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Surviving Recession: How to Safeguard Your Future in Uncertain Times

Jim Glidewell, CDT, offers his recommendations for dentists looking to strengthen their practices in a challenging economic climate.

September 25, 2024
Jim Glidewell image
Jim Glidewell, CDT
Surviving Recession: How to Safeguard Your Future in Uncertain Times

I’ve seen or read much lately about the growing odds of economic recession in our near future. Some suggest we’re already in one, while others talk of “soft landings” and the chance that we might avoid a downturn at this time altogether. With a once-in-a-century pandemic recently behind us, mounting unrest around the globe, and a U.S. presidential election looming, we face a wide range of expert predictions.

As a whole, the only thing that seems certain is . . . well, uncertainty.

After 55 years in business, I’ve been around long enough to see these cycles come and go. So I tend not to fret as others do. Not because I’m beyond the sting of adversity. I worry every day about the peace and prosperity of more than 5,000 employees! But I’ve learned there’s nothing to be gained from worrying—particularly when it comes to matters beyond my control. I’ve also learned there are steps I can take to safeguard my business in any economic climate—as can you.

In Times of Peace, Prepare for War

Most have probably heard this phrase or some variation of it before. In business, I like to think of it as expecting the unexpected. Every enterprise faces headwinds at one point or another. A dental lab feels it when incoming case volume slows, which of course tells us when dentists are seeing a reduction in patient traffic or case acceptance. Both are natural byproducts of a sluggish economy, when elective services are postponed and more expensive treatment options are bypassed in favor of low-cost or even provisional solutions.

So what can a practice owner do? Here are four key approaches that have served me well for more than half a century.

(1) Adopt a long-term view. Like storms of any kind, recessions come and go. Don’t wait for one to arrive, or panic when it does. Short-term decisions, such as taking out loans in a high interest rate environment, can have negative long-term consequences. As obvious as it sounds, you should have capital set aside for these rainy days, as rare investment opportunities often present themselves in times of communal distress. In essence, you want to be able to buy when everyone else is selling. For those caught unprepared, you might still be better off making a key investment—even under less-than-ideal terms or conditions—if confident that it will pay worthy dividends into the future.

(2) Invest in innovation. Keeping up with technology can be difficult. Never has this been truer than in this age of digital transformation. Equipment, software, and protocols are constantly evolving—with manufacturers occasionally leapfrogging one another with competing solutions. Separating fact from fiction while cutting through their tempting claims can be an endless challenge. But the worst thing you can do is stand idle. Adding new services that enhance the comfort or convenience of the patient experience can make all the difference. Unless you trust your competition to become complacent, you shouldn’t risk doing the same. Those who are unable to adapt will inevitably fall behind.

(3) Aim for self-reliance. At Glidewell, we’re obsessed with vertical integration. We own rather than lease our buildings. We manufacture our own materials and components. We design our own software. We handle our own construction, marketing, payroll, information systems—you name it. Doing so allows us to ensure quality, protect against supply chain disruptions, and drastically improve our speed to market. Naturally, it also helps to minimize vendor markups, greatly reducing our overall costs so that we can keep our customer prices low.

(4) Choose reliable partners. Vertical integration will always have its boundaries. So when it comes to reliance on others, choose carefully. Be wary of promises that aren’t backed by quantitative data. I can tell you “we’re experts in zirconia” or that we’ve produced more than 35 million BruxZir® Zirconia restorations since 2008. I can say “we’re fast,” or guarantee a three-day turnaround on digitally submitted cases. I can say “we stand by our work,” or direct you to our no-fault remake policy and lifetime product warranties. No partner is perfect, but some have been around longer than others, can help in more ways than others, or do more than others to make up for any disappointments.

Today’s Recession-Proof Clinical Solutions

By now you may be thinking, “Theory is all well and good, but what specific, practical decisions can I make today to strengthen my practice against this economic downturn?”

My advice is essentially to expand your service offerings. While others may be tempted to scale back or maintain the status quo, you have an opportunity to catch up or pull ahead.

On an annual basis, Glidewell serves roughly half of all U.S. dentists. This gives us a sizeable window into industry trends. The most popular opportunities appear to be in the digital solutions of intraoral scanning, chairside milling, and 3D printing, as well as the in-house placement of dental implants.

  • Intraoral Scanning – Since March of 2023, more than 50 percent of all monthly incoming lab cases at Glidewell have been from a digital scan. Thanks to improving technologies and lower cost options like the fastscan.io™ Scanning Solution, physical impressions are now the exception, not the rule. There are obvious benefits to intraoral scanning: patient comfort, speed of case submission, and the elimination of errors that can be introduced during the fabrication of plaster models. There are also direct cost savings in the form of a one-way shipping fee and a lower price for model-free restorations, as well as indirect savings associated with a faster turnaround. Quicker delivery can mean quicker billing and timely cash flow. More importantly, it means reducing surprise, nonrevenue appointments to recement a failed temporary.
  • Chairside Milling – What’s faster than a digital scan and one-way return shipping from the lab? Producing your own restorations chairside, of course. With a CAD/CAM chairside milling unit, many restorative procedures can now be completed in a single visit. Fewer setups for you, and fewer trips to the dentist for your patient, is a powerful win-win. Our glidewell.io™ In-Office Solution enables dentists to mill full or partial coverage crowns and bridges from a wide range of popular materials, including fully sintered BruxZir Zirconia. “Fully sintered” is important, because it means no oven wait is required. We’ve found no other system on the market that can do this. Ours is essentially a scaled down version of the same technology we use in the lab, so there’s no sacrifice in terms of quality. Concerned about spending your time as a technician? Or training and retraining team members? Not to worry. Our glidewell.io solution utilizes proprietary artificial intelligence, trained on millions of real-world cases, to autogenerate a patient-specific restoration design. We see greater than 80% acceptance of these one-click design proposals. In all other instances, you can quickly adjust the proposed design or simply contact the lab for support. It’s very much like having a technician chairside, greatly enhancing the patient experience and significantly reducing your lab costs over time.
  • 3D Printing – Much like chairside milling, 3D printing enables clinicians to fabricate various oral appliances or study models in-house, without having to send away to the lab. In addition to reducing costs, the primary benefit is again providing the patient a definitive solution in one visit, rather than multiple visits. Our fastprint.io™ 3D Printing Solution combines the innovation of LuxCreo with the experience, support, and user-friendly workflow of Glidewell, giving you complete control of your restorative 3D printing needs. With new materials on the horizon, we expect 3D printers to offer a practical, same-day alternative for an ever expanding array of clinical solutions, including dentures, clear aligners, and more.
  • Dental Implants – While it’s true that patient demand for dental implant treatments can slow during a recession, it remains among the most rewarding and profitable services in all of dentistry. It has also become increasingly predictable and affordable. I’m proud to say that our Glidewell HT™ Implant System (formerly the Hahn™ Tapered Implant System) now boasts an everyday price of just $99 per implant, thanks to our vertical integration. If you choose to restore those cases with our lab, you’ll save 20% on your restoration. These discounts can save providers hundreds of dollars on every single implant case, boosting your bottom line and enabling more patients to accept treatment. If you’re not already placing implants, now could be a perfect time to get started. Referring these cases out to a specialist is often less convenient for your patients, and can cost your practice—not just in revenue, but by denying you control of placement for an ideal prosthetic outcome. Glidewell is proud to offer numerous free or low-cost education courses, online or in person. Start simple. You can continue to refer out the more complex cases while you gain confidence in your skills.

Summary

Recessions are inevitable. Experts can only guess how long they will last, or how painful they may be. But we also know they will eventually end.

My advice to dentists is this: Don’t wait for the economy’s “talking heads” to come to a consensus before taking prudent action. Be proactive. Take charge of your future as only you can. Expand your capabilities to service more patients, offering an experience that will generate positive word of mouth in your community.

There are investments you can make today, or tools you can adopt, that will strengthen your practice in both the near and long term. The goal should not just be to weather the immediate future, but to emerge stronger on the other side.

Embrace or increase your investment in digital dentistry solutions like chairside milling and 3D printing. Place your own implants, or switch to a proven system that offers predictable outcomes at a more affordable rate. In these and all other ways, adopt a long-term view, invest in innovation, aim for self-reliance, and choose reliable partners.

Or you can trust in hope. Just remember, hope is not a business plan.

Jim Glidewell
Jim Glidewell's Signature

Jim Glidewell, CDT
Founder and President, Glidewell

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