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Actionable Leadership: Resolving Conflict in your Dental Practice, 1 Tool to Rule Them All

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How do you resolve conflict in your dental practice culture? This month, my partner, Jack Bayramyan, and I are exploring the role of leadership in your dental practice and using your leadership to guide your organization to greater success. So, I want to talk about a tool that I use that has had a profound effect on my leadership abilities.

The Importance of Leadership in your Dental Practice

Team culture is a huge, unavoidable aspect of growing your dental practice. If you don’t have team cohesion and a coalescing around your vision for growth you won’t get from point A to point B. It’s a stark reality, but it’s the truth.  

If you don’t have a cohesive team culture, the issues begin to mount:  

  • Breakdown of communication  
  • Lack of respect for roles and leadership  
  • Reduced productivity  
  • Lack of collaboration  
  • Lack of understanding for the practice vision 

The list sadly goes on. Team cohesion is vital to the growth of your practice. And there is never a more glaring example of this than when a conflict arises within the practice. Without proper cohesion within a business culture, when an issue arises, people resort to bad habits or limited experience with these situations. There are various negative responses to conflict and we’ve all seen them:  

  • Finger pointing 
  • Not taking responsibility for results 
  • Bullying  
  • Retreating or hiding from conflict or confrontation  

When a practice doesn’t have team cohesion, strong leadership and non-existent culture, people will fall back on bad habits or reactive behaviors. But if a practice has strong leadership from you, strong team cohesion and a collaborative culture of teamwork, then, when conflict arises, people have the ability and tools to rise above their reactive behaviors and solve problems together.  

Conflict Reactivity in your Dental Practice 

Fortunately, as a dental practice owner, you do have blueprints and solutions to resolve conflict, spark collaboration and create greater team cohesion even amid disagreement and dissension. First, let’s get a greater understanding of the way conflict tends to play out typically in a business organization with no team culture or cohesion and a lack of strong leadership.  

The Karpman Drama Triangle was first developed by Stephen B. Karpman in 1968. This model was designed to understand the ways in which people react during conflict, professionally and personally. There are three main roles in this paradigm. These descriptions were taken from a brilliant blog post at The Profit Recipe, that reminded me of the importance of using your leadership role to rise above conflict and see it through a new paradigm. 

The Original Karpman Drama Triangle Roles  

  • The Persecutor: The person in this role is very critical, finding fault with others and blaming them for the problem while feeling the need to step in and dominate to set things right. They may be perceived as a controlling bully, but sometimes shift to becoming the next category if they’re called out on that behavior. 
  • The Victim sees themselves as a victim of circumstances or others that make them feel powerless and hopeless. They may complain without taking productive action; are oppressed by the Persecutor; and often seek or receive help from the third role. 
  • The Rescuer, has a default orientation of “let me help.” They’ll automatically step in to save Victims, often doing it in a way that enables victimhood and fails to solve the long-term problem. Further, the Rescuer may morph into the Persecutor/Villain or the Victim if they get frustrated.

We don’t need to get too in the weeds here, but this paradigm offers a good understanding of the general reactionary roles people tend to fall into when there is conflict but no cohesion.  

Generally, people fall into 1 of these 3 roles when there is no awareness or formalized process for conflict resolution predetermined and agreed upon by team members beforehand. And this model, by no means, is set in stone. This is a guideline for understanding human behavior and how it plays out in unstructured and structured settings, as it relates to business environments.  

Resolving Conflict in your Dental Practice
The Profit Recipe: Drama Triangle and Empowerment Dynamic

A Paradigm Shift in your Dental Practice  

Now, I want to share with you a tool that I use myself that has proven incredibly efficient, cohesive and inspiring. I’ve used it in my experience as a team leader, business consultant and CEO, to help me reframe roles while helping my teams sort through issues responsively rather than being reactive.  

If you look at the top part of the diamond graphic, you’ll see another version of the Karpman Drama Triangle. This version is called The Empowerment Dynamic and this paradigm was developed by David Emerald.

The Emerald Roles of Dynamic Empowerment 

  • The Challenger replaces the Persecutor: Individuals in both the original Karpman role and the new one see themselves as “truth-tellers” who call situations accurately. But instead of affixing blame and dictating actions, the Challenger “consciously builds others up, encouraging them to also learn and grow, despite difficult situations.” 
  • The Creator is the positive replacement for the Victim. Instead of viewing themselves as a prisoner to circumstances and problems, they learn they “can choose their response to life’s challenges.” They embrace “what inspires them” and become focused on solutions and outcomes, not the weight of challenges holding them back. 
  • Finally, the Coach steps into the Rescuer role. Essentially, they provide real support for Creators rather than enabling their victimhood. A Coach uses “the art of inquiry, curiosity, and deep listening to support others in discovering what is best for themselves.”

David Emerald describes his paradigm as “a profound, yet clear and simple method to free yourself from your reactive habits.” David Emerald has spent over 30 years in leadership education and executive and organization development and is the author of The Power of TED: The Empowerment Dynamic. And his website offers tools and support for using this paradigm to shift your understanding around conflict.

When you can redefine and reframe the conflict paradigm in your organization, you get to solutions and resolution much faster. This reframing allows people to free themselves from reactionary triggers and stay open to collaboration and solution.  

Using This Paradigm in your Leadership Role

There are two vitally important ways to use this model to get the results you want. The first is with yourself. As a leader, situational awareness is key to your success. It behooves you to know who your team members are and where they sit on the bus (your organization). Studying this dynamic gives you a great understanding and awareness of the way conflict plays out in a professional setting. This awareness will elevate your ability to see these dynamics and help team members avoid these roles.

The other way to use this model is to introduce it to your team and have an open and honest conversation about the model and these roles. You, as an organization and team, can then work towards the paradigm shift presented in the empowerment dynamic and use these new roles to elevate the conversation during a conflict. But awareness is the key here. It first starts with you, as a leader, becoming aware of these roles and how and if they play out in your organization.

Orienting your team around a cohesive culture is your job as the leader. And your awareness around the way your team resolves conflict will equal greater success in communication, resilience and collaboration. You got this.

Improve Your Leadership with Clear Communication and Practical Tools

Effective leadership isn’t just about inspiration, it’s about having the right strategies to resolve conflict, build connection, and keep your team moving forward. While support and community are invaluable, sometimes you need a proven tool to tackle challenging conversations head-on.

That’s why we created the DESC Coaching Template. This free, step-by-step worksheet gives dental leaders a clear framework to describe challenging behaviors, express impact, specify desired changes, and communicate positive outcomes. With DESC, you’ll turn potential conflict into opportunities for growth and understanding, while building greater trust and cohesion within your team.

Whether you’re dealing with day-to-day friction or working to strengthen your entire practice culture, the DESC Coaching Template helps you lead with confidence and clarity.

Ready to resolve conflict and level up your leadership?
Download your free DESC Coaching Template now and start building a healthier, more unified dental team, one conversation at a time.

DOWNLOAD THE DESC COACHING TEMPLATE

A Vision for your Dental Practice: 12 Key Areas of Value

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You didn’t build your dental practice without some sort of plan. And you didn’t create a plan without first having a vision. You know how I know that? Because no one ever wakes up and says, “I want to give myself a whole bunch of work without knowing if that work will ever lead to anything.” Amiright?  

You gotta have a plan if you’re going to be successful but you gotta have a vision of where that plan will lead you. Think of it this way, your plan is how you will get where you want to go, your vision is the place you want to end up at, your point B, if you will. So, in this post, let’s break down what a vision is and how to define it, outline it and make sure it’s on solid ground before you strategize a plan for it.  

Your vision is your point B for your dental practice. It’s where you want to end up at the end of all that hard work. Your vision can be personal or professional or a mix of both so that you’re as satisfied personally as you are with your business results.  

In fact, with the doctors I consult, I make sure they include and prioritize their personal well-being as well as their family’s and team’s well-being. If you don’t prioritize that in your vision, you will watch yourself run ragged for a dream that you’ve come to despise because it’s made too many demands on your mental and physical health. You must be mindful of what you’re capable of and what you need to delegate.   

Along with how you’re feeling personally you want to have a clear picture of what every aspect of your business looks like and where your practice(s) will be when you arrive at your vision. That is typically a 3-year period. So, what is it and how do you use it?  

What is the Vivid Vision® method for your Dental Practice?  

I was introduced to the Vivid Vision method a few years back when I started working with my coach, Cameron Herold. Cameron is the author is Vivid Vision: A Remarkable Tool for Aligning Your Business Around a Shared Vision of the Future and he introduced me to using his Vivid Vision® method in figuring out where I wanted to take my organization. Using that process allowed me to create a vision based on my values, my passions and how I wanted to live my life.  

Cameron Herold on his Vivid Vision® Process

So, what does creating a Vivid Vision® entail? There are 12 key areas of focus that you will need to address in creating your Vivid Vision®. Remember, this vision is your point B, it’s where you want to end up in 1 year, 3 years or 5 years, depending on the current state of your practice.  

I highly recommend doing a full audit of your point A, how your practice is performing right now, so you get a clear idea of how long it might take to get to your point B.

Read this article about assessing your practice, Clarify your Dental Practice Vision: Assess your Point A and Launch your Legacy 

Once you’ve done a thorough assessment of the state of your practice, then you can begin to craft your vision. As I mentioned, there are 12 key areas of focus that you will want to pay attention to as the first steps in crafting your vision. Check out some wonderful examples and a checklist here for some ideas of how to begin and where to put your focus.  

These 12 areas are fundamental to your practice, but they also encompass how you want to live and operate within the boundaries of your organization. This process asks a lot of you in the beginning but watching my organization transform and grow because of this foundation I created has been the most rewarding experience of my professional life. I urge you to take the time to do your due diligence and answer all these questions fully.   

The first thing that goes on the blank page is the statement –  

“It’s December 31, 20__ …”  

This beginning will help put you in the future and let you see what your practice can look like in that year, typically that year will be 1 year, 3 years or 5 years from the day you begin writing your vision. Be generous with yourself, don’t try to solve every issue, transform your culture and double your annual revenue in one year. Give yourself time to fulfill this vision.  

Your Personal ‘Why’  

Why I do what I do – These 1 to 3 sentences are a description of why you started your practice and what you hope to achieve with it. This comes from the heart. Keep it simple and short.  

Core Values – Paired with your personal ‘why’, your core values are what will guide your vision. You don’t want to put yourself in the position of going against your values even and especially in business. Identifying your core values will help you make decisions about your practice while crafting your vivid vision. Do you know your core values?  Check out James Clear’s list of core values here.  

The People in your Dental Practice 

Culture – What do you want your team culture to look like? How do you want to interact with people in your offices? How do you want them to interact with the public and your vendors? What kind of cohesion do you want to build within your teams? How do you want to build that cohesion?   

Team/Employees – Write down every key role in your practice. Do you have the right people in the right seats? Is everyone doing the job they are best at and most passionate about? Do team members work and live with purpose? 

What You Do – Your Dental Practice Focus 

Core Business Activity – What does your dental practice specialize in? Emergency care? Cosmetic dentistry? Are you a concierge practice? Detailing your USP or unique selling proposition will help you create offers, messaging and services in alignment with your core business activities.  

How the World Sees Your Dental Practice 

Operations – How do your patients see your practice? What do your reviews and testimonials say about your services, operations and in-office experience?  

Offices/Headquarters – What does your office feel like walking into your practice? Does the office reflect the types of services you offer? A comforting environment for emergency dentistry? Or a sleek, upscale vibe reflective of a cosmetic dentistry practice? A homey feeling for a more traditional hygiene practice? Does your office aesthetic reflect your practice’s services and values?  

How Your Dental Practice Communicates with the World 

Sales/Marketing – How do you communicate with the world to attract patients to your practice? Do you have a marketing strategy? Is it based on your core values and mission? Is your social media presence reflective of your core values? Is your marketing strategy successful?  

Community Involvement & Giving Forward – Does your dental practice support local and community-based charities or organizations? Do you have sponsorships, scholarships or dental intern programs? How do you give back to your community?  

How Media Portrays your Dental Practice 

Media & Awards – What has the media said about your dental practice organization? How are you portrayed to the public? Have you been recognized in local or national publications?  

The KPIs of your Dental Practice  

Financials – This aspect of your vision is your chance to see the actual heartbeat of the dental practice. What are your sales, yearly revenue and profit? What is your annual growth rate? Have you done an EBITDA analysis of your practice?  

From Dental Practice Owner to Investor and Leader 

Founder Feeling – Although this is the last key area of your vision, I consider it one of the most important ones because this is where you take time to evaluate how you want to show up in the practice, your day-to-day interaction with your practice and your mindset.  

Ask yourself, “how do I want to spend my time?” “What does my daily activity look like?” “How do I want to feel every day?”  

You can also take time to write down your mentors, how you became a dentist, what your core motivation was, your initial passion for starting your business and what personal growth looks like now to you. Take your time. Write down from the heart, where it all began, how it’s going and where you truly want to be by December 31st, 20___.  

This is an incredibly transformative experience if you dare to embark on the journey of crafting your Vivid Vision®. This brief overview that I’ve laid out here is only the beginning. If you would like more information, I recommend checking out Jennifer Hudye and her site Conscious Copy & Co. And here’s more info on my Vivid Vision® process, check out my book, Extraction: The Surprising New Formula to Systemize, Scale and Sell Your Business.

Remember, to get to point B, you need to start at point A, define where you want to end up, your point B, and then develop a strategy for how you’re going to get there. But the first step is always to define what point B looks like for you. Similar to a GPS system, you punch in where you want to go, then punch in where you are, once you have both of those coordinates you can devise or choose a strategy for getting there from here.  

One More Tool for your Toolkit 

At first glance, creating a comprehensive vision for your dental practice might seem overwhelming—another big task on top of everything else you do to keep your business running. But there’s a powerful reason to take this step: to design the life and practice you truly wanted when you started this journey.

As a practice owner, you quickly discover you’re not just a dentist, you’re also the CEO, the strategist, and the visionary. If you’re feeling the weight of burnout or wondering how to recapture that original spark, you’re not alone. Many dentists face these same challenges as their practice grows.

That’s why we developed the Extraction GPS Template. This free, step-by-step worksheet helps you clarify your vision, define your values, assess where you are now, and set clear goals for your practice’s next chapter. With the Extraction GPS, you can turn those 12 key areas of value into a concrete, actionable plan, so you can build the business and the life you’ve always envisioned.

Ready to take control of your future and lead with clarity?
Download your free Extraction GPS Template now and start mapping out a vision that works for you, your team, and your family.

DOWNLOAD YOUR EXTRACTION GPS TEMPLATE

Scaling Your Dental Practice: 7 Comprehensive Steps to Prepare your Practice for Success

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Scaling your dental practice is not just about creating new and more locations; it’s also about enhancing your operations, patient experience, online presence and community impact. In this comprehensive guide, let’s delve into various strategies to help you scale your dental practice organization effectively. 

The Need for Scaling your Dental Practice  

But first, let’s talk about why scaling is crucial for any business looking to survive. The Covid-19 Pandemic and its ensuing upheaval brought with it massive disruption, confusion and chaos into every aspect of economic life and especially small businesses and the medical industry writ large. At the intersection of small business and the medical industry is where dentists and dental practices live and die.  

This disruption and upheaval brought devastation to many and opportunity to a few. The last few years have been banner years for private equity as opportunists for the weak and slow-moving. But another group has emerged and begun to flourish as well during the chaos and confusion…the dental entrepreneur.  

Your Dental Practice through the Eyes of an Entrepreneur  

The businesses and entrepreneurs who stayed afloat during and after the pandemic are the ones who learned to pivot, stay nimble, be curious and cultivate risk to discover opportunity. And dental practice owners were no exception to this new behavior. No longer was the status quo acceptable.  

Dentists and dental practice owners needed to learn many new skills, study new landscapes and be willing to take their teams into uncharted territory to stay in business, much less thrive. And the ones who succeeded were often the ones who figured out that scaling their practice model was going to save them from the jaws of the PE sharks in the water or even the last gasps that comes with a dying practice.  

These hard-working dentists and dental practice owners are true heroes in my book, having survived some of the most difficult economic times in recent memory only to enter the even more uncertain times that we are all now experiencing. To face certain extinction with grace, curiosity and energy and decide that you will succeed in such turbulent waters is a testament to the character, selflessness and perseverance of dentists that I have seen from the very beginning of my career starting with my first volunteer mission trip to Mexico as a young dentist. 

Scaling your business model is essential if you don’t want to become chum for the sharks or fade into obscurity with no legacy. It is an absolute must for a practice owner to remain successful in these times.

So, what are the elements of scaling your dental practice successfully?  Let’s review these elements so you can create your own comprehensive blueprint for success. You want to get to point B. First, let’s put in some coordinates, some steps to help you get there.  

Embrace Technology in your Dental Practice  

As the dental industry continues to evolve, new technologies are constantly being developed to improve patient care, enhance diagnosis and treatment, and streamline dental practice management. 

Integrating these new technologies and modalities can significantly enhance the efficiency of your dental practice. Improve and refine your diagnostic tools and skills; stay in better touch with patients; see and study long-term trends in your patient activity; create tailor-made recall and reactivation campaigns and outreach; and reduce the time your team spends on repetitive record-keeping.  

There is no better time to research new and emerging technologies than when you are about to embark on a scaling program in your dental organization. Take some time to get out there, visit conventions, conferences and webinars and get an expert understanding of game-changing technologies.  

Optimize your Online Presence and Marketing Strategies  

Your practice’s online presence is often the first point of contact for potential patients. Ensure your website is user-friendly, informative, and optimized for search engines. Dive into the world of dental SEO to improve your visibility online. As stated in the previous paragraphs, new technologies are emerging to assist your practice in SEO, patient management and outreach and building websites that provide the best online experience you can give your prospective and existing patients.  

Don’t forget the power of social media – engage with your audience, share valuable content, and humanize your practice. Introduce your team to the world. Craft targeted marketing campaigns and ads to reach your desired audience. Utilize a mix of online and offline channels as well as paid and organic content to maximize your reach. Measure the ROI and effectiveness of your marketing efforts weekly to refine your strategies over time. 

Enhance the Patient Experience in your Dental Practice  

Creating a positive and welcoming environment is key to retaining patients and attracting new ones. And that starts well before a prospective patient enters your practice. As stated previously, having a robust online presence gives patients a lot of information to digest. It also gives them an initial impression of your practice, your team, your associates and you.  

After creating a comprehensive online patient experience, it’s essential to implement mechanisms for gathering patient feedback to continuously improve your services. Along with feedback portals, research and create a robust plan for patient recall and recare. Exceptional customer service goes a long way in building lasting relationships with your patients. 

And patient satisfaction can become an incredibly rewarding experience that includes long-term loyalty and feeds a strong referral system.  

Collaborate with Specialists 

In addition to a healthy loyalty and referral system for your patients, consider building partnerships and referral programs with other healthcare professionals to offer outside care and services to your patients. Establishing referral networks not only improves patient outcomes but also expands your practice’s reach within the medical community. This kind of outreach and referral builds your reputation and establishes strong ties to your community and the medical community in your locations’ areas generally.

Establishing relationships with orthodontists, dental surgeons and cosmetic specialists can become a strong feedback loop for your practice as you build your organization and your reputation.  

Staff Hiring, Training and Development 

When I built my first practice, I became curious about hiring and retention. Early on, I had a terrible experience watching my first office manager quit and take all her knowledge of our bookkeeping, patient recall and insurance reimbursements with her. I was stranded. The reason she gave for leaving was she felt the culture I was building within our practice was simply not for her. So, she left.  

That was an extremely painful and costly lesson for me. I ended up losing quite a bit of money from lapsed reimbursement invoices, etc. But it also left me questioning how to build an organization that people loved and didn’t want to leave. I spent a long time investigating and researching psychology and culture, a process I detail in my book, Extraction. Check it out for a comprehensive understanding of team building and cohesion.  

From that experience, I created and invested in programs and processes that allowed me to have clear lines of communication with my team; set guidelines for expectations; and set team members up for success. We started a book group, created and tracked personal and professional goal development and invested in ongoing education and development. I also made it a priority to set a tone of inclusion, diversity and camaraderie amongst team members, so everyone felt like a part of the team.   

This kind of effort, though extraordinary for some practices to undertake, became a cornerstone of our culture across 8 dental practices. Our retention rate was extremely high, in fact, it was something that I didn’t have to give much thought to because my focus was on making sure my team was happy, fulfilled and capable. Jim Collins is a wonderful resource for learning to understand what you need in team members and making sure they are the right fit for your organization. Read more about my experience here and read about Jim Collins’ work with teams here.   

Community Involvement and Investment

Making sure you have happy patients and happy team members is an imperative to scaling a successful operation. But one other area to think about is the community you’re setting up your first, second or third dental practice in.  

Engaging with your local community to build a positive reputation through hosting events, sponsoring local activities, and partnering with other businesses can elevate your practice’s standing within the community. In this digital age, it is so easy to forget and neglect your community IRL. Amiright? 😉  

Create Community around your dental practice
Engage and support your local community to elevate your dental practice.

Incorporating community-outreach programs into your strategic scaling plan may seem like overkill or extra work, but it is truly that extra mile you go that people notice. It may take a little bit of time to make the connection but when people see your organization’s name around the community and see how you’re investing in the environment that allowed you to set up shop, their recognition and commitment to you will become one of the linchpins of your success and longevity. People can’t help but want to give back to the ones that gave to them.  

The Path to Long-Term Growth for Your Dental Practice

Scaling your dental practice requires a holistic approach that combines technology adoption, patient-centric strategies, and strong partnerships. By following these comprehensive steps, you’ll not only expand your business, but also strengthen its roots in the community for sustainable, long-term growth.

But even the best strategies need a way to measure progress. Without clear data and tracking, it’s easy to lose sight of what’s really moving your practice forward, or what needs adjustment.

“A goal without a plan is just a wish.” ~ Antoine de Saint-Exupéry

That’s why one of the smartest steps you can take right now is to implement a simple, effective KPI tracking system. When you consistently monitor your key performance indicators, you create a strategic roadmap for scaling: you’ll spot opportunities sooner, address challenges faster, and lead your team with clarity.

To make this easier, we created the OPA KPI Tracker, a free, dentist-friendly template designed to help you track what matters most. Whether you’re planning your next big move or simply want to keep your finger on the pulse of your practice, this tracker is your companion for smarter, more confident growth.

Ready to move from goal-setting to real, measurable progress?
Download your free OPA KPI Tracker now and take control of your practice’s growth journey, one metric at a time.

Download Your KPI Tracker

Follow 3 Principles to Build a Strong Dental Practice Culture: The Power of Mission, Values, and Norms 

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You have the power to create a world-class dental practice or dental organization. In this post I’m going to delve into three foundational principles that will allow you to build and run a premier dental organization. Our current economic environment is one filled with incredible opportunities for growth; as well as challenges in keeping talented, committed and passionate staff. To meet that challenge, we must also be mindful as business owners to provide the right conditions for our employees to stick around. Both aspects of running a successful dental practice are a lot to think about, balance and juggle.  

The 3 Drivers of Successful Dental Practice Culture 

So, how do you strike that balance between attacking opportunity and nurturing a thriving organizational culture? It starts with the basics: your mission, your values and your norms. These three foundational elements are the backbone of your decisions, your priority-setting and your business cadence. Without them, your organization runs the risk of being a rudderless ship foundering in the shallows. So, let’s look at each of these principles one by one, starting with your mission statement.  

Your Mission Statement Defines Culture in Your Dental Practice 

Your mission statement serves as the north star for your dental practice. It defines the purpose and direction of your business. This may seem a bit arbitrary for a dental practice, after all the mission is sort of built into your business structure: take care of people’s teeth. But a mission statement encompasses not just what you do but how your company approaches its work, the purpose of your practice’s existence and its overall objectives.  

When writing your mission statement, make it clear, simple and inspirational. Your statement should align your purpose and goal with your values. It should also be imbued with a sense of passion that inspires your team and rallies them around your goal and vision. A mission statement isn’t just for your patients to understand you, it’s for your teams to align themselves with what you want to accomplish.  

Values Set the Tone for Team Culture in your Dental Practice 

Values are the principles by which your actions are guided every day, and they are a reflection of your life and what you hold dear. Your company’s core values are the guiding principles that dictate how your employees and your organization operate. They are the moral compass of your business. One big advantage in defining your values and setting guiding principles is that it gives your employees an understanding of what you expect from them and what they can and should expect from you.  

Defining your company’s core values might be daunting if you don’t have a clear understanding of your own personal values. Harvard Business Review has a step-by-step guide to help you assess your personal values.  

Here are some elements to consider when defining your dental practice’s values:  

  • Identify the values that are most important to your organization (yourself). They could be honesty, innovation, customer-centricity, or any other principles you hold dear. 
  • Integrate your company values into your daily operations. This means that every decision, from hiring to product development, should align with these values. 
  • Communicate your values effectively to your team. Encourage them to embody these values in their work. Spend some time examining where, in your practice, you and your team can incorporate your practice values and make them known to your patients and prospects.  
  • Define your core values to give your teams the knowledge and confidence in knowing how you want business conducted on your behalf. This will instill your teams with confidence and allows your teams the freedom to act according to the roadmap you have given them.

Norms: The Everyday Behaviors That Build Trust, Communication and Cadence in your Dental Practice  

Norms are the behaviors that govern how your teams interact and work within your dental practice. Norms help set the tone for your practice culture. To establish effective norms: 

  • Create norms that promote inclusivity, respect, and collaboration. Encourage open communication and diversity of ideas. This norm allows your team to feel fully engaged and, well, included in the day-to-day execution of your mission.  
  • No sacred cows: Allows anyone on the team to call out behavior, patterns or ideas that aren’t working anymore and bring something new to the table. Practicing allowing everyone on your team to have a voice might take a minute to establish as a norm, but it allows for greater efficiency, communication and creativity.  
  • Consistency is key to all functions of running a smooth dental practice. So, making consistency a practice norm is key to team behavior and practice management.  
  • Adaptability is another norm that encourages creativity, problem-solving, open communication and efficiency. Be open to ideas to reevaluate and adapt systems, operations and functions as your practice grows and evolves. 

Gallup has a wonderful assessment to help you determine and define what norms are currently working in your practice’s team culture and what are not. Having a starting position of current norms allows you to keep what’s working, while building on that foundation to include what might be missing.  

The Synergy of Mission, Values, and Norms for Your Dental Practice Operations

When you combine a clear mission, well-defined values, and strong norms, you create a synergy that transforms your dental practice culture. Aligning your mission, values, and norms fosters a shared sense of purpose and passion among your team. Engagement stays high when employees understand and believe in what your practice stands for and what they’re working toward. This alignment fuels higher productivity, satisfaction, and a culture where everyone is motivated to contribute their best.

A strong, values-driven culture not only attracts and retains top talent, it also enhances your reputation in the community. Over time, this foundation makes your practice more resilient and adaptable, even when circumstances change.

Culture truly is your practice’s identity. It sets the tone for how you do business, how you care for your team, and how you serve your patients. Mission, values, and norms are the building blocks that shape a practice people want to work for and patients want to visit. Invest in nurturing these elements, and you’ll see your practice flourish.

If you’re ready to clarify your practice’s vision, values, and mission and chart a path to your “point B” we invite you to download our free Extraction GPS worksheet.

This step-by-step tool is designed to help dental entrepreneurs like you get clear on what matters most, set a bold vision for your future, and define the concrete goals that will get you there. Use it to bring your leadership team together, make confident decisions, and guide your practice toward long-term success.

Ready to set your destination and accelerate your journey?
Download our Extraction GPS worksheet today and take the first step toward building the dental practice and legacy you truly envision.

Download Our Extraction GPS Worksheet

The Power of Authentic Partnership in your Dental Practice, Part 6: Values & Norms

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Do you live your values even in your dental practice? In this post, the last of my series on the power of authentic partnership, I talk about the importance of living your values even at the office. It’s been great to write this series of posts. I’ve gotten to relive my experiences meeting my partner, Dr. Jack Bayramyan.  

In my last post I got into the fine print of business deals and how you cannot allow that fine print to influence your core relationships. If a partnership is strong enough it can weather and survive the due diligence of creating a business partnership.  

There is a lot of trust that goes into that process. You both may get along, share common interests, and even share core values and visions. But if there is no trust as a basis of your relationship it will not survive the fine print.  

The Power of Authentic Partnership in Your Dental Practice: Part 6

How Does Partnership Survive Dental Practice Politics?  

So then, how do you wade through the irrelevant to find the meaning in a relationship? This is where I rely on a principle called reciprocity. This is one of Robert Cialdini’s six principles of ethical influence. In his book, Influence: The Psychology of Persuasion. In the book, Cialdini describes reciprocity as giving first to get something later. When Jack and I were going through due diligence for our partnership, Jack came to me with a simple request.  

He had spent days answering repetitive lines of questioning for lawyers. He knew they had everything they needed for due diligence so he was perplexed by the constant barrage of questions, seemingly searching for a “gotchya” moment, that was honestly never going to happen. Jack was a man of his word; he opened his entire company to our due diligence process and was an open book during this period. So, why were the lawyers hounding him? They were just doing their…due diligence.  

He called me asking me to step in and help out. I knew the lawyers had everything they needed, so I called them off. In essence, Jack had been extremely open, offering up his entire company and entrepreneurial history. I reciprocated by choosing to trust the foundation our partnership was being built on and asked the lawyers to wrap up.  

Figure Out the Values That Will Guide Your Dental Practice   

Why? Why did I reciprocate in this way? Why didn’t I say to Jack, “well, if we’re going to be in partnership, they need to do their due diligence.” I didn’t say that because I knew that Jack had come to me with a simple and vulnerable request. I wanted to honor that and my values first. The lawyers came second.  

I take the values and norms that I instill in my teams just as seriously as I want them to do. I walk my talk and if I don’t, I want people to call me out on it. Our team values don’t just hang in framed photos on the walls in our offices. Our company values reflect our personal values and guide our teams, decisions and visions for ourselves and partners.

Two of those norms are being who you say you are and when you say you’re going to do something, do it. Pretty simple, but they make a world of difference when you live into them day after day. When you live your values, people know where they stand with you; they trust you; they trust your word; and everyone from your teams to your vendors and partners, begin to rely on your consistency and constancy.  

From the beginning, I knew that my relationship with Jack was not transactional. Transactional relationships especially in the workplace, are necessary to move the needle in your business. But longevity in a partnership and in an organization is born of more than just transactions. In order for a partnership to survive and thrive it needs a foundation of trust, communication, clarity of intention and transparency. Those qualities, by the way, are core values at Optimize Practice Services. Read more about our values here.

What are the values you hold and espouse in your dental practice or dental organization?

Trust As a Guiding Principle in your Dental Practice Organization 

Another norm that my team and I practice is assume positive intent. What does this mean? I think in business, it is very easy to assume that people are out to get their mission accomplished, or their goal met, no matter the cost, even if it means stepping on people or overlooking simple societal agreements like courtesy and cooperation.  

It’s very easy to allow that assumption to sort of color our views on the people we work with or see every day. It’s easy to assume that people are just out to get what they want and are planning to disregard you once they have it. However, I have found in my 20+ years of managing teams and leading people that by and large, people don’t walk around with ulterior motives. They don’t even lead with bad intentions. I have found that is the rule, not the exception.

So, I make it a point to lead my teams with this norm and to instill it in our workplace environment. We start by assuming positive intent, that people, by and large, have a positive intention, even if they don’t follow through with what they said they would do as the basis of cooperation and working together. Many times it’s overwhelm and forgetfulness that are the true ‘culprits’ of one not fulfilling one’s obligations, not negative intentions.

Someone doesn’t return an email; someone doesn’t close the loop on the detail of an important project; someone doesn’t follow through with a commitment. It’s very easy in these typical, quotidian occurrences, to assume bad intent or even negligence, isn’t it? So, assuming positive intent really goes against the grain of our thinking. But it’s a wonderful discipline that leads to greater harmony, cooperation and trust among co-workers, teams and partners.  

The Power of Living Your Values and Norms in Your Dental Practice Organization 

Of course, these values and norms I’ve described are just the ones that work for us based on the collective leadership experience of myself and Dr. Jack. I urge you to find out what works for you, your partners and your teams. Values-based exercises: Gallup’s CliftonStrengths finder, Julia Waller’s Unique Ability™ exercises, Via Institute on Character and the Kolbe Index assessments are all wonderful tools to help you determine your values and build them into your teams, organization and partnerships.   

Reflecting on my first meeting with Jack and the partnership that led to Optimize Practice Alliance has been incredibly meaningful. That shared commitment to values, vision, and integrity is what continues to move our organization forward. Scaling a dental practice, entering partnership, and building a lasting legacy are among the most important steps an entrepreneur can take—and those steps are most powerful when they’re rooted in clarity and alignment.

That’s why we created the Extraction GPS. This tool helps dental entrepreneurs clarify their values, define their current reality, and articulate a clear vision for the future, so growth, partnership, and leadership decisions are guided by intention rather than pressure.

When your values are clear, your path forward becomes clearer too.

Thinking about scaling, partnership, or the next chapter for your dental practice?
Download the Extraction GPS and start designing a future that aligns with your values, your vision, and the legacy you want to leave.

Download Your Extraction GPS

The Power of Authentic Partnership for your Dental Practice, Part 4: Know Your Teams

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One of things I learned from and most admire about my partner Jack Bayramyan is his ability to connect with people. This is a very important quality in a dental practice owner and, really, any entrepreneur. Being comfortable around people, being comfortable speaking with almost anyone, these abilities help create instant connection and really do half the “selling” in your business.  

The Importance of Social Capital in Your Dental Practice 

Social capital is the positive product of human interaction. It is the cohesion that allows the people within an organization to function together as a whole through trust, and shared identity, norms and values. When a leader invests her or his time in building social capital within their organization that demonstrates an innate understanding of what the human condition needs to flourish, thrive and grow. 

Taking seriously your responsibilities as a leader involves putting time and effort into understanding different leadership styles and which fit your personality best, studying your team’s dynamics and being open to feedback around your leadership. When you have mastered the essential leadership qualities you can begin to craft a team that will be with you for the long haul and fight for your vision as hard as you do.

When you have a leader that innately understands those necessities and builds them into the framework of team structures, that is a leader who understands how to grow a successful business. You cannot grow or expand or scale an operation without team buy-in. To gain team buy-in, you can operate in one of two ways. You can intimidate everyone and rule through fear, bullying and belittlement; or you can lead with integrity, compassion and discipline of message. Of course, there are all kinds of leadership styles, but they mostly fall into one of those two categories, generally speaking.  

Dental Practice Partnership – Making a Lasting Choice 

Before Jack and I made it official, I took a tour of his organization, a chance to “kick the tires” so to speak. We visited one of his practices and the first thing he did wasn’t tell me the revenue of that particular location, or how the systems or operations worked on a daily basis. No. The first thing Jack did was introduce me to all his staff and share with me a little bit about each individual.   

At the time, Jack owned 6 locations in Southern California. And he knew the names and backgrounds of every single person that worked for him. That impressed me more than their profit margins, their EBITDA, their monthly overhead or yearly returns. And by the end of that field trip, I knew I had found the person I wanted to partner with. I knew that if this person took team building, social capital and leadership investment, that seriously this would be a person who understood the power all of that had in building an operation to scale.  

Using Team Cohesion to Grow Your Dental Practice  

Growing and scaling a dental organization is an immense undertaking and it’s not something you can do alone. Whether or not you ever enter into a formal partnership, long-term growth depends on your ability to build teams that are aligned, motivated, and committed to a shared direction.

True cohesion doesn’t come from job descriptions or compensation alone. It comes from leadership that understands what drives people, what inspires them, and what makes them believe in something bigger than their daily tasks. As Theodore Roosevelt famously said:

“People don’t care how much you know until they know how much you care.”

You can hire people who will show up and do their jobs. But inspiring people to fight for a vision requires clarity about where you’re going, why it matters, and how their work connects to that future.

That’s why we created the Extraction GPS. This tool helps dental practice owners clarify their values, define their current reality, and articulate a clear vision for where they’re headed. When your vision is clear, team alignment becomes possible. When alignment exists, cohesion follows and growth becomes sustainable.

Thinking about scaling your dental practice and strengthening your team along the way?
Download the Extraction GPS to gain clarity on your vision and give your team something meaningful to rally around.

At Optimize Practice Alliance, we believe the future of dentistry belongs with dentists and that future is built by leaders who lead with clarity, intention, and care.

Download Your Extraction GPS

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