Many dental professionals find themselves in a challenging situation: they have an influx of new patients, but their hygiene schedules are full, and there are no Registered Dental Hygienists (RDHs) available to fill job openings for expansion. As practices become busier, the increasing number of patients and the limited availability create stress for both the team and the patients. This scenario often leads to a frantic attempt to squeeze more appointments into an already packed schedule.

However, there are several solutions to this conundrum, and it's important to recognize that one size does not fit all. Here are some strategies to consider:

1. Limit New Patient Intake

Consider reducing the number of new patients you accept or even "closing the practice" to new patients temporarily. Paradoxically, nothing makes patients want your services more than knowing you're "not accepting" new patients.

2. Shift to Comprehensive Care

Reevaluate your treatment planning systems and shift towards comprehensive care instead of focusing solely on symptom-driven care. This approach can help in providing more thorough and long-term solutions for your patients' dental health.

3. Reevaluate PPO Insurance Contracts

Reducing the number of PPO insurance contracts your practice is on can also be a viable option. This can help in managing patient load and ensuring that your practice remains profitable.

4. Consider Major Changes

If your practice is booming, it might be time to sell it and open your dream office or pursue the specialty residency you’ve always wanted. Sometimes, a major change can provide the opportunity for growth and fulfillment.

5. Reset Profit Expectations

It's essential to reset your expectations for profit and profitability. Understanding your financial goals and how they align with your practice's capacity can help in making informed decisions.

6. Restructure Your Team and Systems

Restructuring your team and systems to focus on the procedures and services you enjoy providing can lead to a more efficient and satisfying practice environment. Additionally, determine what procedures you can refer out without losing profitability.

The Importance of a Coach

I can’t stress this enough: interview and hire a coach! Finding someone who cares as much about your success as you do can result in amazing outcomes. It’s challenging to see the way out of a complicated situation when you’re deep in the midst of it. A guide, friend, coach, or mentor can be invaluable in helping you navigate through challenges and avoid spinning your wheels aimlessly.

Investing in professional coaching can provide the perspective and guidance needed to create a thriving, balanced, and profitable dental practice. By carefully considering your options and seeking professional guidance, you can create a sustainable and enjoyable practice for yourself, your team, and your patients.