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Top 10 Mistakes to Avoid When Running a Dental Practice

Last updated on , by Arun Mehra

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Running a dental practice, like any business, is like trying to keep several plates spinning at once. You need to be a mixture of dentist, manager and business owner. We’ve been running our own dental practices for over 20 years and we know the mistakes you need to avoid to make it successful. Let’s dive into ten important areas where things can go wrong and figure out how to handle them .

Hiring Cheap vs Hiring Right

Navigating the world of managing a dental practice can be tricky, especially when it comes to building a skilled and reliable team. While keeping costs low is important, hiring people just because they’re cheap can lead to big problems. Let’s explore why hiring the right way is crucial and how to tackle this aspect of dental practice management.

The Pitfalls of Going for Cheap Hires

It might seem like a good idea to hire people who ask for lower salaries to save money. However, this approach can cause serious issues, like a potential drop in the quality of patient care, less teamwork, and overall hindrance to the growth of your practice.

Instead of only thinking about costs, you need to focus on the long-term benefits of investing in skilled individuals. A talented team not only adds to the clinical excellence of your practice but also contributes to its overall success and lasting power.

Strategies for Hiring Right

Benefits of Hiring Right

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Read our article on Building a Dental Team.

Blindly Trusting Partners and Suppliers

Trust is the foundation of a successful partnership. This is especially true when it comes to your suppliers and contractors like builders, maintenance and architects. However, blindly trusting professionals without careful consideration can lead to unexpected problems.

The Risks of Blindly Trusting

While trust is crucial for good professional relationships, blindly trusting can expose your dental practice to various risks, including poor work quality, budget overruns, and project delays. Putting your practice’s foundation in the hands of the first expert without thorough consideration could have consequences affecting both your financial stability and patient care.

Navigating Professional Relationships

Benefits of Strategic Trust-Building

Find out more about our Dental Buying Group to make sure you get the right suppliers and partners.

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Did You Know?


  1. Patient Retention vs. Acquisition Costs: It is more cost-effective to retain an existing patient than to acquire a new one, with retention being up to five times less expensive than acquisition. This emphasizes the need for effective patient retention strategies that engage current patients while maintaining high standards of dental care​​.
    Source: Yapi
  2. Impact of Online Reviews: The average dental practice retains only 41% of new patients, and positive personal recommendations are the top reason patients choose one practice over another. This highlights the importance of word-of-mouth referrals and managing online reviews to enhance the practice’s reputation and patient retention​​.
    Source: Doctor Logic
  3. Dental Billing Errors and Costs: Patient acquisition can cost up to 25 times more than patient retention. Additionally, research shows that the average attrition rate in dentistry is 17%, indicating that focusing on patient retention can significantly impact a practice’s bottom line and efficiency​​.
    Source: Oral Health Group

Personality vs. Package

It’s crucial to build a team that not only has the right clinical skills but also works well together. Relying solely on personal qualities when hiring associates, nurses and front-of-house staff can lead to problems, even though a positive personality can improve the workplace. It’s essential you consider the whole package — skills, qualifications, and compatibility with the team — when making hiring decisions for a well-rounded and successful dental practice.

The Pitfalls of Personality-Driven Hiring

While having a positive and friendly personality is an asset, depending only on this quality during the hiring process may overlook essential factors for a successful dental practice. Hiring associates based mainly on personal qualities could result in a mismatch of skills, inadequate qualifications, and potential disruptions to the team’s collaboration.

Balancing Personality and Proficiency

Benefits of Holistic Hiring

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Associates and Employment Tribunals

It’s crucial to understand and follow the details of employment classifications to avoid legal troubles. Failing to distinguish between associates and employees can lead to potential problems, especially ones that could end up in court. Let’s explore the importance of recognizing each team member’s specific status and following employment rules to ensure a legally sound and friendly dental practice environment.

The Complications of Getting it Wrong

Associates and employees have different legal positions with responsibilities, and not recognizing these differences can lead to serious consequences. Misclassifying team members can result in disputes about qualifications, benefits, and potential legal actions that might end up in court.

Navigating Employment Classifications

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Read our article on Leadership Tips for Dentists.

Diversify Workload Distribution

How tasks are assigned among team members plays a crucial role in maintaining efficiency and preventing burnout. Making the mistake of concentrating all tasks in one place—unevenly assigning responsibilities—can lead to a host of problems affecting both your team’s well-being and the overall effectiveness of the practice. Let’s look at the importance of optimizing task distribution to create a fair and productive workplace.

The Pitfalls of Uneven Tasks

Unevenly assigning tasks, whether unintentionally or due to certain team members carrying most of the load, can result in setbacks, lowered morale, and increased burnout. It may lead to reduced job satisfaction, hindering the overall effectiveness of your dental practice.

Strategies for Task Optimization

Benefits of Task Optimization

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Rushed Recruitment Practices

Hiring new team members is a critical step that can significantly impact the success and unity of the team. Rushed recruitment, driven by the urgency to quickly fill positions, can lead to hiring individuals who may not align with the values and goals of the practice. 

The Pitfalls of Rushed Hiring

When the recruitment process is hurried, there’s a risk of hiring individuals who lack the necessary skills, cultural fit, or long-term commitment to effectively contribute to the success of the dental practice. This rushed approach can result in increased turnover, decreased camaraderie, and potential disruptions to patient care.

Strategies for Comprehensive Recruitment

The Benefits of Thorough Hiring

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Avoid Team Dependency

The success of a practice is closely tied to the strength and diversity of its team. Relying too much on a few key team members can pose significant risks to the practice’s stability and adaptability. Avoiding team dependence and instead building a well-rounded team with diverse skills and qualities ensures flexibility in the face of unexpected challenges.

The Pitfalls of Depending Too Much on a Few

Heavily depending on a few key team members, while seeming efficient in the short term, can lead to vulnerabilities when these individuals are unavailable or encounter unexpected challenges. Team dependence poses risks to continuity, efficiency, and the overall adaptability of the practice.

Strategies to Avoid Team Dependence

Benefits of Avoiding Team Dependence

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Not Keeping an Eye on the Finances

Keeping an eye on finances is crucial for long-term success and sustainability. Ignoring careful financial management, especially in the early stages of the practice, can strain resources and hinder the achievement of practice goals. Being mindful of spending, creating realistic budgets, and avoiding unnecessary expenses helps to ensure financial security.

The Pitfalls of Ignoring Financial Prudence

Overlooking the financials can lead to overspending, budget overruns, and financial strain, especially in the developmental stages of a dental practice. This oversight may compromise the practice’s ability to grow strategically, invest in essential resources, and withstand unforeseen financial challenges.

Financial Prudence Strategies

Benefits of Financial Prudence

Check out our articles and webinars on finance for dentists.

Not Seeking Professional Advice

Getting expert advice is essential to run your practice. If a practice doesn’t realize how crucial it is to seek guidance, especially in legal and financial matters, it might end up facing problems that could have been avoided. A great dentist isn’t necessarily a great business owner, so it’s crucial you get the advice of those who are.

The Pitfall of Underestimating Professional Guidance

Underestimating the need for professional advice in legal and financial matters might lead to non-compliance with rules, legal disputes, financial mismanagement, and missed opportunities for strategic growth. Ignoring expert guidance can disrupt the overall success and sustainability of a dental practice.

Approaches for Seeking Professional Counsel

Benefits of Seeking Professional Advice

Book a free consultation with us to find out how we and our partners can help.

Not Embracing Technology and Marketing:

Using technology and adopting effective marketing strategies are crucial for staying competitive and enhancing online visibility. Neglecting technological advancements and marketing efforts can result in missed opportunities for practice growth and patient engagement. This section explores the importance of embracing technology, regularly updating your website, and considering early implementation of Pay-Per-Click (PPC) advertising to propel your dental practice into the digital age.

The Risks of Ignoring Technology

A dental practice may stagnate if it doesn’t embrace technology and leverage the potential of digital marketing. In today’s digital era, patients often seek information online, and a lack of technological integration can lead to reduced visibility, patient engagement, and competitiveness.

Strategies for Marketing and Technology Integration

Benefits of Embracing Innovation and Marketing

In conclusion, successfully managing a dental practice requires a strategic and holistic approach. By avoiding these common mistakes and adopting best practices, you can cultivate a thriving and resilient dental practice that provides excellent patient care and stands the test of time.

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Check out our articles and webinars on digital marketing for dentists.

Mistakes to Avoid When Running a Dental Practice FAQ

What are the top mistakes dentists make when running a practice?

Dentists often make key mistakes when running a practice, such as poor financial management, neglecting patient feedback, and overlooking marketing. Other common errors include under-investing in technology, over-relying on key staff, and failing to track key performance indicators (KPIs). Additionally, poor hiring decisions, ignoring competition, and lack of a clear business plan can hinder growth. Emphasizing continuous education, improving operational efficiency, and building strong supplier relationships are crucial for long-term success.

How can poor financial management affect a dental practice?

Poor financial management can severely affect a dental practice by leading to cash flow issues, inability to cover operational costs, and difficulties in making necessary investments in technology, staff, or marketing. It can also cause problems with loan repayment, tax compliance, and long-term business growth. Failure to manage finances effectively may result in reduced profitability, forcing the practice to cut corners, which could negatively impact patient care and overall service quality.

Why is neglecting marketing a mistake for dental practices?

Neglecting marketing is a critical mistake for dental practices because it limits visibility and growth. Without effective marketing, practices miss opportunities to attract new patients, engage with current ones, and differentiate themselves from competitors. Additionally, in today’s digital age, an absence of online presence and strategic outreach can cause practices to fall behind, reducing patient trust and referrals. Successful marketing helps maintain a steady patient flow, boosts revenue, and strengthens the brand.

What role does technology play in dental practice success?

Technology plays a crucial role in dental practice success by improving patient care, streamlining operations, and enhancing marketing efforts. Digital tools such as practice management software, online appointment systems, and advanced diagnostic equipment help practices run more efficiently. Additionally, using social media, online reviews, and SEO can boost patient engagement and attract new clients. Embracing the latest dental technologies also keeps practices competitive, ensuring better treatment outcomes and patient satisfaction.

How can over-reliance on staff harm a dental practice?

Over-reliance on key staff members can harm a dental practice by creating vulnerabilities if those individuals leave or are unavailable. It can lead to operational disruptions, decreased productivity, and a loss of institutional knowledge. This dependence may also cause stress among the remaining team and hinder growth if tasks and responsibilities aren’t properly delegated or shared. Cross-training and building a resilient team are essential to ensure the practice runs smoothly at all times.

What hiring mistakes should dental practices avoid?

Dental practices should avoid several hiring mistakes, such as not thoroughly vetting candidates, hiring based solely on technical skills without considering cultural fit, and rushing the hiring process. Additionally, failing to provide clear job descriptions and neglecting proper onboarding can lead to staff dissatisfaction and high turnover. Practices should also avoid underestimating the importance of personality, as a positive patient experience often hinges on staff communication and professionalism.

How does failing to track KPIs impact a dental practice?

Failing to track Key Performance Indicators (KPIs) can negatively impact a dental practice by leaving the business blind to its financial health, patient satisfaction, and operational efficiency. Without clear data on revenue, patient retention, treatment acceptance rates, and overhead costs, practices may struggle to identify areas for improvement, set strategic goals, or make informed decisions. Regularly monitoring KPIs helps ensure long-term growth and stability.

Why is ignoring patient feedback a mistake?

Ignoring patient feedback is a mistake because it prevents a dental practice from understanding patient needs, improving services, and addressing concerns. Patient feedback offers valuable insights into areas such as wait times, staff interactions, and treatment satisfaction. Without this input, a practice may lose patients to competitors who are more responsive to their concerns. Regularly gathering and acting on feedback helps enhance patient experience, build loyalty, and improve overall service quality.

How can improper supplier relationships hurt dental practices?

Improper supplier relationships can hurt dental practices by leading to inflated costs, unreliable product deliveries, or subpar quality supplies. Without strong, trustworthy partnerships, a practice may face frequent disruptions in operations, increased expenses, or even legal issues if products don’t meet regulatory standards. Additionally, lacking transparency in these relationships can lead to poor decision-making when it comes to purchasing, ultimately affecting the practice’s bottom line and service quality.

What are the risks of not having a business plan for a dental practice?

Not having a business plan for a dental practice can lead to unclear goals, poor financial management, and inefficient operations. It increases the risk of overspending, underestimating competition, and missing growth opportunities. Without a clear plan, practices may struggle with cash flow, staffing, and patient retention. A solid business plan provides direction, sets measurable objectives, and helps in making informed decisions for long-term success.

Why is continuing education important for dental practice owners?

Continuing education is important for dental practice owners to stay updated with the latest advancements in dental technology, treatment techniques, and regulatory changes. It helps improve patient care, enhances business practices, and ensures the practice remains competitive in an evolving industry. Additionally, continuous learning can boost professional development and staff training, ultimately leading to better patient outcomes and practice growth.

What marketing strategies should dental practices prioritize?

Dental practices should prioritize digital marketing strategies such as search engine optimization (SEO) to improve online visibility, social media marketing to engage with current and potential patients, and email campaigns to retain patient loyalty. Investing in a user-friendly website with online booking capabilities is also crucial. Additionally, gathering and promoting patient reviews helps build credibility and attract new clients. Paid ads on platforms like Google and Facebook can further drive targeted traffic.

How does patient retention affect the growth of a dental practice?

Patient retention is crucial for the growth of a dental practice as it ensures a stable revenue stream, reduces the costs associated with acquiring new patients, and increases word-of-mouth referrals. Loyal patients are more likely to schedule regular treatments, accept high-value services, and refer others, contributing to consistent growth. A high retention rate also reflects patient satisfaction and trust, which are key drivers for long-term success in the competitive dental industry.

What are the consequences of underestimating competition in dentistry?

Underestimating competition in dentistry can lead to a loss of patients, reduced revenue, and stagnant growth. Competitors who invest more in marketing, technology, and patient care can attract your patients, especially if they offer superior services or pricing. Ignoring competition can also result in missed opportunities to improve your practice, refine your services, and stay current with industry trends. Staying aware of competitors helps maintain a competitive edge and ensures long-term success.

How can dental practices improve their operational efficiency?

Dental practices can improve operational efficiency by streamlining administrative tasks through practice management software, automating appointment scheduling, and utilizing digital patient records. Efficient delegation of tasks, cross-training staff, and regularly analyzing key performance indicators (KPIs) can further optimize workflow. Embracing technology like digital imaging and online billing systems enhances both patient experience and internal processes. Effective communication, regular staff training, and ongoing evaluation of procedures also contribute to smoother operations.

Grow Your Dental Practice with Samera

Join the Samera Alliance buying group today for free to save money on your consumables and assets, increase your profits and grow your dental practice.

You’ll get access to exclusive discounts on the consumables, products and equipment you need to build and grow your dental practice. You’ll also get exclusive discounts from our Alliance Partners, covering everything from HR, IT and legal services to utilities, compliance and dental technology.

Join for free. Save money. Grow your dental practice.

More on Growing a Dental Practice

For more information on growing a dental practice, check out the articles and webinars in our Learning Centre, like our guide on How to Grow a Dental Practice.

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Reviewed By:

Arun Mehra

Arun Mehra

Samera CEO

Arun, CEO of Samera, is an experienced accountant and dental practice owner. He specialises in accountancy, financial directorship, squat practices and practice management.

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Arun Mehra

Arun is the founder of the Samera Group, starting the business with just one client sitting at his father’s dining table. Twenty years on, Team Samera now service hundreds of dental clients, run events and help clients start, buy, grow, finance and sell their practices.

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