How To Run a Successful Dental Practice – Time to Get Pumped UP!

set new dental goals

By: Dr. Paul Caselle

We have closed out 2021, now it’s time to get pumped up about 2022 and run a successful dental practice by following these four steps:

Assessment, Objectives, Plan, and Execution

  1. Assessment
  2. Objectives
  3. Plan
  4. Execution

Assessment

  • How well did you meet your personal and professional goals for the past year?
  • What impediments to your success did you encounter and how well were you able to overcome these obstacles?
  • Going forward how will you adapt?

Objectives

What do you want to achieve in 2022?

Perhaps saving more money to overcome ups & downs in cash flow, fully funding a retirement plan, or increasing production and net income.

You may be thinking of selling your practice or buying another practice. Every year around this time people make all kinds of resolutions many of which are abandoned by the end of January.

You must be passionate about what you want to accomplish if you have any expectation of achieving your goals.   This requires a well-thought-out plan.

Plan

How will you achieve your objectives?

Cut Expenses

For example, the obvious idea of cutting expenses and looking for better pricing on products will be difficult with the current inflationary pressure.

Increase Productivity

Increasing productivity by better managing time and people as well assessing continued participation in insurance plans that have unrealistic reimbursements may help. Remember it’s not how much you produce but how much you net after you pay overhead is what counts. 

Selling or Purchasing a Practice

If you are thinking about selling your practice it is helpful to interview transition specialists who can provide an opinion of value. This is an overview of the estimated value of your practice. A transition specialist can advise you as to what steps you can take to enhance the value of your practice which is dependent on your time frame. A transition specialist can also assist in purchasing a practice whether this is a first-time purchase or a second office.  It is helpful to have a professional assist in making the right purchase based on your particular needs.

Review Hours of Operation

Look at your hours of operation. Are you open at lunch when many people are available to come into your office and do you have early morning or late afternoon appointments to accommodate patients who work?

Introduce New Technology

Can the introduction of new technology in your office allow you to increase productivity by providing an opportunity to do more treatment in your office and make you more efficient resulting in greater productivity per hour? Incorporating lasers will allow you to do more restorative procedures since many teeth can be treated without the need for local anesthesia. Consider soft tissue procedures that you previously referred out that can now be easily and comfortably treated in your office by using a laser. Managing periodontal disease by having a robust hygiene protocol that is greatly aided by the use of the Epic diode laser and Waterlase iPlus erbium laser by the doctor will be a tremendous boost to your practice. CDC estimates that 47% of patients have periodontal disease and the number rises as patients get older. 

Increase your efficiency with Cerec technology. It will allow you to fabricate crowns, veneers, or onlays in a single visit saving your patients time and the dreaded second appointment that means more cost to the practice in chair time and infection control materials.

Review Your Patient’s Needs

Look at your patient’s needs. Run a treatment plan report to ascertain the treatment that is being referred out.  Consider whether those procedures or conditions that are being referred out could be successfully treated in your office if you had the training or equipment.

Consider Your Level of Interest

However, it is important to consider your level of interest in pursuing the additional training needed to provide these services. Do you have enough need to justify your investment of time and money?  Perhaps being more efficient in a procedure you do now is a better investment.

Execution

Yes, it is great to think about what you want to do but how do you move from planning to executing your plan? 

Create a road map. Like all journeys, you need to follow a road map.

Start out by looking at operations.  How can you be more efficient? For example, streamlining procedures by using cassettes that are procedure specific such as one that encompasses restorative including crown and bridge.  

Consolidate, after all, doctor, do you really need all those instruments? Create a cassette for periodontal, hygiene, and root canal procedures.

Meet with your team ask them for their feedback. They speak to patients and very often get the inside story of how patients feel about your practice. I have often said to my team that they are my eyes & ears because many patients very often will not express their thoughts directly to the doctor. Your team can offer insight that you may have never considered.

Yes, your team is critical to the successful execution of your plan. Developing a road map and sharing it with your team lets everyone know where you’re going. Your team needs to understand your goals and vision so they can contribute to your journey. 

So, Ready to Get PUMPED UP?

Along the journey in 2022, you may encounter roadblocks or detours and may need to take an alternate route.  Pause, reassess, and choose your options based on your progress. Stay positive and keep your focus on your final destination, but enjoy the journey.

Dr. Paul Caselle – Bio

Dr. Caselle, a graduate of New York University College of Dentistry and Residency Program in Family Dentistry at Forsythe Dental Center, brings over 40 years of experience as a practicing dentist. He has Fellowship Certification in the World Clinical Laser Institute, certification in Invisalign, Six Months Smiles, and the Organization for Safety, Asepsis, and Prevention. He is a member of the American Dental Association, Massachusetts Dental Society, Chair-Elect of the Middlesex District Dental Society, Academy of Laser Dentistry, and National Speakers Association. Dr. Caselle’s articles have been published in multiple leading dental publications. Throughout his career, he has used leading-edge dental technology to provide the most up-to-date treatments in inpatient care. Dr. Caselle, with his extensive experience in owning a successful dental practice, offers support and provides real-world tips along with the organizational skills necessary for the successful implementation of technology and practice management concepts by the doctor and team. He has is a member of the Biolase Training Faculty and has presented programs on laser dentistry, practice management, and team communication.

Up Next: Benefits of Being a Dentist

Photo by Michael Browning on Unsplash

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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

Paul Caselle

Dr. Caselle, a graduate of New York University College of Dentistry and Residency Program in Family Dentistry at Forsythe Dental Center, brings over 40 years of experience as a practicing dentist. He has Fellowship Certification in the World Clinical Laser Institute, certification in Invisalign, Six Months Smiles, and the Organization for Safety, Asepsis, and Prevention. He is a member of the American Dental Association, Massachusetts Dental Society, Chair-Elect of the Middlesex District Dental Society, Academy of Laser Dentistry, and National Speakers Association. Dr. Caselle’s articles have been published in multiple leading dental publications. Throughout his career, he has used leading-edge dental technology to provide the most up-to-date treatments in inpatient care. Dr. Caselle, with his extensive experience in owning a successful dental practice, offers support and provides real-world tips along with the organizational skills necessary for the successful implementation of technology and practice management concepts by the doctor and team. He has is a member of the Biolase Training Faculty and has presented programs on laser dentistry, practice management, and team communication.

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