Treatment GNM lanning Course with Dr. Clayton A. Chan


Description: “Refining the Mandibular Position”
Prerequisite Course: Levels 1 and 2
AGD Subject Code: 180/185 Occlusion/Appliance Therapy, 010 Basic Sciences (Dental Materials), 200 Orofacial Pain, 250 Operative (Restorative) Dentistry, 610 Fixed Prosthodontics, 670 Removable Prosthodontics


This course will combine what you have learned in the two previous courses (Advanced Principels of Physiologic Occlusion - Level 1 and Diagnostic Principles - Level 2) and will advance the dentists understanding how to establish an optimal mandibular position and stabilize it with a properly designed lower anatomical GNM orthosis. This course is designed to help the clinician understand the differences between various occlusal schemes of:
  1. Cervical problems
  2. Primary TMJ disorders
  3. Class II, division 2 and 
  4. Anterior open bite conditions. 


Different occlusal schemes and conditions require specific orthotic design parameters for each of these 4 types of neuromuscular occlusal problems. (These concepts have not been adequately addressed within classic NM teachings, leaving GAPS in understanding to the searching student). Communicating an overall treatment plan to effectively manage the orthosis through its transitioning phases for each of these conditions from phase I stabilization stage to a phase II finalization stage is key to meet the clinical demands required to treat the neuromuscular challenges faced in the clinical practice.

During this 2 day hands on session the participants will build on the knowledge of K7 instrumentation that they have learned in Seminar Level 2 and will be introduced to advanced techniques necessary to establish a physiologic "optimized bite" recording. Dentists will receive hands on instruction in the use of Jaw Tracking instrumentation and the use of dental TENS to locate and prove an "optimized bite" repeatably. In addition the program will teach procedures and techniques to use in addition to instrumentation necessary for a dynamic relational study of the teeth and TM Joints. The objective is to help dentists become capable of making dependable, comprehensive, three-dimensional dentognathic diagnosis and manage these functional and aesthetic problems prior finalizing a treatment.

Understanding how to establish and communicate and overall game plan and treatment goals are crucial to any treatment prior to any comprehensive tooth preparation begins in order to avoid mishaps. Without these key principles and concepts the dentist will continue to experience costly occlusal challenges, instability and frustrations.

  Course Objectives:
  • Help dentists become capable in making dependable, comprehensive, three-dimensional dentognathic diagnosis before treating functional and aesthetic problems.
  • “Mandibular Positioning"
  • Stabilizing the neuromuscular system with a lower anatomical orthosis
  • Understanding the differences between various occlusal schemes of cervical problems to anterior open bite conditions.
  • Communicating an overall treatment plan to effectively manage the orthosis through its transitioning phases from phase I stabilization stage to a phase II finalization stage.
  • Establishing the Optimal Physiologic Bite, understanding NM trajectory
  • Step by step instruction as to what to do and how to do it will be crucial to any treatment prior to any comprehensive tooth preparation in order to avoid mishaps.
  • Techniques in taking a NM bite with TENS
  • “Fox Plane”-to do or not to do; that is the question!
  • Mounting the maxillary casts and mandibular casts physiologically
  • Implementing the lower anatomical NM orthosis for 4 different types of clinical problems - Cervical problems, Primary TMJ disorders, Class II div. 2 and anterior open bites
  • Enhance your clinical skills and abilities to refine the bite.
  • Introduction to Micro-occlusion (Coronoplasty) - Rules of adjusting the bite.
  • Establishing a treatment plan and sequencing steps
  • Visualizing the process
  • Orthosis delivery-what now?
  • Converting a case from orthosis to reconstruction
You Will Learn:
  • How to establish a proven physiologic bite
  • Receive hands on instruction in the use of Jaw Tracking instrumentation and the use of TENS to locate and prove a bite repeatably.
  • How to implement the K7-Jaw Tracking to optimize the bite.
  • How to resolve clicking and popping and how to interpret
    computerized mandibular scanning (CMS) and electrosonographic data (ESG).
  • Procedures with electronic instrumentation to bring to light the dynamic relational study of the teeth, TM Joints and muscles.
  • How to clinically analyze the maxillo-mandibular casts relationships "PHYSIOLOGICALLY".
  • How to orient the maxillary cast for proper smile design and assessment with the lab
  • How to take a proper FOX Plane record
  • How to mount the maxillary cast using the OPI index
  • How to determine when not to equilibrate or adjust the occlusion
  • Specific records to communicate with the laboratory technician
  • Converting a NM bite economically


CLAYTON A. CHAN, D.D.S. Founder/Director of OCCLUSION CONNECTIONS The Center for Gneuromuscular Dentistry & Orthopedic Advancement

Occlusion Connections (OC) features renowned teacher and clinician Dr. Clayton A. Chan. His leadership and pioneering role in both “gneuromuscular” (GNM) and neuromuscular (NM) occlusal teachings has been recognized, by his peers, for his ability to deliver outstanding care to his patients as well as present the most advanced principles of dental occlusion and the treatment of TMD patients. When taking OC’s Masterclass training, you can be assured you are taught the most up to date and clinically relevant techniques, based on sound science, substantiated protocols and proven clinical techniques. You will learn, be inspired, become skilled, successful, profitable and confident in integrating these clinical GNM protocols into your dental practice. Dr. Chan’s GNM teachings have afforded dentist from around the world to implement clinical occlusal techniques that have achieved outstanding results in “real world” dental practices. More About Dr. Chan

TESTIMONIALS: What other doctors said about Level 3 course:

"On a weekend when a lot of college teams needed to have "Game On". Clayton definitely had his game on! I feel this was the most powerful course at O.C. I have taken. Maybe rivals the first course in NM , I took with Clayton and Bob J.way back when, to begin my journey. Thank you Clayton for the delicate missing pieces, the word will spread. Looking forward to Level 4 and becoming even more a master of the DOTS. I know there are many NM ...K7 docs out there that have no clue. I was one of them and not ashamed to admit it. I will be better on Monday!!
Extremely greatful!!" -- Dr. Myles Preble, D.M.D., Salt Lake City, UT

" Home again.  I agree totally with what Myles has already posted.  Clayton always brings his "A" game.  I wonder how naive I could have been to have thought at one point that all I needed was to get to Level 5, learn this "optimized bite" and move on.  At each level I am humbled to learn how much I still have to learn.  Tomorrow will be a new day, with bites to revisit where once I thought they were pretty good, and now I am pretty sure that they can be greatly improved.....and they will get improved.  I am envious of the younger docs like Ramsin and Amy who will have so many years to help so many patients.  I would just say to anyone on this forum who thinks they know what they don't know, but haven't been to OC......you might want to rethink your strategy.  Thanks to Clayton and Jane for another 5 star experience." - Dr. Greg Yount, D.M.D, Mattoon, Illinois

"Thank you once again Clayton for a GREAT course.  I have NEVER enjoyed learning before like I do when attending your courses. Your passion and humility are the character traits that compliment your knowledge and understanding and that opens the floodgates of learning.  I cannot express my appreciation for you in mere words. I am sharing my experience with everyone.
Thank you to Jane for being your partner in life and all she does to make our learning experience even more comfortable and enjoyable!  Together you make us feel like part of your family.
Hello to the other dentists in Level 3!  I look forward to seeing you all in March!
I wore my adjusted orthotic last night and I haven't slept that well in many years. My wife said I didn't snore. ( I don't think I do anyway...!)" - Dr. Andrew Krause, New Baltimore, MI

"This has been the most helpful of all the OC courses I have taken thus far." - Todd Buzbee, D.D.S., Springfield, Missouri

"There was a lot of opportunity to ask questions amongst the details presented. There was alot of opportunity throughout the program to implement and test teh procedures.  A wonderful facility with a great atmosphere and audio visual equipment.  A powerful course that every student needs to take in order to improve their clinical skills and augment their treatment of chronic pain patients." - Al Winchar, D.M.D., Winnipeg, Manitoba

"I truly learned so much at our last course! We have been taking better bites and classifying our cases so that Mona can make the appropriate style orthotics."
Gregg Ueckert, D.D.S., Austin, TX

"Dr. Chan is a dedicated educator. He offers information that can't be found anywhere else. These are imperative to the serious NM dentist." - Tom Pillar, D.D.S., Sioux Falls, South Dakota

"I am so glad that I came to Level 3 instead of starting out at Level 5. It ranks as one of the best lecture I have attended and cleared up much of my confusion in NM. Level 3 really is the foundation of NM understanding as it piece together all the clinical things that we all see daily with the academic aspect of NM that we all must know.... I was quite lost as I knew NM in clusters of knowledge, not knowing how to link them together. Clayton in Level 3 really puts it in perspective and not only that, went into details of many scans and treatment angles of cases that presents themselves in our practice. The cool part is that now I know what I am seeing in my scans, why they look that way and then what to do if certain symptoms do not resolve! Understanding the 4 different types of occlusal dysfunction! " - Dr. Jerry E.Y Lim, BDS(Singapore), FRACDS(Australia)

"I am amazed at what I learn each time I attend a new course. Clayton revealed another very insightful piece of the Scan 4/5 puzzle yesterday. The interesting part is that it is something that we all have seen but no one has ever picked up on. And it makes perfect sense as well as differentiating Primary TMD from Cervical issues. The course was typical of what I expect from OC; full of information deleivered in a very relaxed style and plenty of good thoughtful Q&A." -  Chris Mohler, DDS, LLC, Beaufort, SC

"A lot of valuable information that aI was not aware of before.  I feel more confident treating difficult cases.  Dr. Chan is very knowledgable and extremely capable teacher.  I am very happy with the quality of handouts and my opportunity to participate in the hands-on portion of the course.  The schedule of the courses is very convenient, and cost effective for our needs.  The facility, A/V amd food were great.  I was very satisfied with the staff, support and guidance." - Michael Nemec, B.Sc., D.D.S., Novia Scotia, Canada

"I just wanted to take a moment and express my sincere gratitude to both of you for having me at the course. It was a very powerful and solid presentation in the company of a fervent and intelligent group of colleagues and friends. I feel that I now have a much broader knowledge of the instrumentation and the practical aspect of taking and confirming the correct Physiologic bite. It was enormously helpful, Dr. Chan, to observe you taking so many bites and understanding your thought processes. Thank you for all the tidbits and insightful information you shared." - Maryam Douraghy D.M.D., Sharon, MA

"After 2 years away from Neuromuscular, CE, this course was exactly what I needed.  Clayton has an engaging style and the small classroom size was very unthreathening and really learning the 'Optimized Bite' has helped me truly understand the nuiances of neuromuscular dentistry.  To truly appreciate the refinement of the neuromuscular bite, attendance and Clayton Chan's course is a must!" - Erik S. Bradley, DDS, Wilmington, Delaware.

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