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Operations software for a multi-site dental group: chairs, rotas and cost

Mohamed Bah·Fondateur, Kolonell
November 1, 2026
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Operations software for a multi-site dental group: chairs, rotas and cost

Operations software for a multi-site dental group: chairs, rotas and cost

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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)ChairsCliniciansObserved utilisationMain cause
Central site6885%Fully booked, 5-week wait
North site5778%6% failed appointments
South site5771%Absences poorly covered
West site5668%Implant chair blocked 2 days a week
East site5664%Nurse shortage on Saturdays
New site4662%Patient list still growing
Group304072% weightedNo 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.

FunctionExisting practice softwareCustom operations layer
Patient records, X-rays, claimsYes, unchangedNo, no detailed clinical data
Diary per clinicianYes, site by siteAll 6 sites consolidated, chair by chair
Chair utilisationNo, or manual exportDaily calculation by chair, clinician, site
Failed appointmentsRaw listRate per site and targeted SMS reminders
Private treatment plansPlan printedAcceptance rate, reminders at 7 and 21 days
Nurse rotasSeparate spreadsheetMulti-site allocation based on forecast activity
HostingVendor-dependentCompliant 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 levelBudget (2026 grid)Typical scope for a dental group
Simple application2,500,000 to 4,000,000 FCFA (3,810 to 6,100 EUR)Consolidated utilisation dashboard, nightly import
Medium application4,000,000 to 7,000,000 FCFA (6,100 to 10,670 EUR)Utilisation, failed appointments, treatment plan tracking
Complex application7,000,000 to 15,000,000+ FCFA (10,670 to 22,870+ EUR)All of the above plus multi-site nurse rotas, SMS reminders
Monthly maintenance35,000 / 75,000 / 120,000 FCFA (53 / 114 / 183 EUR)Fixes, import monitoring, minor changes
Health-data hostingQuote-basedBased 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.

Tags:#dental group#Dublin#chair utilisation#multi-site operations#health data hosting#custom software
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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.