How to Lead an Old Team as a New Dentist

leading an old team as a new dentist

By: Jennifer Murphy, DDS, FAGD

So you’ve graduated dental school, gotten your DDS or DMD degree, and obtained your license. Now, you are a doctor.

You’ve started your first job, yet the staff doesn’t seem to see you as a leader in the office. You may even feel like they know more than you, even though you are supposed to be the doctor, you think.

Spoiler alert: This is all completely normal!

How to Manage as a New Dentist

You’ve spent the last 4+ years of your life focused on becoming a dentist, and dental school tells you that you are prepared for it all. Yet, once you leave those walls and enter the real world of dentistry, it’s a completely different story.

You may have no idea how this really all works in practice. Again, that is all completely normal!

It can be difficult to come into an established office and be seen as the leader when you are a new doc.

And, again, this is all completely normal!

I hope you are getting my point. All of what you are experiencing and feeling is normal. Everyone enters practice with varying levels of confidence and expectations.

8 Tips for a New Dental Boss

I’d like to help give you some tips and advice on how to be seen as a leader even though you are the “new doctor.”

1. Fake it till you make it

We have all heard this phrase and I do believe it to be true to some degree in the world as a new dentist.

As Amy Cuddy said in her TED talk which you can check out here, “our bodies change our minds, our minds change our behavior, and our behavior changes our outcomes.”

Her talk is about the idea of our body positioning influencing how we feel. You may have heard of a power stance – sounds silly – but just taking a minute to stand like Superman or Wonder Woman before you have to give a talk, or perhaps do a difficult procedure, actually changes your biochemistry and leaves you feeling more confident!

2. Do things inside and out of dentistry to build your confidence.

Find something you enjoy that challenges you.

For me, I started running and racing triathlons. Not only was it a great outlet for stress, but it also was a way to challenge myself, get into good physical shape, and build my self-confidence, which translated to confidence as a dentist.

3. Find a mentor

Having a person or people to talk to about everything dentistry and life outside of dentistry is so important.

Find someone you trust and admire and ask if they’d be willing to be your mentor. This question would make most people’s day from what I have found. I think you’d be surprised at how much support is out there if you just ask.

This mentor can give you support and encouragement which is priceless. I recommend building your own team as the world of dentistry is very difficult to go it alone, whether that’s a mentor, counselor, therapist, coach, or combination of.

4. Don’t be a people-pleaser

This is so common from what I’ve seen as a dentist. That’s part of why we chose this profession.

However, if you don’t keep it in check, trying to make everyone else happy will make you miserable. And remember, you can’t please everyone anyhow!

5. Have boundaries

As a new and most likely young dentist, you may find staff is similar or close to you in age. It can be challenging having those boundaries between your professional role as a doctor/boss and friendships. It is possible to do but may require some tough conversations along with having boundaries at work.

6. Communicate

Be clear. Be direct. Do not avoid conflict. Develop good communication skills.

Be open and honest with your team. Listen. Have regular meetings to communicate – both ways – you inform them but also encourage their ideas.

Also, set clear expectations. Oftentimes, the staff may not even know what is expected of them.

For example, I once went into an office, and the assistants were not keeping my mirror clear while working on maxillary teeth. I later learned the previous doc didn’t prep with water, and they didn’t even know they were supposed to be doing that!

Hard to believe, but it was true. After learning this and discussing it with them, they knew what to do and did keep my mirror clear.

If you set clear expectations, the team should know what to do and do it. They shouldn’t need micromanaging, but they do need accountability. Hold your team accountable.

7. Manage emotions

Attitude is everything.

Sometimes you do have to be an actor/actress as a dentist. No matter how you are feeling it’s important to put on a smile for staff and patients, at least during work hours.

Lead by example. Yes, you are the doctor, but be humble. No one likes a dictator.

8. Celebrate wins

Appreciate your team. Get to know them but again, boundaries.

The office you are entering into should help in this regard as well. For example, the office I recently joined held staff meetings prior to my joining where they went over verbiage the staff should use and “talking me up”. This helped the staff welcome, accept, and respect me right off the bat.

Leading as a New Dentist

It is a tough road at times as a new dentist, but leading an existing team can be done. You can learn to lead, even as a newbie.

Leadership is a skill that can be learned. The sooner you start working on these leadership skills the better your life as a dentist will be!

And, as you start to implement these actions like clear communication, setting boundaries and expectations, having meetings, and holding the team accountable you will start to build trust with your team. Building trust is the cornerstone to any relationship but especially as a new dentist to be able to lead your team.

Jennifer Murphy

Dr. Jennifer Murphy graduated with a Doctorate of Dental Surgery in 2006 from The Ohio State University. She is a member in good standing of the American Dental Association, North Carolina Dental Association, and the Academy of General Dentistry. Dr. Murphy earned her Fellowship from the Academy of General Dentistry in 2021. In addition to practicing general dentistry, she is also a practice coach for Benco Dental.

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Testimonials

Rosie, RDH

Rosie, RDH

I had the pleasure of working with Candy as a dental hygiene consultant over the course of several months, and her...
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Rosie, RDH

I had the pleasure of working with Candy as a dental hygiene consultant over the course of several months, and her impact on both our hygiene department and overall practice was exceptional. Candy is highly knowledgeable, approachable, and genuinely invested in the success of the team. She is an excellent listener who takes the time to understand challenges and provide practical, effective solutions. One of the qualities I appreciated most was her accessibility, she was always available to answer questions, offer guidance, or return a call when needed. Her hands-on approach and commitment to helping our team succeed were evident in every interaction. Candy’s focus extends beyond productivity and practice growth; she truly cares about the people within the practice and works to create a supportive, collaborative environment. As a fellow dental hygienist, it was especially refreshing to work alongside someone who shares a similar philosophy and approach to patient care, team development, and practice success. We view many aspects of dentistry and hygiene through the same lens, which made collaboration seamless and productive. Having the opportunity to work with another hygienist who understands the challenges, opportunities, and importance of our role was invaluable. The hygiene modules she developed were incredibly valuable. They were well organized, easy to follow, and provided clear, actionable guidance. The accompanying handouts and resources gave our team the tools and confidence needed to implement new concepts successfully. Her training materials were practical, relevant, and tailored to the real-world needs of a busy dental practice. Candy’s expertise and dedication to excellence have made a lasting impact on our team. I would highly recommend her to any dental practice looking to strengthen its hygiene department, improve systems, and support the growth and success of its team. She is a true asset to any practice fortunate enough to work with her.
Rosie, RDH
Dr. Justin Elikofer

Dr. Justin Elikofer

Our story with IgniteDDS began almost five years ago when my wife and I purchased an established fee-for-service practice. At...

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Dr. Justin Elikofer

Our story with IgniteDDS began almost five years ago when my wife and I purchased an established fee-for-service practice. At the time, we promised the team that everything would stay the same. The practice was thriving, and from the outside it seemed clear they had found a successful recipe for success. Our goal wasn't to change it—we simply didn't want to mess it up.

What we discovered was that while everyone wanted the outcome of success, there wasn't alignment around how we achieved it or measured it. Success in room 1 wasn't the same as Room 2. It took us nearly four years to fully understand that because we were doing well. During that time, we also realized we weren't leading as effectively as we could have been. We weren't communicating a clear vision, establishing consistent standards, or implementing clear protocols. Instead, we allowed people to continue doing things their own way. Some team members appreciated that freedom, while others felt frustrated by the lack of consistency and direction.

After four years, we found ourselves at a crossroads. We felt stuck. Morale was low and we weren't sure we could get the practice where we wanted it to go on our own.

As owners who value relationships as much as results, David immediately stood out to us. His personality was authentic, approachable, and trustworthy. He was someone we could see ourselves learning from and building a genuine relationship with. Being local was a bonus, but what really resonated with us was that his vision for practice growth, demonstrated through his own private practice, closely mirrored our own. He had already built the type of practice we wanted to create.

This stood in contrast to many other consultants we spoke with, whose focus seemed to be on PPO models and increasing volume. David's experience aligned with the type of practice we wanted to build: a high-touch, high-end patient experience centered on quality rather than quantity.

The IgniteDDS team—David, Dawn, and Candy—started by helping us understand where we truly stood. Through discovery, data gathering, and DISC assessments, they helped us identify opportunities for improvement and build a foundation for long-term growth. Rather than jumping straight to solutions, they gave us clarity.

Candy's coaching was instrumental in aligning our hygiene department and our office as a whole with the hygiene department. With her help, we were able to improve the patient experience and new patient process.

We also tackled practical issues that had become major challenges, including an accounts receivable system that was largely out of control. IgniteDDS didn't just point out problems—they provided systems and processes to solve them.

One of the most valuable aspects of the relationship was having experienced coaches to help us navigate team conflict and leadership challenges. As practice owners, those situations can feel isolating. Having a trusted team to walk through difficult conversations and decisions was invaluable.

Another large impact came through our office managers' work with Dawn. Rather than relying on the doctors to drive every initiative, IgniteDDS empowered our office managers to take ownership of the process and lead from within the organization. They embraced that responsibility wholeheartedly. No challenge was too large or too small. Dawn consistently met them where they were and helped them develop the confidence and skills to lead. The answer was rarely, if ever, "no." Instead, it was, "Let's figure out how."

Today, our practice is more aligned, more accountable, and better equipped to deliver the experience we've always envisioned. We have clearly defined protocols, team agreements, and expectations that simply didn't exist before. Our collections have improved significantly, particularly through implementing systems that helped us address and recover outstanding balances.

If we could offer one piece of advice to another practice owner considering IgniteDDS, it would be to identify the team members who are willing to take ownership and invest in their growth. Share your vision with the IgniteDDS team, trust the process, and allow them to help shape your team into the organization you want to become.

Working with IgniteDDS has been one of the most impactful investments we've made in our practice, our team, and our own growth as leaders. Are things perfect? No. Are we closer? Absolutely, yes!

Dr. Justin Elikofer
Dr. Sanjie Jackson

Dr. Sanjie Jackson

I was running on empty, and honestly, everyday I thinking of my exit strategy when I met Dr David Rice. ...
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Dr. Sanjie Jackson

I was running on empty, and honestly, everyday I thinking of my exit strategy when I met Dr David Rice. As the sole owner of two dental practices, I knew I couldn't continue trying to do everything on my own. Not if I wanted to grow and lead at a higher level. Partnering with IgniteDDS has been, hands down, one of the best investments I've made for both my practices and my team. Just halfway through my first year with IgniteDDS, the impact has already been remarkable. The knowledge, systems, accountability, and leadership development they have provided have transformed the way we operate. Not only have I gained valuable tools and insights as an owner, but my entire team is getting empowered with skills and confidence that are helping us elevate every aspect of our patient experience and practice performance. What sets IgniteDDS apart is the genuine commitment they have to their clients' success. Their guidance is practical, actionable, and tailored to the everyday realities of me running two dental practices. I am incredibly grateful for Dr. David Rice, Dawn, Candy, and the entire IgniteDDS team. Their expertise, continuous encouragement, and unwavering support have made me feel like I am not alone on this journey. If you're a practice owner looking to strengthen your leadership, improve your systems, and create sustainable growth, I cannot recommend IgniteDDS highly enough. The value they provide is truly exceptional, and I am excited to see what the rest of this journey brings.
Dr. Sanjie Jackson
Alyse Berta

Alyse Berta

Dawn, thank you for the great advice and guidance you’ve shared as we work on improving our practice's efficiency. I...
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Alyse Berta

Dawn, thank you for the great advice and guidance you’ve shared as we work on improving our practice's efficiency. I truly appreciate your support and the time you’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.

Dani S.

IGNITEDDS has made a real difference in our practice and in my role as office manager. The support I’ve received has...
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Dani S.

IGNITEDDS has made a real difference in our practice and in my role as office manager. The support I’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 doesn’t just support practices; they support the people behind them.
Dani S.
Eva B.

Eva B.

Working with IGNITEDDS Coaching has been such a great experience! Having David as a dentist makes a huge difference. He truly...
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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! She’s always available to answer questions, talk through ideas, and help us find the right solutions. Her advice is thoughtful, effective, and supportive. It hasn’t just helped me, it’s positively impacted our entire team and elevated our patient experience. I’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

Kylinn Tucker, RDH

I had an amazing experience with the IGNITEDDS Coaching program. Especially since I am a new hygienist, everything...
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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. It’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

Dr. Ben Truong

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

Dr. Ronnetta Sartor

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

Dr. Chandler Oldenburg

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

Jennifer Murphy

Dr. Jennifer Murphy graduated with a Doctorate of Dental Surgery in 2006 from The Ohio State University. She is a member in good standing of the American Dental Association, North Carolina Dental Association, and the Academy of General Dentistry. Dr. Murphy earned her Fellowship from the Academy of General Dentistry in 2021. In addition to practicing general dentistry, she is also a practice coach for Benco Dental.

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