-education organization that he co-founded and whose curriculum he directs. Clinical Mastery runs hands-on and live-patient programs in occlusion, esthetics and comprehensive restorative dentistry for practicing dentists. Directing the education means deciding what gets taught and standing behind it.
The Misch Institute is one of the longest-established implant training programs in the United States, built on restoratively driven implant dentistry: plan the finished teeth, then place the implants to serve them. That principle is the one the implant pages on this site describe, and he teaches it.
An appointment at a dental school, teaching students and residents. Academic appointments involve review by peers rather than purchase, and they are renewed rather than awarded once.
A hands-on cosmetic and restorative teaching institute. Clinical instruction here means standing beside dentists while they work on a case and correcting them in real time, which is harder than lecturing.
The curriculum
The first teaches the language of occlusion. The last puts a dentist in the room while a full-mouth case is treated in front of them.
How the joints, the muscles and the teeth interact; how to recognize an occlusion that is destroying teeth; how to take and read the records; and how to treat reversibly before anything permanent is considered.
Taking a worn or collapsed bite and rebuilding it — establishing vertical dimension, sequencing the arches, provisionalizing, and communicating the whole plan to a laboratory so the result matches the design.
The cases that do not follow the textbook: combined implant and restorative work, failed previous dentistry, joint pathology, and the judgment calls about when not to treat at all.
A live-patient program. Dentists watch a full-mouth case treated from records through preparation to provisionals, in real time, with the reasoning narrated as it happens and questions taken throughout.
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Why it is on a patient website
A weekend course can be bought. Being the person at the front of the room cannot.
The record
Four programs, built as a sequence. The first teaches the language of occlusion; the last puts the dentist in the room while a full-mouth case is treated.
The foundation course: how the joints, the muscles and the teeth interact, how to recognize an occlusion that is destroying teeth, how to take and interpret the records, and how to treat reversibly before anything permanent is considered.
Taking a worn or collapsed bite and rebuilding it: establishing vertical dimension, sequencing the arches, provisionalizing, and communicating the whole plan to a laboratory so that the finished result matches the design.
The cases that do not follow the textbook — combined implant and restorative work, failed previous dentistry, joint pathology, and the judgment calls about when not to treat at all.
A live-patient program. Dentists watch a full-mouth rehabilitation case treated from records through preparation to provisionals, in real time, with the reasoning narrated as it happens and questions taken throughout.
Where he has lectured
He has lectured at the annual sessions of the American Academy of Cosmetic Dentistry and the Academy of General Dentistry, at the Townie Meeting in Las Vegas, for Seattle Study Club, for BioResearch, for Dental Nachos, and for the New Jersey Academy of General Dentistry.
The subjects are consistent: occlusion and its measurement, full-mouth rehabilitation, removable prosthetics done properly, and the digital tools that make a bite measurable — T-Scan for occlusal force and timing, and joint vibration analysis for the joints themselves. He is a key opinion leader for Ivoclar and a clinician for Brasseler USA.
Those two technologies are in use in the practice. He is not lecturing on equipment he does not own.
What it means for your case
There is a practical consequence to all of this, beyond reassurance. A dentist who teaches a technique has done it enough times to have a protocol, has had to write the protocol down, and has had it argued with by people who do it differently. The sequence you are given here is not improvised.
It also means the records are taken properly, because they have to withstand being projected onto a screen. Standardized photographs, mounted models, measured bites and documented outcomes are routine here for the plain reason that they are the material he teaches from.
The one practical cost to you is scheduling. He travels to teach several times a year, so the calendar has days blocked for it. The office works around it and will always tell you in advance.
Questions
It means a number of days a year are set aside for it, and the schedule reflects that. In practice patients notice it as a calendar that books a little further ahead, not as reduced availability for their own treatment — a case in progress is sequenced around the teaching dates before it starts.
Only if you have explicitly agreed to it, in writing, in advance, and with full knowledge of what it involves. Live-patient programs recruit patients who consent specifically for that purpose and are treated to the same standard as anyone else. Nobody is observed without asking first, ever.
Clinical photographs are taken as part of the record for every substantial case, because they are needed to plan and check the work. They are used in teaching only with your consent, and dental photographs do not include your eyes or anything that identifies you. You can decline and it changes nothing about your treatment.
The Clinical Mastery Series courses are for licensed dentists and their teams. If you are a dentist reading this page, that is the right place to look, and the office can point you to the current schedule.
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Next step
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.