In the bustling world of dentistry, many practices find themselves facing a unique conundrum: an influx of new patients, yet a shortage of dental hygienists (RDHs) to cater to the growing demand. As our practices become busier, the stress on both our teams and patients can become palpable. The quest to accommodate more people within limited time frames can be a daunting challenge.

While there's no one-size-fits-all solution to this predicament, here are some key considerations that can help you navigate this dilemma effectively:

1. Limit New Patient Intake: One approach is to consider reducing the number of new patients you see. In essence, you can "close the practice" to new patients temporarily. Surprisingly, nothing piques the interest of potential patients more than when you announce that you are "not accepting" new patients. It's a strategy that can help manage your patient load and allow your team to focus on quality care for existing patients.

2. Shift to Comprehensive Care: Reset your treatment planning systems to emphasize comprehensive care over symptom-driven care. This approach can lead to better long-term patient health and less frequent visits for emergency issues.

3. Reevaluate Insurance Contracts: Reducing the number of PPO insurance contracts your practice is on can help improve profitability. By aligning your practice with the right insurance plans and optimizing fee schedules, you can improve financial outcomes.

4. Explore New Opportunities: If you're feeling overwhelmed, consider selling your busy practice and pursuing your dream office or a specialty residency you've always aspired to. Sometimes, a fresh start can be liberating.

5. Adjust Profit Expectations: It might be necessary to reset your expectations for profit and profitability. Finding the balance between meeting your financial goals and providing quality care is key.

6. Restructure Your Team: Evaluate the roles and systems within your practice, aligning them with the procedures and services that you enjoy providing. Efficient workflows can reduce stress and enhance patient satisfaction.

7. Delegate When Appropriate: Identify areas of your practice that can be delegated or referred out without compromising profitability. This allows you to focus on what you do best.

8. Seek Professional Guidance: One of the most valuable steps you can take is to interview and hire a coach. A knowledgeable coach can guide you out of the complex forest of challenges that dental practices often face. They offer insights, strategies, and mentorship that can be invaluable in making the right decisions for your practice.

While the challenge of balancing a growing practice with limited resources is real, it's not insurmountable. With careful consideration, adjustments, and expert guidance, you can create a thriving and harmonious dental practice that serves both your team and your patients effectively.

Remember, you're not alone in this journey. Seek the support you need to navigate these challenges successfully and continue providing top-notch dental care to your community.