Quarterly report pursuant to Section 13 or 15(d)

Stock Based Awards and Per Share Information - Additional Information (Detail)

v2.4.0.8
Stock Based Awards and Per Share Information - Additional Information (Detail) (USD $)
3 Months Ended 9 Months Ended 1 Months Ended 1 Months Ended 9 Months Ended 1 Months Ended 1 Months Ended
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Sep. 30, 2012
Sep. 30, 2013
Sep. 30, 2012
Dec. 31, 2012
Apr. 26, 2013
Sun Dental Warrant
Apr. 26, 2013
Sun Dental Warrant
Maximum
Apr. 18, 2013
IR Warrant 2
Apr. 18, 2013
IR Warrant 2
Maximum
Apr. 18, 2013
IR Warrant 2
Minimum
Mar. 23, 2013
CMR Warrant
Mar. 23, 2013
CMR Warrant
Maximum
Sep. 30, 2013
2002 Stock Incentive Plan
Sep. 30, 2013
President and COO
Jul. 12, 2013
First Tranche
Mar. 23, 2013
First Tranche
Minimum
Mar. 23, 2013
First Tranche
CMR Warrant
Maximum
Mar. 23, 2013
Second Tranche
Minimum
Mar. 23, 2013
Second Tranche
CMR Warrant
Maximum
Jul. 12, 2013
Valam Warrant
Jul. 12, 2013
Fda Clearance
Jul. 12, 2013
Second Ent Laser
Jul. 12, 2013
Third Ent Laser
Stock Based Compensation Activity [Line Items]                                                  
Plan expiration date               Apr. 24, 2014   Apr. 17, 2018     Mar. 22, 2018   May 05, 2019 Jun. 06, 2020           Jul. 14, 2020      
Common stock authorized for issuance under the 2002 Plan                             7,750,000                    
Common stock issued pursuant to options exercised                             2,840,000                    
Options outstanding 4,374,000       4,374,000   3,860,000               4,374,000                    
Options available for future grant                             536,000                    
Compensation cost related to stock options $ 491,000     $ 357,000 $ 1,239,000 $ 1,280,000                                      
Net impact of share based compensation expense to earnings per basic share $ (0.02)     $ (0.01) $ (0.04) $ (0.04)                                      
Net impact of share based compensation expense to earnings per diluted share $ (0.02)     $ (0.01) $ (0.04) $ (0.04)                                      
Total unrecognized compensation cost 2,700,000       2,700,000                                        
Unrecognized share based compensation cost to be recognized over weighted-average period           1 year 6 months                                      
Options granted         1,516,000                     350,000                  
Options granted exercise price per share         $ 3.90                     $ 4.00                  
Options granted to President and COO, vesting period beginning June 6, 2014                               4 years                  
Warrants issued to purchase common stock                 500,000   60,000     100,000         50,000   50,000 165,000      
Warrants price of warrants               5.90   5.10                 4.50   4.50 6.00      
Warrant vesting rate               1,000                                  
Stock-based compensation         1,239,000 1,280,000     1,000                                
Minimum required closing price of common stock on the NASDAQ in order to exercise                       $ 7.50           $ 7.50   $ 10.00          
Outstanding stock options and warrants excluded from diluted loss per share 6,022,000     4,504,000 6,022,000 4,504,000                                      
Special stock dividends intended for the year ended 12/31/2013         2.00%                                        
Dividends declared, date of record Aug. 30, 2013 Jun. 14, 2013 Mar. 15, 2013                                            
Dividends declared, payable date Sep. 13, 2013 Jun. 28, 2013 Mar. 29, 2013                                            
Special Stock Dividends Declared 0.50% 0.50% 0.50%                                            
Vesting of Valam warrant                                 30,000           55,000 40,000 40,000
ENT laser revenues required during a 12-month period                                               $ 5,000,000 $ 10,000,000