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Before the First Drill

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How much information does an experienced dentist actually gather before reaching for the very first instrument?

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HODA-A™ Clinical Insight Series · Publication 009

Before the First Drill

Why better assessment matters more than better technique

Dr Jo Abbott, PhD — Clinical Biomechanist · Anatomist · Clinical Nutritionist · Independent Musculoskeletal Researcher

How much information does an experienced dentist actually gather before reaching for the very first instrument? Dentistry works in a uniquely narrow field of view — a few centimetres, examined close up, often through the lens of a single tooth. Yet what presents in the mouth does not always originate there. TMJ pain, bruxism, persistent headaches, breathing and postural adaptation all cross the border between dentistry and the rest of the body.

In this ninth publication of the HODA-A™ Clinical Insight Series, Dr Jo Abbott — clinical biomechanist and anatomist — draws on eight years of doctoral research into a question every hands-on profession depends upon: how do skilled hands and trained eyes become a measurement instrument?

Written for dentists, dental therapists and hygienists, myofunctional therapists and dental nurses, Before the First Drillexamines the clinician as instrument — how attention, expectation and context shape what we observe and palpate; why experience alone is not calibration; and why the body is not a collection of isolated parts. Its central argument: before we test reliability, we must stabilise the instrument.

Includes written feedback from HODA-A™ Level 1 participants, selected further reading, and an introduction to the Level 1 Perceptual Calibration Certification — including private team cohorts for groups of eight or more, well suited to whole dental practices.

Format: Free PDF download · 10 pages · may be shared in full and unaltered
Series: HODA-A™ Clinical Insight Series, Publication 009
Published: July 2026 · © 2026 Dr Jo Abbott

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