As new technology is developed,
I will evaluate it!
I am also careful to explore whether it is right for my patients. I will not discard the proven technology for
the "latest" "hot" fad, until I am convinced that the new materials/technology is superior to what I know works
well, is predictable and safe.
For example, I designed the office in 1988 with Fully Autoclavable (Sterilizable) Handpieces. I made a
commitment to making Infection Control a Number One priority.
I started with computers in the 10th grade at Stuyvesant H.S. in 1966. I worked my way through
Brooklyn College as the evening computer operator and helped to pay for dental school doing computerization of
dental research. When the PC's came out, I started using dBase II for tracking my patients and research at Memorial
Sloan-Kettering Cancer Center. When our billing clerk left the hospital, I revamped the dental billing system with
Suzy Dental in 1984. We utilized the latest generation of that software as the cornerstone of our office's dental
For more details on Computerization of my Office, click
I took several Continuing Education courses in Computerized Dental Radiography before choosing the current
system from Schick. I waited until many of the problems were resolved, and have received several upgrades,
improving the software several times and replacing the sensors for improved image quality.
For more details on Computerized
Digital Radiography, click here.
We have added the T-Scan III to our High Technology equipment to allow us to better analyze and adjust our
patient’s bites when we detect or suspect problems! The degree of sophistication is unbelievable since we can now
record in realtime the teeth contacts in 3-dimensions as you bite down and slide your teeth to the side or to the
front. We can then review the data looking at each contact every 0.01 seconds of the 3 to 10 seconds recording. The
T-Scan is a grid-based sensor technology and occlusal analysis system that allows for an easier, more accurate way
to measure occlusal timing and force.
For more details on
T-Scan® II, click here.
and Enterprise Patient Education
There are networked Caesy Enterprise setups in the waiting room and the operatories to allow you
to view professional, narrated, informational video and slide shows on 112 topics in dentistry.
For more details on Caesy Patient Education, click here.
Experience a new level of comfort with the Isolite system that allows us to have you relax and close
gently on the soft clear rubber bite block, that has built-in fiber-optic light to illuminate the oral cavity (so
we can see things as never before ) and suction to handle all of the oral fluids was sell as the water and
tooth/filling debris created during the dental treatment.
crystal bright, 360 ° , shadowless illumination of the
oral cavity. Unlike conventional overhead lighting, ISOLITE broadcasts light from inside the
patient's mouth - delivering a high intensity, bright-white, fiber optic light.
total dry field isolation with higher patient comfort. The mouthpiece, with its built-in bite
block, provides tongue and cheek protection, which eliminates the need for cotton rolls, dri angles
or a rubber dam.
continuous elimination of debris and oral fluids. ISOLITE fully integrates aspiration with a 6-foot
vacuum tube. The tube quickly attaches to your chairside, high-speed evacuator
What about the Water Lines and
You may have read in newspapers and magazines that there is a potential hazard of the
water quality in dental equipment. The problem arises because of the thin tubing and the low volume of water that
is needed for the water spray for both the air/water syringe and for the dental drill handpieces.
This has been a controversial issue in dentistry and various government agencies and
the ADA worked to formulate standards that will come into effect in the near future.
We have been proactive and all of our dental units are fit with DentaPure® DP365 water
line systems that put a minute but adequate amount of iodine in the water to kill the biofilm bacteria for a full
year. The FDA indication allows them to claim the their system “Elutes 2-6 parts per million of iodine into the water in the dental water
lines which reduces biofilms and leaves effluent water at less than 200 cfu. Iodine ingested by patients is less
than the minimum adult daily requirement for iodine. Iodine used is I2 which contains no allergenic proteins.
The 200 colony forming units per cubic millimeter is the ADA standard that dental offices are supposed to meet.
This system is certified for a full year and at considerable cost a new filter is installed each year.
I have taken courses and reviewed much of the dental literature and spoken with other quality clinicians and
recognized authorities before routinely using the newer tooth colored composite restorative (filling) materials for
the back teeth. I have seen too many of the early first, second and third generation composites fail. I waited
until there was good two-year clinical data in this country to back up the several years of testing and European
data. More than 50 materials have been promoted and then discarded or vastly changed to meet the challenge of
replacing silver amalgam.
We now have CEREC® 3D to fabricate all porcelain inlay, onlays,
partial and complete porcelain crowns.
I am Cautious about Untested or Poorly Tested
As another example, I am cautious to discuss the potential (unpredictable) serious side-effects of current
bleaching technologies. There have been cases reported of severe gum recession (the bleaching peroxides change the
protein on the surface of the teeth and the gum recedes away from it) and severe root sensitivity to
hot/cold/food/air, which sometimes has required root canal. I think that my patients need to be informed of all
available information before work is performed.
My Philosophy on
The bottom line is that I offer the highest quality of Dental Care with State of the Art technology and
materials, but I do not "experiment" on my patients with untested, or insufficiently tested materials. I leave
testing to the manufacturers, the dental school researchers and those dentists willing to accept a higher rate of
failure than I believe we need to.