GuidesThe Ultimate Business Guide For Orthodontists

Chapter 18: Double Booking – Why It Works

The No-Show Factor: Keeping Your Schedule Full

Running a highly productive orthodontic practice requires maximizing chair time and ensuring that the schedule stays full. One of the most effective ways to achieve this is through double booking—a strategy that allows you to see more patients, increase efficiency, and reduce the impact of no-shows.

Many orthodontists hesitate to double book, fearing that it will lead to long wait times, frustrated patients, and chaos in the office. However, when executed correctly, double booking increases revenue, keeps your team productive, and improves overall patient flow. The key is to structure your schedule wisely and create an environment where waiting isn’t a negative experience.

The No-Show Factor: Keeping Your Schedule Full

No-shows cost revenue, slow down progress, and disrupt workflow. Double booking offsets this risk.

Why No-Shows Happen

  • Forgetting appointments.

  • School, work, or personal conflicts.

  • Perceived lack of urgency.

  • Treatment-related anxiety.

  • How Double Booking Offsets No-Shows

  • Pair longer procedures with quick adjustments in the same slot.

  • Stagger appointments so complex cases don’t overlap.

  • Use scheduling systems to monitor and adjust.

  • Train the team to keep flow efficient so no one feels ignored.