
Matt Dorey & Curve Dental bring digital imaging to the cloud
by Thomas Giacobbi, DDS, FAGD
Editorial Director, Dentaltown Magazine
Curve Dental, the pioneer of Web-based (aka "cloud")
dental practice management software, is making large
strides in imaging technology and has debunked the myths
and concerns dentists have long worried about when considering
converting to the new technology. Dentaltown
Magazine interviewed Matt Dorey, founder of Curve
Dental, who explains more about the company's roots
and about its vibrant and progressive future.
Matt, you had an IT business at the
age of 16 installing computer systems
in dental practices. When did you
have the "aha" moment to start something
different?
Matt Dorey: I was actually 15 and it was my third
venture. While my friends were going to the prom I was
building and installing computer networks for dentists. We
felt that a lot of our costs, and costs incurred by our customers,
could be eliminated by a cloud-based system, so we started
building it. At that time, there were many companies in
medical building Web-based systems, but none in
dental. Since dental is the largest specialty in
health care and was also the biggest source of
our business, we saw a great opportunity. That
was seven years ago. Since then we've recruited
a team of seasoned dental veterans, we've invested millions in our technology and have built the foundation
for what will radically change the dental profession.
What is the cloud?
Dorey: The cloud is taking information and storing it on the
Internet, just like your online banking information. You never
install software; you just navigate to a Web site. On the cloud
your information can be managed properly with adequate security.
The cloud eliminates all the stuff you hate about computers
and networks, like upgrades, backups and crashes.
Apple, Microsoft, Google and others are spending
considerable resources on the cloud. What
makes the cloud a great solution for dentistry?
Dorey: Cloud-based computing offers the dentist a
simple and worry-free solution for backups, upgrades
and disaster recovery. And for budgets that have been
stretched tight lately, a small monthly subscription fee
is much more palatable than huge licensing fees. You
don't need a server or monster workstations. So you
save money on hardware. You don't need to worry
about off-site backups, either. You'll need your IT pro
in the office less often, too. Lastly, the cloud is more
flexible and convenient. People shop and bank online
because they can accomplish these tasks whenever and
wherever they want. The cloud reduces the doctor's "technology
footprint."
Digital imaging is what many dentists
consider to be Curve's missing link…
so we're excited to see this new
development. What challenges
did you face to make digital
imaging possible on the cloud?
Dorey: Adding digital imaging to the
cloud is a big feather in our cap, but it has come
with challenges, specifically browser incompatibility.
Most browsers don't work with hardware. The
second problem was figuring out how to capture
directly to the cloud without affecting quality, size
or speed. And we knew speed would be a key
to the user experience. But we nailed that! It is super fast and fluid.
Dentists are shocked by our capture speed and how easily it works
with their existing devices. It is an amazing accomplishment.
Tell me a little bit about how your imaging component
is part of your software?
Dorey: Our imaging features are not just integrated. We
don't use that term. Instead, our imaging features are "native" to
the management software. We didn't want the image of a tooth
and the charting for a tooth to live in two different locations. In
the majority of programs available today these features are tied
together loosely and use different databases. Bottom line, our
imaging features are just another set of features you'll find in
our software, just as native to the software as scheduling, billing
and charting.
If a dentist wants to be a Curve Hero customer
but already owns digital sensors, how does
that work?
Dorey: Almost half of all practices are already digital. We've
adapted to that fact. With Curve, you'll soon be able to
plug in just about any digital imaging device and start
shooting images. Whether you're using digital X-ray sensors,
pans or intra-oral cameras, it'll just work. |
Clinician Opinion
"I've been impressed with
Curve Dental from the very first day I
saw its technology. When Curve asked me to
be one of the first doctors to test its cloud-based
digital imaging features, I jumped at the chance. My practice
has used digital X-ray sensors for many years and we face all the
same hassles any other practice experiences with digital imaging – hard disk space issues, backup worries, expensive hardware
and IT expenses. If I could move all of my imaging needs to the
cloud it would be liberating. I was holding my breath when we
took the first image in my practice. We set the sensor, we
activated the X-ray and then just a few seconds later the
image appeared. I was pleasantly surprised by the speed
and the image quality. It's amazing to see and it's an
absolutely wonderful feeling to know that I'm leaving behind
all the hassles and worries of traditional digital imaging."
– Jim McCaslin, DDS
Evergreen Dental Group |
What are the first questions most dentists
ask you about your software?
[Editor's Note:
Also see page 106 of this issue.]
Dorey: We get questions like: Is it secure? Do I own my own
data? What about digital images? The questions are much more
serious now than when we first started because doctors are
seeing the cloud work all around them.
Our security is as sophisticated or superior than any
other system that manages sensitive information. I like
to ask doctors how they're protecting their patients'
data. Is what you are doing right now secure? Can someone
break into your practice and steal your computers? Is
your data encrypted and do you have data redundancy? Is
your practice surrounded by a security fence, monitored by cameras
and patrolled by security guards? Probably not. No single
doctor can afford to implement that level of security and infrastructure.
We've built a multi-million dollar system in terms of
how data is managed and secured.
Regarding data, the doctor owns
it and has access to it anytime. Given
the right passwords and credentials,
you can download your
data to the desktop. We offer
a month-to-month contract,
which is a huge advantage to
our customers.
With digital imaging, we
now have a solution that is better
than any bridged or integrated
solution. Because our
imaging features are native to the
system, our customers won't have
to train on different systems, manage
different databases or speak to
different technical support teams.
And, as our compatibility efforts
progress, they'll be able to use the sensor
of their choice. We're working to
deliver exactly what customers want.
The claim that a cloud-based system needs less
IT attention is appealing to the doctor, but how
does the IT solution provider feel about the cloud?
Dorey: The IT pro has an important role to play in maintaining
connectivity and security, and good IT pros will recognize
how the cloud will benefit their client. We are a big
supporter of the Dental Integrators Association and its members,
and applaud the standards it has set in performance and
service. The membership is extremely knowledgeable. Members
understand the key role they play in helping a doctor move to
the cloud, and we appreciate their encouragement and feedback.
How do you respond
to questions about outages?
Dorey: All hardware eventually fails.
So it's all about how your infrastructure
is built to handle hardware failures. We
have built a fully redundant infrastructure.
This means if the computers at location A
fail, computers at location B in a different
part of the country immediately go online.
When was the last time that you couldn't get
on Google.com? It is important to its business
that it is never down. It is the same thing
with us.
In a 2010 New York Times article you
described the selection of Jim Pack as Curve's
CEO as "the most important decision I have ever
made." Tell me more about that.
Dorey: The last two years I have learned a ton. Jim has outstanding
capabilities in business and has a great track record in
dentistry and software. He was one of the five original principles
at Dentrix Dental Systems before acquired by Henry
Schein, then president of Easy Dental and then president and
CEO of Advanced MD, one of the first Web-based practice
management systems for physicians. There's no better person
suited for the position.
You made patient education free. Nobody is
doing that.
Dorey: There are many things we're doing that nobody else
is doing, and free patient education is one of them. In today's
environment a dentist isn't going to spend thousands for a
patient education system. The value is simply not there. We
believe patient education should be free. So we made our library
available online at www.curveed.com. In only one year, we have
grown to more than 10,000 registered users. It's amazing how
cloud-based solutions grow so rapidly. |

From left: Curve Dental's Founder Matt
Dorey, COO Ian Zipursky, CEO Jim Pack
and Marketing VP Andy Jensen. |
What are your day-to-day responsibilities at
Curve Dental? How do you spend your time?
Dorey: To me nothing is more important than having
the absolute best product. Too few leaders of companies
spend sufficient time focusing on making their products
spectacular. So that's where I spend my time.
You mentioned iPad. Can I operate the Curve
Dental software on the iPad?
Dorey: Right now our patient education system is fully iPad
compatible. We are building health history in right now and we
are looking at digital imaging. Other tasks, like posting payments,
are not a good fit for the iPad. The secret to the iPad is
its user interface. While it's easy to browse a Web page, most
office functions are limited with an iPad. We'll focus our attention
on tasks that are complimented by the iPad's user experience.
We're also working on mobile phone access for the dentist
who takes calls away from the office. The key with all of our
development is to improve the user experience using all the benefits
of the cloud.
How does the conversion process work?
Dorey: Unlike software that requires a server, and a
lot of installation and configuration expertise, we can
deliver a username and password right away – there's no
software to install. The data conversion requires just a day
or two. The process of bringing an office from an old system
to Curve generally takes about four to six weeks. When doctors
sign up they receive a physical flow chart that explains the
process, so they know what is expected from us and what is
expected from them. We assign an implementation coordinator
on Curve's side and an office champion on the office's side.
Those two people work together to ensure a smooth transition. |
Clinician Opinion
"There were two times in my dental career when
digital X-rays blew me away. The first time was
10 years ago when we implemented digital X-ray
sensors in our office resulting in instant
diagnostic-quality images. The second time
was just a few days ago when I used
Curve Dental to take an X-ray. I uploaded
it to the cloud and patient record simultaneously,
all with the push of a button.
Because the whole process was on the Web,
we actually were sharing the results in real-time
with analysts in other parts of the country! After the initial
X-ray success with Curve, we anxiously took intraoral
photos and a full panoramic X-ray with the same
amazing results. I can't wait to see what happens as
Curve continues to refine the process and other
new creative uses are brought to market."
– Adrian Huang, DMD
Ninth East Dental |
What about e-mail appointment reminders and
online patient forms?
Dorey: From day one we built
e-mail applications into the system.
You can send nearly any
piece of information and e-mail
it to one individual or to every patient. Text messaging is the next
step and will be available soon. There are three stakeholders in
the office with different expectations: administrators, clinicians
and patients. We try to optimize the application so it looks and
works well for every stakeholder.
How long before your competitors offer a cloud-based
solution?
Dorey: If we started today it would take four years to bring
a viable product to market. I think Dr. Howard Farran made a
valid point when he said that a software company not working
toward a cloud solution today would likely face marketshare
problems in the near future. Building something online is completely
different than building something on a CD. You really
have to think and hire differently when developing software for
the cloud. I don't know what the competition is doing, but more
competition validates our offering. Curve has a four-year head
start and we intend to keep that lead. |
Where do you see Curve Dental in five years?
Dorey: There's no question that every doctor will be using
cloud-based dental software. We believed that when we founded
the company, and today that is truer than ever. We're confident
we have the technology to take dentists to the cloud and we're
excited to shake things up.
Matt, thank you so much for your time. If you
want to view a video of this interview please visit www.dentaltown.com/curve2011. For more information
about Curve, visit www.curvedental.com
or call 888-910-4376.
|
Expert Opinion
Digital imaging of all sorts isn't the wave of the
future anymore – it's the way of today! In recent years we have moved
from e-mailing personal pictures to select friends and family to uploading
them into the cloud for everyone to view (via Web sites like Flicker,
Facebook, etc.). We can now even capture the images directly to the
cloud. It only seems natural that this should also take place in health
care. In medical, the need to rapidly share images and X-rays have
started this trend, which has moved into dental. It is already present
in multi-location dental practices where the ease of viewing
digital images from any location is crucial, and it will only continue
to grow over time to a larger percentage of single-location
practices. The technology is here and hundreds of practices
have already adopted it. As the technology improves, support
for multiple digital X-rays and capture devices expands, and
Internet bandwidth increases over time, adoption will
increase as well.

– Dan Edwards
President, PACT-ONE Solutions, Inc. |