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Significant Customers & Geographical Information - Sales by Product and by Geographical Region (Detail) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Sep. 30, 2015
Sep. 30, 2014
Product Information [Line Items]        
Total sales $ 2,459,958 $ 2,535,098 $ 6,996,921 $ 7,662,864
Instruments [Member]        
Product Information [Line Items]        
Total sales 901,213 413,914 2,317,547 1,938,293
Handpieces [Member]        
Product Information [Line Items]        
Total sales 1,533,936 2,090,580 4,610,592 5,608,776
Other [Member]        
Product Information [Line Items]        
Total sales 24,809 30,604 68,782 115,795
United States [Member]        
Product Information [Line Items]        
Total sales 700,879 1,039,153 2,410,054 3,434,171
Canada [Member]        
Product Information [Line Items]        
Total sales 145,808 30,548 189,164 100,321
Other Foreign [Member]        
Product Information [Line Items]        
Total sales $ 1,613,271 $ 1,465,397 $ 4,397,703 $ 4,128,372