6 Strategies to Lead an Old Team as a New Dentist

By: Dr. David Rice


Imagine this โ€ฆ or maybe you donโ€™t need to because youโ€™re already living it โ€ฆ youโ€™re a new dentist โ€ฆ passionate โ€ฆ skilled โ€ฆ and ready to crush it in practice.

But the team thatโ€™s been there for 10โ€ฆ 15โ€ฆ 20 years โ€ฆ they know the patients โ€ฆ the systems (or lack of them) โ€ฆ and oh yeah โ€ฆ theyโ€™ve seen doctors come and go.

Enter you โ€ฆ the new kid โ€ฆ and you can feel them asking themselves:

  • โ€œCan I trust this doctor?โ€
  • โ€œWill this be another change I have to survive?โ€
  • โ€œDo they know what theyโ€™re doing?โ€

If youโ€™re an associate living itโ€ฆ you knowโ€ฆ if youโ€™re a D4 reading thisโ€ฆ youโ€™ll learnโ€ฆ this team can make or break youโ€ฆ year 1 and beyond.

At IGNITEDDS, we mentor students and coach dentists to lead with clarity, character, and confidence โ€ฆ especially when leading teams with more experience than they have in years. Here are 6 strategies we know will help you earn trust, create buy-in, and lead a legacy team into your vision.


1. Lead with Respect, Not Authority

The Mistake: New dentists often feel they must โ€œestablish controlโ€ quickly. Leading with positional power โ€” โ€œIโ€™m the dentistโ€ โ€” fuels resistance rather than respect.

The Strategy: Earn influence through respect:

  • Learn the teamโ€™s history before rewriting it.
  • Spend time with each team member 1:1 โ€ฆ get curious about their personal and professional goals โ€ฆ show them how you can help.
  • Acknowledge their experience and loyalty. Youโ€™re not supposed to have all the answers โ€” stay humble, be vulnerable, and be an appreciative sponge.
  • Ask questions like: โ€œWhatโ€™s worked well here that we should protect?โ€

Key Insight: Respect opens the door for transformation. Arrogance slams it shut.

๐Ÿ”ฅ Ignite Wisdom: Shift your mindset from superior to leader by connecting with the teamโ€™s past before reshaping its future.


2. Use DiSC to Decode Team Dynamics

The Mistake: Many doctors assume everyone should think and communicate the way they do. Misalignment leads to miscommunication, gossip, and unnecessary drama.

The Strategy: Use DiSC profiling to understand each team memberโ€™s behavioral style and adjust your leadership:

  • Identify who needs data, who needs affirmation, who needs structure, and who needs extra time from you.
  • Avoid a โ€œone-style-fits-allโ€ approach โ€” when in doubt, ask, donโ€™t tell.
  • Apply DiSC insights in 1:1 conversations, team meetings, and conflict resolution.

๐Ÿ’ก IGNITEDDS Coaching Tip: Leading older team members requires emotional intelligence, not just clinical intelligence.


3. Define and Document Your Expectations Early

The Mistake: New leaders often avoid difficult conversations with older team members, hoping things โ€œsmooth out on their own.โ€ That rarely happens.

The Strategy: Create People Control through agreements and clarity:

  • Review and update job descriptions. (For associates, gain owner permission first.)
  • Co-create team agreements on behaviors, roles, and accountability.
  • Make expectations transparent, not assumed. Think of your practice success like a game: players need to know what winning looks like, the rules, and consequences for breaking them.

๐Ÿ”ฅ Ignite Tip: Use team agreements to shift from culture to character โ€” especially when old habits die hard.


4. Honor the Past While Building the Future

The Mistake: New dentists (owners or associates) often try to change everything at once. This creates fear and resistance, especially from long-tenured employees.

The Strategy: Balance continuity with innovation:

  • Ask: โ€œWhat do you love about how things run now?โ€
  • Identify 1โ€“2 โ€œlegacy systemsโ€ worth preserving.
  • Communicate changes in terms of shared benefit (patients, team, and practice).
  • Offer suggestions to owners with a 60โ€“90 day trial period โ€” evolutionary change is easier than revolutionary change.

๐Ÿ’ก Leadership Principle: When people feel heard, theyโ€™re more willing to follow. Even if the path looks different.


5. Coach Performance โ€ฆ Donโ€™t Avoid It

The Mistake: Younger dentists often tolerate underperformance from older team members out of fear โ€” fear of conflict, gossip, or losing them entirely.

The Strategy: Use People Discipline to coach for alignment and results:

  • Donโ€™t ignore red flags โ€” address them with empathy, clarity, and process.
  • Use monthly check-ins and structured feedback tools.
  • Separate behavior from identity โ€” hold standards without making it personal.

๐Ÿ”ฅ Ignite Coaching Language: Leadership is kind when itโ€™s clear โ€” and cruel when it avoids.


6. Show Vision โ€” Not Just Goals

The Mistake: Many new leaders talk about โ€œincreasing productionโ€ or โ€œhitting collections goalsโ€ but forget to connect those goals to a larger purpose.

The Strategy: Inspire with a vision for where youโ€™re going and why it matters:

  • Share your Self-Determined Future and help each team member define theirs.
  • Reinforce your โ€œwhyโ€ in team meetings and huddles every week.
  • Celebrate progress toward impact, not just numbers. Recognize small victories that lead to big wins.

๐Ÿ”ฅ Ignite Belief: People want to feel like theyโ€™re part of something that matters. Vision wins hearts and minds.


Wrapping Up โ€ฆ Lead With People, Process, and Purpose

You donโ€™t need more years to earn more leadership respect. You need intentional systems, emotional intelligence, and a vision worth following.

At IGNITEDDS, we help new dentists lead legacy teams by:

  • โœ… Building People Control with DiSC, job clarity, and expectations
  • โœ… Creating System Control so the practice runs on alignment, not memory
  • โœ… Showing Clinical and Financial Leadership through trust, not pressure

Want to Learn How to Lead Your Practice with Confidence?
๐Ÿ“ž CLICK HERE and schedule a discovery call today. Your success is too important to leave to chance.

Together We Rise,
David R. Rice, DDS
Founder & CEO, IGNITEDDS

Categories

Testimonials

Alyse Berta
โ˜…โ˜…โ˜…โ˜…โ˜…
Dawn, thank you for the great advice and guidance youโ€™ve shared as we work on improving our practice's efficiency. I truly appreciate your...
Read More
โ˜…โ˜…โ˜…โ˜…โ˜…
Dawn, thank you for the great advice and guidance youโ€™ve shared as we work on improving our practice's efficiency. I truly appreciate your support and the time youโ€™ve taken to help us move forward in a more streamlined and effective way. Your insight has been incredibly valuable and is helping us make meaningful progress.
Alyse Berta
Dani S.
โ˜…โ˜…โ˜…โ˜…โ˜…

Dani S.

IGNITEDDS has made a real difference in our practice and in my role as office manager. The support Iโ€™ve received has...
Read More
โ˜…โ˜…โ˜…โ˜…โ˜…

Dani S.

IGNITEDDS has made a real difference in our practice and in my role as office manager. The support Iโ€™ve received has helped me grow with more confidence and clarity, and our systems and leadership have improved because of it. Dawn has been an incredible support to me personally, always present, approachable, and truly invested in our success. I never feel alone when challenges come up, and that level of guidance and encouragement has been invaluable. IGNITEDDS doesnโ€™t just support practices; they support the people behind them.
Dani S.
Eva B.
โ˜…โ˜…โ˜…โ˜…โ˜…

Eva B.

Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly...
Read More
โ˜…โ˜…โ˜…โ˜…โ˜…

Eva B.

Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly understands the day-to-day challenges we face in practice. His insight makes their guidance practical, relevant, and easy to implement. Working alongside Dawn has been such a gift! Sheโ€™s always available to answer questions, talk through ideas, and help us find the right solutions. Her advice is thoughtful, effective, and supportive. It hasnโ€™t just helped me, itโ€™s positively impacted our entire team and elevated our patient experience. Iโ€™m incredibly grateful to partner with Ignite as we continue to grow, strengthen our team, and serve our patients at a higher level.
Eva B.
Kylinn Tucker, RDH
โ˜…โ˜…โ˜…โ˜…โ˜…

Kylinn Tucker, RDH

I had an amazing experience with the IGNITEDDS Coaching program. Especially since I am a new hygienist, everything...
Read More
โ˜…โ˜…โ˜…โ˜…โ˜…

Kylinn Tucker, RDH

I had an amazing experience with the IGNITEDDS Coaching program. Especially since I am a new hygienist, everything you guys shared was so helpful. Itโ€™s evident that you guys prioritize each individual team member of a dental office and do everything you can to make the environment and schedule run as smoothly and efficiently as possible. I learned so much about treatment planning, Dentrix, scheduling, teamwork, and overall ways to continue improving as a new grad. I wish every dental office had the opportunity to complete this program.
Kylinn Tucker, RDH
Dr Ben Truong
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Ben Truong

It was great working with a team to help bring out the best in each of us. Our team is ...
Read More
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Ben Truong

It was great working with a team to help bring out the best in each of us. Our team is small, but we work closely together to provide a great patient experience, while having fun at work as well! Your team was able to help us learn to work together, with each person having a vital role in providing care to the patient! Helping us all become streamlined and on the same page will help us become an even more successful practice!
Dr Ben Truong
Dr. Ronnetta Sartor
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Ronnetta Sartor

The 90-Day Jump Start has been transformative for our office. Dawn and Dr. Rice guided us through implementing essential systems ...
Read More
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Ronnetta Sartor

The 90-Day Jump Start has been transformative for our office. Dawn and Dr. Rice guided us through implementing essential systems and processes, from new patient calls to treatment planning and case acceptance. Their focus on patient care and team accountability has helped us create better structure, improve work/life balance, and stay aligned with our goals. In a short time, our practice has grown tremendously.
Dr. Ronnetta Sartor
Dr. Chandler Oldenburg
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Chandler Oldenburg

IGNITEDDS has been truly transformative for our practice. Within just a few months, our accounts receivable collections increased by $30K, ...
Read More
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Chandler Oldenburg

IGNITEDDS has been truly transformative for our practice. Within just a few months, our accounts receivable collections increased by $30K, and our operations became far more streamlined. Their clear procedures and policies gave our team structure and confidence, while their step-by-step ownership guidance addressed our specific challenges. Thanks to David and Dawn, we feel more organized, empowered, and aligned than ever before. I highly recommend IGNITEDDS to any practice ready to grow and strengthen its foundation.
Dr. Chandler Oldenburg
Dr. Layla Lohmann
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Layla Lohmann

Working with Dr. David Rice through IGNITEDDS was a game-changer for our Doctor Development Program. We have a solid foundation ...
Read More
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Layla Lohmann

Working with Dr. David Rice through IGNITEDDS was a game-changer for our Doctor Development Program. We have a solid foundation with our business content and organizational support, but Dr. Rice brought in the critical pieces that truly completed the puzzle. His seamless integration of dental expertise, vendor relationships, and mentorship made an undeniable impact.
Dr. Layla Lohmann
Dr. Brad Eller
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Brad Eller

Dr. Rice brought fresh ideas and meaningful structure to our doctors and offices from day one. He leads every...
Read More
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Brad Eller

Dr. Rice brought fresh ideas and meaningful structure to our doctors and offices from day one. He leads every discussion with knowledge, enthusiasm, empathy, and motivation that truly resonates. He challenged everyone to step outside their self-made boxes and sparked a renewed drive to grow and improve. His approach is humble, yet itโ€™s clear he has discovered a better, more fulfilling way to live and lead. He inspires you to become a stronger version of yourself while embracing every opportunity. His realistic roadmap and focus on balancing success with personal happiness made our inaugural Catalyst program impactful.
Dr. Brad Eller
Dr. Andrew Le
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Andrew Le

Dr. David Rice and IGNITEDDS is just what every young dentist needs! He is extremely helpful in both the clinical ...
Read More
โ˜…โ˜…โ˜…โ˜…โ˜…

Dr. Andrew Le

Dr. David Rice and IGNITEDDS is just what every young dentist needs! He is extremely helpful in both the clinical and business side of dentistry. His genuine kindness is contagious and he just makes you want to keep striving for the best.
Dr. Andrew Le

x

Join Us

Become a Preferred Partner

Join as a preferred partner to unlock growth, visibility, and strategic collaboration opportunities.

No Thanks