Dr. Sachno was born and raised in Staunton, Virginia. She attended Robert E. Lee High School, where she graduated Magna Cum Laude in 1994. She then went on to earn a B.A. in Biology from the University of Virginia. Dr. Sachno is a 2002 graduate of the VCU School of Dentistry. She served on active duty in the US Navy for four years as a general dentist. In 2006, she returned to Richmond and worked as an associate general dentist for one year before accepting a full-time faculty position in the Department of General Practice at the VCU School of Dentistry. In 2009, she began a three-year orthodontic residency at the Medical University of South Carolina, where she graduated in 2012 with both a Certificate in Orthodontics and a Master of Science in Dentistry.