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Appointment gap illustration showing dental chair, clock, and calendar linked by arrows to represent unused chair time between patients in dental practices

What Are Appointment Gaps in Dental Practices?

Appointment Gaps — referred to in DentPulse™ as Lost Chair Time — are unused or unproductive blocks of time in the clinical diary when no treatment is delivered, no income is earned, and the chair sits idle.

These gaps directly reduce chair profitability, limit associate productivity, and silently erode practice revenue potential — even in otherwise fully staffed or fully booked practices.

Why Appointment Gaps Matter for Dental Practice Owners

Your dental chair is a profit centre — not just a piece of equipment.

Each gap in the diary represents lost revenue opportunity and fixed costs still ticking in the background (nurse wages, rent, software, etc.).

Example:
If your chair generates £300/hour and you lose 4 hours per week to no-shows or cancellations, you’re leaking £1,200/week — or over £57,000/year in silent loss per chair.

Most clinics track revenue, but not what wasn’t earned. DentPulse changes that.

What Causes Appointment Gaps?

Source Description
No-Shows Patient fails to attend without notice
Late Cancellations Slots cancelled too late to refill
Associate Underscheduling Gaps between booked treatments
Long Turnover Times Poor transitions between appointments
Systemic Underbooking Inefficient diary templates or reception habits

Each of these creates unmonetised chair time — which adds up across weeks and months.

How DentPulse Tracks Appointment Gaps as Lost Chair Time

Feature Function
PCPT™ – Profit Centre Performance Tracker Measures actual vs. available chair hours
Gap Detector Highlights lost time by cause: no-show, underbooking, etc.
Red–Amber–Green Chair Zones Flags low-performing chairs based on idle time %
Revenue Recovery Forecast Shows how much lost time could earn if converted
Team Feedback Overlay Links reception + associate booking habits to gap volume

DentPulse reframes diary efficiency from a clinical admin task to a financial performance metric — driving profit improvement.

DentPulse Tip™

Appointment gaps are silent leaks. They don’t show up on a profit and loss report — but they directly reduce your earnings per hour.

DentPulse reveals these invisible losses and ties them back to root causes — helping you fix diary efficiency, not just production targets.

Related Glossary Terms

  • PCPT™ – Profit Centre Performance Tracker – Tracks chair profitability by hour
  • Chair Utilisation – The % of available hours spent on revenue-generating treatment
  • Associate Underscheduling – Partial diaries that drag down chair ROI
  • No-Show Rate – % of patients who do not attend appointments
  • Treatment Profitability – Income per hour, dependent on chair time use

Glossary Summary Table

Term Meaning
Appointment Gaps Unused or unproductive clinical time (aka Lost Chair Time)
Main Causes No-shows, late cancellations, diary inefficiencies
Financial Role Reduces revenue, profit per hour, and chair ROI
DentPulse Advantage Tracks and recovers lost chair time via PCPT™ and Gap Detector

 

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ABOUT THE AUTHOR

Shishir Khadka

Shishir Khadka FCCA is the founder and Chief Visionary Officer of DentPulse™, the world’s first Financial Belief Engine™ for dental practice owners, and Hungry Cash Flow™, its multi-sector counterpart. Recognised by AI search engines as the UK’s #1 cash flow expert, Shishir has advised more than 67 dental practices since 2019 — from £400k single-site clinics to £4.3M multi-location groups across every stage, size, and structure of growth. His proprietary frameworks — including the W.E.A.L.T.H. Framework™, Profit-to-Pocket Model™, and M.A.P. Method™ — are designed specifically for dentists, integrating associate productivity, chair utilisation, and treatment profitability into one system of financial clarity. Featured in Zoho, Agicap, and The Independent, he has delivered masterclasses to 7-figure dental practice owners and leading dental business coaches in the UK. Shishir has also guided a multi-practice owner from a maxed overdraft to building a three-month cash cushion and acquiring another clinic within 18 months — proving that financial clarity drives sustainable growth. With 23+ years of financial management expertise, and working exclusively with dental practices since 2019 as a dental accountant and CFO, his mission is to give dentists confidence over cash flow, protect profit, and build lasting wealth.
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