Technology @ NYC Smile Design
Our skillful and talented execution combined with sincere effort and intelligent direction has placed us in a position to be able to take advantage of the many advances in dentistry.
Waterlase ® MD
The Waterlase ® MD features
an all-new MD laser technology platform that heralds
the next generation of dentistry with superior clinical
outcomes and a more pleasant patient experience for
many dental procedures. The Waterlase ® MD incorporates
an extraordinary set of innovative new features,
as well as many new features requested by laser owners
from around the world. Heat and vibration are the
causes of most of the pain associated with the drill. Since
cutting the tooth with Waterlase® MD Technology
does not cause heat or vibration, Most dental procedures
can be performed with no pain, virtually eliminating
the need for anesthesia in most cases.
decay very precisely which allows you to
keep a healthy tooth structure and have healthier
performs numerous soft tissue (gums) procedures
with little or no bleeding and gives your
dentist a new high-tech tool for many procedures
that previously required referral to a specialist. Now
you can have them performed during your scheduled
many common problems of the high speed drill,
including cracks in the teeth from the vibration
and rapid turning of the drill burrs which
can weaken your teeth, creating future problems. The
Waterlase®MD decontaminates as it cuts
reducing the chance for bacterial contamination.
your teeth in a way that maximizes the bonding
of tooth colored fillings, allowing them
Announcing a new standard in diode lasers from the World Leader in Dental Lasers.
The 940nm ezlase™ soft tissue diode laser from BIOLASE.
The new 940 nm ezlase™ diode laser delivers the best clinical characteristics of 810 nm and 980 nm diode lasers in one state-of-the-art system.
The ezlase 940 Wavelength
Until recently, soft-tissue dental diode lasers used one of two wavelengths: 810 nm or 980 nm.
The older wavelengths, 810nm and 980nm were selected by laser manufacturers because of their commercial availability and energy absorption characteristics in soft tissue.
An analysis of the wavelength absorption chart (Figure 1) shows that the new 940 nm wavelength can provide great hemostasis during soft tissue procedures because of its position on the absorption peaks of Hb and HbO2 while being slightly off the absorption peak of H2O.
In addition, clinical use by experienced diode laser users are indicating that the new ComfortPulse™, pulse characteristics are more comfortable for patients. This research led BIOLASE Technology, to develop the ezlase™, the first dental laser to obtain clearance at this unique 940 nm wavelength.
Odyssey I Water Jet Sterilization
of the biggest problems in dentistry is dental unit waterlines
biofilm (layers of microorganisms that accumulate within
water lines). We are one of the few offices in the nation
to provide disinfected water in our dental operatories.
Odyssey I generates ozone from oxygen through exposure
to ultraviolet light. In less than ten minutes the ozonated
gas sterilizes the distilled water in the reservoir.
As it passes through the lines it destroys biofilm. It
has been shown the amount of bacteria in dental waterlines
to be greater than 1,000,000 CFU/mL. With Odyssey I that
amount is reduced to 10 CFU/mL. This is well below the
500 CFU/mL acceptable levels in potable water.
Criticare Pulse Oximeter
Because your health and safety are always
our first concern, for those patients who require monitoring
due to health issues or for patients having sleep dentistry
we use a unique and comfortable technology for pulse
recognition, blood pressure readings and pulse oximetry.
The monitor we use has the ability to spot check or continuously
monitor critical parameters with audible and visual alarms
that provide instant notification. Information can be
printed and kept on file in a patient's chart.
Inhalation sedation using
nitrous oxide has been proven to be a safe and effective
drug for more than 150 years. Within 3-5 minutes the
effects of sedation can be seen. Rapid and complete recovery
occurs within minutes of nitrous oxide termination. The
equipment we use is high quality and state of the art.
Our machine allows us to give an exact amount of nitrous
oxide needed to relax a patient, and can be given in
incremental doses. The machine contains a pin-index and
diameter-index safety system to ensure proper attachment
and flow of gases to the patient.
Zoom! Laser Bleaching
|The Zoom! In-office whitening
system is a revolutionary tooth whitening procedure.
We use the Zoom! Light because it generates minimal heat,
the usual source of discomfort with other in-office bleaching
systems. It's safe, effective and very fast. In just
over an hour, your teeth will be dramatically whiter.
In many cases 6-9 shades lighter. Zoom! Whitening is
ideal for anyone looking for immediate results. The Zoom!
Light activated gel was developed after years of research.
It is a scientifically formulated pH balanced Hydrogen
Peroxide that when activated by the Zoom! light, gently
penetrates the teeth to remove deep stains and discolorations
while the structure of the tooth is unchanged. Hydrogen
peroxide has been safely used for many years in the treatment
of gums and other oral soft tissue
|The expertise of the cosmetic dentist
can be limited by the technician who crafts and manipulates
the porcelain restoration. Skillful artistry and scientific
understanding of porcelain is very important. After lengthy
interviews and an exhaustive international search we
developed a partnership with a highly talented and exclusive
group of Japanese artisans. Japanese ceramists are world-renowned
for their craftsmanship. Because they are committed to
producing the finest dental restorations, their lab is
outfitted with the latest technology and materials. The
benefit of such a relationship includes a faster case
turn around time and a more customized and natural looking
smile. Our lab understands how we evaluate the entire
face, skin tone, hair color and personality of our patient
to make the teeth complement and enhance these individual
Magnification Lenses (Loupes) & Zeon Illumination
Along with our desire to produce
excellent dentistry comes the need to be able to see
what we are doing more clearly. Without a doubt, the
most important vision enhancement aid is a pair of high
quality magnification loupes. When you see a magnified
image of a tooth through a pair of loupes, your ability
to render precision care rises tremendously. We believe
magnification should be the standard of quality care.
Orascoptic Research leads the way in its commitment to
developing innovative magnification and illumination.
In light of the new techniques being used in dentistry,
a high level of precision is paramount. With the new
prismatic magnification from Orascoptic 4.8X power with
wide fields of view is possible. We find this to be indispensable
in our office. Using a headlight is just another step
beyond loupes. Headlights eliminate most shadows, since
your head can never get between the source of the light
and the tooth being illuminated.
KaVo ELECTROtorqe TLC
|This technology provides fewer traumas
to the tooth and its very quiet compared to conventional
drills that use air turbines. Kavo Electrotorque simply
makes precision in preparation easier to achieve. It
provides outstanding tactile response and optimal control.
This Kavo electric motor is far and above the finest
hand piece we have ever used.
|Among the newest technologies
we have introduced in our office is a small laser instrument
called the Diagnodent, which scans the teeth with harmless
laser light searching for hidden cavities. Diagnodent
helps us detect cavities at the earliest possible stage.
Locating hidden decay before it destroys tooth structure
is one of the biggest problems in dentistry. Prior to
widespread use of fluoride, decay of teeth was easily
detected since it destroyed a big chunk of tooth. Fluoride
has made tooth surfaces harder. However disease process
can start through microscopic defects in hard surface
enamel and readily spread into softer tooth structure
beneath. This makes conventional means of detecting cavities
with x-rays and probing with hand instruments simply
unreliable. Diagnodent pen like probe simply glides over
tooth surfaces, constantly checking for health of the
tooth. A number scale and alarm signals for dental decay.
This technology is completely safe and pain-free.
SIM/Plant (Computer Guided Implantology)
|Computer Guided Implant Surgery SIM/Plant is the biggest
single advance in implant treatment planning. It is
an interactive 3D computer imaging system that guides
us in implant surgery. With SIM/Plant we can visualize
the placement of simulated implants and it gives us
detailed knowledge of the anatomy of the jaw in all
three dimensions. It helps us locate important internal
structures and also helps us measure bone quality directly
from images. As an Implant Surgeon and Restorative
Dentist I find SIM/Plant a necessity not an option.
|We use a state of the art ultrasonic teeth-cleaning
instrument called the Piezon Master 400. This instrument
is one of precision and quality, transferring ultrasonic
energy in a pleasingly consistent and controlled manner
for the removal of tarter and plaque. It allows us to
deliver irrigant or antimicrobials at a warm soothing
temperature for greater patient comfort. The bacteria
in the loose plaque cannot resist the ultrasonic vibrations
of 32,000 Hz. Therefore these disease-causing bacteria
are swept up and eliminated in seconds. This instrument
creates less heat and aerosol than conventional cavitron
units do for greater patient comfort.
The Wand Anesthesia
|It doesn't feel like a syringe.
We know that some patients get more nervous than others
at the mere site of a needle and syringe. That's why
this office performs injections with a revolutionary
system called the Wand, a computer controlled local anesthetic
injection system. The microprocessor inside the Wand
automatically ensures a steady flow rate regardless of
tissue density. The flow of anesthetic into your tissue
is the source of discomfort for most injections-not the
needle. The Wand delivers anesthetic with an optimal,
constant, slow flow to achieve a comfortable and virtually
painless injection. The computer also provides a flow
of anesthetic ahead of the needle, a pathway of anesthesia,
so you hardly feel the needle at all.
CRT (Saliva Test for Cavities)
|The Caries Risk Test (CRT) is a simple
test of the patient's saliva performed in the office
the concentration of the Streptococcus Mutan and Lactobacillus
Bacteria present in a patient's mouth and the salivary
flow rate of the patient. It is used in conjunction
with the clinical examination as well as past caries
history, changes in the patient's diet (increased intake
of fermentable sugars) and changes in medication. These
two bacteria have been implicated in the cause of dental
decay and various studies have confirmed a correlation
between the bacteria levels in plaque and saliva.
bacterial levels indicate a patient is at risk for
dental caries, but it does not necessarily mean
that you will develop cavities because there are a
variety of factors that can counter the effects of
high bacterial counts. These include: fluoride exposure,
high saliva flow, frequency of tooth brushing and the
presence of protective sealants. However, if high bacterial
levels are found it is necessary for the dental team
to take corrective action and to monitor the patient
more closely. This would include fluoride products,
sealants placed in pits and fissures where bacteria
tend to flourish, diet counseling and in low saliva
flow conditions that are contributing to high bacterial
levels, saliva substitutes or changes in medication
may be suggested. Since caries risk changes with stress,
diet, medication, illness, saliva flow and pregnancy,
periodic measuring should occur as part of the dental
exam. The best prevention is to assess the patient's
bacterial levels and salivary flow rate prior to the
patient developing caries.
|Drs. Tabib and Mello have not
used filling material containing mercury (commonly called
amalgam or silver
amalgam) since 1998. There are people who feel mercury
can contribute to health problems. From a dental point
of view, mercury fillings expand and contract with
temperature changes (hot and cold liquids and foods).
Over time, this constant expansion and contraction
will cause teeth that are filled with this material
to finally break. When preparing teeth to receive a
restoration bonded (tooth colored) materials require
fewer teeth to be removed than when preparing a tooth
to receive an amalgam. Because of adhesive properties,
a bonded restoration is able to retain the majority
of a tooth's strength. Conversely, an amalgam restoration
greatly weakens a tooth's strength.
Drs. Tabib and Mello
are educated in the proper way to remove amalgam in a
healthy way. All procedures
are done under a rubber dam isolation, which creates
an area to do the procedure similar to a surgical isolation.
This prevents inhalation of the amalgam particles as
they are being removed as well as prevents bacteria
present in saliva from entering the cavity preparation.
Canon Eos 1 Ds Mark II
The success of restorations (Veneers,Crowns) cases hinges on numerous factors. One of the main obstacles is communication with the ceramist. Relaying the desires of our patients to our ceramist can often be a difficult task. Communicating nuances of color,translucency,shape and micro anatomy of teeth can only be achieved with proper knowledge and superior photography skills. Digital photography with the best professional camera allows the next best thing to having the ceramist right there with us. Instead of interpreting a shade map, the ceramist will have an exact representation of the colors, texture and anatomy.
An update to the tremendously popular EOS-1Ds, the EOS-1Ds Mark II is a must have in our office. With a full frame 16.7 megapixel CMOS image sensor, combined with Canon's DIGIC II Image Processor, the EOS-1Ds Mark II has dramatically decreased startup and card-writing times in comparison to the EOS-1Ds.
These improvements are complemented by Canon's renowned build quality for reliability in even the most rugged conditions. EOS-1Ds Mark II is the most remarkable combination of resolution and speed in the history of digital SLRs.
- 16.7 Megapixel, Full Frame CMOS Sensor with DIGIC II Image Processor
- Fast and Responsive, EOS-1 Class Performance
- Improved Image Display
- Professional-level Image Software
Computerized Treatment Rooms
Our patients have realized many benefits since we
computerized and networked our treatment rooms. Each
treatment room is computerized and networked with each
other. All intraoral and extraoral photography, DIFOTI
images, patient records, written communication and
clinical information can be shared between the Doctors
and treatment areas instantly from anywhere in the
- Automatic reminders to patients when they have
decided it's time to see us again.
- Daily submission of insurance forms so that
reimbursement to our patients is much quicker.
- Immediate access to the Internet with our DSL
- E-mail to patients and to referring dentists
about specific patient concerns.
- Document scanning and remarkable backup systems
to insure against loss of patient information
from fire, theft or vandalism.
- E-mail with the restoratives labs to achieve
better cosmetic results for our patients.
- Patient education using real-life digital photographs.
- Processing of daily procedures, payments and
insurance claims are done quicker and more efficiently.
Imaging allows us to create a new smile for patients
without ever touching your mouth. We find it to be
a great tool in improving communication and education
with our patients because it gives the patient an opportunity
to participate in creating their own smile. Imaging
can also prevent unrealistic expectations with the
final result. We also use imaging to improve our communication
with our restorative labs. We create what we want and
send this to our lab with our prescription, leading
to more predictable and esthetic results and patient
satisfaction. This is all done through the magic of
a computer, color monitor, our camera and our specialized
software. We basically take a still photo of the patient
and save it on the screen using the computer. We then
create simulated procedures on the computer including
closing spaces, repairing fractured teeth, veneers,
crowning, bleaching, recontouring, and orthodontic
and tooth lengthening. We can even correct a gummy
smile to show what you would look like with that procedure
Logicon Caries Detector
|One of the most difficult tasks for any
dentist is being able to view cavities in between teeth.
Visual analysis of dental X-rays is difficult (because
the human eye tends to smooth out density gradients).
Dental x-ray images are highly variable (due to film
type, exposure level, tooth structure and shape). According
to a study done by the UCLA School of dentistry, the
presence of cavities and their depth is misdiagnosed
up to 40% of the time and healthy teeth are misdiagnosed
up to 20% of the time. Logicon caries detector uses algorithms
based on laboratory data to automatically outline lesions
on tooth image directly on the computer. In another study
conducted at UCLA 608 teeth were analyzed by Logicon
Caries detector and and by 18 dentists. The results proved
that Logicon outperformed humans on cavity detection.
We feel extremely privileged to be able to offer this
service to our patients and it fits extremely well with
our philosophy of prevention.
Trophy Digital X-ray Imaging
|The latest advancement
in dental technology uses a computer and low-radiation
to produce X-ray images directly onto a computer screen!
With sophisticated software, the computer-generated
X-ray can reveal information not previously available
a conventional X-ray machine. X-rays taken by the Trophy
RGB X-Ray can be colorized, magnified and computer-enhanced
to indicate things such as bone density! Although every
patient can benefit from the 90% DECREASE in radiation
exposure, the digital X-ray machine offers special
benefits to DENTAL IMPLANT PATIENTS. With the "instant" development
time of the computer and the ability to view an enlarged
X-ray on a computer screen at the patients' chairside,
Dr. Tabib has the ability to make sure the patient's
nerves and sinuses are protected and the implants are
properly seated by taking digital X-rays at various
points during the procedure!
Added patient safety, more predictable
treatment, much lower X-ray radiation,
and instant feedback clearly
make the digital X-ray machine the X-ray
technology of the future.
With the click of a button the tooth is imaged and
the software generates instantaneously a complete range
of shade mappings with full value, chroma and hue analysis
and identifies translucent and opaque areas; makes
shade measurement objective and consistent, allows
a digital record of shades and facilitates dentist-laboratory
communication. It allows us to do custom shades and
also to confirm a shade match. The ShadeScan achieves
all of this by utilizing the power of artificial perception
technology. Human visual perception is embedded in
the ShadeScan. This creates an intelligent device that
perceives and interprets the visual appearance of teeth
the same way a human eye does- but with the accuracy
and consistency of a computer. Benefits of ShadeScan
for our patients:
- Objective and consistent shade measurement of
- Reduces remakes of porcelain.
- Facilitates dentist-laboratory communication.
- Monitor bleaching of teeth by color mapping shade
Sterilox Water Treatment System
|We take many precautions
to keep our office clean and sanitary for your safety. In
the past few years studies have brought to light the
fact that water lines necessary for many of the dental
instruments can be contaminated with tens of thousands
of microorganisms. Because of the structure of
the narrow tubes and the way dental units are made,
biofilm (a thin layer of bacterial slime that coats
the inside of the dental tubing) is able to form inside
the lines or tubing. When treating our patients
with the dental equipment, these bacteria become airborne
in tiny droplets and are constantly being inhaled. Most
of these bacteria are harmless. But in the interest
of your safety and the safety of our dental team we
are taking some special steps to alleviate any potential
problems. In response we have adopted the Sterilox
water treatment system. Sterilox provides our
office with a safe, fast, effective and ongoing solution
for the removal of biofilm and microorganisms. The
solution is a non-toxic, tasteless odorless antimicrobial
germicide that you will not notice but will keep our
water lines and the air we breathe safe.
For years, dental occlusion has been largely a matter of guesswork for dentists. . Tekscan has developed technology, which provides data to evaluate the intricate inter-relationship of how teeth meet. In clinical situation it is extremely difficult to determine the order of tooth contact or the force contained within them. The T-scan III system occlusal analysis system quickly and precisely determines the amount of force generated and premature contact points for predictable occlusal control during adjustment procedure.
- Improved Diagnosis
- Increased quality of care
- Decrease treatment time
- Reduces risk of implant failure and porcelain fracture
The CariFree System
|Tooth decay is mainly caused by a bacterial infection on the teeth. The CariFree system allows us to test for and treat the bacterial infection before it causes tooth decay.
CariFree employs advanced infection testing and treatment technology to promote long term dental health, instead of simply treating symptoms.
How is it possible? The advanced CariFree system measures the magnitude of harmful bacteria on your teeth. If harmful decay-causing bacteria are identified, the CariFree treatment plan will be prescribed.
The CariFree system was specifically developed to embrace the new science of testing for and treating dental bacterial infection. Here is how the CariFree System works:
The quick and easy CariScreen test determines your level of decay-causing bacteria. It takes only one minute to determine if you are at a low, moderate, or high risk of developing cavities in the future.
Since risk factors change over time, it is recommended that CariScreen test be taken once per year.
For the most accurate test results, do not eat or brush your teeth for at least one hour prior to the test.
Kodak CR 7400
Based on computed radiography (CR), also referred to as phosphor storage plate (PSP) technology, the flexible KODAK CR 7400 System delivers a full range of intraoral and extraoral images digitally, eliminating the need for traditional film processing.
The system's innovative design and workflow enhancements, such as simplified full-mouth series workflows, streamlined functionality to enhance durability and automatic plate erase, make it a welcome addition
The KODAK CR 7400 System features:
- Thin, flexible intraoral plates, enhancing patient comfort;
- One-step process scans a full mouth series without manual intervention, streamlining workflow;
- Built-in automatic plate erase function, eliminating double exposures and reducing plate handling for longer lasting plates;
- Innovative frictionless scanning process, extending the life of the plates and reducing artifacts;
- Adjustable scanning speed and image resolution for different treatment needs;
- Pre-programmed holder layouts for efficient image orientation and optimization within the imaging software;
- Protective barrier envelopes and light protection pouches, preventing infection, image degradation and scratches;
- Intraoral and extraoral image processing in one compact tabletop unit
The design and operating principles of the Planmeca ProMax maxillofacial X-ray unit are based on the latest scientific research and clinical insight of the requirements of today's maxillofacial radiology. Planmeca Promax combines several imaging modalities into one intelligent X-ray unit.
- Panoramic radiography for general diagnostics of the tooth arch and the jaw.
- Advanced panoramic radiography for specific diagnostics of the tooth arch, the jaw, maxillary sinuses and temporo-mandibular joints.
- Dental tomographic slices for detailed morphologic diagnostics of facial bones.
- Cephalometry for imaging of the skull.
Transtomography® is a new digital imaging system developed by Planmeca. Transtomography® uses multiple sweep method whereas the linear tomography uses one sweep. Transtomography® combines the translation movement with an oscillation movement where the center of the rotation moves over the region of intrest. The layer thickness can be adjusted like in film based linear tomography. Due to the developed imaging method, the image of the anatomies are truthful and information maximized.
Advanced TMJ programs provide multi-angle and multi-projection radiographs of the temporomandibular joints:
- Lateral-PA TMJ program .
- Lateral multi-angle TMJ program
- PA multi-angle TMJ program
K7 CMS (computerized mandibular scanner)
| Multiple sensors in an extremely light weight (four ounce) spectacle-like array, track the motion of a tiny magnet attached to the lower incisal gingiva with adhesive material. The configuration is totally non-invasive and, unlike clutches, does not interfere with patient function. The opposing sensors are wide apart permitting unobstructed access to the oral cavity for taking bite registrations and other clinical procedures, and the system is virtually immune from effects of slight head motion or nearby metallic or electronic interference. A patient education mode is included to simplify patient understanding and staff training.
These scans are invaluable three dimensional representation of mandibular rest, the relaxed neuromuscular path of closure, centric occlusion, habitual path of closure and protrusive guidance that aids the clinician in recording an optimal occlusal position
K7 EMG (Eight channel electromyography)
|Utilizing high quality bipolar surface electrodes, surface EMG data can be taken from up to eight muscle sites simultaneously and in real time. The program permits taking electromyography data either at rest or in function. All eight channels may be displayed simultaneously, for a period of 15 seconds (one visual screen width). The K7/EMG signal processing circuitry provides unsurpassed protection against system noise or motion artifact. The patient education mode permits quick and easy patient education as to status of masticatory muscles.
||These scans provide an objective measurement of masticatory muscle electrical activity which accurately represents their physiologic state.
K7 /ESG (Electrosonograph)
TMJ Vibration (Sound) Evaluation System. A lightweight headset holds highly sensitive vibration transducers over each TM joint, enabling simultaneous, bilateral capture of tissue vibrations emanating from joint sounds. Vibration (sound) data is correlated to vertical dimension of opening and closing, providing clinicians with valuable information to aid in assessing the status of articular disk and joint function.
|The ESG includes the ability to document TM joint status through recording joint sound vibrations – simply and non-invasively.
J5 Myomonitor TENS unit
The battery operated J5 Myomonitor TENS unit, like its predecessor the J4, delivers controlled, periodic, bilateral electrical stimulation to help provide muscle relaxation, increased blood circulation and increased range of motion.
The J5 Myomonitor TENS unit is the latest in a succession of Myotronics products with a history of over thirty-five years of clinical effectiveness. It is known that cervical muscles play a significant role in head posture and consequently may impact occlusion. For years many dentists have stimulated these cervical muscles to relax them as part of the overall diagnosis and treatment process.
The J5 Myomonitor TENS unit provides four patient stimulation channels, each left and right pair with its own controls. Now, with the ability to stimulate four muscle sites simultaneously, the J5 helps improve treatment efficacy while saving time for doctor and patient. Two channels may be turned off when not required.
Like its forerunners, it is the only true simultaneous 4 channel bi-lateral stimulator of its kind. It incorporates unique, fail-safe circuitry. A valuable tool in office procedures for occlusal adjustment and in bite registration, it is also useful in the treatment of some types of TMD dysfunction and associated pain.
- Relax muscles and establish a physiologic occlusion
- Take occlusal registrations
- Take denture impressions
- Treat TMD dysfunction and associated pain
- Relieve symptoms associated with muscle spasm
- Increase local blood circulation
- Increase mandibular range of motion
- Removes airborne particulate to 0.3 microns @ 99.99% efficiency
- Removes mercury vapor, BPA dust, airborne viruses
- Captures residue from wet grinding, mists, odors and vapors
- Completely recycles operatory air up to 12 times per hour
- HEPA Certified performance
- Activated charcoal filter for reduction of odors and vapors
- Illuminated status control panel
- Whisper quiet operation
In our office, we are committed to not only transform our patient’s smiles, but to provide them with an environment that is clean and healthy. We believe that clean air is essential for better health. In our office we have installed a stand-alone IQAir purifier system that protecting our patients from harmful pollution particles. Our dental IQAir is just one more way to foster our commitment to always offer the best quality service to our patients. Our IQAir purifier helps to eliminate any bacteria, viruses, odors from disinfectants and office chemicals, mercury vapors and volatile compounds in the air.