Level 2-Fellowship (FCNO)

Clinical Application of ICAGD and DTR

Full day option: 4-6 cases, $5500.00 +airfare and hotel. Half day option: 1-3 cases, $3500.00 +airfare and hotel.

Course Author

Length: Half or full day

Certification Overview

A practical clinical performance examination leading to DTR certification for dental practitioners who wish to demonstrate clinical proficiency to the CNO regarding DTR therapy on appropriate patients. DTR therapy has been shown repeatedly in the scientific literature to help TMD patients with stable and adapted joints most every time. Patients should aspire to find a CNO level 2 trained and certified dentist before undergoing DTR therapy since these individuals have been calibrated by the very doctors who brought DTR therapy to the forefront of dental medicine.

Annual membership fee of $695 allows for Level 2 Certification listing once the practitioner passes both the level 1 didactic exam (through the CNO) and the level 2 clinical proficiency practical exam conducted by Dr. Robert Kerstein, the founder of DTR therapy (or another certified level 2+ CNO doctor who is an active member of the CNO Board of Advisors).

Testimonials for level 2 training:


To contact Dr. Kerstein to schedule: tmjdoc@ix.netcom.com

Level Requirements

  • 1 on 1 Practical Exam

  • A CNO instructor travels to the dental practitioners office and watches the practitioner perform proper DTR therapy on at least 3 appropriate TMD patients.

The dental practitioner must have direct access and be fully adept in the usage of the following three pieces of equipment and associated softwares:

  • T-Scan (Tekscan Inc., Boston, MA, USA)

  • BioEMG III (Bioresearch Associates, Deer Borne, WI, USA)

  • Joint Vibration Analysis/JVA (Bioresearch Associates, Deer Borne, WI, USA)

Listing within the CNO database requires that the doctor be current with CNO annual membership.

What You Will Learn:

  • Proper selection of the TMD patient by the practitioner is part of the clinical testing process.

  • Proper operation of the biometric tools and softwares used to accomplish DTR therapy as demonstrated to the CNO instructor (T-Scan, EMG, JVA).

  • Proficiency and FCNO Level II certification is presented to the clinician who satisfactorily performs the ICAGD occlusal adjustment protocols to accomplish DTR therapy on 3 appropriate patients.

Get Certified Download the Curriculum Packet

Continuing Education Partners

Big Sky Seminars is an ADA CERP Recognized Provider. These continuing education activities have been planned and implemented in accordance with the standards of the ADA CERP through joint sponsorship between Big Sky Seminars and The Center for Neural Occlusion. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by Boards of Dentistry.

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