William S. Spiegel and Marc R. Leffler, DDS

X-Ray
Legal Case: When the end of a lawsuit does not end the problem
In their latest Legal Cases column, William S. Spiegel and Dr. Marc Leffler present a case in which a patient sued a dentist and also filed a complaint with the state dental board. Learn about the role a radiograph played in the case, how both the legal and disciplinary actions were resolved, and what you can do to help your practice avoid a similar situation.
March 10, 2019
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: Disruptive patient and incomplete restorative work
In their latest Legal Cases column, William S. Spiegel and Dr. Marc Leffler present a case in which a patient became disruptive and had to be removed from the dental office by the police after incomplete restorative work. Read on to learn how the case was resolved and what you can do to help your practice.
December 4, 2018
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: Seizure-like event in dental chair followed by death
In their latest Legal Cases column, William S. Spiegel and Dr. Marc Leffler present a case in which a patient having two teeth extracted had a seizure in the chair and later died. Complicating matters was that the treating dentist had received his license only a week earlier. Read on to learn how the case was resolved and what you can do to help your practice.
July 4, 2018
2016 08 15 14 01 32 982 Law Books 400
X-Ray
Legal Cases: Implant placement into the maxillary sinus
A group practice's dentists proposed a treatment plan of three implants for a 60-year-old man with missing teeth. However, after the implants were placed, an x-ray showed one of the implants projected beyond the bony floor of the patient's sinuses. As William S. Spiegel and Dr. Marc Leffler write, sometimes there is a difference between acceptable clinical practice and what a jury may see.
March 13, 2018
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: Failure to diagnose squamous cell carcinoma of the anterior mandibular region
A 45-year-old law-enforcement officer presented to an oral surgeon when his general dentist found a white lesion near a recent lower incisor extraction. As William S. Spiegel and Dr. Marc R. Leffler discuss in their latest Legal Cases column, this patient's treatment and case are a reminder that chart entries are crucial to patient care and for legal documentation.
December 3, 2017
2016 08 15 14 01 32 982 Law Books 400
Orofacial Pain
Legal Cases: Claimed nerve injury and trismus after mandibular block
A patient returns to your office just days after you performed a mandibular block. You refer the patient to an oral surgeon, then don't hear from the patient again. Until three months later and you are being served. In their latest Legal Cases series, William S. Spiegel and Dr. Marc R. Leffler document how they handled this case for their client and what you can do to try to prevent it from happening.
June 11, 2017
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: Mandibular fracture after implant placement
You use a health history form with every patient. You discuss this form and their health with them and receive their agreement, But, as William S. Spiegel and Dr. Marc R. Leffler write in their latest Legal Cases series, it is impossible to get every condition onto a form. Learn what happened to a new-to-practice prosthodontist who placed implants in a 68-year-old patient.
April 3, 2017
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: 24 fillings on virgin teeth
A 23-year-old woman presented to a general dentist for a routine exam with no radiographic evidence of decay. Yet on clinical examination, the dentist found that his explorer stuck on the occlusal surfaces of the patient's posterior teeth and recommended treatment. As William S. Spiegel and Dr. Marc R. Leffler write in their latest Legal Cases series, finding a way to document justification for clinical treatment is crucial.
February 9, 2017
2016 08 15 14 01 32 982 Law Books 400
Dental Practice
Legal Cases: Placement of implants projecting into the maxillary sinus
A 61-year-old man presented to a large group practice where a prosthodontist proposed a treatment plan of four implants. As William S. Spiegel and Dr. Marc R. Leffler document in their latest Legal Cases series, having a plan of action isn't enough -- it has to be written in the patient's chart.
October 23, 2016
2016 08 15 14 01 32 982 Law Books 400
Restorations
Legal Cases: TMJ dysfunction following crown and bridge work
A 63-year-old man with many fillings, previous endodontic treatment, and three-unit bridges presented to his dentist with headaches, tight jaw muscles, and teeth grinding. As William S. Spiegel and Dr. Marc R. Leffler document, sometimes practicing to the dentist's ability is the best course of action for all involved.
August 15, 2016
2016 08 15 14 01 32 982 Law Books 400
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Legal Issues
15 more come forward against assistant accused of assaulting patient
More than a dozen other alleged victims have come forward against a former dental assistant who was arrested in August for reportedly sexually assaulting an unconscious man while he was lying in a dental chair.
Gavel Money Lawsuit
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Broken, lodged dental needle results in cash settlement
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15 more come forward against assistant accused of assaulting patient
By Melissa Busch
More than a dozen other alleged victims have come forward against a former dental assistant who was arrested in August for reportedly sexually assaulting an unconscious man while he was lying in a dental chair.
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Police Badge
Broken, lodged dental needle results in cash settlement
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A man in England who was left with permanent nerve damage after a dental needle broke in his mouth while he was getting anesthesia was awarded a settlement.
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Gum disease management before diabetes onset matters
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Patients who received periodontal management for two years before the onset of type 2 diabetes had better health than those who didn't receive care, reports a study published in the Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology.
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Gum Inflammation My Ocean Studio
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Instrument reprocessing requires a series of steps to ensure everything is safe for reuse. Amanda Hill, RDH, walks us through some of the errors that can happen along that journey.
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Amanda Hill, RDH
Do's and don'ts for continuing education
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Continuing education enhances both clinical and business managerial skills for doctors and staff. Follow these do's and don'ts from Dr. Roger P. Levin to ensure a high return on investment.
November 25, 2024
Levin Practice Success Resized Image Only
Troubled dentist arrested in trafficking sting
By Melissa Busch
An oral surgeon who surrendered his dental license following a patient's death was one of more than a dozen people arrested in a trafficking sting.
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2 patients sue dentist for inappropriate contact
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A dentist recently arrested for allegedly engaging in inappropriate conduct with patients is being sued by two former patients.
November 22, 2024
Lawsuit Eccolo
This may reduce adverse birth outcomes in patients with gum disease
By Ava Barros
This combined approach may significantly reduce the risks of preterm birth and low birth weight in pregnant patients with periodontitis, reports a study published in BMC Pregnancy and Childbirth.
November 22, 2024
Pregnant Woman
3 lessons that dental assistants can learn from 'Wicked'
By Kevin Henry
How does a musical about Oz relate to dental assistants? Editor-in-Chief Kevin Henry believes there are some themes at the underbelly of "Wicked" that are perfect for assistants to embrace every day.
November 22, 2024
Witch Wicked Ai Gen
No more water fluoridation may boost dental business
By Melissa Busch
Claims that water fluoridation may be out once President-elect Donald Trump returns to office in 2025 have led the stock at dental supply companies, including Henry Schein, to surge.
November 22, 2024
Stock Exchange
Atopic dermatitis may be linked to poor oral health
By Ava Barros
Adults with atopic dermatitis may face a higher risk of poor oral health; therefore, dermatologists should discuss oral hygiene and recommend dental referrals when needed, reports a study published in the International Dental Journal.
November 21, 2024
Atopic Dermatitis Rochu 2008
ADA responds to ADHA's dental workforce objection
By DrBicuspid.com staff writers
The ADA has issued a statement addressing the American Dental Hygienists' Association's (ADHA) objection to new resolutions, including one that would permit students and foreign-trained dentists to practice dental hygiene in the U.S. without a state exam.
November 21, 2024
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