Technology in Our Office
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.
Full Commitment to Infection Control for Safe Care
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.
Computerization to Improve Patient Care
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
details on Computerization of my Office, click here.
Computerized Digital Radiography
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.
details on Computerized Digital Radiography, click
T-Scan® II: The Occlusal Analysis
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
details on T-Scan® II, click here.
Caesy DVD 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
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
ISOLITE delivers 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.
ISOLITE provides 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.
ISOLITE provides 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 Biofilms?
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
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.
"White" Tooth-colored Fillings for Back Teeth
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
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