With the experience of implementing CAD CAM milling in his two practices, Dr. Peter Patellis DDS, shares indications and contraindications of using chairside milling solutions. Due to the unpredictable results, Dr. Patellis limits the usage of his CAD CAM milling machines, sending anterior and multi-unit cases to Keating for exceptional results. Dr. Patellis prefers to focus on his dentistry rather than creating restorations as it is not in his expertise and explains the importance of keeping debt low by not investing in unnecessary technology when starting a practice.