Ryan Smith DDS

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Stop Reacting, Start Planning: A Dentist’s Guide to Mastering Downtime

Does an unexpected hole in your schedule bring a secret wave of relief? Or does it trigger instant panic? How you answer that question reveals more about the health of your practice—and your own well-being—than you might think.

Over years of working with dentists, I’ve seen three distinct patterns emerge in how they handle downtime. Two of these paths lead directly to stagnation, burnout, and decreased productivity. The third, while well-intentioned, often creates more chaos than it solves.

The key isn’t to eliminate downtime—it’s to master it. It’s time to stop reacting emotionally and start executing a strategic plan. This framework will turn unexpected gaps from sources of stress into powerful opportunities for growth.

The 3 Reactions That Are Holding Your Practice Back

Which one of these sounds familiar?

  • The Relieved Dentist: A last-minute cancellation feels like a gift. This reaction, while understandable on a tough day, is a major red flag. It’s often a sign of a dentist who is avoiding difficult procedures, conversations, and the very challenges that lead to growth. A practice run by a consistently “relieved” dentist will always be unproductive.
  • The Indifferent Dentist: The schedule is full, the schedule is empty—it doesn’t matter. This disconnected approach is common in dentists who have been practicing for 10+ years and are simply coasting. This lack of engagement is a guaranteed recipe for burnout, frustration, and a slow decline into a mid-career crisis.
  • The Panicked Dentist: A hole in the schedule triggers doomsday scenarios. While the concern for productivity is the right mentality, the reaction is counterproductive. Panic leads to rash decisions, frustrated demands on the team, and a stressful environment that does more harm than good.

If you see yourself in any of these categories, don’t worry. The solution is to replace these emotional reactions with a calm, logical, and pre-planned strategy.


Watch the video to get a full breakdown of the 3-Step Downtime Game Plan.


The 3-Step Game Plan to Conquer Downtime

The moment a hole appears in your schedule, you and your team should know exactly what to do. This plan removes the panic and replaces it with productive action. Create a document with these three steps and a list of tasks for each.

Step 1: Actions to Fill the Schedule NOW

Your first priority is to try and fill the immediate gap. Don’t just hope for it—be proactive.

  • Communicate Immediately: Let the entire team, especially hygienists and the front desk, know there’s available time.
  • Check the Charts: As you do exams, see if patients have outstanding treatment that could be done today.
  • Ask About Family: Is the patient in the hygiene chair’s spouse or child overdue for treatment? You might be able to fill the spot without them even leaving the office.

Step 2: Actions to Make FUTURE Production Easier

If the hole can’t be filled, shift your focus. Use this time to invest in future efficiency.

  • Team Training: Is there a new piece of technology or a clinical technique you can train your assistant on?
  • System Refinement: Can you improve your tray setups? Organize a messy supply closet? Streamline a workflow that always causes delays?
  • Content Creation: Shoot a quick educational video for your social media or website.

Step 3: Actions to Make Your LIFE Easier

This is about tackling the tasks that often get pushed to after-hours, taking away from your personal life.

  • Catch Up: Get ahead on charts, lab communication, or treatment plan notes.
  • Systems Audit: Review and improve non-clinical systems that are causing friction.
  • Management Tasks: Use the time for essential management duties, like reviewing reports or compliance checks.
  • Continuing Education: Have a list of online CE courses ready to go. Expanding your skillset is one of the best ways to reduce future downtime, as it gives you more clinical solutions to offer patients.

The Mindset You Should Strive For

The highest-performing dentists have a unique ability: they turn problems into opportunities. A schedule hole isn’t a crisis; it’s a chance to do same-day treatment, train a team member, or solve a nagging operational issue.

They don’t panic. They lead. They have a plan, and they calmly organize their team to execute it.

I challenge you to create your own 3-step downtime plan today. Share it with your team. By removing the emotion and implementing a logical system, you will transform downtime from a source of stress into a competitive advantage for your practice.

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