Physiologic Based Dentistry

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Physiologic Based science is a broad and all encompassing approach to finding the stable physiologic neutral zone. Historically occlusal theories focused on the hard tissue structures in the system but lacked comprehensive perspective to be able to create predictable outcomes. With the inclusion of the soft tissue analysis along with the hard tissue science, we can arrive at an objective and complete analysis of the entire system including musculature and bone and teeth to create a stable result from multiple perspectives, including posture of the head, neck, body, and jaws. In addition, the muscular balance will create better occlusal stability and long term restorative or orthodontic/orthopedic stability as well as enhanced esthetics for the patient.

There are some fundamental factors that need to be addressed to ensure the case is being managed from a complete perspective that includes not just hard tissue and tooth evaluations, but a total system evaluation.

  1. The body functions as a biologic being and cannot be treated as if it were simply a machine. The stomatognathic system is no exception and the anatomy and physiology of the entire system must be considered. Humans do not function like an articulator.
  2. The oral complex is directly and constantly connected to the rest of the organism. The evaluation necessarily includes an appreciation of posture beyond the jaw-to-jaw relationship. The “bite” affects the rest of the body from top down.
  3. The system is adaptable and will attempt to self-correct, however there is a point where the system can be pushed past the body’s ability to compensate. This is where dysfunction and symptoms begin to occur. That adaptation can also cause serious problems.
  4. The body is designed to function in a decompressed state, allowing for proper blood supply as well as lymphatic drainage and optimal physiologic function. Compression is inconsistent with health and function and often creates pain. This is both compression in the TMJ as well as the vertebrae, particularly the cervical vertebrae.
  5. The body is designed to function with significant reserve capacity for activity. The resting jaw relationship should be from a physiologically relaxed position.” If the ‘resting’ muscles are under tension that is a destabilizing and pathologic position.
  6. Proper physiologic function allows for an open/close pathway of the jaw that is comfortable in the entire range of motion including the final Centric Occlusion.
  7. Ultra Low Frequency TENS has been demonstrated to be an exceptional tool to facilitate muscle relaxation.
  8. Objective measurement and recording is an art and science that is too often missed in dentistry. Diagnostic information is the key to treatment success and answers to some basic questions will contribute to optimal success.
  9. Electromyography (EMG) is an efficient and effective way to assess muscles both at rest and in function. Being able to measure EMGS of the muscles of mastication is essential.
  10. Muscles at rest should have low resting EMG readings and objective measurement allows the doctor to achieve a more ideal therapeutic outcome.
  11. Optimal recruitment of the musculature when in function is essential to predictable positive outcomes.
  12. TMD is a broad range of dysfunctional issues that can have a number of different symptoms and may well mimic a variety of other ailments. In fact, TMD dysfunction can lead to a number of other systemic compromises as well.
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Testimonials

Great service Knowledgeable doctor Friendly staff 5+ stars!! Someone hacked into my account and gave false review. Not me!!! Outstanding service @ Dr Gorbatov Dentistry!!!!

Ellen Zlobinskiy (Hallandale Beach, FL)

Very helpful and amazing response time! Found them on Instagram and I'm happy I did!

Cece Esk (Hollywood, FL)

Had a great experience with Dr.Gorbatov, he is really professional and doing great his job always with a smile)) Definitely recommending him

Tanya Kusiumova (Sunny Isles Beach, FL)

Absolutely amazing. Jess and Jessica at the front made me feel so comfortable and helped me conquer my fear of the dentist. The office is clean and welcoming I completely... read more

Hayley Kaplan (Wellington, FL)

Very good cleaning

Riley Purdy (West Palm Beach, FL)

Benjamin R. (West Pam Beach, FL)

I went to the office to get teeth cleaning! The receptionist was overwhelmed with something, but she was the sweetest. My dental hygienist did great job, made sure I feel... read more

Elizaveta C. (Miami, FL)

High-level professionals. Thank you, Dr. Gorbatov. I'm going to recommend your clinic to my friends. With best regards!

Vlad Shishko (Sunny Isles, FL)

The receptionist goes above and be on for the customers. Excellent service the doctor treats you with all his attention feels like I’m right at home and explain everything detailed.... read more

Sophie Garcia (Royal Palm Beach, FL)

Dr. Gorbatov placed an implant for me, I am extremely happy with the result, I had absolutely no pain during the procedure after few month doctor put a crown, looks... read more

Sergey Kasatkin (Sunny Isles Beach, FL)

Thank you personally and from the bottom of my heart for the kindness and consideration you showed my mom, Catherine the other day! ?

Patrizia Rondelli (Hollywood, FL)

I want to say that I never write reviews. However I have to say that this dentist center is amazing! From the moment you enter you feel like family. Everyone... read more

Lisa Jerkins (Wellington, FL)

I finally found a great dentist who does its all, root canals, caps, and implants. I needed major work on my mouth all at once, although it was expensive because... read more

Diane O’Brocki (Loxahatchee, FL)

I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly... read more

ML GG (Aventura, FL)

Dr. Gorbatov is an excellent dentist. I went to several other dentist and they all wanted to do a root canal, but Dr. Gorbatov was able to save my tooth.... read more

Arthur Rubinovich (Sunny Isles, FL)

My experience was great.Doctor is very professional.I really recommend.The best place to go for your dental.

Olga Meverden (Sunny Isles Beach, FL)

I've been looking for a good dentist since So. FL lacks them. Not anymore, great professional services, and best of all, you will find a personal touch. You will truly... read more

ML GG (Hollywood, FL)

Incredible how I was just taking my mother to her dentist appointment to me ending up becoming a patient, Jessica greeted me with such warmth and compassion and immediately noticed... read more

Aracelis Figueroa (Wellington, FL)

The atmosphere in this office is beyond believe, I instantly felt comfortable with Dr Dimitiri and his assistant Yuri. They work great together. I had 6 veneers put in and... read more

Ruslan Gahramanov (Sunny Isles Beach, FL)

Jessica at the front has helped me tremendously and the Dr has made the large amount of work that I have had done painless

Celeste Clossin (Wellington, FL)

I take my 90yr great grandmother to this office and they are so kind and she feels so loved here. Every visit she receives excellent service and quality work. Thank... read more

Farron Ann (Wellington, FL)

You are the best guys! You definitely make me smile more :) Thank you sooooo much! Olga Aksenova ❤️

Olga Axenova (Hallandale Beach, FL)

Excellent service , friendly & professional !!!

Mauricio Bonifacio (Sunny Isles, FL)

I are retired dentist and visit dr Gorbatov,s office like a patien for dental works. We graduate the same school New York university and l can tell you the dr... read more

Shmuil Aronovich (Hallandale Beach, FL)

I know Dr. Gorbatov and use his service already for 15 years since we moved to Florida. He is an amazing doctor capable to do all types of dental and... read more

Eugenia Aulov-Volchek (Sunny Isles Beach, FL)

I have been going to this office now for the past 3 years. From Jessica working the front, to having my teeth cleaned, and both Drs. working on my teeth,... read more

Joanne Purdy (Wellington, FL)

S u p e r b ...Immaculate dentistry! I was impressed with a GREAT attention to details! His work is truly an ART and priceless! Everyone in the office is... read more

Gordana Skracic (Aventura, FL)

Love the staff and great service!!

Rebeca Saravia (Dania Beach, FL)

Very professional nice staff great service.

(Aventura, FL)

First time here the staff and Dr were so informative and professional thank you for making my experience run so smooth ?

Evelyn Garcia (Greenacres, FL)

Well I’ve been going to Dr. Gorbatov since 1996.... Yes ! I’m a loyal. With all the dental issues I’ve had, he’s been able to resolve them and been keeping... read more

Burke Crump (Wellington, FL)

No teeth fell out mid cleaning. 10/10

Erik Purdy (West Palm Beach, FL)

This is the Best Dental Office I ever was. Great personality, gentle touch and perfectionism in all aspects of cosmetic dentistry. Thank you Dr. Gorbatov for creating Smile I always... read more

Yuriy Gorobets (Hallandale Beach, FL)

Entire office & staff is very accommodating and attentive to all your needs. The dentist was very nice and professional and really took the time to explain to me everything... read more

Tiffany D. (Hollywood, FL)

Dr. Gorbatov is an outstanding dental surgeon and professional in every sense of the word. He and his entire staff are wonderful--- by far the most knowledgeable and compassionate of... read more

Salt&Light (West Palm Beach, FL)

I had been looking for a dentist for a few months and I was referred to Dr. Gorbatov and I can certainly see why. I've always been a little skeptical... read more

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Hello, Dr.Gorbatov is truly THE BEST ,so please just forget about all the rest! I truly witnessed MIRACLE IN MAKING!!! My sister now have a MOVIE STAR SMILE! Thank you... read more

Valnea Del Bianco (Hallandale Beach, FL)

I feel I have the best care possible under Dr. Gorbatov and his team. His work is top quality and because of him I know my teeth and the health... read more

Alex P. (Fort Lauderdale, FL)

Dr. Gorbatov was very thorough and went over all concerns I had (I'm not really a fan of the dentist). He is definitely the nicest Dentist I have ever been... read more

Sofia Rodriguez (Hallandale Beach, FL)

What a great experience at the dentist!! I wish I had found these guys years ago, maybe I wouldn't be so afraid of the dentist. Thought I needed a root... read more

Craig Balsam (Wellington, FL)

I have been Dr. Gorbatov's patient for over 8 years and have always received excellent service. The facility and staff are wonderful. I would highly recommend A Center for Dental... read more

Teresita Camacho (Lake Worth, FL)

Dr. Gorbatov is an excellent dentist whose main priority is making sure his patients are comfortable and get the best dentistry he can offer. He provides an attentive service, and... read more

Natallia Harbacheuskaya (Hollywood, FL)

Very professional office. Good dentist.Clean dental office

Anna K. (Hollywood, FL)

For me, dental work always came with the presumption of pain and discomfort. That's why it was always very difficult to get any recommended work done, because all I'd have... read more

Iry T. (Hallandale Beach, FL)

Wonderful facility and staff, very professional.

(Sunny Isles, FL)

Love Dr. Gorbatov! He is skilled, professional, thorough, nice, and always keeps me comfortable. The assistants and office staff are great too. I highly recommend Dr. Gorbatov!

fannabl (Hallandale Beach, FL)

This is IT!!!! As good as it gets!!! If you want a celebrity smile call his number.

Jacob F. (Miami)

I switched my dentist because i was dissatisfied with their service and decided to go to Dr.Gorbotov's office for my wisdom tooth extraction. I never thought I would see the... read more

Oleg Solovey (Sunny Isles, FL)

From the minute I walked in the dr Gorbatov office till the and of my treatment I was pleasantly surprised with professionalism and care of Dr and his staff. I... read more

Anna (Hollywood, FL)

Loved coming here, very nice Doctor and wonderful experience with a great cleaning. Receptionist is awesome too.

Lina Lobo (Greenacres, FL)

Thank you Dr. Gorbatov for the great experience, your gentle touch and quality work you have done on my teeth. I have been very pleased with your professional, yet personable... read more

Irina D. (Port Orange, FL)

Awesome service. Highly recommended

Iliana Gonzalez (Royal Palm Beach, FL)

Wonderful service

Noel Reyes (Lake Worth, FL)

I have been having a lot of issues with my teeth for quiet some time, including broken molars and bad procedures at other dental facilities. I came to Dr. Gorbatov... read more

Felix Spengler (Miami, FL)

Painless, professional and efficient. Dr Gorbatov is great!

Suzanne Wilt (West Palm Beach, FL)

I was very fortunate to find Dr. Gorbatov right when I had a major issue with an old crown that fell off and led to a major infection just a... read more

Octavian Miron (Aventura, FL)

Fast service and the best staff! I highly recommend this Dentist. I've been going to this Dentist for 2 years and I travel far now just to come here. They... read more

Christine (Orlando, FL)

I had a procedure done by Dr. Gorbatov, it was amazing, I didn't feel anything, he has very gentle hands and techniques and I didn't even feel the shot! I... read more

Jessica Y Montero (West Palm Beach, FL)

I recommend this place to anyone that needs any type of dental work done , I always feel welcome from the moment i sign in untill my visit is over... read more

Lyn F (Wellington, FL)

Excellent Service! Friendly, Clean and Prompt!

Deidre Reid-Thomas (West Palm Beach, FL)

The dentist fit me in last minute when my normal dentist was unavailable I tried them on the recommendation of a friend after I broke a veneer and had 3... read more

Mark Krawiec (Hollywood, FL)

Everyone in the office is super amazingly fantastic! They're informative and understanding. Dr. Gorbatov has done great work on my teeth! The dental hygienist has been a charm, makes every... read more

John Kern (Hollywood, FL)

Great staff I was nervous but they made me feel at ease. I am confident that they will give me the smile that I airways wanted. The receptionist personality is... read more

Uuggh uggh (West Palm Beach, FL)

Thank you doctor for my beautiful smile!

V V (Hollywood, FL)

This is the best dentist in the world who really cares about each and every patient and makes your smile look perfect! After visiting the new office you will be... read more

Kseniia Dursinova (Sunny Isles, FL)

Since me and my wife moved to Florida from Nj several years ago, we were looking for good dentist, the one we can trust. We tried a few but were... read more

Tatiana Lapushchik (Hollywood, FL)

Very impressed with Dr. Gorbatov's ethics. He truly cared about my situation, the fact that I was from another city and had limited time off of work to address my... read more

Tatiana Safonova (Sunny Isles Beach, FL)

I would like say that this office is at the TOP of my list. The staff is awesome, it is very clean and you made at home as soon as... read more

Jazlyne Jimenez (Lake Worth, FL)

Very happy with quick service, suggestions & prices. Will be a repeat customer

Jaclyn Franceschini (Fort Lauderdale, FL)

I’ve been coming here for almost 10 years now and can surely say that the customer service provided is one of the best in town. Make sure to be nice... read more

Hype Kay (Royal Palm Beach, FL)

Very high professionalism, excellent atmosphere and responsiveness of employees have made this business one of the best. A well-functioning team led by one of the best professionals of the US... read more

Lili Ivanova (Sunny Isles Beach, FL)

I have lived and worked all over North America. One of the greatest challenges of relocating is finding the best dental practice. "Center For Dental Excellence" was recommended to me... read more

Gregory Sutton (Wellington, FL)

When I first found this office I was terrified of the dentist and I had constant anxiety when seeing dentists. Now I look forward to cleanings and my anxiety is... read more

Hayley Kaplan (Wellington, FL)

A Center for Dental Excellence is fantastic. They’re understanding and extremely competent. Not only is the dental care itself excellent, but their quality of caring about their patients is unparalleled.... read more

Haylee J (Aberdeen, FL)

Been going here forever and they do an excellent job with all your dental needs and even with cosmetic dentistry as well!

Lauren Harris (Lake Worth, FL)

Good quality office, and dental work.

Igor Gonchar (Hallandale Beach, FL)

I have been going to Dr Gorbatov at A Center For Dental Excellence for many years now and their use of "Excellence" isn't just a marketing ploy and they definitely... read more

Lawrence F. (Lake Worth, FL)

I have been with the dentist for a few years now and love the care I receive. You are taken care of from the front desk person, through your visit!... read more

Juan Rodriguez (Greenacres, FL)

I always have a great experience when I come here, the staff is wonderful and I would not change my dental office for anything in the world.. Jessica is amazing... read more

Shiloh Robinson (Wellington, FL)

The dentist is very friendly and gentle during procedures.

Sofie M (Sunny Isles Beach, FL)

I had a great experience with Dr. Dmitry Gorbatov. He was able to save my tooth from getting a root canal. All the staff was really nice, and attentive. I... read more

Arthur R. (North Miami Beach, FL)

Had an amazing experience. Staff was very caring and nice. They are very honest

Billie Selinsky (Wellington, FL)

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