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Goodwill and Intangible Assets - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Jun. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Goodwill and Intangible Assets          
Goodwill, Impairment Loss       $ 0 $ 675
Amortization of Intangible Assets       725 745
DDS [Member]          
Goodwill and Intangible Assets          
Goodwill, Impairment Loss     $ 675   675
Intangible Assets, Amortization Period [Member]          
Goodwill and Intangible Assets          
Amortization of Intangible Assets $ 200 $ 200   $ 700 $ 700