The Importance of leadership and management skills in dental practices to attract and retain patients in periods of economic recession.

Primitivo Roig, Elsbeth Kalenderian, Jaime Pinilla


Objective: To test the hypothesis that leadership and management skills protect dental practices against the effects of an economic recession.

Methods: This was a cross-sectional exploratory study. Dentists (n  =  232) were randomly selected to participate in an online survey in which they were asked about their practice activity.

Results: A total of 162 questionnaires were returned (response rate 70%). Results indicated that improved leadership and management skills are positively related to the probability that a practice remained stable or increased its productivity during the economic recession: OR = 2.39 (95% CI; 1.08-5.3).

Conclusions: Our findings suggest that dental practices applying leadership and management skills are related to attract and retain patients, as measured by increased numbers of both initial consultations and continued patronage (return visits); and keep the economic crisis’ impact on revenue manageable.


Leadership; Practice Management; Economic Recession; Dentistry; Continuous Education


Pinilla J, Stoyanova A. Nuevas formas de organización empresarial en el mercado español de servicios dentales. Rev Adm Sanit. 2008: 6(2): 339-56.

Pinilla J, Negrín MA, Cuenca-Sala E. Dominio de las aseguradoras en el mercado español de servicios de salud oral: perjuicios para la competencia derivados de la comercialización de seguros que no realizan actividad aseguradora. Madrid: Fundación Dental Española, 2009: 50-52.

Instituto Nacional de Estadística (INE). Household Budget Survey 2006-2013. Available at (Accessed June 2, 2014).

Instituto Nacional de Estadística (INE). Spanish National Health Survey 2006-2011. Available at (Accessed 2 June 2, 2014).

Pinilla J. Futuro incierto de la profesión de dentista en España. Gac Sanit. 2013: 26(6):495-496.

Levin RP. How dentistry weathers a slow economy. JADA 2007: 138(3): 391-2.

Waldman HB, Chaudhry RA, Cinotti DA. Dentistry in time of recession. N Y State Dent J. 2007: 75(2): 22-4.

Talbot T. Giving raises in a tough economy. J Mich Dent Assoc. 2009: 91(8): 20.

McClure CB, Saemundsson SR. Effects of a national economic crisis on dental habits and checkup behaviors - a prospective cohort study. Community Dent Oral Epidemiol. 2014: 42(2):106-12.

Pinilla J. El futuro de la profesión de dentista en España: expectatvias laborales de los nuevos egresados. Madrid: Consejo General de Colegios de Odontólogos y Estomatólogos de España, 2013: 20-27.

Marks A., Mertz E. Leadership Development: A Critical Need in the Dental Safety Net San Francisco. California: University of California, Center for the Health Professions at UCSF; 2012

Hughes D, Landay M, Straja S, Tuncay O. Application of a classical model of competitive business strategy to orthodontic practice. Am J Orthod Dentofacial Orthod. 1996:1(10): 405-9.

Nolan C, Lo F, Lee K. A Fine Balance: Mitigating the Financial Challenges Faced by Safety Net Dental Clinics. San Francisco, CA: Harder & Company Community Research; 2011.

Rughani A, Franklin C, Dixon, S. Personal Development Plans for Dentists. Oxford: Radcliffe Medical Press; 2003: 65-6.

Barber M, Wiesen R, Arnold S, Taichman RS, Taichman SL. Perceptions of business skill development by graduates of the University of Michigan Dental School. J Dent Educ. 2011: 75(4): 505-17.

Houlberg BJ. Dental residents’ perceptions of practice and patient management training during postgraduate education. J Dent Educ. 2008: 72(6): 643-52.

Victoroff KZ, Schneider K, Perry C. Leadership development for dental students: what do students think? J Dent Educ. 2008: 72(9): 982-8.

Taichman RS, Parkinson JW, Nelson BA, Nordquist B, Ferguson-Young DC, Thompson JF Jr. Leadership training for oral health professionals: a call to action. J Dent Educ. 2012: 76(2): 185-91.

Frame JW, Hamburger R, Ball PC. The development and evaluation of management training for general dental practitioners. Br Dent J. 1994; 177(9): 343-5.

Kalenderian E, Skoulas A, Timothe P, Friedland B. Integrating leadership into a practice management curriculum for dental students. J Dent Educ. 2010: 74(5): 464-71.

Kalenderian E, Taichman RS, Skoulas A, Nadershahi N, Victoroff KZ. Developing the next generation of leaders in oral health. J Dent Educ. 2013: 77(11): 1508-14.

Slavkin HC, Lawrence L. Incorporating leadership knowledge and skills into the dental education community. J Dent Educ. 2007: 71(6): 708-12.

Victoroff KZ, Schneider K, Perry C. Tomorrow's leaders, starting today: a pilot leadership development program for dental students. J Dent Educ. 2009: 73(3): 311-8.

Willis DO. Using competencies to improve dental practice management education. J Dent Educ. 2009: 73(10): 1114-52.

Roig P, Gómez JP. Impacto de la crisis en la odontología valenciana: percepción del dentista colegiado. Valencia: Dental Doctors. 2013. Available in (Accessed June 2, 2015)

StataCorp. 2013. Stata Statistical Software: Release 13. College Station, TX: StataCorp LP.

Rhode J. Sluggish economy has little impact on dentistry.... There's no better time than now to be in the health care profession! J Okla Dent Assoc. 2002: 93(2): 34-5.

McCaffrey D. Impact of the economy on dental practice income. J Ir Dent Assoc. 2008: 54(5): 226-7.

Levin RP. From recession to recovery. JADA 2010: 141(7): 903-4.

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