"Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction and skillful execution; it represents the wise choice of many alternatives." - William A. Foster. With this quote in mind, endodontics | bartram park is a specialized dental practice led by me- Dr. Daniella S. Peinado that is limited to performing root canal therapy, apical surgeries, endodontic retreatment and emergency dental care and strives to provide the best of endodontic care with individual care, compassion and passion using evidence base, education and technology. Because of the character of my procedures - the majority of times involving pain and discomfort- my goal was to create a soothing, relax and calming environment to my patients where nature and natural elements like wood, stone, and natural light play an enormous role. At the same time after extensive research of dental offices in Jacksonville, I wanted to bring something innovative, different and elegant. A place where patients would enter feeling like they were in a place that was carefully created, planned and executed for their comfort and best experience. We planned every inch of this space thinking about how great an experience could be to our patients. We designed, created and developed the logo, the icon and the entire branding revolved around the message we want to send: modern, technological, innovative with compassion, education and passion.

Design Criteria: Design Summary

Design Criteria: Dental Technology

The technology played a major role in the process of designing the office. Knowing that the software of choice is a specific software for endodontics and it is 100% paperless, the IT room was carefully designed to support the proper server equipment. In every room we have two computers, one for the doctor and one for the assistant. All the computers are interconnected and Instant Messaging is used to communicate with the entire staff. The entire staff has the knowledge of what is going on instantly in the entire office. Cameras are also throughout the office respecting HIPPAA and protecting patients and staff. The doctor is a professor at University of Florida and her treatment rooms are connected with the conference room in the back where her treatments can be watched live by the post graduation endodontics students that come to the office for their rotations. Cameras are attached to the doctor microscope in each room and the treatments are transmited with the proper consent of patients to the conference room where a huge screen TV is placed. All these factors played a very important role in the wiring process and design. Wireless systems, Apple TV, strong routers and cabling play a major role in all this process while implementation.

Design Criteria: Dental Equipment

The use of the microscope is mandatory to provide the highest care in an endodontic procedure. The placement of the microscope is extremely important in order to respect the ergonomics of the doctor, patient and staff. The treatment rooms were designed in a way where the microscope is centrally positioned and bolted into the ceiling for a perfect delivery of care. The CBCT (Cone Beam Computed Tomography) machine is another important technological device in endodontics that ought be placed centrally in order to respect the flow of treatment. A "den" was centrally created for the placement of the machine with the proper attention for clearance for radiation guidelines. Use of Nomad handheld x-ray system and digital sensors also facilitates treatment and avoid the bulkiness of a non portable radiographic unit maximizing space and flow inside treatment rooms.

Design Criteria: Ergonomics

We have the understanding how important is ergonomics in the longevity and efficiency of dentist's professional life. I have been practicing dentistry for 24 years and I wouldn't be here today if I didn't respect the principles of ergonomics. Placement of microscope and delivery systems, positioning of dentals assistant, dual entry treatment rooms, handheld x-ray unit, dual computer screens, positioning of patient dental chairs, assistant and doctors chairs with specific arm rests were carefully chosen in order to deliver care respecting the perfect circle of range and motion. Position of telephones, computer screens, specific chairs for managers and staff were also taken into consideration to maximize the flow and efficiency. The dual entrance of sterilization area and position of sink, ultrasonics and autoclave was also designed to have the flow of dirt to clean of instruments. The staff lounge/conference room was designed to provide comfort when a break is needed and lectures to guests.

Design Criteria: Aesthetics

The natural elements used such as reclaimed wood, stone, wood floors, soothing colors and the preservation of natural light with big windows met the objective of providing a calming, soothing and relaxing ambient to patients in distress and pain. Staff absolutely love their work environment and it is important that they feel proud of the place they work. Patients often complement they "they don't feel they are in an endodontic practice just about to have a root canal procedure.." when I hear this, I absolutely know I met my goal of bringing them at ease! The wood floors and reclaimed wood helped in the acoustic. A well thought out music system was installed to provide soothing music and cancel any noises disturbances.

Design Advice: Dental Technology

I believe that our dental office is an extension of our home therefore it is important that you feel good, comfortable and pleased. My advice is to know and respect your needs. Research the equipment and have the understanding of proper function, size and role in your everyday life. Visit as many dental offices as possible and ask the staff, the doctors and even patients what they like or dislike about that place. Ask for advices. Use a contractor that has experience on the dental field. Ask dental reps and vendors for advice but do your own research and balance your needs. Negotiate your build out or remodeling taking into consideration what can and what cannot be changed in the future. Any changes that might affect your work flow in the future might be taken into consideration and done in the initial phase. The "extra stretch" might be worthy.