Most administrative applications are relatively mature and are required for the smooth functioning of today's dental offices. Clinical applications-such as dental and medical health histories, charting, digital imaging, diagnostic and treatment applications, and decision support-vary in their degree of maturity. Most Internet applications-such as Internet-based scheduling and e-mail communication with patients-still are an optional adjunct for dental practices.

Practice Implications. Practitioners should develop a comprehensive plan for for implementing or updating the IT in in their offices. Issues to be considered in technology purchasing decisions include usability, integration, work flow support, cost-benefit analysis and compliance with standards.