The verdict in three sentences
A multi-site dental group with 6 practices whose chairs run between 62 and 85% utilisation leaves hundreds of thousands in production on the table each year, often without knowing it because nobody sees consolidated figures. A custom operations layer that reads data from the existing practice management system, consolidates rotas, chairs and treatment plan follow-up, and runs on compliant health-data hosting gives the operations director a reliable view in under 4 months. The budget follows the Kolonell custom application grid, from 2,500,000 to 15,000,000+ FCFA (3,810 to 22,870+ EUR), without replacing the clinical software dentists already use.
Why chair utilisation varies so much across sites
In a dental group in London or Dublin, each practice runs the same clinical software, yet nobody sees the whole picture. The operations director receives exports on Monday, pastes them into a spreadsheet and finds the rota gaps too late. The gaps come from very concrete causes: failed appointments, sessions blocked for an absent dentist, a hygienist or orthodontic chair left idle, nurses rostered at the wrong site.
| Site (example) | Chairs | Clinicians | Observed utilisation | Main cause |
|---|---|---|---|---|
| Central site | 6 | 8 | 85% | Fully booked, 5-week wait |
| North site | 5 | 7 | 78% | 6% failed appointments |
| South site | 5 | 7 | 71% | Absences poorly covered |
| West site | 5 | 6 | 68% | Implant chair blocked 2 days a week |
| East site | 5 | 6 | 64% | Nurse shortage on Saturdays |
| New site | 4 | 6 | 62% | Patient list still growing |
| Group | 30 | 40 | 72% weighted | No consolidated view |
These are 2026 orders of magnitude for a group of this size. The aim is not to push every chair to 95%, which burns teams out, but to bring the weaker sites to 75 to 80% by moving clinicians and nurses to where demand exists.
What the operations layer should do, and what it should not
The classic mistake is trying to replace the clinical system. It is long, risky and resented by 40 clinicians. The approach that works: let the practice software handle patient records, imaging and claims, and build a reporting layer on top that pulls diaries, completed treatments and treatment plans every night.
| Function | Existing practice software | Custom operations layer |
|---|---|---|
| Patient records, X-rays, claims | Yes, unchanged | No, no detailed clinical data |
| Diary per clinician | Yes, site by site | All 6 sites consolidated, chair by chair |
| Chair utilisation | No, or manual export | Daily calculation by chair, clinician, site |
| Failed appointments | Raw list | Rate per site and targeted SMS reminders |
| Private treatment plans | Plan printed | Acceptance rate, reminders at 7 and 21 days |
| Nurse rotas | Separate spreadsheet | Multi-site allocation based on forecast activity |
| Hosting | Vendor-dependent | Compliant health-data hosting set in the quote |
Treatment plan follow-up deserves attention. In many groups, 40 to 55% of private plans above £1,300 (about 1,500 EUR in Dublin) are never followed up. A dashboard of pending plans per clinician, with automatic reminders, often adds 5 to 10 points of acceptance.
Health data: compliant hosting is not optional
Even if the layer mostly handles diaries and amounts, it processes special category health data as soon as a patient name sits next to a treatment. In the UK that means UK GDPR, the NHS Data Security and Protection Toolkit where NHS work is involved, and a hosting provider with ISO 27001; in Ireland, GDPR and Data Protection Commission guidance. Good practice: pseudonymise data at import, restrict access by role (directors, site managers, clinicians) and log every access.
Budget and timeline
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Packaged dental group analytics tools cost, as a 2026 order of magnitude, £150 to £400 per site per month in the UK, or 180 to 450 EUR in Ireland, often limited to one practice software vendor.
| Kolonell level | Budget (2026 grid) | Typical scope for a dental group |
|---|---|---|
| Simple application | 2,500,000 to 4,000,000 FCFA (3,810 to 6,100 EUR) | Consolidated utilisation dashboard, nightly import |
| Medium application | 4,000,000 to 7,000,000 FCFA (6,100 to 10,670 EUR) | Utilisation, failed appointments, treatment plan tracking |
| Complex application | 7,000,000 to 15,000,000+ FCFA (10,670 to 22,870+ EUR) | All of the above plus multi-site nurse rotas, SMS reminders |
| Monthly maintenance | 35,000 / 75,000 / 120,000 FCFA (53 / 114 / 183 EUR) | Fixes, import monitoring, minor changes |
| Health-data hosting | Quote-based | Based on volume and service level |
The project runs 3 to 4 months: 2 to 3 weeks of scoping and access to practice software exports, 6 to 8 weeks of development, 2 weeks of acceptance testing with two pilot sites, then roll-out to the other 4.
Mini case study
Emma Walsh, operations director of a 6-practice dental group in Dublin, starts from 72% weighted utilisation across 30 chairs open 1,980 hours a year. She targets 76% within a year by rebalancing rotas. Gain: 4 points x 1,980 hours x 30 chairs = 2,376 chair hours. At a cautious average production of 200 EUR per chair hour, that is 475,200 EUR of extra production. The complex project, at its 22,870 EUR ceiling, plus 1,368 EUR of annual maintenance, is around 5% of the expected gain, before the effect of treatment plan reminders. The same group in London at £170 per chair hour would add about £404,000.
FAQ
Do we have to change our dental practice software? No, the layer reads exports or the API of the existing system. The 40 clinicians keep their routines; only directors and site managers use the new tool.
What utilisation should a dental practice target? 75 to 80% is realistic and sustainable. Above 85%, waits often exceed 4 weeks and emergencies no longer fit.
Is compliant health-data hosting really required? Yes, as soon as identifiable health data is stored on behalf of the practices. The hosting provider and its cost are set out in the quote.
How long before the first reliable figures? The first consolidated dashboard is usually live 6 to 8 weeks after kick-off. Treatment plan tracking and multi-site rotas follow in later releases.
Can we add a seventh practice later? Yes, a new site connects in a few days if it runs the same software. A different system needs an extra connector priced in the quote.
Let's scope your project. Chair utilisation, multi-site rotas and treatment plan tracking for your group, without replacing your practice software, delivered in 3 to 4 months. Detailed quote within 48 h. WhatsApp +221 77 596 93 33.
Mohamed Bah
Fondateur, Kolonell
Passionate about digital and entrepreneurship in Africa, Mohamed has been helping Sénégalese businesses with their digital transformation since 2020. Founder of Kolonell, he believes every SME deserves a professional and accessible online présence.


