Index / Dr. Nosti
Technology
Every item here exists because it answers something that cannot be answered by looking. Dr. Nosti lectures nationally on two of them, which is a reasonable indication that they are used rather than displayed.
Why people come here
What is used, and why
Articulating paper shows where the teeth touch. T-Scan shows how hard, and in what order, as a timed force recording. In a bite that is causing damage, the sequence is usually the problem, and this is the instrument that reveals it. Dr. Nosti lectures on it nationally.
JVA records the sound signature each temporomandibular joint produces through a full opening and closing cycle. Healthy joints are quiet in a characteristic way; a displaced disc is not. It is a non-invasive way to screen the joint itself rather than inferring from symptoms.
A conventional radiograph is a flat shadow. A 3D scan shows bone volume, bone density, the position of the sinus and the path of the nerve. No implant is planned here from two-dimensional images, because the measurements that matter are not visible in them.
A digital scan replaces impression material for most procedures. It is more comfortable, it can be checked and re-taken on the spot rather than discovered to be flawed at the laboratory, and it feeds directly into design software for aligners, implants and restorations.
Restorations designed on screen and milled from a solid ceramic block. For suitable cases this means fewer appointments and no temporary. Where a case needs a technician's hand — most front-tooth ceramics — it goes to a laboratory instead, and that is said plainly.
Not decoration. A calibrated set of photographs is how a smile is designed against the face, how a case is communicated to the laboratory, and how a result is checked against the plan. It is also the record that makes Dr. Nosti's teaching possible.
Mercury-free
No amalgam has been placed in this practice since 2004. Where an existing amalgam filling has to come out, it is removed under the SMART protocol — the Safe Mercury Amalgam Removal Technique set out by the International Academy of Oral Medicine and Toxicology — which uses high-volume suction, isolation, filtration and protective measures to limit exposure to mercury vapor during removal.
To be clear about what is and is not being claimed: this is about the removal procedure, not about health benefits attributed to removing amalgam generally. Patients who want their amalgams replaced for their own reasons can have that done carefully here.
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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.