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Showing posts from April, 2026

What days are you in the office?

 Most weeks I am working a full schedule on Monday and Tuesday. David is seeing patients on Thursday. Some Thursdays I am in the office, but mostly I am not seeing patients. Fridays I spend time as an Attending Dentist at the Mount Sinai Dental Residency. Occasionally if I am performing a lengthy procedure I see a patient or two on Wednesday. My assistant Jennifer is answering our office phone on Wednesdays. My goal is to come into the office no more than three days each week.  As a recovering Liver Transplant patient, my doctors have advised me to limit my work to 4 days per week. Having Wednesdays off seems to agree with me and Thursdays I spend time on clerical office matters for the most part. I understand that my 'limited' schedule may frustrate some people, but for now its what I can do. from Ask Dr. Spindel - http://lspindelnycdds.blogspot.com/2026/04/what-days-are-you-in-office.html - http://lspindelnycdds.blogspot.com/

Should a dentist do their own hygiene?

 It really depends on the dentist and his practice. I personally enjoy doing some of our patients cleanings. Historically  I have always been open to accepting hygiene appointments and find it a good way of connecting with our patients.  That being the case, many dentists choose to employ hygienist to do their patients recare appointments in order to free up time for them to do their restorative dental or other more challenging and lucrative procedures. For most of my career I have employed hygienists to perform some of the cleanings for my patients. This was an efficient way to handle recare and most paitents like having a hygienist clean their teeth. Still some patients seemed to prefer my cleanings and the time I would spend with them. When my son David has joined our practice, He also accepted hygiene appointments. As a matter of fact, recently when my long time hygienist left, we decided not to  replace her and My son and I have been able to absorb her patient...

Whats new in dentistry?

 In the last 10 years or so , it has never been easier to deliver both excellent and time efficent dentistry for my patients. New technologies and materials have made this true. At this point, for most crowns I utilize either Zirconium or lithium dislicate materials to fabricate monolithic crowns , that are easier to fit and more durable than the older pfms that I utilized. While I still schedule one hr for fitting my crowns, truth be told, they now rarely require the full hr and often are completed and my patient dismissed in about 35-45 mins. Also digital radiographs, 3d scanning and AI , when used properly, are terrific tools that make a dentists easier. All of our technologies still require skill and judgment to provide optimal outcomes, but I am convinced that when properly utilized these tools make dentists better at achieving great results for our patients. Our office doesn't do single visit permanent crowns since the labs I use probably provide a higher quality result the...