David DeTar, DDS

Need to make an appointment? Call us today at 417-781-8240.

  • Jan 15 2014
  • 👤 Cristy Chaney
  • 📥

The Message of Biobloc Orthotropics a Better Way to Treat Crooked Teeth

In the last 50 years, orthodontic treatment has not advanced as much as the other
areas of dentistry. Most traditional treatment is based on techniques which use
retraction techniques, often making space by extracting permanent teeth. In this
approach, the only goal is straight teeth and sadly many cases relapse often with
harmful side effects such as airway constriction, TMJ disorders, and diminished facial
aesthetics. Many people would be better off if they had not undergone traditional treatment

Happily, orthodontic science is now evolving. A new method known as Biobloc
Orthotropics is more concerned with proper jaw development, improving facial
aesthetics, and healthier airways. Since space is created for all teeth to come in
naturally, no permanent teeth are extracted. Removable appliances are predominately
used and treatment begins at an earlier age.

The success of Bioloc Orthotropics lies in its basic premise of treating the underlying
cause of facial, airway, jaw, and teeth alignment problems. That cause is unfavorable
facial growth. Unfavorable growth occurs when the patient’s rest oral posture is altered
usually due to airway issues. Traditional orthodontics only treats the resulting signs and
symptoms (i.e. crooked teeth) and ignores the cause of the problem (altered rest oral
posture). Proper rest oral posture is present when 1) The teeth are together or slightly
apart, 2) the tongue is to the palate with the tip behind the front teeth, and 3) the lips are
together without strain. Bioloc Orthotropics seeks to create an environment for the
tongue that is compatible with proper rest oral posture and to develop both jaws
Beautiful balanced faces without surgery can be expected but the most valuable
advantage is creation of a healthy airway. Breathing disorders in adults such as
Obstructive Sleep Apnea,are now recognized as a major health problem. Some
researchers are also contributing the symptoms of ADD and ADHD in children to
breathing disorders due constricted airways. If this proves to be true,it will revolutionize
the way this affliction is treated.


For more information go to www.biobloc.com

  • Mar 13 2013
  • 👤 Dr. DeTar
  • 📥 History

My Professional Journey

You may have seen the time line on the ABOUT US page of this website. I would like to expand on that and state my philosophy of what it means and what are the obligations of a professional.

I believe that to uphold the trust of being a professional, a requirement of continuous learning is inherent. If one does not continue to grow, one becomes stale and not useful. This is especially important when one is entrusted with relieving pain and treating disease for the improvement of the physical and emotional well-being of others.

Dental school graduation in 1972, as much of a relief as that was, only marked the beginning of learning in my chosen profession. My first step on the journey was in the Navy Dental Corp at the submarine base in New London, Connecticut. For the next two years, I would increase the quality and efficiency of what I had learned in school by shear repetition. By the time I opened the practice in Joplin in 1974, I had become very proficient in basic dentistry.

In 1975 I joined the Academy of General Dentistry. My purpose was to learn about new treatments and techniques in general dentistry and to learn in areas where I had little or no previous training. To maintain a state dental license only 75 hours of continuing education every 3 years is required, but to fulfill my own goals much more was needed. After accumulation of 500 hours of credit, I received the AGD Fellowship status in 1985.

Realizing that the more I learned, the more I didn’t know, my pursuits continued toward the next level in the AGD; Mastership. The requirements were more exacting in every aspect of dentistry. That was great because I was interested in expanding the services I offered. After 600 more hours I received my AGD Mastership in 1995.

I learned to do things that were not even known when I was in dental school. Porcelain veneers, light cured composites, and others as well as improving existing skills and an insight into the world of TMJ disorders.

From 1997- 2003, I completed an arduous process of becoming Board Certified by the American Board of General Dentistry. This was series of volunteer self-improvement examinations to become even more proficient in my chosen field. In passing I joined an elite group of 300 dentists nation wide. I learned a great deal from that experience which has been very beneficial ultimately for our patients. But that is not the end.

A new era started as I discovered a great connection between dental and many medical problems. I focused on this area in several high level multi-year teaching programs. I learned the intricate and complex way the chewing system works and relates to general health from the Dawson / Piper Center of Advanced Dental Studies, the Orognathic Bioesthetic Institute and the Center for Advanced Biologic Orthodontics. It is now possible to diagnose and treat most any condition of the TMJ’s, headaches, airway constrictions, dental occlusion (the bite), worn or misaligned teeth, facial growth, and facial esthetic problems.

The journey has required sacrifices and commitments but has been exceedingly rewarding. I feel I am fulfilling my professional obligations to those who entrust me with their care.

The PAOO™ - A Simpler Way to Solve a Difficult Orthodontic Problem

Since June 2012, we have been using the PAOO™ procedure to improve the quality of our orthodontic care. We are the first and only practice in Joplin to be certified and licensed to perform it. Here is an overview of what a PAOO™ is and why we use it.

A remarkable process has been developed to overcome a problem seen in orthodontic treatment. The process has been adapted for use in various scenarios. Over four years of research by Doctors Thomas and William Wilcko resulted in a technique to use the remodeling and healing capacity of bone to enable tooth movements in a faster and safer way in difficult circumstances. This is now know as Wilckodontics®. A less invasive and less expensive surgical procedure for those patients.

Orthodontics tooth movements are limited by the availability of suitable bone to support the teeth. In the past in order to correct more severe malocclusions it was either necessary to extract teeth or undergo jaw surgery. The former often resulted in a flat or dished in facial profile and diminished airway space. The latter is major invasive surgery which moves the jaw but does not change the bone support around the teeth.

The PAOO™ is a procedure which creates more bone around the teeth. It is indicated where a mild to moderate overbite is present. More space for the tongue is created, thus improving the airway. Very solid bone support around the teeth results. Improvement in lower lip support is seen. It is performed either with local anesthetic and analgesia in the dental office or, if preferred, general anesthesia at an outpatient surgery center is available. The cost is about 20-25% of jaw surgery.

We use the PAOO™ as a part of Biological Orthodontic Therapy™ in our practice. Biological Orthodontic Therapy™ includes treatment of facial , TMJ, and airway conditions as well as moving teeth more rapidly than conventional orthodontics. Therefore quality and long term stability, not speed, are the reasons for incorporating it where indicated.

By means of low, but constant forces on teeth using special alloy wires and precision brackets, tooth movement occurs more rapidly that conventional braces.