Building or Refreshing Your Dental Practice

The design of your dental practice says a lot about you. You want to project an image of comfort, cleanliness and safety while expressing your personality and reinforcing your brand. With insights from dental architects, design consultants and practicing dentists, Building or Refreshing Your Dental Practice is a roadmap for navigating these issues and more, such as:

? Building an expert project team ? Financing your build or remodel ? Choosing an office site that meets your requirements ? Anticipating potential legal issues ? Determining your dental equipment needs ? Integrating your dental office d?cor, colors and finishes with your brand ? Incorporating green dental office design tactics

Featuring full-color photography from real dental practices, this dental office design book covers all the bases for building, renovating or simply refreshing your space. Let our team of experts inspire you to make a lasting impression on those who matter most: your patients.

"The ADA has done an outstanding job bringing the dental design industry's leading experts together to give you the most comprehensive information in the market about dental office design in one book. It would take hours of courses and hundreds of dollars to gain the knowledge every dentist needs to know before designing and building their office that is discussed in these pages."

-- S tephanie Morgan, R.I.D., L.E.E.D. A.P. Author, Chapter 9: Exterior Considerations

"Developing and building your own office space presents a steep learning curve for any busy professional. Dental offices, in particular, present special challenges to even the most knowledgeable practitioner. This book is filled with specific and essential knowledge of what to ask, who to ask and how to maximize your investment."

-- J ohn Adams, A.I.A.

Author, Chapter 3: Location Selection and Siting Concerns

"Building or Refreshing Your Dental Practice addresses every element of the design process. In addition to achieving ideal form and function, the successful design of your office should provide an experience for your patients. Get inspired to invest in the practice of your dreams!"

-- Nikki Skomal, Associate I.I.D.A. Author, Chapter 8: An Experiential Approach to Dental Office Design and Branding

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To order additional copies, call 800.947.4746 or visit

?2017 American Dental Association All rights reserved.

Building or Refreshing Your Dental Practice: A Guide to Dental Office Design

Building or Refreshing Your Dental Practice

A Guide to Dental Office Design

Building or Refreshing Your Dental Practice

A Guide to Dental Office Design

Acknowledgements

The American Dental Association's Department of Product Development and Sales developed this publication. In addition to the chapter authors, principal contributors to this manuscript were Kathryn Pulkrabek, Manager/ Editor, Professional Products, Department of Product Development and Sales; and Carolyn B. Tatar, M.B.A., Senior Manager, Department of Product Development and Sales.

Legal Disclaimer

The American Dental Association developed Building or Refreshing Your Dental Practice to assist dental practices in office design projects. In making this publication available, the ADA does not, nor does it intend to, provide legal or professional advice. Nothing here represents the ADA's legal or professional advice as to any particular situation you may be facing. You should seek legal or professional advice from a qualified professional or attorney admitted to practice in your jurisdiction. Any discussion of tax matters contained herein is not intended or written to be used, and cannot be used, for the purpose of avoiding any penalties that may be imposed under Federal tax laws. Building or Refreshing Your Dental Practice discusses certain federal, but not state or local, laws. Each dental practice must be aware of and comply with all applicable federal, state and local laws. Building or Refreshing Your Dental Practice refers to federal statutes and regulations adopted by various federal agencies, such as the Department of Justice and the Department of Health and Human Services. However, this publication has not been approved by these or any other federal agencies. We have made every effort to make this publication useful and informative. As a consumer of the information, however, you must understand that the law varies from jurisdiction to jurisdiction, and it sometimes changes more rapidly than this publication. For that reason, we make no representations or warranties of any kind about the completeness, accuracy, or any other quality of this publication or any updates, and expressly disclaim all warranties, including all implied warranties (including any warranty as to merchantability and fitness for a particular use). To the extent we have included links to any website, we intend no endorsement of their content and imply no affiliation with the organizations that provide their content. Nor do we make any representations or warranties about the information provided on those sites, which we do not control in any way. The ADA does not necessarily endorse the non-ADA resources that may appear or are otherwise referenced in Building or Refreshing Your Dental Practice. ? American Dental Association, 2017. All rights reserved.

ii BUILDING OR REFRESHING YOUR DENTAL PRACTICE

Building or Refreshing Your Dental Practice

A Guide to Dental Office Design

Table of Contents

Chapter 1: Building a Team You Can Trust.................................................................................................... 3

Gordon Osterhaus, D.D.S.

Chapter 2: Financial Planning...............................................................................................................................19

Wells Fargo Practice Finance

Chapter 3: Location Selection and Siting Concerns.............................................................................35

John Adams, A.I.A.

Chapter 4: Dental Equipment and Technology........................................................................................53

Don Hobbs with recommendations by Mark Tholen, D.D.S., M.B.A.

Chapter 5: Office Layout.......................................................................................................................................73

Michael Unthank, D.D.S. and Architect

Chapter 6: Interior Design.....................................................................................................................................97

Joe Miller, A.I.A.

Chapter 7: Cost-Effective Design................................................................................................................. 125

David Ahearn, D.D.S.

Chapter 8: An Experiential Approach to Dental Office Design and Branding.................. 139

Nikki Skomal, Associate I.I.D.A.

Chapter 9: Exterior Considerations.............................................................................................................. 159

Bruce Morrison, Jacque Russo, D.D.S., R.N., and Stephanie Morgan, R.I.D., L.E.E.D.

Chapter 10: Ergonomics in the Operatory.............................................................................................. 171

David Ahearn, D.D.S.

Chapter 11: Creating a Green Office Environment............................................................................ 183

Stuart Silk, A.I.A., and Carrie Anderson, L.E.E.D. A.P.

Chapter 12: Legal Issues...................................................................................................................................... 197

ADA Division of Legal Affairs

Chapter 13: Dental Office Design Competition: Case Studies.................................................. 211

Wells Fargo Practice Finance

BUILDING OR REFRESHING YOUR DENTAL PRACTICE iii

Chapter 1:

Building a Team You Can Trust

Chapter 1:

Building a Team You Can Trust

By Gordon F. Osterhaus Jr., D.D.S.

LEARNING OBJECTIVES

?Develop a criteria for selecting a trustworthy team that keeps your best interests at the forefront

?Understand and control the inherent pitfalls associated with new dental office development

?Reduce the risk of contractor change orders by preparing detailed design documents

?Research and find a mortgage that will work for you -- and save money in the process

?Learn how to turn your dental equipment sales rep into a high-performance ally

Building a trustworthy team is a critical process in office construction or remodeling. While reading this text, you will come to understand the importance of certain steps, procedures, and services, along with the people who provide them. You will also learn about certain flaws that are deeply imbedded in the systems surrounding dental office development. Once you recognize these flaws, you can take command of them and make sure your project not only stays on schedule, but, more importantly, stays within your budget.

BUILDING OR REFRESHING YOUR DENTAL PRACTICE 3

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