Hiring for a dental office isn’t just about filling a position—it’s about enhancing the rhythm and function of a finely tuned team. In an environment where professionalism meets patient care, and precision meets personality, the wrong hire can disrupt harmony, while the right one can elevate the entire operation.
The process isn’t just about reviewing résumés or checking licenses. It’s about evaluating compatibility, communication styles, adaptability, and emotional intelligence. A dental office is a dynamic ecosystem—each role is interconnected, and every team member contributes to the patient experience and clinical success.
Silence Is Golden, but Duct Tape Is Silver
Let’s start with communication—or the lack of it. We’ve all heard the phrase “Silence is golden,” and in many cases, it’s true. There’s wisdom in knowing when to stay quiet, when to listen more than speak, and when to let situations breathe. In a dental office, listening is vital—whether it’s a dental assistant carefully taking notes from a patient or a receptionist recognizing a patient’s anxiety and offering quiet reassurance.
However, there are times when silence isn’t enough—when communication must be active, not passive. That’s where the silver duct tape comes in. Sometimes, holding things together means saying what needs to be said, even when it’s uncomfortable. Good hires know how to strike that balance. They understand that while silence may keep things calm, constructive words and decisive action are what ultimately resolve problems and improve processes.
When interviewing candidates, pay close attention to how they communicate. Do they listen attentively? Do they choose their words thoughtfully? Do they respond with empathy and clarity? A strong dental team member doesn’t just talk well—they communicate to heal, reassure, and support.
A Bird Needs Both Wings to Fly
A thriving dental office isn’t built on clinical excellence alone. Nor can it succeed solely on strong front-desk skills. Think of your practice like a bird: it needs both a left wing and a right wing to fly. The clinical side (dentists, hygienists, assistants) and the administrative side (receptionists, billing coordinators, office managers) must operate in balance, with respect for one another’s roles and responsibilities.
Hiring someone who understands this duality—someone who doesn’t view one side as more important than the other—is critical. Ask interview questions that probe for teamwork and cross-functional awareness. Has the candidate gone out of their way to help someone in a different role? Do they understand how their performance affects the team’s flow and the patient’s experience?
The best dental team members don’t fly solo. They move in unison with the rest of the team. And just like a bird adjusting mid-air, they’re flexible—able to shift between fast-paced days and quieter moments without sacrificing composure or quality.
Never Burn a Bridge—Just Loosen the Bolts
Sometimes, hiring means making a difficult choice between equally strong candidates—or letting go of someone who simply isn’t the right fit. In a high-pressure environment like a dental office, it can be tempting to act quickly and decisively. But there’s wisdom in the old saying: never burn a bridge.
Instead, loosen the bolts a little at a time. Let people go with grace. Deliver feedback constructively. Allow room for improvement before making a final decision. Dentistry is a small world. A former team member could later become a referral source, a future hire in a different role, or even a patient.
The same principle applies during hiring. A candidate who isn’t right today may be right tomorrow. Part on professional, respectful terms. Leave the door open.
This approach also helps when evaluating internal dynamics. If two team members are struggling to work together, avoid rushing to confrontation or drastic decisions. Look for bolts that can be loosened—workload, communication expectations, scheduling. A measured response often prevents long-term damage.
Red Flags and Green Lights
While metaphors offer useful perspective, practical evaluation still matters. When hiring for a dental office, look for:
Experience and licensing: Especially critical for clinical roles, but valuable for administrative positions as well.
Soft skills: Empathy, patience, adaptability, and conflict-resolution skills.
Team mentality: Avoid lone-wolf tendencies; prioritize collaboration.
Growth mindset: Coachability and openness to new systems and technologies.
Be alert for red flags such as:
Speaking negatively about former employers.
Inflexibility around schedules or responsibilities.
Poor communication or lack of engagement during interviews.
Disregard for confidentiality or patient-care standards.
The Right Hire Elevates Everyone
Ultimately, hiring the right person for your dental office means choosing someone who strengthens the culture, enhances the patient experience, and supports both wings of the practice. It means finding someone who knows when silence is powerful—and when it’s time to speak up and take initiative. Someone who values unity, even while performing a specific role. And someone who builds relationships carefully, without discarding the value of past connections.
When you’re hiring, ask yourself one simple question: does this person help the practice fly, or are they likely to throw it off balance?
When the wings are strong, aligned, and working together—and the duct tape is used sparingly—you set your practice up for steady, sustainable success.
Lisa Lewis - AADOM Member
With over two decades of experience in dentistry, I began my career in 2000 as a dental assistant and advanced into the role of Office Manager in 2007 through dedication, leadership, and a deep passion for the profession. My experience on both the clinical and administrative sides of dentistry allow me to effectively bridge the front and back office, supporting efficient operations, cohesive teams, and exceptional patient care.
In addition to my professional career, I have dedicated many years to volunteering with the Mission of Mercy, giving back to underserved communities by helping provide access to essential dental care for those who may otherwise go without. This experience has been deeply meaningful and reinforces my commitment to compassionate, patient-centered dentistry and service beyond the walls of the practice.
I am an active member of the American Association of Dental Office Managers (AADOM), joining in 2023 as part of my commitment to continued professional growth. Since becoming a member, I have earned my Fellow of the American Association of Dental Office Managers (FAADOM) designation in 2024 and my Master of the American Association of Dental Office Managers (MAADOM) designation in 2025. I am currently working toward achieving my Diplomate AADOM (DAADOM) designation in 2026.
Outside of the office, I am supported by my amazing husband and am a proud mother of three beautiful daughters. I also share my home with two dogs—affectionately referred to as “floor mops”—who keep life entertaining and full. This strong family support fuels my dedication to leadership, lifelong learning, and continued excellence in dental practice management.

