Koto Plus Dental Clinic and Orthodontics, located in Ishijima, Koto Ward, Tokyo, is a medical institution providing dental and orthodontic treatment with English language support, and accepts credit cards and electronic payments. The clinic maintains a clean and reassuring atmosphere, placing great importance on dialogue with patients. In treatment, they first listen to symptoms and preferences, adopting an approach to begin treatment only after the patient is satisfied. Dental hygienists also wear loupes to enhance the accuracy of procedures. They are also committed to preventive dentistry, providing customized prevention plans for each individual, toothbrush recommendations, and lifestyle advice. In terms of treatment, they use computer-controlled anesthesia and thin needles to minimize pain, aiming to preserve natural teeth by methods that minimize drilling and extraction as much as possible. Regarding hygiene management, they use disposable products as much as possible, and for non-disposable items, they thoroughly implement sterilization procedures, with a medical safety manager on staff to establish an emergency response system.