We Now Offer A Solution For Dental Anxiety

Posted on October 12, 2015 by DrRichardNadler

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First, let me say that much has happened since our last newsletter back in August. We have welcomed Dr. Sagar Lunagaria to our practice, and as a result, we are offering new services and additional hours. In particular, Dr. Lunagaria provides sedation for those who have dental anxiety, he is experienced in placing dental implants and he performs gum procedures which previously required our patients to seek the care of a periodontist. For many minor surgical procedures our patients can now remain in our office. In addition, in the event that you need care for a dental emergency, you will find it much easier to be seen very promptly to have your problem addressed.

It has been an absolute pleasure working with Dr. Lunagaria, and he has been well received by not only our team but by the many patients who have met him during September. Dr. Lunagaria will be available in our office every day that we are open except Tuesdays. Please make sure that you have an opportunity to meet him the next time that you are in the office.

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You can now truly relax in the dental chair while having your treatment. Nitrous oxide – commonly known as laughing gas is a mild sedative. It is one of the safest ways to relieve fear and anxiety related to dental appointments. This form of relaxation is also very helpful in eliminating or minimizing severe gagging. It does wonders for individuals who are highly fearful of needles or who have real difficulty getting numbed.

Is severe gagging preventing you from seeing a dentist?

Nitrous oxide is administered through the nose by simple inhalation while your dentist works on your teeth. The amount of gas is regulated by the dentist so he has full control over the amount of anxiety control which is needed for each individual patient.

Fear of needles?

Inhalation sedation is very safe and there is almost no side effect of it. The effects of the laughing gas wear off quickly as so that you can drive yourself home after finishing your procedure without the need of an escort.

Do you ever dread going to a dentist?

Depending on the severity of fear and anxiety, nitrous oxide (laughing gas) can be combined with oral medication which is taken before your treatment to help you relax even further. It is a great choice for people who fear needles. You will be awake and aware of your surroundings but relaxed and free of anxiety. It also helps create short term partial memory loss, so most patients do remember discomfort, smells or noises associated with the dental procedures performed.

Do you have difficulty getting numbed?

Again, our goal is for you to be comfortable and anxiety-free during your dental treatment. We are proud to offer this service in our office now. Call our office at 908-659-6655 to find out more or visit us online at www.DesignsForDentalHealth.com to book a complimentary consultation today!!

Which Is Worse –Bad Gums Or Teeth?

Posted on June 9, 2015 by DrRichardNadler

This may sound like a trick question, but really it’s not. The “correct” answer, of course, is that both are equally important. But, I have a different view and will share it later in this article.

Both gums and teeth require good to excellent daily hygiene to remain healthy. Prevention of both periodontal disease and dental decay is accomplished using the same techniques and products. Both gum disease and dental decay are caused by the attack of bacteria which produce acid. This acid causes damage to both hard and soft oral tissues including gums, enamel, dentin and bone. Both conditions if not properly and promptly addressed will result in the eventual loss of teeth as well as the inability to properly chew food. And, both problems are a source of embarrassment and self consciousness due to missing teeth, bad breath, swollen and red gums, black holes, etc., etc.

Both teeth and gums are checked at every dental re-care appointment. Commonly, both of these dental diseases go unnoticed by patients until more involved and expensive treatments are required. In the case of cavities, decay which has advanced to the point when a patient feels pain will generally require root canal therapy. And, in the case of gum disease, by the time a patient realizes that there is a problem, the solution often involves the services of a periodontist, possible gum surgery and / or loss of teeth. Unrecognized and untreated periodontal disease will eventually lead to loose teeth as a result of the loss of bone and the attachment of the teeth.

Finally, both gum disease and tooth decay result in the existence of chronic infection and inflammation which has detrimental affects on the overall health of the body. A chronic infection which becomes acute, can result in serious illness which may require hospitalization. The hidden impact of such diseases, however, is that these chronic inflammations increase the risk of other health issues including heart disease, cancer, complicated births, etc.

As promised, my view whenever planning the treatment for patients and explaining its need is that once acute infection and pain are under control, the health of the gums is the number one priority. Consider the gums and bone to be the foundation which supports the teeth. Without a solid foundation, even the healthiest teeth can be lost. Once the periodontal condition is stable and healthy, then the teeth can be addressed as needed.

If you have any questions about gum disease or dental decay, please feel free to contact us by telephone @ 908.359.6655 or via our website www.DesignsForDentalHealth.com

Is Invisalign a Reasonable Option to Straighten Adult Teeth?

Posted on February 24, 2015 by DrRichardNadler

Invisalign is a system for straightening teeth and improving the bite which is an alternative to conventional metal orthodontic “braces”. This system utilizes a series of clear plastic aligners, each of which is worn 22 hours per day for a period of 2 weeks. The company began in 1997 and has gone through a series of improvements which have made this method increasingly utilized and accepted by the dental community as well as patients.

There is no question that our practice is seeing more and more adult patients who request Invisalign to improve their bite and appearance, as well as to help turn back the clock.

There are a number of conditions which can be addressed using this system:

Those who had orthodontics as a child but have seen significant relapse over the years.
Patients who are concerned about the shifting or increasing misalignment of their teeth.
Those who have teeth which are wearing down unevenly.
Patients with teeth that appear crowded or misaligned.
Those who have an underbite, overbite or open bite.
In some cases, those who have gaps between their teeth.
Increasingly, those who desire to improve their appearance and look younger.

Click this image for a concise video on Invisalign.

There are significant benefits of Invisalign as compared to conventional metal orthodontics:

There are no dietary restrictions because the aligners are removed before eating.
There are no special dental hygiene requirements because the liners can be removed to brush and floss the teeth.
Because the aligners are made from a clear plastic material, they are practically invisible.

As the system begins with a virtual treatment plan called a “ClinCheck”, both the dentist and the patient are provided a digital preview of the treatment. This preview, if used properly, helps to determine how well the treatment will result. In our experience, patients truly enjoy this preview and its use to track the progress of their case. It’s important to note that In some severe cases, the use of Invisalign may not offer the best solution. Some cases may still require either surgical intervention, conventional metal braces or a combination of the two.

There are several long-term benefits of having straight teeth and a good bite:

Straight teeth are easier to keep clean and food particles and plaque are not trapped in uneven spaces. The result is a decreased likelihood of both dental decay and gum disease.
Healthier teeth and gums contribute to a person’s overall systematic well-being and health.
Uneven wear due to misaligned teeth is alleviated.
Patients enjoy a more confident smile and an improved, more youthful appearance.

If you have any questions about Invisalign, please feel free to call us at 908.359.6655 or via our website at www.DesignsForDentalHealth.com

The Best Way To Fill Your Tooth

Posted on February 10, 2015 by DrRichardNadler

Can You Just Fill It?

One question that dentists are asked all the time is: “Can you just fill it?” My goal with this particular article is to answer just that question. And the answer is: That depends on several factors. First and foremost are the needs and desires of the particular patient. Equally important is the condition of the tooth or teeth in question.

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First, let me begin by explaining that nearly all of today’s tooth restorations are made of ceramic. Ceramic encompasses the materials most commonly used to restore teeth today. This includes porcelain in various forms as well as composite, commonly known as “plastic” fillings. In our practice, metal is rarely used except in specific cases where achieving a quality bond is impossible (deep under the gum) or the strength of metal is mandatory. Ceramic materials offer a beautiful, lifelike appearance and can be bonded to tooth structure for strength and longevity.

The choice of whether to use a composite filling or some type of porcelain restoration is dependent upon the following five conditions:

1. The size of the cavity

Composite fillings makes sense when the cavity – whether caused by decay or fracture – is less than one third the width of the tooth and takes up less than 50% of the biting surface. Larger cavities with inadequate tooth to support a filling are best restored using porcelain.

2. A cracked tooth

If the tooth is cracked, a porcelain restoration is needed to protect the tooth from fracturing. We commonly see cracked teeth when silver fillings, especially large ones, have been in place for many years.

3. Worn teeth

Teeth which are worn can be restored with either material depending upon the extent and location of wear. Surfaces which receive heavy biting forces require the strength of porcelain to last a reasonable length of time.

4. Root canal

Teeth which have had root canal therapy generally require porcelain crowns to protect them from breakage, as these teeth are brittle and somewhat hollow as a result of the root canal.

5. Tooth Modifications

Sometimes teeth are restored to alter their shape and or appearance. Examples are gaps between teeth, poorly aligned teeth and teeth which are restored to improve the bite. Larger modifications require the use of porcelain.

Today’s porcelains are much different from those that were used only 10 to 15 years ago. Newer technology has produced ceramic materials with exceptional strength as well as a lifelike appearance. In addition, these materials can be used to make crowns, commonly known as “caps”, which cover the entire tooth.

They can also be used as onlays or “partial caps” to preserve solid healthy tooth structure. These onlays are beautiful and long-lasting restorations which can be less costly than full crowns.

If you have any questions about which fillings are appropriate for you, please do not hesitate to call our office at 908.359.6655 or via our website at www.DesignsForDentalHealth.com

Celebrating 30 Years- Thank You, Mentors!

Posted on December 8, 2014 by DrRichardNadler

I had wanted to complete all of our anniversary “Thank You’s” in November, but that was not meant to be. Liz and I enjoyed a wonderful long Thanksgiving weekend with our family and I decided not to rush through the final couple of articles as the people to whom they are directed have been important mentors in our lives.

With that being said, I feel extremely fortunate during my career for having found the perfect mentors who I needed at the exact time when I needed them. Each of these mentors helped our office and me personally to grow and focus on what is important and point out and help eliminate our weaknesses. I firmly believe in the value that mentoring provides for people in every situation and in every decade of life. It is my sincere hope that at some point in the future, I may give back to younger dentists some of that which I took away from my mentors over the years.

I have already mentioned in an earlier thank you article the first mentor who had a significant impact on my career – Dr. Peter Dawson. Shortly after dental school, I knew that I did not want to be an “ordinary” dentist who filled teeth all day, every day. I had also come to believe that a thorough understanding of occlusion was mandatory if I was to be an excellent dentist. The reason is because occlusion has an impact on just about every condition in the mouth including gum disease, TMD, appearance and everything having to do with the longevity of dental health. Since Dr. Dawson wrote the most important modern book on the subject, I decided to take his course and began to learn about this most complex subject. As I mentioned in the previous article, I had the amazing luck to run into Dr. Dawson in the airport as I was coming home after his class. It was at that meeting when he recommended that I begin studying at the L. D. Pankey Institute which I did.

It was on a gorgeous day in the summer of 1987 or thereabouts that I sat in my lounge chair with an occlusion textbook (which had been recommended as adjunct reading) on the beach at Spring Lake. That day was a turning point in my life as that was the day when occlusion began to make sense to me. To this day, whenever I choose to improve my understanding of any subject, I find no better place to do it than in a chaise lounge on a beach. Now, some 25 years later, I am still studying occlusion and have attended the Las Vegas Institute for Advanced Dental Studies where I learned another philosophy on the same subject. Thank you very much Dr. Dawson for helping me to begin on the right path.

Then, a few years later, as the office was getting busier, it became apparent that our lack of business management savvy was becoming an issue. My experience and reading had taught me that most businesses go through a progression of plateaus and the best businesses do what is necessary to face and address challenges as they arise. Common challenges include time management, team building, financial controls and the myriad of systems which make a business work.

To that end, I was extremely fortunate to have met Dr. Michael Schuster. He and I shared a similar practice philosophy as he, too, practiced Pankey style dentistry and had a school called the Center for Professional Development (now called the Schuster Center) where a philosophy of practice management and the tools necessary to run a dental practice were taught. My team and I studied in this center in Scottsdale, Arizona for two years; and, during that time, traveled there on several occasions to learn how to better manage our office. In addition to the meetings in Arizona, there were monthly phone conferences, many books to be read and book reports to write. This course of study was like an MBA for dentists. After the first year, I clearly remember feeling so positive that I had recurring dreams about being able to fly – seriously!

This course of study helped me to organize my entire life as well as our dental practice that eventually began to run like a well-oiled machine. Unfortunately, along with the process of self-discovery and success with the dental practice came the end of my marriage. I believe that if it were not for Dr. Schuster I would not be as successful as I feel today both professionally and personally. There, I was taught the value of setting goals and looking inward to take control of my life in a positive way. Thank you Dr. Schuster. I owe a huge debt of gratitude to you for providing exactly what I needed at that time in my life.

Finally, I’d like to thank Dr. Charlie Martin who is a dentist in Richmond Virginia and who ran conferences four times each year and facilitated a “mastermind” of like-minded dentists. Charlie is a passionate and hard-working dentist who has the ability to engage others with his point of view and extensive knowledge on various subjects. He was most helpful to me in helping to decide the most current direction in our dental practice. He provided what I needed to know, and, as a result moved to the next level of my career. Unfortunately, Charlie has retired, but the effects of his efforts on all of our mastermind members will be felt for years to come. Thank you Dr. Martin! This course of study helped me to organize my entire life, as well as our dental practice, which eventually began to run like a well-oiled machine. Unfortunately, along with the process of self-discovery and success with the dental practice, came the end of my marriage.

I am also grateful to Dr. Charlie Martin for having introduced me to a wonderful group of dentists who are equally passionate, hard working, intelligent and an absolute pleasure to share time with. I miss them and the conferences in Richmond, and I wish each of these friends much health, happiness and success for years to come!

Celebrating 30 Years- Thank You, Our IT Partners

Posted on November 26, 2014 by DrRichardNadler

Thirty years ago, a dentist would not have had any idea that he or she would need IT partners to insure that his or her practice runs smoothly. So, in today’s installment, I would like to thank those companies who help to make our office run like a well-oiled machine while giving us more time to spend on patient care and less on managing our non-clinical affairs.

First there is Dentrix, our dental software company. It is this company which provides all the software to make appointments, set up individual digital charts for patients, manage each patient’s account, submit insurance claims, and basically keep track of just about everything that goes on in our dental office. I vaguely remember managing all these details by hand until the late 1980s. It was very time consuming and not fun! Dentrix is our second software company, and we have been with them for about 20 years. It is easy to take for granted everything that this software allows us to accomplish, but I believe that this company offers a wonderful product, keeps it current, and allows us to be so much more efficient.

Second, there is Dexis, our digital imaging company, which provides both the hardware and software for digital radiography (x-rays). As I mentioned in our previous article, these digital x-rays are a huge improvement over the photographic system that we had used for over 20 years. So now, when we open the patient’s digital chart, all of his or her x-rays and photographs are visible and easily enlarged on our computer screens. The system has improved our ability to make proper diagnoses, explain what we see to patients, and keepg ongoing photographic record of patients’ conditions, which we have found to be so helpful in developing appropriate treatment plans for any given patient.

Third, I’d like to thank the Smilereminder Company (now called Solutionreach). We have been with this company for close to ten years and they are responsible for the reminders which you receive before your appointments. They also allow us to stay in touch with you via our Digital newsletters, birthday cards, and holiday wishes. We have found that this company is very well managed and provides a great service for us as a dental office and for you as patients.

Finally, I’d like to thank Gilleard Marketing for producing our newest website and maintaining it in a professional manner. We feel that this website reflects a true image of our office and we appreciate Keith Gileard’s photographic and creative skills to produce such a fine website. I consider Gilleard to be a very important IT partner in the day-to-day management of our dental practice and I would recommend his work to anyone who seeks such service.

I hope that this brief view of our dental management technology has offered you some insight. We always encourage and welcome your comments about this and any other technology. Feel free to ask us about it or offer your opinions the next time that you are in the office.

Celebrating 30 Years- Thank You Technology

Posted on November 25, 2014 by DrRichardNadler

Before I begin today’s topic, I must correct a glaring omission from the thank you letter I wrote to April and all of our dental assistants. There is a woman who was our second dental assistant after Liz back in the mid 80’s and describing this person provides a perfect segue into today’s subject. The person to whom I refer is Remi, a very attractive young woman, who would come to the office dressed in popular clothing of the time, which were stretch pants and high heels with the top of her choice. Naturally, Remi was very popular among my male patients as well as being a top-notch dental assistant. I had the pleasure of working with her for a couple of years until her family moved to North Carolina but Remi and I stayed in touch. Then, during the 90’s, we became quite good friends socially. When April began her first maternity leave, Remi stepped in to help us and remained on a part-time basis until she left for a new full-time position. Remi is owed a big thank you for both her friendship and her contributions to our dental practice. Remi, please forgive me for not having included you in the first article!!

But what does Remi have to do with today’s topic? Today, I will express thanks for the amazing progress that we have made in dentistry owing to the development of various technological advancements. At the same time, I’ll have an opportunity to describe how the practice of dentistry has changed in the last thirty years. So, if you can picture Remi wearing stretch pants and high heels, you will realize that what we wear today is far different from the “uniform” of thirty years ago. Better yet, if you can picture what Remi was not wearing at the time, you will understand the first major change that occurred in dentistry in the last thirty years.

What Remi was not wearing back then was gloves, a mask and all the other outer protective garments, which are mandatory today. What changed was the AIDS epidemic had begun and the use of all protective clothing and shields became mandated. After having practiced “wet fingered” dentistry for several years, wearing gloves was initially quite a challenge due to the loss of tactile sensation that resulted. But we all adapted and have since incorporated a multitude of protocols and protective items to protect not only those who work in the dental office but also every patient.

The next major change for dental practices was the use of computers which began in the mid to late 1980’s. I remember buying my first computer, an IBM with a whopping 50 MB of memory! Bear in mind that is megabytes and I’m not referring to RAM. This computer took some getting used to, but relieved us of hours upon hours of paperwork every day as all appointments and transactions had been done by hand up to that time. As you can imagine, the computers kept getting bigger and doing more for us every year. Now, the practice of dentistry and the use of computers are totally integrated and amazing.

Today, the world of dentistry is becoming more and more digital. By now, most of my patients have seen the digital x-rays which we employ. These x-rays are so large and easy to read that patients can easily see what we see with minimum coaching. These x-rays can be manipulated in terms of contrast, size and various other features. Similarly, in the future, impressions will be taken digitally using a small intraoral camera rather than all of that impression gook which many patients are not fond of.

If you’ve been in our office for the last dozen years or so, you’ll note that we also use a digital camera to record photos of your teeth. In addition, we have an intraoral camera which takes close-up images of the teeth. The use of these photographs helps us to better diagnose what is going on in a given patient’s mouth as well as the ability to easily explain conditions and options to patients.

One of my favorite newer pieces of equipment is called the K7. We have been using this system for the past five years or so to help us better diagnose and treat patients who have Temporomandibular Joint Disorders. This piece of equipment allows us to evaluate the jaw muscles, jaw movement and joint sounds. Using this piece of equipment, we can determine in an objective way the best position for an individual patient’s jaw. Since using the K7, we have been able to help many patients who were suffering with a variety of TMD symptoms. If you have any interest in the subject, you may find additional information on the website www.myotronics.com .

Other technological advances which assist us in our day to day treatment of patients include the use of the diode laser, the Wave One root canal system, and the Diagnodent cavity detection device.

The diode laser has a multitude of uses including preparing teeth for impressions, cosmetic re-contouring of the gums, the treatment of periodontal or gum disease and the speed healing of canker sores and fever blisters just to name a few. This is a marvelous piece of equipment which is kind to patients for its healing properties, its gentleness not requiring the need for anesthesia in many cases, as well as its ability to work without creating bleeding.

The Wave One root canal system is an equally wonderful system which helps us to perform root canal therapy for patients in less time than in the past while being more thorough at the same time.

The Diagnodent cavity detection device uses a laser to detect the presence of decay in an extremely accurate manner. We had even seen that it finds decay which is not visible either on x-ray or in the mouth but serves to help patients avoid more extensive treatment due to lack of prompt care.

The descriptions provided above of the technological advances which we have seen the last 30 years is by no means a complete list. Suffice it to say, the practice of dentistry is far more enjoyable, accurate and just plain better than it was in the 80’s.

Thank you to all the pioneers who helped to develop the technology that we use today. It will be fascinating to watch dentistry continue to evolve in the next thirty years!

Celebrating 30 Years- Thank You Dental Specialists

Posted on November 21, 2014 by DrRichardNadler

This next addition of our letters of gratitude is dedicated to all the specialist dentists with whom I’ve worked during the past 30 years. Many years ago, I was taught that there are the four “R’s” for fixing teeth. They are Remove, Restore, Reposition or Refer! So, in other words, the buck stops with the specialist. These are the doctors who take care of patients who have more difficult and unusual and complex problems. The general dentist will ideally remain as the quarterback for his patients by coordinating his or her treatment with specialists as needed. So a good working relationship between generalists and specialists is critical. Serving as the patient’s advocate by choosing appropriate and qualified specialists is an important aspect general dentist’s role.

A great specialist is one who is absolutely up to date in the care that is delivered. He or she is an excellent communicator and can explain what possible treatment options are available and/or necessary and why. I have had the good fortune to work with many such specialists. What follows is a list of these dentists by specialty who deserve the gratitude of both the patients and the dentists who referred them.

Orthodontists

Laurene Wolf who is the orthodontist of our hygienist Maria and her husband

Frederic Sterritt and Richard D’Avanzo who have several offices in central NJ. Dr. Sterritt was my daughter Meredith’s orthodontist

Rick Wright with whom I shared a small world moment as I was walking through the Louvre and who was my daughter Meredith’s orthodontist

Mary Richmond with whom I’ve worked on cosmetic cases and who sees patients in the Skillman and Princeton areas

Barry Rosenfeld who treated my wife Liz back in the 1980’s

Endodontists (root canals)

Annmarie Brennan and Raj Lall who have wonderful chairside manners and are very helpful in helping patients who have pain which is difficult to isolate, teeth with tricky curved or narrow canals, and saviors of those with acute pain.

Oral Surgeons

Robert Albin, Joel Efron and Alan Hecht who have offices in Hillsborough and Somerville. I have worked with Dr. Albin since first opening in Hillsborough and all three of these doctors since their group formed back in the 90’s. This group removed my daughter Meredith’s impacted wisdom teeth.

Kerry McKay whose untimely, recent passing is mourned by many friends and patients. We’ll miss him.

Samuel Levine is located in Princeton and has provided excellent care for several of my patients.

Periodontists

David Goldberg with whom I work very closely on the majority of implants cases. Dr. Goldberg is well liked and respected by patients and dentists alike for both gum issues and implants. Dr. Goldberg has a gift in how he works with patients and provides excellent care

Tat Chiang and I have worked on patients together for years. He is a part-time professor who is well abreast of current techniques and care.

Jean-Pierre Arnoux, Raoul Figueroa and John Lu are located in Lawrenceville and were trained at U. Penn. I have been working with this group for for about 7 years and have had only positive feedback from patients. They are a pleasure to work with.

Richard Staller is located in Princeton and has provided excellent periodontal care for patients.

I’d like to thank all of the doctors above and any who I may have inadvertently omitted for the excellent care which they have provided for my patients over the past thirty years. All the best to you for a wonderful holiday and a happy, healthy 2015!

Celebrating 30 Years- Thank You April (and All Our Former Dental Assistants)

Posted on November 19, 2014 by DrRichardNadler

Dental Assistants As I am writing this letter, April is only a few short weeks away from giving birth to her second daughter! She will be beginning maternity leave at the end of this month and will be painfully missed by our entire team – especially me. I have known April since she was a little girl because she was a friend and classmate of my daughter Lauren. She has been a member of our dental team for nearly ten years and she has been my favorite dental assistant of all time!

Not too long after April joined our team, I remember our celebrating her 21^st birthday. Liz, Maria and I took April to the Mediterra Bar in Princeton where she was served her first “legal” cocktail. She was very well behaved for a 21-year-old and has been that way for as long as I’ve known her. It struck me as unusual that she would want to spend that occasion with us but we were very glad that she did.

April has always been an absolute pleasure to work with. She is one of the reasons that I look forward to getting up in the morning and going to work. Discussing what has transpired since last seeing each other has been a daily ritual and she is the one who I can count on to stay calm in any situation; in a dental office, that type of personality is priceless. April has some traits of which patients may not be aware. As many of you know, I sometimes enjoy chatting away while working. There are times when this “chatting” becomes – shall we say – inappropriate. Generally, that’s because my mind is elsewhere as I’m focused on the task at hand. At times like this, I will feel April kick my shin or utter an “ahem” which I have been trained to understand means “close the mouth”. In a similar way, I have come to depend on April at times to translate what I am trying to say to a patient into words that make sense. Whether the conversation breakdown is due to a gender disconnect or too much “technicalese”, April has a way of conveying the substance of what I’m trying to say in an understandable way. That is an amazing gift.

The truth is that I have had a number of dental assistants with whom I truly enjoyed working. In the several years before April began, my sister-in-law Zora (Liz’s brother’s wife) joined our team and worked with us until moving to Florida. Both she and April were amazing because they learned every important instrument, technique and concept necessary to be outstanding dental assistants – and all within a three-month period. This is not an easy feat and led me to feel that each of these women could be an excellent dentist if they had the desire and time. Before Zora there was Allison who I also truly enjoyed working with for several years. Allison joined us at the time I began attending LVI, and she traveled there with me, Liz and our then hygienist, Deanna. We shared some wonderful times in Las Vegas and having trained together, were better able to implement what was learned there.

All of these dental assistants deserve much credit for the work that they do. Not only do they have to understand the dental materials, the techniques, ordering supplies and how to use the dental software, but they need to be even-tempered psychologists and dental concierges for our patients as well. What they do is hard work and they do it in such a way that the rest of the team as well as our patients are happy.

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