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Non-Appliance Approach to TMD

September 27, 2024 @ 8:00 am - September 28, 2024 @ 5:00 pm MDT

Course BenRobert


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DTR course
Live DTR Training
$ 2,595.00
40 available


Disclusion Time Reduction (DTR)


Disclusion Time Reduction (DTR) is a Splintless TMD Therapy using fundamental concepts of occlusion. This is true… but it is so much more than that!

Periodontal, Orthodontics, Cosmetic Dentistry, Implants, and Fixed and Removable Prosthodontics from a single crown to Full Mouth Reconstruction ALL are impacted by occlusion. The occlusion also greatly impacts tooth sensitivity.

Disclusion Time Reduction (DTR) Therapy is a specialized dental treatment procedure that requires the use of T-Scan in tandem with an EMG link to evaluare occlusal forces in relation to muscle activity. DTR Therapy uses T-Scan ™ digital occlusal analysis data to measure the impact of excursive movements on the occlusal plane. The goal is to identify contacts that may be overly engaging during excurtive movements, a problem that can lead to hyperactive muscles, breakage, and TMD symptoms. The clinician evaluates the time it takes for posterior teeth to disengage during excursive movements and correlates the occlusal data to muscle activity in real time.


  1. Define what Disclusion Time Reduction (DTR) Therapy is and the research behind it
  2. Evaluate and diagnose clinical DTR Cases
  3. Gain skills interpreting data with clinical demonstrations for occlusal analysis
  4. Demonstration of what you learned to live patient treatment
  5. Assess when to treat with DTR and when not to
  6. Learn how DTR can be applied to other areas of dentistry

Provided Meals

Breakfast and lunch are included on Friday the 18th and Saturday the 19th.


Guests will need to book their own hotels for this event. The following hotels in the area that will offer a Vivos Discount and the links to use so they get the Vivos Discount.

DTR Course Agenda

Day 1

8:00- 8:30 – Registration, sign in and Coffee (Some breakfast items)

8:30 – 10:00- Introduction – Dr. Robert Kerstein

  • What symptoms do multiple studies*show Disclusion Time Reduction (DTR) Predictably Treats?
  • What is Posterior Disclusion Time and Excursive Friction?
  • Synchronizing T-Scan Data with Electromyography data, and how DTR Occlusal Changes Improves Masticatory Muscle Physiology
  • Working Side Group Function vs. Balancing Side Contacts and their impact on Muscle Physiology
  • The Neuroanatomic/Pulpal and Periodontal Ligament Fiber Causation of Chronic Muscular Orofacial Pain.

10:00 -10:30- Break

10:30- 12:30 – Dr. Kerstein

  • Proper DTR recording technique demonstrated on a symptomatic volunteer, followed by their occlusal force and timing data analysis.
  • DTR Patient Candidacy Inclusion vs. Exclusion
  • A DTR Clinical Case shown from Start to Finish
  • ICAGD Occlusal Adjustment Principles Outlined

12:30 – 1:30 PM Lunch – Lunch to be served on site (To Be Determined)

1:30 pm – 3pm – Dr Sutter (Dr Kerstein Narrating)

  • Live Patient DTR Treatment Streamed into the Lecture hall using the synchronized T-Scan/EMG

3 pm- 3:30 pm – Break

3:30 – 5PM – Dr Kerstein

  • Treating Anterior Pressure Resultant from ICAGD Visit 1 Tx
  • Describing the Researched Additional Positive Patient affects from DTR Treatment
    • Clenching and Grinding
    • Physiologic Airway Opening Without Sleep Appliances Needed
    • Trigeminal Neuralgia Improvements
    • Posture Improvements
  • Q &A

Day 2

8:00 to 8:30 – Coffee and morning snacks or breakfast sandwiches, fruit whatever.

8:30 -10:30 Dr. Ben Sutter

  • Embracing technology-Selective Case presentations with data collection using available standard and non-standard technologies. Radiographs 2. Cone Beam 3. EMG 4. Tekscan 5. JVA and Jaw Tracking 5. Patient information from signs and symptoms

10:30 -10:45- Break

10:45 – Noon Dr Ben Sutter- DTR Implementation into your office and Marketing DTR

Noon – 12:30 pm short break/fast Lunch

12:30 pm – 1:30 pm – Dr. Sutter Review Consent, Chart Narratives, Screening Protocols – What you need to know. 

2:45 PM– 4:45 PM – Dr Kerstein

  • Recording T-Scan EMG data to Diagnose Bite Force and Timing problems on Attendees
  • Final Q & A

4:45 PM -5pm

  • Course conclusion, Course Evaluation and Course Certificates Handed Out (Course evaluations are required for CE credits).


Dr. Ben A. Sutter

Dr. Ben A. Sutter, has been studying and treating TMJ dysfunction since graduating Rutgers School of Dental Medicine in 2005. He completed a General Practice Residency at Overlook Hospital in Summit, NJ in 2006 and currently practices general dentistry as a solo, private practice owner in Eugene, OR.

He has sought out advanced education and training in treating neuromuscular issues as well as occlusion. His studies have taken him to the Las Vegas Institute, the Piper Education and Research Center, Perfect Bite Doctor, TruDenta, and Equilibration Seminars. He has earned Fellowship status in the Academy of General Dentistry, Las Vegas Institute, and the Center for Neural Occlusion. He is a Diplomate of the American Board of Laser Surgery and was awarded Mastership in the International College of Craniomandibular Orthopedics.

Dr Sutter has been actively using T-Scan clinically in his office since 2009. He is the author and co-author of over 30 peer reviewed articles and abstracts on Digital Occlusion and Disclusion Time Reduction (DTR). Most notable is a book chapter he published in the Handbook of Research on Clinical Applications of Computerized Occlusal Analysis in Dental Medicine titled “Complex Medical Diagnoses with An Underlying Dental Etiology.” He has clinical, research, and teaching experience and brings a wealth of knowledge to any discussion on Physiologic Occlusion.

Dr. Robert B. Kerstein

Dr. Robert B. Kerstein received his D.M.D. degree in 1983, and his Prosthodontic certificate in 1985, both from Tufts University School of Dental Medicine.  From 1985 – 1998, he maintained an active appointment at Tufts as a clinical professor teaching Fixed and Removable Prosthodontics.  In 1984, Dr. Kerstein began studying the original T Scan I technology, and has since that time has also studied T-Scan II, T-Scan III, T-Scan VII, T-Scan 8, T-Scan 9, and now the present-day version, the T-Scan 10 technology.

Over the past 38 years, Dr. Kerstein has published many original research studies using all versions of the T Scan, that has led to his becoming the leading authority and researcher in the field of Computerized Occlusal Analysis. His findings have been published in the Journal of Prosthetic Dentistry, the Journal of Craniomandibular and Sleep Practice, Quintessence International, Practical Periodontics and Aesthetic Dentistry, the Journal of Computerized Dentistry, the Compendium of Continuing Education, the Journal of Implant Advanced Clinical Dentistry, Cosmetic Dentistry, Advanced Technologies and Techniques, and the Journal of Oral and Maxillofacial Implants. Additionally, Dr. Kerstein has edited a 3-volume research handbook about all the known applications of the T-Scan Computerized Occlusal Analysis technology.

A pioneer and academic science advocate for digital occlusal technology, Dr. Kerstein teaches a measured system which greatly improves the success of bite-related procedures commonplace in every dental practice. Digital Measured Occlusion provides predictable, rapid bite comfort for most patients, while lessening prosthesis breakage and remakes and shortening treatment times

Partner PACE


September 27, 2024 @ 8:00 am MDT
September 28, 2024 @ 5:00 pm MDT
Event Category:


The Vivos Institute
7001 Tower Road, Suite B
Denver,CO80249United States