San Diego Dentistry Blog

Dr. Daniel Vinograd Moves From Alpha Dental To Posh New Location

If you’ve been to see Dr. Daniel Vinograd, San Diego’s experienced and dedicated holistic dentist, there’s something you need to know: He’s moved from Alpha Dental to a beautiful new facility called Brighton Gentle Dental, located at 10450 Friars Road, Suite G in San Diego.

At the new place you’ll find state-of-the-art facilities, beautiful surroundings and some other important features that make it the right place for you to turn for your San Diego dentist:

  • more than enough FREE parking for everyone
  • easy freeway access
  • convenience of being just three miles from his previous office
  • easy access to your old patient file, moved securely from Alpha Dental.

The complete new address — including a new dedicated phone number — is:
Brighton Dental San Diego
10450 Friars Road Suite G
San Diego, CA 92120 (map)
(619) 346-7422


Put Dr. Vinograd To Work For You

Dr. Vinograd works hard for his patients, and if you aren’t already one of them you can be soon. Just contact the office for your first appointment. Our prices are affordable on most budgets. Plus, we accept most dental insurance, so please call to ask us if we accept yours.

With decades of experience and the latest tools at his disposal, Dr. Vinograd is 100 percent committed to pain-free, non-toxic dentistry, total safety and modern practices. This means he uses:

  • digital x-rays for complete convenience and the least possible exposure to radiation
  • diagnostic lasers for accurate diagnoses in moments
  • no-drill fillings whenever possible
  • injection-free dentistry when it can provide great results
  • mercury-free and nonmetallic fillings, bridges, onlays and crowns
  • invisible brace to help you avoid embarrassment when wearing braces at any age
  • and much more.

Dr. Vinograd Is No Longer At Alpha Dental

Don’t forget: Dr. Vinograd is no longer at Alpha Dental and now works for his patients at Brighton Gentle Dental. And his commitment to you is even stronger than ever. Plus, he’s even more committed to safe, non-toxic and biocompatible dentistry than ever. But that doesn’t limit the services he can provide. You can find all the services at Brighton that you’d find at any other dentist’s office — just with less pain, fewer toxins involved and more compassion from the doctor.

Procedures available include:

  • porcelain onlays, veneers, crowns
  • porclelain-fused metal bridges
  • tooth-colored fillings
  • implant services
  • treatment and removal of gingivitis
  • scaling and root planing
  • bone grafts
  • Invisalign braces
  • and many other services and procedures too.

Dr. Vinograd Serves You At Brighton Dental

Forget about parking hassles, difficult access and any other issues you may have had with Alpha Dental. Now Dr. Vinograd is pleased to serve you at his beautiful and modern new office, designed just for him.

When you visit Brighton Gentle Dental, you’ll soon see that Dr. Vinograd’s commitment to great services, personal attention and a friendly atmosphere extends to everyone who works with him. From the moment you step in the door, you’ll know that everything just seems right. The move from Alpha Dental to Brighton Gentle Dental is suiting him well.

Looking For The Best Toothpaste? Make Your Own Fluoride-Free Toothpaste

Ongoing exposure to hazardous chemicals like those found in many commercial toothpastes isn’t smart. Instead, turn to a fluoride-free toothpaste from a maker you can trust. Or better yet, make your own toothpaste using simple ingredients you can pick up today. Soon, you’ll see that the best toothpaste is one you make yourself and know you can trust.


Trusted Fluoride-Free Toothpaste Makers

It isn’t just fluoride you should be trying to avoid. Many commonly used chemicals have been shown to be toxic, including triclosan, PEG-12, FD&C Blue, propylene glycol, sodium hydroxide and BHT. In addition, you really don’t want to use toothpastes with sodium lauryl sulfate, sodium saccharin, carrageen, sorbitol or manganese gluconate.


A few brands make fluoride-free toothpastes that don’t have the chemicals above. But read labels. Formulas change all the time. Makers you may be able to trust include:

  • Tom’s of Maine, part of Colgate
  • Kiss My Face
  • The Natural Dentist
  • Jasons
  • Natures Gate
  • Spry

… and only a few others. Not sure you can trust the products from any company with your health? There’s a better way.


Your Own Homemade Toothpaste

The best toothpaste you’ll ever use is one you make yourself from a small and trusted list of ingredients. In fact, there are only FOUR ingredients in our toothpaste recipe, no chemicals and you can use it confidently. Here’s exactly how to make it:

Homemade Toothpaste: Melt a half cup of non-hydrogenised virgin coconut oil over low heat in a small pan. Once melted, add 2 or 3 tablespoons of baking soda or 1 tablespoon of fine pumice plus 15 to 20 drops of cinnamon or peppermint essential oil and some Xylitol to taste. That’s it. That’s all.

Cool this toothpaste before use, and store it in a glass jar.


Homemade Toothpaste: It Just Makes Sense

If you want to do something right, do it yourself. If you want a good fluoride-free toothpaste that will probably serve you well, consider one of the brands mentioned above. If you want the best toothpaste you’ve ever used that tastes good, feels good and works well, however, why not make your own?

Studies are inconclusive about just how bad for you some chemicals found in toothpaste are, but there’s no reason to take a chance when making your own is so easy. And with potential reproductive and developmental side effects as well as dry mouth symptoms and allergic reactions at stake, avoiding chemicals is the right thing to do.

It’s so simple, it just makes sense.

Protect your health and your family’s health by making a smart decision about your toothpaste. When combined with making intelligent decisions regarding food choices and other health and beauty products, it can make a real difference you’ll feel every day.

- written by

Original article:

Dr. Vinograd’s Patients From Singapore

San Diego Patient Review After Invisalign

To make an appointment for Invisible Braces in San Diego with Dr. Vinograd, call (619) 382-3884.

Botox Training – Harness the hottest anti-aging therapy that’s sweeping the nation

Full Training Description:

Botox can be a vital addition to any aesthetic practice.  No other single anti-aging treatment or beauty treatment capable of erasing fine lines and minimizing wrinkles, effectively slowing the effects of aging, as rapidly as Botox.  As the baby boomer population grows older, the demand for anti-aging treatments in general, and Botox in particular, increases.

It will come as no surprise that Botox is the leading anti-aging treatment in the United States.  As a brand name, Botox is widely recognized as an effective anti-aging treatment that needs no time to recuperate.

Why get trained in Botox?

botox injection example

  1. Continuing education credits – Getting trained in administering Botox is a great way to meet your continuing education requirements while learning something new and exciting.  Botox training can be done in one day, or can be part of a more comprehensive program of anti-aging education lasting as long as 12 days.
  2. Can be done in a weekend – If you are having trouble fitting continuing education into your hectic schedule, Botox certification can be had in as little as a weekend.  Weekend training generally includes training in Dysport and dermal fillers such as Juvederm.
  3. Insurance – Or more accurately, no insurance hassles.  Most insurance doesn’t cover Botox as a cosmetic treatment.  Botox typically runs about $500 per treatment, a price many patients are willing to pay even without insurance, especially considering they can have it done on their lunch hour and go right back to work.

Cosmetic specialists are specially trained in treating the area of the face and neck using a number of different treatment options including:

  • Injections of Botulinum Toxin for minimizing wrinkles as well as for treatment of migraines and pain caused by TMJ disorders and teeth grinding
  •  Dermal fillers, such as Radiesse and Restylane
  •  Non-surgical cheek lifts, face lifts, and reduction of jowls and pre-jowl grooves.
  •  Augmentation and sculpting of the lips and cheeks
  •  Facial treatments involving Intense Pulsed Light, exfoliation, deep cleansing, massage, chemical peels and micro-dermabrasion
  • Laser treatments, Sclerotherapy and Mesotherapy

So, why Botox?

Botox has been in use in the United States for over twenty years and has been proven safe and effective for use in anti-aging and pain relief.  The advantages of Botox are significant and include ease of administration, no recuperation time, effects are visible in just a few days and last for months, few or no side effects.

Ready to sign up? Visit

Patient Review: Overcoming Dental Anxiety

original post and transcription:

Patient Review @ Brighton Dental

original post:

Free Teeth Cleanings – Gum Disease Awareness Week

“Along with non-toxic dentistry, and helping fearful patients, the awareness and prevention of Gum Disease is a priority in our practice. We invite you to sign up for a free cleaning during our awareness week.” – Dr. Daniel Vinograd, DDS

To schedule your free cleaning in our San Diego office, call (619) 550-4904

free teeth cleanings

Dr. Vinograd Lectures At The Gerson Institute

Regarding biocompatible dental materials:

How To Brush Your Gums Properly

post & transcription:

Developing a Paperless Practice P8

Dr Lavine:  Ok thank you. Next question, how do you recommend to convert loss and paper chart practise with digital imaging?  I guess it got cut out here but practise management software as well. As i said  i think the first  step  is  choosing the orates e management  software  because we find that pretty much any good practise  management  software  would be  good in that category  can ridge  with any  third  party image  program . So the  important decision here  is  the  practise  management  software and the best  thing that your can  do  is to get them a  copy of your  data , have them do a data  conversion and know  ahead of time what  to expect. Honestly, we have seen this with literally hundreds of offices sometimes the data just can’t be converted well. It’s the old garbage in, garbage out. If you got  data that  is not perfectly clean you are  going to find that it is really a challenge  to get that  clean the way  that you want it to be  so often times we  are recommend that  people  will keep the old  software  running on a   couple of  front desk  computers and as  patients come in you manually put in their name, you manually put in their  balances. Is it a pain in the rear? Yes but within 9 – 12 months you can get the bulk of your patient population in your software. Again if  you can convert it great  that always the first choice but when you do that  test  conversion that’s a way to find out  and  if there is problems what the test  conversations you are  probably going to have  problems with the  final version as well  and  at that point. I would never say don’t get a software just because that company cannot convert your data because it may be problem with the software.

Here’s a question for Sheryl, i don’t think we are balking up to the Maxident. How do we go about that? Is there a fee?

SHERYL: They would call me > that probably the easiest way of doing it. There is a minimal fee because they pay for the space that they use.

Dr Lavine:  We do online back up for a list of our clients as well and we use a data system as well and they don’t give away that space for free. Usually it’s not a major expense.

SHERYL: Well worth it.

Dr Lavine:  How much time would a new office need to get up and running? I work with a lot of practises that hare start up practises and it’s a process. We usually recommend that you start the process a good 2 – 3 months head of time. If you have ETA and when you plan to be in that space working with a practise all the time. Right now there is a good friend  of  mine up in Toronto right now and you ideally want to get  as much  free  time as you can because there is so  much  decision  that you have to make ,  not just the  practise management software , even  just the technology that we talked about  but everything  . The archetypal designs, the plumbing to the electrical. It just takes a long time. You’ve got the permit that has to be use. You have some state and provinces that are a lot better than others and you can get that together. Definitely start as early as you can.

I have medical companies that scan charts that cost very high, they charge per box.  Charts can be scanned in by third party. Our company found out what they do charge an armour. That why i wished that have the funds, the time to do something like this t make it low cost .What if someone can buck of a chart. A buck a chart would be a great idea for a business model.

Why is Debus a problem for Maxident? I can answer that  one because it’s not a problem with Maxident. It’s a problem with App Tricks. Sheryl in Canada can you use Dexus with Maxident scanner?

SHERYL: No and it’s a limitation of Dexus.

Dr Lavine:  Dexus is a very fine censor, please don’t get me   wrong. They are a great  censor .We’ve  got a lot of  people  using the  censor  but it tends to be a relatively i proprietary  system  so it’s  not going to work  with the Maxident software  directly or App Tricks or  pretty much any  third party software . It works really well with their software. It does work with the version of the Mac software in the States only in the military. I’m not sure I’m not sure if you are in the military. If you are not then that’s out of the question then you are out of luck.

We’ve got a couple of comments here. Any recommendations for a reasonable price digital panel? Absolutely, there’s a lot of good ones out there.  Probably my favourite right now j is the company that’s based into the US by 99%. You can get them out in Canada as well. It’s called Panoramic Corporation. What they have done is they have taken some of their used films and occasionally refurbished them and fit them with the censor. So the  image  quality  is as  good as  a  new Machine  because the censor  is  dictating image  quality . They also have get digitized existing pens as you already got that. The thing that I find most attractive about that is the prices. That most of the new digital pens out there are still in the $30 000- $35 000 range. The PC1000 requisite that we installed for a number of practises it comes with everything. The pen , the  computer, the software , shipping , installation , training , warranty , everything  for  $92 000.00 so  it’s a really great bargain . Certainly that my favourite system that we can recommend right now.

Other good ones that are out there. Gender 8500, the Plan Meca Pro 1, the instrument is a great unit. So ones are priced a little bit more but both of those are really good pieces. Any experience with I5 or reporting digital images to form your camera to your computer station. I played around with the I5 for those of you who aren’t familiar with it. Everyone cows with a digital camera you have like a little memory card and the way that you normally get that memory card to the computer is that you would put the mommy card into a reader and then copy that on. It’s basically seen as another hard drive   computer so you copy it over and then bring it to your software.

The I5 is memory card that would wirelessly transmit images right to your computer screen. Two reasons why I would not recommend is that it’s slow. You’re doing Wi-Fi___33 for some large image file. It’s going to be slow. They are probably not aware   of the I5 working with any dental image file. So you are going to have to put on your desktop first and then cut and paste it into the software. I think it’s just adding an extra step. So will not recommend something like that. Who knows what’s going to happen over the next few years.

Here’s another question. The dentist I work for say that all practises have to go paper less within a certain period of time. True there is a deadline. I know a number of you may not be on for the presentation for the first 5 minutes or so. In the US there is a schedule mandate that we need to be chartless or paperless by the end of the year 2014. Will that actually happen anyone can guess?  The reason that i am recommended it is two things. Number one I think insurance companies are probably ought to be the one that dictates what happens. At some point they are going to start taking film and stop taking paper claims.  I also think this is peer pressure. I mean more and more office are paperless and chartless and it’s an efficient standpoint. There a lot of reason to consider going towards a chartless or paperless environment. The reason why I would  be a lot more cautious  to this is if you have  sales  reps that comes in and say  you have to get  digital x rays  , you go to get  it And have to get it by 2014  that’s not 100% accurate. Don’t fall into some of these strong sale pitches.  I don’t necessarily believe in the case.

What’s a good imaging software and a good value for you money.  Certainly the one that Maxident sells with the app tricks software. It pretty much works with anyone out there. There is another one XDR. My god there is so many. I tend to be a  fan  of the  one that Maxident  uses , the  app tricks  , the XDR because  I really like  open ended image software. I think that people should have the ability to pick and choose their   censors, their cameras, their foster plate system, their scanners, their digital cameras and have them all working together.

So that’s why i tend to like those types of programs and that would be my recommendation.  Believe it or not we are out of time and pretty much out of question .We’ve got a few more here. What’s your   recommendation for your number and location of monitors to record in an operator?  I would say  probably  80%-85%  of the offices that we have set up in the  last  number of  years have gone  dual screen , two screens . One for the patient often time coming from the ceiling or a light bulb that   is going to show them images, show them patient education. If you want them to watch a DVD or TV fine. One that is going to be behind the patient. It’s for use by the dentist. I think you can pretty much do everything you want with   2 monitors.

We have more and more offices that we are working with that are going 3 monitors, 4 monitors. Honestly from an IT stand point they are a night mare. The quad carts that are out there that can handle three or four models are not easy to deal it. More often than that we get a call from the office on   regular basis that will say we can’t find out images on our monitor. I text them as say well do if you look on your other monitor’s get really confusing to kind of deal with multiple monitors. I typically recommend 2 monitors. I think that’s definitely fine.

What was the name of the Micro Tech? I think it was called the Media scanner. I am going to do a research on that and when I send the list I should have it on there. If I don’t for whatever reason and I’m going to put it on there to I will get to that. We are done. Sheryl is there anything else that you want to add at this point.

SHERYL: No not at this point.  If they have any questions on Maxi dents, conversion, it might be pricing option they can just give me a call directly. My number is … i don’t know if you are going to provide  that  but my number is 1800 -663-7199 and I’m extension 33 to  get my line direct .

Dr Lavine:  I don’t have that number. Do you want to go ahead and repeat that one more time?

SHERYL: 1800-633-7199 extension 33 or they can just email us at

Dr Lavine:  Ok. The other thing i should just mention to remind everybody as soon as you log out of the webinar you’re going to see a little skin that comes up. if you want me to  contact  youth any  additional question  or  just want to  set  up some time to talk . Again we don’t   change for that. if you definitely  want to hear  form Sheryl , for Maxident  sooner than later just  indicate that  on the  survey as well and  she will be in touch with you shortly . I want to thank everybody for joking. I think we had a great turn out, well over 100 people this evening. Some great question as well. We will send everybody more information about the upcoming webinars. The next one is in about 5 week on the infrastructure which i think is really critical. You can put computer software unless you got computer so that would be a god topic as well. Thank you everyone again for coming and the great questions and we will see you all again shortly.

Developing a Paperless Practice P7

SHERYL: For Ortho?

Dr Lavine:  Yes.

SHERYL: For Ortho contract filling or….

Dr Lavine:  Yes for imaging.

SHERYL: We penetrate orphan. Really any ortho imaging software that we can integrate with but for Ortha contracts and these other thing it’s already build in the software.

Dr Lavine:  Perfect. Thank you for that. I think I have already hint on this. What’s the best way to deal with people, charts and tons of data we have. It would take years to destroy them. It depends a little bit on your practise. Most of the practises that I work with really do not go into their progress notes on a regular basis. Maybe they want  to have the most recent  page of progress note but they the typically going back 5 or 6 years to remember what they did  or what their  progress  notes were. If you do practise like that then you are probably going to want to scan it in. As i said it’s not a fun job. I’ve always thought of great business model. I actually had a company that contacted me a couple of weeks ago.  Wouldn’t  it be great   if  you had  a company that had  like nan RV that went  around to the dental offices and come in on a Friday night and  would scan  all your charts for you over  the weekend, it would be an  hide  speed scanner and  by the time you came in  Monday morning it’s all done. I think you will see more and more companies doing that. What i would typically suggest is to scan in maybe the last page of progress notes. The other thing that you can do is to scan as patients are coming in. You don’t really want to scan an old chart from someone who hasn’t come in two years and you probably won’t see them for another 20 years. So what you can   do is the day before you can see the list of cases coming in and scanning those progress notes that you needed. It really just depends on your practise style. As  I said  you are going  to  find that it’s not just an  official  way to do things and  we’ve  had  people , office mangers tell them I would rather wait and do  something with that  so .

I got a recommendation here on another scanner that’s Xerox262 document. I’ve never even heard of that one so maybe you’ve got that. Thank you Doctor Bush for making that suggestions. Let’s go to the next one here.

Have I used any of the Anode smart pen system such as the deliria X paper or oxy paper? I’ve seen some of the trade shows. I have not used them yet. I think is an interesting concept. I don’t really want to comment on it at this point because i don’t know enough about them intelligently.

I think that purchasing iPad for patients so that they can vibe able to view their history forms prior to signature, do you know if iPad have it?  In Maxident Sheryl, do you guys work with the iPad yet?


Dr Lavine:  Actually where nay practise management software that can do that.  The  problem with an  iPad is that it’s basically like a iPhone on steroids because it  only  works with  applications that are  developed for an  apple  product . In our experience a number of practise management software companies are working on their iPad integration. I’m not even aware of any that have it yet.  Do you have anything else that you want to add Sheryl?

SHERYL: No, other than its coming. It’s been requested. So there is a plug in that apple has provided and that program is looking at integrating.

Dr Lavine:  Right. Ok here’s another question of you because we have one of your user on y here. I have Maxident already, shipped digital x-ray and [Inaudible] like a pen. How heard would it be to convert to completely paper?

SHERYL: Not hard at all. I guess that person can contact me directly.

Dr Lavine:  We have a 3 digital x-ray system with App Tricks but are not happy with the holes in the x-rays. What do you recommend as a replacement that works with App Tricks? There is a lot of good censors out there. One that we have had good luck with is one that is called E2V. Each of these are sold by a company called XDR and a few other companies. Many of you may not have heard of E2V because they in typically don’t sell directly to dentist, they sell it under other labels. So dentist in the past used to call it their image ray eye and Vere Tech used to call it their Accident Censors. Other companies like Mediadent haven’t sold that since. We’ve had really good luck with that one. There is another censor called the Amanda Censor that is available in Canada and the US. They have a brand new censor that is I believe they have one in Canada now called Vistio. It’s still going through FDA approval in the US so it’s not available yet but it has some promise as well. Again the beauty of the App Tricks system is that it works with every censor.  So really the best advice that I can  give you shopping for censors if  you already got the App Tricks software is have the rep come in and plug them in and take  all about  65 minutes of  both  drivers to get working and let your eyes help you to decide. Let them help you to tweak it and make sure that it’s you’re getting the best cost alignment. Have someone come in and if their censor can produce a better image quality then that may be the right cost for you.

If  i did  a start-up what’s  ball park I’m looking at in integrating the  various  technologies that  you have  presented  tonight ? Both initial cost and monthly. Now obviously this depends on number of factors. I can tell you that we work with a lot of start-up practises. The  typical practise that  we worked  with at getting practise management  software ,image  management , digital  x-ray , cameras, computers to grab all the apps, its not  a typical to have a  number  somewhere between  $40 000 kind  $ 55 000 .  That normal. We have some offices that are really going to be on as shoe string budget and that’s fine. We’ve also had large group practises that we’ve worked with that has gone beyond that. Solo practitioner if you budget for $50 000- $60 000 it probably won’t be a shock for you when you get the final deal. Obviously the ongoing monthly fees are going to depend on a number of factors. Whether  you  software  charges  a number of fees, whoever the  IT company is  going to offer  services as far  as maintenance and  networking monitoring and data  back up . All of that  have to  factored  in as well that’s why I would always recommend and  of Couse I am biased about this  but  i would  always  recommend working  with some  type  of technology consultant   that  you could  give you to the penny , here’s what  you are looking at  cost wise, the  initial cost is what you are looking at for a monthly cost  because that’s the way that you want to  go forward with  something like that .

Specific software for paediatric dentistry? Maxident can do mix dentistry cant it Sheryl?


Dr Lavine:  We found that there is not a lot out there that I would say is peso specific software.  We usually find that in most pedantic at least one that we are working with are getting their software in through general practise software and customise it for their patients.

So here’s another one. I recently purchased the Pedi scanner from MicroTech and i use it for dental x-rays. Well that’s great. I appreciate   giving me that feedback. There was a scanner from MicroTech years ago that we used to recommend called the MicroTech I800 and I900. One of the reasons why i loved that scanner is it was really inexpensive. It’s about $300 and the other ones we   are e looking at was   anywhere from $900 to $3000. MicroTech    the   less than North America market, a number of years but one of the attendees told me that they are back. That is another scanner that you can add. It’s called the Medi-Scanner and i will get more information about that as well.

There is another questions for Sheryl. How do your change incorrect default codes in Maxident chart? For ample MOD46 comes up as 2113.

SHERYL: I need to understand how old the charting program is. In the new charting program there is intelligence built not the system so it actually learns the dentistry that you do. If you do need to change a code there is one button called edit. Where you are able to go into there and edit the code. Once you set that it becomes your default all the time. Some are smart enough to reset itself based on the dentistry that your do in the office.

Dr Lavine:   So  if a program adds  features and  you already have a  third  party doing a separate data  base will that a problem? That’s really a challenge in decision. There is no easy answer here.  What  i understand the question to be is let’s  say that  you went out  and bought a third  party program because your current  management  software  didn’t have that feature and all of a sudden that software company now comes  up with  their  own module that’s integrated with  it . The questions is whether or not you should change. The answer is  in a lot  of  cases  I would  always  recommend  that there is  way to recommend it and  that’s  another reason why I am  a fan is that if there is a way to have the module  built  in, incorporated with the  practise management software its always going to be better. You don’t have to deal with bridges and it works fine .It just makes life a lot easier. The question is if you already had that information and third party program how easy will it be for the computer unit to get that stuff into the new module. In most cases it’s not that easy. What we normally suggest offices is just take a cut-off date. Here’s the day we are going to start using the model rather than the third party program. In some cases maybe you say that it can be converted in but in most cases it is not the case.

How many tablets do you recommend?  In most of your offices Sheryl how many tablets would you say to get. I assume they get them upfront and for sure but are people are putting in their operatory as well?

SHERYL: They are. If the dentistry is filling a prescriptions and he is using it to sign the prescription before he prints it or if he is electronically send it to a pharmacy he needs to have that. So the answer is it depends on that. Thetas not an easy answer I guess. But for sure reception. Sometimes you are planning a room and others in the operatory or the dentist office itself that’s always and issue with the prescription.

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