CNO Certifications

The CNO purpose is to train dental professionals in TMD and occlusal diagnosis, 3D TMJ MRI and CBCT Imaging, and occlusal science so that they can in turn provide hope and direction for many patients with bite (occlusal) and TMD issues.

Not to mention predicting objective efficacy prior to occlusal alterations of all kinds. 

Choose a course link below to learn more or scroll through all of our courses in sequential order.

Any online webinar purchased will be credited towards the purchase of an in-person onsite lecture within 1 calendar year. 

Big Sky Seminars is an ADA CERP Recognized Provider. This continuing education activity has 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.

CNO Symposium 25 CE

Measured Matters For the TMJs & Occlusion “Get the Bite Right”!

Measured occlusal science MATTERS! Quantifying human occlusion from many different aspects. Learn from radiologists, TMJ surgeons, orthodontists, and occlusal-centric general practitioners why the usage of objective digital metrics makes all of the difference in all of our dental practices, every day, and in every way!

CNO Proudly Recommends: 

CNO Required Reading:

CNO Required Equipment:

Bio Research Associates

BioEMG III, Jaw Tracker & JVA Quick

CE Provided By:

Big Sky Seminars is an ADA CERP Recognized Provider. This continuing education activity has 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.

Course Author

Dr. Nick Yiannios D.D.S., MCNO
Length: Approx. 3 hours of self study
Credit Hours: 3 hours

Big Sky Seminars designates this activity for 3 hours of online continuing education credit.

CNOF

CNO Foundations

What is TMJ, TMD, and Occlusion?

Certification Overview

Professionals who have demonstrated an understanding of how neurologic, orthopedic, and timing issues within the human bite can profoundly influence a TMD patients condition. These individuals will be better armed to help diagnose occlusal (bite) and TMD related conditions such as headaches, nonspecific orofacial pains, and TMD-related neck and shoulder pains in ways that are not taught in any other mainstream curriculum in existence. CNO Foundations (CNO-F) is highly recommended for all health care professionals, including any dentist, physician, naturopath, dental laboratory technician, chiropractor, or dental student who wishes to learn more about DTR therapy and 3D imaging, and how this knowledge base, in particular, pertains to occlusal and TMD pathology.

ANNUAL MEMBERSHIP FEE OF $695 GRANTS ACCESS TO CNO FOUNDATIONS STUDY MATERIALS, AN ATTORNEY REVIEWED DTR CONSENT FORM, THE ADVANCED PLACEMENT OF THE C-D LINE TO INTERPRET DTR THERAPY, AND A DTR POST-OPERATIVE CARE FORM. All of the study material needed to complete the optional CNO-F exam is provided within the slideshow (be sure to also study the online video references included in CNO-F slideshow). Optional C.E. credits and database listing as a CNO Foundational provider will be granted once the practitioner pays for and passes the optional CNO Foundations exam. The member must maintain their annual membership dues to remain listed within the CNO database..

Level Requirements
  • 100 multiple choice questions/$200 for CNO Foundations exam (optional)/80% required to pass

  • Completion of the optional CNO Foundations examination is only necessary if you wish to be listed in the CNO database as a Foundation-level practitioner, (F).

What You Will Learn
  • 100 multiple choice questions/$200 for CNO Foundations exam (optional)/80% required to pass

  • Completion of the optional CNO Foundations examination is only necessary if you wish to be listed in the CNO database as a Foundation-level practitioner, (F).

Course Cost
  • 100 multiple choice questions/$200 for CNO Foundations exam (optional)/80% required to pass

  • Completion of the optional CNO Foundations examination is only necessary if you wish to be listed in the CNO database as a Foundation-level practitioner, (F).

Course Author

Dr. Nick Yiannios D.D.S., MCNO
Mr. John Radke B.S., MBA
Length: 2 Days
Credit Hours: 16 hours Live Lecture | 11 Online Webinar

Big Sky Seminars designates this activity for 11 hours of online continuing education credit.

CNO 1

CNO Level 1 – Lecture &/or Webinar Format

MEASURING the Occlusion & TMJs; Measured Matters!

Certification Overview

Understanding how an objectively and digitally Measured Anterior Guidance (MAG) relates to occlusion and Temporomandibular Dysfunction, including Disclusion Time Reduction (DTR) theory and practice; a didactic curriculum. An introduction to how the joints relate to the occlusion, and how objective metrics can be used to study and potentially improve the occlusion.  Includes advanced instruction on usage of the T-Scan®, BioEMG®, and JVA, and a basic introduction to MRI and CBCT imaging technologies.

Annual membership fee of $695 allows for Level 1 Certification listing once the practitioner passes the level 1 exam.

Level Requirements
  • Required reading: Handbook, CNO Foundations slideshow series (included with CNO membership), & various papers (see “Download Curriculum Packet” button on level 1 section directly below for required paper reading/bibliography as well as the textbook and link to IGI Global publishers located on the side of this page)
  • 200 question multiple choice written exam/$400 exam fee/80% to pass
  • Examination covers concepts presented via live lecture and the required reading lists. Additionally, studying CNO Foundations material (included with CNO membership), helps one better prepare for both the level 1 lecture and the level 1 examination.
  • The Rogers CNO Level 1 curriculum spends a great deal of time discussing the orthopedic TMJ’s role re directly altering the occlusion, and introduces the attendee to objective 3D MRI and CBCT imaging of the TMJ’s.
  • Doctors who have passed Level 1 and are current with CNO membership will be listed in the CNO database for patients to find them
  • Listing within the CNO database requires that the doctor or dental laboratory technician be current with CNO annual membership
What You Will Learn
  • Hands-on training for the T-Scan, EMG, and JVA technologies
  • Use and interpretation of the T-Scan and Bio-EMG objective measurement tools.
  • Use and interpretation of the Tscan/EMG technologies slaved together in 3/1000 second increments.
  • An introduction to Joint Vibration Analysis TMJ cartilagenous screening of the TMJ’s.
  • Efficacy of Disclusion Time Reduction occlusal therapy and the Immediate Complete Anterior Guidance Development protocols.
  • An introduction to Frictional Dental Hypersensitivity (FDH) theory and it’s relationship to muscular TMD.
  • Why a MEASURED, TIMED, and IMMEDIATE anterior guidance development is essential for physiologically efficient muscular activity of the muscles of mastication.
  • The vast importance of midcourse corrections upon the muscles of mastication.
  • An introduction as to how TMJ anatomy and pathology relates to changes in the occlusion.
  • What dental occlusion really is, and how to measure and control treatment outcomes.
  • The distinction between TMJ and TMD defined.
  • How the static bite is less important than the dynamic bite in regards to a Measured Anterior Guidance Development.
  • The importance of stable and adapted TMJ’s for DTR therapy.
  • The pitfalls of traditional occlusal indicators such as bite/articulating ribbon, shimstock and waxes, straight from the scientific literature.
  • Sample video re CNO Level 1: https://youtu.be/JaJ47xwWNts
Course Cost
  • CNO Level 1 Onsite Lecture – $2,995

    CNO Level 1 Online Webinar – $1,995 *

    * The cost of the online webinar will be credited towards attendance of a CNO Level 1 onsite lecture, within one year of purchase*

Course Author

Dr. Robert Kerstein D.M.D., FCNO
Dr. Scott Green D.M.D., FCNO
Length: 1 Day
Credit Hours: N/A

FCNO

CNO Level 2-Fellowship (FCNO)

Clinical Application of ICAGD and DTR

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 and is typically a wonderful way to set up an occlusion relative to orthodontic and restorative dentistry treatment. 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.

An 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 or Dr. Scott Green (or another certified level 2+ CNO doctor who is an active member of the CNO Board of Advisors).

Testimonials for level 2 training:

http://www.drrobertkerstein.com/office-training-testimonials/

To schedule a CNO2 training session, contact info@cnotmj.com.

Level Requirements
    • 1 on 1 Practical Exam
    • A CNO instructor travels to the dental practitioner’s office and watches the practitioner perform proper digital occlusal adjustment therapy on at least 3 appropriate patients who would benefit from occlusal changes.

    The dental practitioner must have direct access and be familiar with the usage of the following three pieces of equipment and associated software:

    • 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
  • The proper selection of the patient by the practitioner is part of the clinical testing process.
  • Proper operation of the biometric tools and software 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/Measured Anterior Guidance occlusal adjustment protocols to accomplish DTR therapy on 3+ appropriate patients in front of the CNO instructor (after having passed the CNO1 didactic exam).
Course Cost

Full day option: 3-6 cases, $6,750.00 +airfare and hotel.

Course Author

Dr. Nick Yiannios D.D.S., MCNO
Dr. Ed Zebovitz D.D.S.
Dr. Sam Paglianite M.D.
Mr. John Radke
Length: 3 days
Credit Hours: 24 hours Live Lecture | 20 Online Webinar

Big Sky Seminars designates this activity for 20 hours of online continuing education credit.

Clear

MCNO

CNO Level 3 – Lecture &/or Webinar Format-Mastership (MCNO)

Neural Occlusion Screening & 3D Imaging of the Temporomandibular Joints and Their Influence Upon the Occlusion & TMD

*How to objectively determine if your patient has stable & adapted joints*

Certification Overview

Dentists who aspire to integrate 3D imaging including CT and MRI scans into their occlusal and/or TMD diagnostic and treatment protocols.  Possibly the most important level within the CNO organization, patients are encouraged to find a CNO level 3 doctor whenever possible since difficult orthopedic, inflammatory, and growth and development problems within the TMJ’s themselves are best identified with this sort of imaging. These otherwise unknown variables not only potentially relate to changes in the bite/occlusion, but can add numerous other layers to a TMD patients’ problems. After completing this level, the practitioner is practicing at the highest diagnostic and treatment level within the CNO, and is thereafter granted Mastership in the CNO (MCNO), and will rightfully enjoy top placement for searching patients in the CNO database. Level 3 doctors must first pass both level 1 and level 2.

A current annual membership fee of $695 allows for Level 3 Certification listing once the practitioner passes the level 3 written and oral examinations.

Level Requirements
  • Completion of Levels 1 and 2 are recommended prerequisites.
  • 2-3 days of lecture, observation, and participation in Rogers, AR at CNO headquarters.
  • A serious introduction to reading TMJ CBCT and MRI scans, and how they relate to TMD treatment.
  • 200 question written multiple-choice online examination/$400 exam fee/80% to pass/must be taken within 12 months of CNO level 3 attendance if the doctor wishes to become MCNO level and pas passed FCNO level as a prerequisite.
  • 2-hour oral examination regarding 3D imaging and its relevance to TMD diagnosis and therapy by CNO instructors at CNO headquarters in Rogers, Arkansas. This oral examination must be taken within 12 months of CNO level 3 attendance. Topics covered will be similar to those studied in the bibliography disseminated for the level 3 examination/oral exam cost is $800/pass-fail
  • Verified attendance at the Piper Education and Research Centers coursework entitled “Utilizing Imaging Skills in Foundational Occlusion” with Dr. Mark Piper in St. Petersburg, Florida. See the following for information regarding the imaging course: http://www.pipererc.com/courses-facility.asp
  • Level 3/MCNO listing within the CNO database requires that the doctor be current with CNO annual membership
What You Will Learn
  • How to determine if your patient is a CNO patient Type A, B, or C, hence vetting efficacy of treatment.
  • Deciding if a patient possesses “stable and adapted” joints based upon objective metrics.
  • How the TMJs affect the bite, and vice versa.
  • The basics of how to order, read, and interpret CBCT and MRI scans of the TMJs.
  • What to do with the knowledge that the 3D imaging provides.
  • How to combine 3D imaging data with occlusal treatment decisions in a reproducible and objective manner.
  • How 3D imaging of the TMJs relates to the occlusion.
  • When occlusal adjustment corrections are not indicated based upon 3D scans.
  • When TMJ surgery is likely the best option for the patient.
  • How to decide if MIP is a good restorative treatment position or not, based upon 3D scans.
  • How to decide if downwards and forwards may be a good restorative treatment position or not, based upon 3D scans.
  • Understanding the relevance of lateral and medial pole cartilagenous tears.
  • Basics behind TMJ surgery.
  • An introduction to cervical sympathetic inputs for a TMD patient with intractable pain.
  • Understanding TMJ anatomy and dynamic function.
  • How to “read a bite” to elucidate when TMJ foundational joint issues are present and require 3D imaging for diagnosis.
  • When occlusal splints or orthotics are biomechanically indicated, and why they are not much of the time.
  • How to objectively and reliably ascertain if a patient possesses stable and adapted TMJ’s based upon clinical exam and 3D imaging.
  • How to use Anomalous Medical software to create a virtual representation of your patient’s condition.
  • An introduction to Dr. Mark Piper’s foundational occlusion concepts.
  • How to objectively decide when NOT to perform DTR occlusal adjustment therapy on a patient based upon not only the occlusal measurement tools, but on 3D scans of the “backside” TMJs as well.
  • The efficacy of using in office CADCAM digital imaging to perpetuate the exact shape of restorative additive alterations the same day, to help ensure the proper perpetuation of additive occlusal changes.
Course Cost
  • CNO Level 3 Onsite Lecture – $6,995

    CNO Level 3 Online Webinar – $1,995 *

    * The cost of the online webinar will be credited towards attendance of a CNO Level 3 onsite lecture, within one year of purchase*

Course Author

Dr. Marcelo Matos
Dr. Nick Yiannios D.D.S., MCNO
Mr. John Radke
Length: 3 days
Credit Hours: 24 hours Live Lecture | 18 CE Online

Big Sky Seminars designates this activity for 18 hours of online continuing education credit.

Clear

MCNO

CNO Level 4 – Lecture &/or Webinar Format

TPS – TMJ Pathology Screening

Certification Overview

A deeper dive into TMJ pathology, CNO4 is quite literally entitled, “TMJ Pathology Screening”, aka TPS. Advanced digital jaw tracking and mastication analysis are taught, allowing the attendees how to objectively track the kinesiology of the mandible, and how that affects preoperative predictive efficacy of a patients’ comfort and function (or lack thereof). TMJ imaging combined with blood work to objectively diagnose rheumatological and infectious issues of the orthopedic TMJs, giving the operator a plethora of new tools to identify confounding TMJ/D pathology. Thermal imaging and genetic mapping; two more powerful diagnostic tools to add to ones diagnostic skillset. TENS combined with MRI imaging to reverse an avascular necrosis (AVN) of the TMJ(s) in the right instance; it is possible!

A current annual membership fee of $695 allows for Level 4 Certification listing once the practitioner passes the level 4 written examination.

 

Level Requirements
  • Completion of Levels 1, 2 and 3 are strongly recommended, but not required.
  • Completion of 3 days of lecture, observation, and participation at CNO HQ in Rogers, Arkansas.
  • The attendee should be familiar with reading TMJ MRI and CBCT scans prior to attendance of TMJ Pathology Screening/CNO4
  • a 200 question written multiple choice online examination/$400 exam fee/80% to pass/must be taken within 12 months of CNO level 4 attendance.
  • online format may be used for pre-study, but attendance in person for the hands-on experience are required prior to taking the CNO4 exam to become listed as CNO4 on the CNO “find a doc” database
What You Will Learn
  • Advanced usage of the Biopak, including EMG, Jaw Tracking, Mastication Analysis, and why these tools are extremely useful and essential for diagnosing TMJ/D issues
  • Advanced TMJ MRI and CBCT usage and interpretation
  • General introduction to TMJ Pathology
  • The difference between Normal and Healthy; how this impacts everything we know about diagnosis and treatment in science
  • Why hypoxia is extremely important relative to trigger point causation
  • Why the psychological model of TMD is scientifically flawed
  • Learreta TMJ Decompression Test, and its usefulness in diagnosing TMJ pathology
  • The pathogens that may infect the orthopedic TMJs, and how to diagnose this malady
  • Relevance of genetic mapping in TMJ/D diagnosis
  • Nutritional importance for TMJ health
  • Objective orofacial pain diagnostic protocols using reproducible digital metrics
  • Temporal Tendinitis; genesis and treatment
  • The brain stem and its relevance to TMJ pathology and diagnosis
  • Advanced TMJ orthopedic diagnostics
  • Nuclear medicine and its role in TMJ/D diagnosis
  • TMJ neurovascularity
  • Advanced TMJ growth and development
  • How and why the bilateral condition of the orthopedic TMJ morphology affects the occlusion
  • Selecting appropriate cases for TENS usage and adaptive orthopedic remodeling
  • Hands-on usage and interpretation of Jaw Tracker, EMG, and thermal imaging
  • Sympathetic inputs and TMJ Pathology
  • Optimized Biopak configuration
  • Predicting the efficacy of treatment after TMJ Pathology Screening (TPS)
  • Fundamentals of neurophysiology and bio-mechanics of the TMJ and its impact on occlusion and facial orthopedics
  • The importance of mastication in dentistry and how to precisely track the kinesiology behind it
Course Cost
CNO Level 4 Onsite Lecture – $5,995

CNO Level 4 Online Webinar – $1,995 *

* The cost of the online webinar will be credited towards attendance of a CNO Level 4 onsite lecture, within one year of purchase*

*  1 year of CNO’s private Facebook forum with the purchase of webinar  *

Big Sky Seminars is an ADA CERP Recognized Provider. This continuing education activity has 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. Concerns or complaints about a CE provider may be directed to ADA CERP at www.ada.org/goto/cerp.