
There are three types of dentists, and the difference between them is not talent — it is how far each one follows the bite: whether they stop at the tooth, or follow the occlusion all the way to the muscles and the joint. These are not three kinds of skill. They are three depths of training — a path, and you can see where you stand on it.
Competent and confident in single-tooth and quadrant dentistry, with full command of everyday restorative, operative, endodontic, and basic surgical work. Treatment is delivered within the patient’s existing habitual bite — the mandible is not repositioned to the maxilla. Muscle dysfunction, joint pain, and derangement are largely outside the scope. This is the foundation all dentistry is built on, and it is done with real skill.
Confident in achieving cosmetic and arch-level results — straightening, leveling, aligning — through single-arch dentistry, cosmetic restorative orthodontics, prosthetics, and implants. The work reshapes teeth and arches beautifully, but stops short of changing jaw relationships. Muscle, joint, and derangement problems remain a minimal focus. A meaningful step up the path, with one frontier not yet crossed.
Competent to manage the full jaw relationship — maxilla to mandible — across all six dimensions, including every vertical dimension and occlusal position before, during, and after TMD, orthodontic, and restorative treatment. Skilled in accurate orthotic transitioning through those dimensional changes, and in resolving the muscle, pain, and joint derangement problems that occlusion drives. This is dentistry practiced from an optimal physiologic relationship — micro-occlusion and orthopedics together. This is where GNM lives.
What separates the three types of dentists is not ambition — it is whether the bite is measured. The further up the path, the less the dentist relies on what looks or feels right, and the more on what the instruments record: the muscles at rest, the path the mandible travels, the position the body actually wants. GNM is the training that takes a dentist to the third tier — not by adding opinion, but by adding objective measurement. Wherever you stand today, the next rung is learnable.
Ready to follow the bite further? New to GNM? Start with the Foundation Series →
Which type of dentist am I? If you treat within the patient’s existing bite, you are practicing at the first tier; if you reshape arches but leave jaw relationships unchanged, the second; if you manage the full jaw relationship with objective measurement, the third. Most dentists are further along than they realize and closer to the next rung than they expect.
Is the first tier “lesser” dentistry? No. Every tier rests on excellent foundational dentistry. The tiers describe how far a dentist follows the bite — into the muscles and joint — not how good the dentistry is.
How do I move up the path? Through training that adds objective measurement to clinical skill. The OC GNM Foundation Series is the starting point; the Masterclass curriculum carries it through to comprehensive orthopedics.
Written by Clayton A. Chan, D.D.S. — Founder and Director, Occlusion Connections | Las Vegas, Nevada