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The Cost of Being Understaffed in Dentistry

20th Aug 2026

Every dental practice experiences staffing challenges from time to time. Whether it’s unexpected sickness, annual leave, maternity cover or a vacancy that takes longer than expected to fill, short-term staff shortages are often unavoidable. The real issue isn’t that staffing gaps happen. It’s what happens when they continue for too long.

Many practices understandably focus on the direct cost of recruiting new employees or bringing in temporary cover. However, the hidden cost of being understaffed is often far greater. From cancelled appointments and increased pressure on employees to reduced patient satisfaction and lost revenue, the impact can quickly affect every part of the practice.

Here are some of the costs of operating without the right level of staffing, and why proactive workforce planning makes good business sense.

Patient Care Can Begin to Suffer

The priority for every dental practice is delivering safe, high-quality patient care. When teams are consistently stretched, maintaining that standard becomes more challenging.

Staff shortages can result in:

  • Longer waiting times
  • Fewer available appointments
  • Delayed treatment
  • Reduced continuity of care
  • Increased pressure during clinics

While dedicated teams often work incredibly hard to minimise disruption, there comes a point where reduced capacity begins to affect the overall patient experience.

The Care Quality Commission (CQC) continues to highlight the importance of providing care that is safe, effective, caring, responsive and well-led. Having the right number of skilled people available plays an important role in achieving these standards.

Your Existing Team Carries the Extra Workload

One of the biggest hidden costs of being understaffed isn’t financial, it’s the pressure placed on your existing employees. When vacancies remain unfilled or colleagues are absent, someone else has to absorb the additional work.

This might involve:

  • Covering additional surgeries
  • Working through breaks
  • Staying later to complete tasks
  • Managing larger workloads
  • Taking on extra responsibilities

While this may be manageable occasionally, prolonged periods of increased pressure can have a significant impact on morale and wellbeing. Our article Managing Stress During Busy Clinic Periods explores practical ways to support your team when workloads begin to increase.

The Ripple Effect of Staff Shortages

A staffing gap rarely affects just one person.

Staff Shortage Potential Impact
Vacancy remains unfilled Increased workload for colleagues
Increased workload Higher stress and fatigue
Higher stress Reduced morale and job satisfaction
Lower morale Greater risk of staff leaving
More vacancies Even greater pressure on the remaining team

Breaking this cycle early is often far easier than trying to recover once multiple workforce challenges develop.

Burnout Can Lead to Higher Staff Turnover

Employees who regularly feel overwhelmed are more likely to look elsewhere. Research published in the British Dental Journal has highlighted high levels of stress and emotional exhaustion among dental professionals, reinforcing the importance of creating supportive working environments. Replacing experienced employees takes time, money and resources.

It also means:

  • Advertising vacancies
  • Conducting interviews
  • Training new starters
  • Supporting induction
  • Allowing time for new employees to settle in

Retaining experienced team members is almost always more cost-effective than continually replacing them. Our guide to 7 Proven Ways Dental Practices Can Improve Staff Retention explores practical ways to build a happier and more engaged workforce.

Productivity Often Falls

It may seem logical that asking existing employees to “do a little bit more” will maintain productivity. In reality, the opposite often happens. Busy teams are more likely to experience:

  • Interruptions
  • Delays between appointments
  • Administrative backlogs
  • Increased pressure on reception
  • Reduced time for communication

When employees constantly move from one task to another without enough support, efficiency often declines despite everyone’s best efforts.

The Patient Experience Changes

Patients notice more than practices sometimes realise. Longer waiting times, delayed appointments or a rushed atmosphere can all influence how people feel about their experience. Patients are more likely to notice:

  • Delays in appointments
  • Difficulty booking appointments
  • Less time with clinicians
  • Longer response times from reception
  • Increased waiting lists

Even when clinical care remains excellent, these operational pressures can affect patient satisfaction. Our article How Dental Nurses Shape an Outstanding Patient Experience explains how every member of the dental team contributes to creating positive patient journeys.

Recruitment Becomes Harder

Practices with ongoing staffing shortages can unintentionally make recruitment more difficult. Candidates are increasingly looking beyond salary when deciding where to work.

They often consider:

  • Workplace culture
  • Team morale
  • Leadership
  • Staff wellbeing
  • Work-life balance
  • Career development opportunities

If existing employees appear stressed or unsupported, potential recruits may question whether the practice is the right fit. Our recent article What Today’s Dental Professionals Really Want From Employers explores the factors that increasingly influence career decisions across dentistry.

Planning Ahead Costs Less Than Reacting

Many staffing challenges become more difficult simply because support is arranged too late.

Successful practices regularly review:

Workforce Planning Why It Matters
Annual leave Prevents rota clashes
Recruitment timelines Allows vacancies to be filled earlier
Seasonal demand Supports appointment availability
Staff wellbeing Identifies burnout before it escalates
Contingency plans Ensures cover is available when needed

Forward planning allows practices to respond calmly rather than react under pressure.

Flexible Staffing Protects Your Permanent Team

Locum professionals have become an increasingly valuable part of workforce planning. Rather than viewing temporary staff purely as emergency cover, many practices now use experienced locum dental professionals to maintain service levels throughout the year.

Locum support can help during:

  • Annual leave
  • Staff sickness
  • Maternity leave
  • Recruitment gaps
  • Busy seasonal periods
  • Unexpected increases in patient demand

This helps protect permanent employees while ensuring patients continue receiving consistent care. Our article Why Dental Practices Are Still Struggling to Recruit in 2026 explains why flexible staffing is becoming an essential part of modern workforce planning.

The True Cost Goes Beyond Finances

Being understaffed affects far more than the payroll.

Hidden Cost Impact on the Practice
Increased staff pressure Reduced morale and wellbeing
Burnout Higher staff turnover
Reduced appointment capacity Lower productivity and revenue
Longer waiting times Poorer patient experience
Recruitment delays Ongoing operational disruption
Rushed working environment Greater pressure across the whole team

When viewed together, these hidden costs often outweigh the investment required to secure additional support.

Building a More Resilient Practice

No practice can prevent every staffing challenge. However, practices that plan ahead, monitor workload and access flexible staffing support are often far better placed to manage periods of increased demand.

Investing in your workforce isn’t simply about filling vacancies. It’s about protecting your employees, maintaining excellent patient care and creating a practice that remains resilient throughout the year.

How Cavity Dental Staff Can Help

At Cavity Dental Staff, we help practices across the UK manage staffing challenges before they become operational problems.

Our nationwide network of experienced, GDC-registered locum dental professionals provides reliable support for annual leave, sickness, maternity cover, recruitment gaps and busy seasonal periods, helping practices maintain continuity of care while reducing pressure on permanent teams.

Looking for reliable temporary dental staff? Visit our Book Staff page to speak with our friendly recruitment team. Supporting your workforce today can help protect your patients, your team and your practice for the future.