Scaling Up, Not Stressing Out: How Mid- to Large-Size Dental Labs Can Thrive

27 May, 2025
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Running a medium to large dental lab is a beast of a different kind. You're not just dealing with individual cases anymore; you're managing complex workflows, multiple technicians, demanding clients, and the ever-present pressure to stay profitable. Your financial health is under a microscope, and decisions carry significant weight.


You've likely already invested in digital technologies like CAD/CAM and 3D printing, and you're probably feeling the pinch of:

  • Scaling pains: Growing your business brings new challenges in standardization, quality control, and efficient communication. These inefficiencies can directly impact your bottom line, with increased remake rates and longer turnaround times.
  • Tech integration headaches: Making all your different systems play nice together can feel like an impossible task. This leads to wasted time, manual data entry, and a higher risk of errors, all of which translate to lost revenue.
  • The talent squeeze: Finding and keeping skilled technicians is tougher than ever. Increased competition for qualified staff drives up labor costs, squeezing margins.
  • DSO demands: Dental service organizations are putting the pressure on with demands for volume, competitive pricing, and consistent quality. Meeting these demands while maintaining profitability requires a delicate balancing act.

But it's not all doom and gloom. There's a huge opportunity for labs like yours to solidify your position, increase profitability, and become a true powerhouse in the industry. By addressing these challenges head-on, you can unlock significant financial upside.


Here's how you can take control:


1. Centralize and Conquer


You need a centralized system to manage your multi-faceted operation. This is not just about organizational tidiness; it's about financial control. Studies have shown that labs with centralized systems can see a 15-20% increase in overall efficiency, directly impacting profitability.


This means:

  • Standardized workflows: Implement consistent processes across every department and location. This reduces variability, leading to more predictable production costs and higher profit margins per case.
  • Real-time data: Track key metrics like turnaround time, remake rates, and technician productivity. This data is crucial for identifying areas where costs are spiraling out of control and for making informed decisions to improve financial performance.
  • Seamless communication: Connect your lab with dentists and other stakeholders for efficient case management and collaboration. Efficient communication can reduce errors and the need for remakes, which can cost a lab upwards of $75 per case in wasted materials and labor.

2. Automate to Accelerate


Automation isn't about replacing people; it's about empowering them to handle more complex, higher-value cases. For medium to large labs, the financial benefits of automation are substantial. Reports indicate that automation can lead to a 20-30% reduction in labor costs associated with routine tasks.


By automating repetitive tasks, you can:

  • Free up your technicians: Let them focus on complex, high-value work like implant cases or aesthetic restorations, which command higher fees and contribute more to your bottom line.
  • Reduce errors and remakes: AI-powered quality control can catch issues early, saving time and money. Remakes can eat into your profits, with some studies suggesting it takes 5-19 successful cases to offset the cost of just one remake.
  • Boost efficiency: Automate processes like case entry, file management, and even design proposals. This can translate to a 10-15% increase in overall lab throughput, allowing you to take on more cases and generate more revenue without significantly increasing overhead.

3. Data is Your Superpower


You're sitting on a goldmine of data. The key is to extract meaningful insights that drive financial performance. By tracking and analyzing the right metrics, you can:

  • Identify bottlenecks: Pinpoint inefficiencies in your workflow and optimize processes. For example, if you discover that a particular department is consistently causing delays, you can allocate resources to address the issue and improve turnaround times, which can lead to increased customer satisfaction and higher revenue.
  • Make informed decisions: Base your strategies on solid data, not gut feelings. This could involve anything from adjusting pricing strategies to optimizing production schedules to improve profitability.
  • Demonstrate your value: Show dentists how your lab's efficiency and quality contribute to their success. This can help you negotiate better pricing and secure long-term contracts, leading to more predictable revenue streams.

4. Future-Proof Your Lab


The dental industry is evolving rapidly, with increasing digitalization and consolidation. To not only survive but thrive, medium to large labs need to:

  • Embrace new technologies: AI, advanced 3D printing, and other innovations can give you a competitive edge and allow you to offer new, higher-margin services.
  • Become a digital partner: Offer dentists a seamless digital workflow, from intraoral scan to final restoration. This can strengthen your relationships with dental practices and make you a more valuable partner, leading to increased business and revenue.
  • Attract top talent: Invest in training and create a modern, tech-forward environment that appeals to skilled technicians. A skilled and motivated workforce is essential for delivering high-quality work efficiently, which directly impacts your bottom line.

Tools of the Trade: EviSmart in Action


Platforms like EviSmart are designed to help labs like yours tackle these challenges and improve your financial performance. Here’s how EviSmart is making a difference for dental labs:

  • Connect and Centralize: EviSmart integrates all your systems and stakeholders into one platform, streamlining operations and reducing administrative costs. For example, a multi-site DLO using EviSmart reduced its IT management costs by 40% by consolidating its systems.
  • Automate for Efficiency: EviSmart automates key processes, such as case entry, order routing, and quality control, freeing up technicians to focus on complex, high-value cases. Labs using EviSmart have reported a 30% reduction in turnaround time for standard cases.
  • AI-Powered Precision: EviSmart’s AI-driven quality control can reduce remake rates by up to 60%, resulting in significant cost savings. One lab reduced its remake rate from 8% to 3% using EviSmart QC.
  • Data-Driven Optimization: EviSmart provides comprehensive data analytics, giving you the insights you need to identify bottlenecks, optimize workflows, and make informed business decisions. Labs leveraging EviSmart’s data analytics have identified new revenue opportunities, leading to a 15% increase in monthly revenue.

The Bottom Line: Quantifiable EBITDA Improvement


By implementing a solution like EviSmart that centralizes operations, automates workflows, and leverages AI for quality control and optimization, medium to large dental labs can expect a significant improvement in overall EBITDA.


Here's a conservative estimate:

  • Efficiency Gains: A 15-20% increase in overall efficiency translates directly to reduced labor costs and increased throughput.
  • Remake Reduction: A 50% reduction in remake rates (well within the range reported by EviSmart users) leads to substantial savings in material and labor costs.
  • Labor Cost Savings: Automation of routine tasks can free up technicians, reducing the need for additional staff or allowing existing staff to handle more cases, leading to a 20-30% reduction in labor costs for those tasks.

Combining these factors, a medium to large dental lab can realistically expect an overall EBITDA improvement of 20-35% through the implementation of a comprehensive solution like EviSmart. This improvement will vary based on the lab's current efficiency and the extent of EviSmart implementation.


This translates to a substantial financial benefit, allowing you to reinvest in your business, expand your services, or increase profitability.


By embracing a digital-first approach and leveraging the right tools, you can transform your medium-to-large lab from a complex juggling act into a well-oiled, growth-oriented machine that delivers both exceptional dental solutions and strong financial results.


About the Author


Paolo Kalaw is the CEO of Nimbyx, a tech-focused investment firm, and Evident, the leading AI workflow solutions provider for dentistry. He specializes in practical AI Workflow Automation, translating complex AI capabilities into high-impact systems that drive tangible business results and operational efficiency across industries.


EviSmart: Intelligently Connecting Dental Workflows. Simple. Powerful. Scalable.


Follow Paolo’s insights on AI, automation, and intelligent business design on LinkedIn.

EviSmart Team
Writer
EviSmart is the World's first AI-Powered Dental Workflow Automation Platform designed to connect labs and clinics to help them scale.