Running a dental practice today is more challenging than ever. From staffing to profitability to evolving technology, dentist-practice owners face constant hurdles. Here are the top ten challenges and actionable tips to help you navigate these pain points:

1. Attracting and Retaining Team Members

Finding and keeping skilled team members requires a well-defined hiring process, consistent performance reviews, and competitive benefits. Without these, turnover is inevitable. The dental workforce shortage makes it crucial to invest time and effort into training and supporting your team. Be intentional—great hires don’t happen by accident.

2. Controlling Overhead in Inflationary Times

Rising supply costs, higher salaries, and stagnant reimbursements from PPOs and Medicaid are squeezing margins. To stay profitable:

• Regularly evaluate your write-offs and track gross vs. adjusted production and collections.
• Set budgets and monitor expenses.
• Update your fee schedules—when was the last time you increased your fees?

3. Helping Patients Manage Financial Strain

Economic uncertainty affects patients’ ability to afford care. Offering healthcare financing options can make treatment accessible. Train your team to confidently discuss financing solutions—it’s a win-win for patients and practice revenue.

4. Maintaining a Productive Schedule

Scheduling inefficiencies often stem from poor financial arrangements, unclear diagnoses, or inadequate treatment planning. Ensure primary appointments are optimized by addressing these gaps, and streamline your processes to keep your schedule running smoothly.

5. Strengthening Leadership

Transparent leadership builds trust, but many practice owners hesitate to share business information with their team. Strive for a balance—share enough to engage your team without overwhelming them. A supportive, inclusive leader retains talented team members longer.

6. Deciding Between Staying Private or Joining a DSO

Considering a transition to a Dental Service Organization (DSO) or private equity? Do thorough research to understand your options. Once you decide, commit fully and guide your team and patients through the change with clear communication and planning.

7. Managing PPO Participation

Evaluate whether staying with PPOs is beneficial for your practice. Track and analyze each plan’s impact on your profitability. Use your practice management software (PMS) to pull data and make informed decisions that align with your financial goals.

8. Keeping Up with Technology

New equipment and technology can boost efficiency and patient care—but they’re costly. Create a budget, research your options, and ensure proper training so your investment pays off.

9. Navigating Generational Workforce Differences

Younger employees often have different work habits and expectations. While it’s challenging, focus on finding team members who align with your practice values. Attract talent by showcasing a positive work culture, kindness, and a commitment to growth—not just pay and benefits.

10. Encouraging Continuing Education

Younger dentists may prioritize work-life balance over advanced CE courses. Support their growth by mentoring them, attending courses together, and demonstrating the value of lifelong learning for professional fulfillment.

By addressing these challenges head-on, you can create a thriving, resilient practice. Remember, the solutions require effort, but the rewards—a loyal team, satisfied patients, and a profitable business—are worth it.