Dental practices must move beyond basic antivirus software to combat AI-powered zero-day ransomware and protect patient data worth thousands on the black market. Key defenses include application whitelisting, employee cybersecurity training, phishing awareness, and careful vendor selection when implementing AI tools.
- Zero-day ransomware is increasingly built with AI and can defeat typical dental office defenses that firewalls and antivirus programs don't recognize.
- Patient records containing name, date of birth, address, driver's license, credit card, and Social Security number are among the most valuable data on the black market.
- Employee training is critical: New hires should receive cybersecurity and HIPAA training before starting.
- When adopting AI tools, practices should confirm vendors use dental-specific solutions, ask about data storage and model training practices, and avoid general-purpose chatbots for protected health information.
Dr. Lorne Lavine says there was a time when a dentist could install antivirus software and consider the job done. That time has passed.
In this episode of The DrBicuspid.com Podcast, host Kevin Henry talks with Lavine, known as “The Digital Dentist,” a longtime dental technology consultant and managed service provider, about what practices should do with respect to cybersecurity and AI as they head into 2027. Lavine says Henry came up with the “Digital Dentist” name more than 25 years ago when they started a column together at Dental Economics.
Lavine says the problem is zero-day ransomware, which is new enough that firewalls and antivirus programs don’t recognize it. He believes criminals are increasingly building it with AI, which he says can defeat most of the defenses a typical dental office has. One answer he describes is application whitelisting: Lavine's team inventories the programs a practice uses, then blocks everything not on the approved list. In the five or six years his company has used it, he says, no client office has been hit.
Small practices are not safe because they are small. Lavine says a patient’s record, with a name, date of birth, address, driver’s license, credit card, and Social Security number, is among the most valuable data on the black market.
Training matters as much as software. With turnover high, Lavine says new hires should get cybersecurity and HIPAA training before they start or in their first days. Courses run about 45 to 50 minutes and cost roughly $60 to $70 a person. Phishing emails are the leading way ransomware gets in.
Henry also asks what practices should ask before bringing in AI. Lavine says dental-specific tools are more likely to meet security criteria, but practices should confirm whether a vendor trains its models on their data, stores it on third-party servers, or will sign a business associate agreement. He advises avoiding general purpose chatbots for anything involving protected health information. Even a simple letter, he says, should omit patient names.
Lavine offers listeners a free 10-minute call, and he mentions waiving the audit fee. Learn more.
Listen to the full conversation below.



















