Our history
CBOM, the Brazilian Center for Multidisciplinary Orthodontics, was born from a passion for offering excellent orthodontic care, combining a solid trajectory and vast experience in the area. From the beginning, the commitment to quality and innovation was the main driving force behind the creation of the clinic. Through a highly qualified team and modern techniques, CBOM has stood out as a space dedicated not only to treat smiles, but also to the ongoing education of dental professionals.
Recognizing the importance of professional training, CBOM offers high-quality courses for practitioners who seek for improvement their habilities. These courses are not only based on technical knowledge, but also encourage the exchange of experiences and the strengthening of a professional communities. To further expand its range, CBOM has partnered with educational institutions and professional associations, aiming to create a collaborative environment that benefits both professionals and patients.
In addition, CBOM seeks to make its approaches even more inclusive by considering affordable options. This strategy will allow a wider audience to have access to new technologies and advanced treatments, facilitating access to our concept. By integrating innovation with accessibility, the clinic reaffirms its commitment to improving oral health and patient well-being, consolidating itself as a reference in multidisciplinary oral treatment and education.
Distinctive approach of our clinic that you will only find at CBOM
Recognition in the form of art
CBOM's Timeline of Success

Career Beginnings and Commitment to Orthodontics
Dr. Nelson J. Oppermann’s journey into orthodontics began in 1990, beginning a career marked by dedication and passion for the specialty. From the beginning, he was committed to impove his skills and building a solid foundation of knowledge.

Specialization in Modern and Individualized Approaches
Over the past decade, Dr. Oppermann has specialized in more innovational approaches, integrating innovative concepts into his practice. Always prioritizing a personalized approach, he seeks to meet the unique needs of each patient while staying connected with advances in the field of dentistry.

Contribution to International Knowledge
Dr. Oppermann facilitates the exchange of knowledge in diverse international contexts, helping to expand the field of orthodontics with his contributions and experience.

Collaborations with Prestigious Institutions
Dr. Nelson J. Oppermann has a solid international background, with important collaborations at renowned institutions such as the University of Illinois at Chicago and the VieSID School in Vienna. With almost 15 years as an adjunct professor at the University of Illinois and more than 10 years of involvement at the VieSID School, he teaches courses and shares his knowledge with professionals from different countries.

Learning and Development in Traditional Techniques
For the first 20 years of his career, Dr. Oppermann focused on absorbing knowledge about traditional orthodontic techniques, which formed the basis of his practice. This period was essential to establishing a solid and robust technical foundation.

Excellence as an Educator and Trainer of Professionals
In addition to his clinical expertise, Dr. Nelson J. Oppermann stands out as a respected educator, known for his exceptional teaching skills. He plays a key role in the education of new dental professionals.

Global and Multicultural Influence
Fluent in English and Spanish, with a good understanding of Italian and French, Dr. Oppermann has expanded his global influence, promoting the development of orthodontics in different cultures around the world.

Contributions to Academic and Professional Advancement
Through partnerships, Dr. Oppermann strengthens academic relationships and promotes the advancement of knowledge in orthodontics. His recognitions and certifications attest to his significant contributions, reaffirming his commitment to excellence, innovation, and education in the profession.
CBOM's Timeline of Success

Career Beginnings and Commitment to Orthodontics
Dr. Nelson J. Oppermann’s journey into orthodontics began in 1990, beginning a career marked by dedication and passion for the specialty. From the beginning, he was committed to honing his skills and building a solid foundation of knowledge.

Learning and Development in Traditional Techniques
For the first 20 years of his career, Dr. Oppermann focused on absorbing knowledge about traditional orthodontic techniques, which formed the basis of his practice. This period was essential to establishing a solid and sound technical foundation.

Specialization in Modern and Personalized Approaches
Over the past decade, Dr. Oppermann has specialized in more modern approaches, integrating innovative concepts into his practice. Always prioritizing a personalized approach, he seeks to meet the unique needs of each patient while staying connected with advances in the field.

Excellence as an Educator and Trainer of Professionals
In addition to his clinical expertise, Dr. Nelson J. Oppermann stands out as a respected educator, known for his exceptional teaching skills. He plays a key role in the education of new dental professionals.

Contribution to International Knowledge
Dr. Oppermann facilitates the exchange of knowledge in diverse international contexts, helping to expand the field of orthodontics with his contributions and experience.

Global and Multicultural Influence
Fluent in English and Spanish, with a good understanding of Italian and French, Dr. Oppermann has expanded his global influence, promoting the development of orthodontics in different cultures around the world.

Collaborations with prestigious Institutions
Dr. Nelson J. Oppermann has a solid international background, with important collaborations at renowned institutions such as the University of Illinois at Chicago and the VieSID School in Vienna. With almost 15 years as an adjunct professor at the University of Illinois and more than 10 years of involvement at the VieSID School, he teaches courses and shares his knowledge with professionals from different countries.

Contributions to Academic and Professional Advancement
Through partnerships, Dr. Oppermann strengthens academic relationships and promotes the advancement of knowledge in orthodontics. His recognitions and certifications attest to his significant contributions, reaffirming his commitment to excellence, innovation, and education in the profession.
Mission
Provide multidisciplinary care for craniomandibular and stomatognathic system disorders, restoring the health of these systems, resulting in a combination of better quality of life and a beautiful smile.
Vision
Offer training courses to health professionals, such as orthodontists and prosthodontists, in Campinas-SP city and also other countries, promoting global well-being with a holistic vision and multidisciplinary treatment.
Values
- Reception and empathy,
- Real interest,
- Always respectful,
- Active communication,
- Humanized treatment,
- Organization,
- Investment in equipment,
- Team improvement,
- Implementation of tools,
- Active communication channels.
CBOM experience
When scheduling a dental appointment, the patient will undergo an initial assessment of oral health, which may include a review of medical and dental history, a clinical examination of the teeth, gengiva and mucosa, as well as a request for additional exams.
What is the meaning of diagnosis for CBOM?
By definition, diagnosis is the process of identifying a disease or condition based on signs, symptoms and exams. It is the crucial step in determining the appropriate treatment. The functional and holistic dental diagnosis performed at CBOM is a broad and integrated approach to oral health, which is not limited to identifying problems located on the teeth and gengiva, but also considers the body as a whole. It seeks to understand how the condition of the oral cavity affects and is affected by the general functioning of the body, considering emotional, postural and metabolic factors. It is important to note that the time of diagnosis varies for each patient, and can be from one to several days.
Functional Diagnosis
In functional dentistry, the focus is on understanding the relationship between occlusion and the stomatognathic system, considering craniomandibular biomechanics. The patient’s chewing, speaking, and breathing process are assessed, in addition to checking for dental wear, problems related to occlusion (bite), bruxism (stress management), temporomandibular disorders (TMD), and muscle disorders that may impact postural balance or cause pain.
Holistic Diagnosis
The holistic approach to dentistry analyzes oral health in an integrated manner, connecting it to other systems in the body. This diagnosis considers the patient as an indivisible being, identifying signs related to general health and lifestyle habits, such as diet, stress and sleep, including emotional factors. Aiming at personalized care, this approach gathers data that reveal causes for treatments involving areas such as dentistry, endodontics, periodontics, surgery, orthodontics and posturology. The proposal is multidisciplinary, focusing on oral functionality and the impact of oral health on general well-being.
Clinical evaluation and complementary exams
To obtain a more complete and functional dental diagnosis, in addition to the anamnesis and clinical examination, it is necessary to use complementary exams that aid to accurately identify problems related to the stomatognathic system and oral health in general. These tests provide a more detailed view of structures such as bones, muscles, joints and soft tissues, allowing for a more effective and personalized diagnosis.
Clinical history (anamnesis) and occlusal index
The first stage of the assessment is to collect the patient’s medical and dental history, investigating symptoms and habits such as oralfacial pain, jaws, ears and head, nocturnal habits (teeth grinding), tension due to stress, anxiety, sleep disorders and muscle fatigue upon waking. The patient is the protagonist in this process, enabling a focused or broad analysis, with questions about teeth, occlusion, temporomandibular joint, neuromuscular system and areas of the head, neck, throat and posture.
Postural analysis and postural imaging exams
Assessment of body posture, checking for imbalances that affect occlusion and the stomatognathic system.
Includes imaging exams such as postural photography, which helps in the analysis of possible correlations between postural problems and orofacial pain.
Muscle palpation
Muscle palpation is a fundamental technique in dental diagnosis, regardless of whether we are dealing with cases of temporomandibular disorders (TMD) or severe bruxism, for example. This evaluation allows the dentist to identify possible muscle changes, such as pain, tension or inflammation in the muscles involved with mandible movements, in addition to assisting in the diagnosis of occlusal, postural problems and other disorders in the stomatognathic system.
The importance of accuracy at every step of the diagnosis
Accuracy in each step of the dental diagnosis is essential to ensure the oral health of patients, guide appropriate treatment and prevent future complications. An accurate diagnosis involves a series of steps, from the anamnesis to complementary exams, and each of them contributes to the formulation of an effective treatment plan.
Learn more about each complementary exam below:
Panoramic radiography (orthopantomography)
It provides an overview of the jaws, including teeth, maxilla and mandible bones, temporomandibular joints (TMJ) and maxillary sinuses.
Useful for identifying bone problems, impacted teeth, tooth positioning, deep cavities, infections, cysts and tumors in general.
Lateral and frontal cephalograms
X-rays that show the skull and facial structures in profile and frontal views.
Mainly used to assess bone and occlusal development.
Lateral cephalogram is an imaging exam that captures a radiography of the skull or face in a lateral position (from the side). It is often used in orthodontics and maxillofacial surgery to evaluate the skeletal structure, the relationship between teeth and bones, and to aid in treatment planning. Analysis of the images can help identify anteroposterior asymmetries and the position of the teeth in relation to the dental arch.
Frontal cephalogram is an exam that captures a radiography of the face and skull in a frontal position. It is used to assess facial symmetry, dental relationships and bone structures. This exam is especially useful in orthodontics for treatment planning and diagnosis of facial deformities.
Magnetic resonance imaging (MRI) of the TMJs
Especially indicated for the evaluation of soft tissues such as ligaments, muscles and articular discs, as well as osteoarthritis, fluid infiltration and so on.
Useful for diagnosing disc displacement and inflammation in the TMJ, for example.
Analysis of the bruxism pattern
Used to diagnose and monitor bruxism, especially nocturnal bruxism, using the BruxChecker®. It consists of using a tray made of a thin, flexible, colored film, which is placed over the teeth before going to sleep. When the patient grinds or clenches their teeth during the night, the film is worn away or perforated, highlighting the areas where excessive contact between the teeth occurs. This marking helps health professionals to identify the intensity, frequency and specific areas affected by poor function.
Cephalometry
Analysis of bone and dental structure through measurements taken on lateral and frontal radiographies of the skull, used for treatment planning, such as the use of orthodontic appliances, rehabilitation and others, in addition to identifying problems related to teeth and the jaws.
Study models (impressions or intraoral scans)
Plaster or digital models of the dental arches help to analyze the occlusion (bite) and plan treatments such as prosthodontics and orthodontics.
Facilitates the diagnosis of problems with dental alignment and interdental relationships.
Occlusal pattern analysis
The assessment of the occlusal pattern is a fundamental examination in dentistry, as it allows the dentist to identify how the teeth interact when the patient bites or performs mandible movements. This analysis helps to diagnose problems that affect chewing, speech, aesthetics and the health of the temporomandibular joint (TMJ).
In this assessment, we use electronic equipment for a precise analysis of the contact between the teeth during occlusion. This device provides detailed data on occlusal pressure and contact points. Technology is essential in dental practice.
Articulators
Mounting dental models on semi-adjustable articulators is a fundamental step of diagnosis in dentistry, especially in complex oral rehabilitation, orthodontics and prosthodontics. These devices simulate the mandible movement more accurately, providing essential data for the diagnosis, planning and execution of dental treatments.
Cone Beam Computed Tomography (CBCT)
Provides a detailed three-dimensional view of craniofacial structures.
Essential for more complex diagnoses such as dental implants, surgical planning, TMJ analysis and assessment of bone injuries or pathologies, among others.
Condylography
Condylography is a specialized functional examination that assesses the shape, position and movement of the heads of the condyles of the mandible, which is the part of the mandible that articulates with the temporal bone of the skull, forming the temporomandibular joint (TMJ). This examination is essential for the diagnosis of temporomandibular disorders (TMD) and for the evaluation of problems related to the joint, such as pain, clicking, movement limitations, and also assesses changes in occlusion in function.
From the movement graphics, it is possible to understand the patterns of functioning and mandibular movements, of the structures and parts in terms of quantity, quality and symmetry, also numerically determining the sagittal and transverse inclinations used in the movement of the condyles through the fossa and the imminence of the temporal bone and to assist in the personalized assembly of models in semi-adjustable articulators, delivering absolute precision in diagnosis and treatment.
Pulp vitality test
Checks whether the dental pulp (tooth nerve) is alive and healthy.
Indicated in cases of dental trauma, deep cavities or suspected pulp necrosis.
The choice and sequence of complementary exams depends on the symptoms presented and the patient’s needs. The combination of different exams allows for a more comprehensive assessment, integrating the diagnosis of local problems (e.g. dental and periodontal) with functional aspects (chewing, TMJ and others) and holistic aspects (posture and general health). This is essential for more assertive and effective treatment planning.
Bone scintigraphy
Bone scintigraphy is a medical imaging technique used to assess the function and structure of different organs and tissues in the human body. It is a non-invasive method that allows the visualization of physiological and metabolic processes, providing valuable information for the diagnosis of various conditions.
Bone scintigraphy assesses bone health and identifies conditions such as fractures, infections, tumors or inflammatory diseases in the bones. It is often used to diagnose bone metastases.
"This treatment circle is designed to ensure that each patient receives complete and coordinated care, addressing all of their needs and ensuring an optimal balance between health, functionality and dental aesthetics. The pursuit of an accurate diagnosis knows no limits."
Dr. Nelson J Oppermann
CRO-SP 40245
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