The person I'm talking about was actually quite aggressive about staying with the times and was researching (when I first got to know him) how to embed live video in his application so surgeons could look over his shoulder at the patient prior to transfer to save everybody a (potentially useless) trip. I was very much impressed with this and the current release of that software has very little in common with the software of the mid-90's.

Quite possibly other dentists/programmers figured that they could sleep their way through all this but in that case they more than likely found themselves upstaged by a newcomer that did get with the times.