The Dentist’s Dilemma: Why We’re Blind to Our Own Mistakes (But Not Everyone Else’s)

March 9, 2025
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Our teams make mistakes. As dental practice owners and leaders, we do as well. After all, we’re human—though some days, after seeing two new patients, three emergencies, four crowns and five implants, we might feel superhuman. But here’s the real question: Why are we so quick to spot mistakes in others yet often oblivious to our own?

Part of this phenomenon comes down to our built-in biases—those sneaky mental shortcuts that Nobel Prize-winning legends Daniel Kahneman and Amos Tversky spent their careers uncovering. One of the biggest culprits? Confirmation bias.

What Is Confirmation Bias, and Why Should You Care?

As healthcare undergoes rapid change, confirmation bias becomes a greater liability, as it could impeded adaptation and growth.

Confirmation bias is our brain’s tendency to favor information that supports what we already believe while conveniently ignoring anything that contradicts it. It’s the mental equivalent of that patient who swears they use their morning aligner every day—yet their bite tells a very different story.

For dental leaders, confirmation bias can manifest in all kinds of practice-crippling ways:

Assuming a new team member “just isn’t a good fit” after one mistake, while excusing similar missteps from long-time staff.
Blaming slow production numbers on external factors (“It’s the economy!”) instead of analyzing internal inefficiencies.
Believing your treatment presentations are flawless—when in reality, patients may be nodding politely while secretly planning their escape.

How Confirmation Bias Leads to More Mistakes

When we’re trapped in confirmation bias, we reinforce poor decisions rather than learning from them. We don’t adapt. We don’t improve. And worst of all, we unknowingly create a culture where our team is afraid to speak up. No one wants to be the assistant who questions why a certain protocol is in place—especially if the doctor has already convinced themselves it’s perfect.

Breaking Free: How to Overcome Confirmation Bias in Your Practice

The good news? Awareness is half the battle. Here are a few ways to keep confirmation bias in check and create a culture where mistakes become learning opportunities, not repeat offenders:

1. Encourage Constructive Dissent
Foster an environment where team members feel comfortable questioning protocols, systems, and even your decisions (yes, even yours). A 15-minute morning huddle is not the place for such conversations, nor is the front desk or the treatment room.  Such conversations should be part of a weekly team meeting dedicated to making things work better.  Consider your schedule of meetings.
2. Seek Disconfirming Evidence
Before doubling down on an assumption (“We don’t need online booking; our patients prefer calling”), actively seek out evidence that challenges your perspective. Maybe survey your team and patients. Maybe track how many phone calls go unanswered. The truth might surprise you.
3. Own Your Mistakes—Loudly and Proudly
Nothing builds trust like a leader who admits when they’re wrong. If you make a bad call on a hiring decision, a treatment plan, or even where to order lunch from, acknowledge it. Your vulnerability will set the tone for the team to do the same.
4. Implement a Post-Op… for Decisions
Just like you wouldn’t send a patient home after an extraction without follow-up, don’t let big practice decisions go unexamined. Regularly assess whether changes (a new scheduling system, an updated protocol, a marketing campaign) are actually working—or if you’re just hoping they are.
5. Use AI and SOPs to Reduce Miscues
Artificial intelligence and well-documented Standard Operating Procedures (SOPs) can serve as objective guardrails against bias and human error. AI-driven analytics can highlight inefficiencies in scheduling, treatment acceptance, and patient retention—unbiased data that tells the real story. Meanwhile, SOPs ensure consistency in workflows, reducing the chances of subjective decision-making leading to recurring mistakes. When the team follows clear, structured guidelines, it’s easier to spot when something isn’t working and adjust accordingly.
6. The Value of Having a Coach
Even the best athletes, CEOs, and performers have coaches—so why should dentists be any different? A skilled coach helps identify blind spots, provides objective feedback, and challenges confirmation bias head-on. Whether it’s leadership training, systems optimization, or patient communication strategies, a coach can offer tailored solutions that drive real growth. Plus, they hold you accountable, ensuring that change isn’t just a passing thought but an actionable, sustained improvement. Sometimes, all it takes is an outside perspective to turn small tweaks into major wins for your practice.

The Bottom Line

We all have blind spots, and confirmation bias ensures they stay… well, blind. But the best leaders recognize this, actively challenge their assumptions, and create an environment where growth trumps ego. Your practice—and your team—will be better for it.

So next time you catch yourself thinking, “This is just the way we’ve always done it”, pause. You might just be one open mind away from your best decision yet.

Michael

P.S.  If you want to have a complete set of SOP’s, drop me a note and I’ll share a valuable resource you can use to customize SOP’s for your practice.

P.P.S.  Want to dip your toes into an amazing coaching program without spending 10’s of thousands?  Check out The Dental Growth Mastermind Program.

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Dr. Michael Goldberg is one of the leading educators on dental practice management in the United States.

Michael ran and sold a prestigious group practice in Manhattan and has been on Faculty at Columbia University and New York-Presbyterian Medical Center for 30 years including Director of the GPR program and Director of the course on Practice Management.

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