The Tip Of The Iceberg

By: Eric Recker


You get that call. Again. Lately, it feels like it’s every week.

Your hygienist isn’t coming in because of a migraine, a sick kid, another illness, a family emergency, a last-minute appointment they forgot to tell you about, or some other vague reason.

You look at your schedule and realize you have no backup, no other options, and you are booked out for three months. You know the cascade well:

  • Your front desk will be upset.
  • The rest of the team will be frustrated because, yet again, they are called on to absorb some of the load or help with assisted hygiene.
  • The ripple effect hits, and everyone feels it.

Your morning huddle is tense. Everyone has questions and frustrations but doesn’t want to air them in front of the group. Meanwhile, your schedule is chaotic, and you just have to get into the day.

It feels like it happens every week.

Can you relate? Or are you one of the fortunate few who never has to deal with sickness or the absence of key team members?


Understanding the Why Behind Absences

So, what can you do about it? Is it just the way it is?

Recently, I was talking with a coaching client who felt disconnected from his team. He knew he was their boss and wanted to respect that boundary, but he didn’t really know his team personally. He had recently acquired the practice and was searching for the right balance of knowing his team both personally and professionally, without crossing any lines.

We discussed a few simple strategies to get to know them better. One of my favorites is really quite simple:

Strategy: Celebrate Wins

  • At your morning huddle, ask everyone to share a win from the previous week.
  • Make a mental note of a couple of those wins.
  • Later, go find that team member and ask them to tell you more.

For example:

“Hey _____, I loved what you shared at our morning huddle. Tell me more about that experience.”

Simple. Easy. Non-threatening.

He tried this strategy for a month and felt like he had made a year’s worth of progress in relationships.


Addressing the Absence Directly

Now, back to our hygienist. Everything that happens has a reason.

Ask yourself:

  • Do you know the reason?
  • Are you willing to learn the reason?
  • Are you willing to have what might be a hard conversation, or will you remain frustrated and let the whole office feel the ripple effect?

Try this line of questioning:

“Hey ____________, I just wanted to check in and see how you are doing. How is everything? How is life in general? Anything I can help with?”

What’s great about this approach is that it’s non-threatening—unlike:

“Hey, we need to talk about you missing work.”

The first line communicates support and concern, while the second feels like a reprimand.


The Iceberg Analogy

What you may not know is that your hygienist’s life could be falling apart behind the scenes:

  • A broken marriage
  • A rebellious or seriously ill child
  • Mental health challenges

Their behavior is just the tip of the iceberg. Most of the mass of the iceberg is below the surface. You won’t ever see it if you don’t ask good questions.

You may find that:

  • The issue is simple or complicated.
  • You can help—or maybe not.
  • You won’t know unless you ask.

Ultimately, the answer may be that this is not the right person to have on the bus.


The Key Takeaway

You won’t know until you learn what is going on below the surface, the “why” behind the behavior. You might be able to step in and make a tough situation significantly better. All it takes is a couple of thoughtful questions.

What do you think? Is this a good approach, am I crazy, or somewhere in between? I would love to hear your thoughts and strategies. Together, we get better!

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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...
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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
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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...
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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.
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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...
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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.
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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
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Dr. Ben Truong

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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
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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 ...
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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.
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Dr. Chandler Oldenburg

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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
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Dr. Layla Lohmann

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

Dr. Brad Eller

Dr. Rice brought fresh ideas and meaningful structure to our doctors and offices from day one. He leads every...
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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 it’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

Dr. Andrew Le

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

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