Since workflows are not exactly and same for everyone, original indexes may not be optimal for your database. You should monitor indexes and performance statistics periodically to maintain optimal database performance.
SQL Server database indexes can be tuned automatically. Refer to the following:
MS SQL Server 2019
SQL Server database indexes can be also tuned manually. You can retrieve and examine expensive queries from the SQL Server system view for query and index tuning. You can add, update, or delete indexes only after consulting with Dentrix Enterprise Support or Development. You should document and save changes in a safe place in case the process needs to be reversed.