5 Digital Workflow Mistakes I Made (So You Don't Have To)
Going digital isn't just about buying a scanner. After three years of building a fully digital practice, here are the expensive lessons I learned along the way.
Three years ago, I decided to go fully digital. Scanner, CAD/CAM, 3D printer—the whole ecosystem. The vision was clear: faster turnaround, better margins, happier patients.
The reality? It took 18 months before I felt like the investment was paying off. Not because the technology failed, but because I made every rookie mistake in the book.
Here’s what I wish someone had told me.
Mistake #1: Buying the Scanner Before Understanding the Workflow
I spent weeks researching scanner specs. Accuracy down to microns. Scan speed comparisons. Powder vs. powder-free. I became an expert in hardware specifications.
What I didn’t understand: the scanner is just the entry point. The real workflow questions are:
- Where do the scans go? Direct to lab? In-house design?
- Who’s designing restorations? Me? Staff? Outsourced?
- What’s the handoff process when something needs adjustment?
- How do you manage version control when a case goes through iterations?
I bought premium hardware without mapping out these downstream processes. The scanner sat underutilized for months while I figured out the rest.
The lesson: Start at the end. Define your ideal workflow from final delivery backward. Then buy equipment that serves that workflow—not the other way around.
Mistake #2: Underestimating the Learning Curve for Staff
I assumed that once I learned the scanner, training the team would be quick. Point, click, scan. How hard could it be?
Very hard, apparently.
Technique matters enormously. The difference between a good scan and a problematic one often comes down to subtle positioning adjustments, tissue retraction timing, and knowing when to pause for isolation issues.
My first six months of scans had a significantly higher remake rate than traditional impressions. Not because the technology was worse, but because we hadn’t developed the skills to use it properly.
The lesson: Budget real training time. Not a lunch-and-learn from the rep—actual supervised practice with feedback. Track your early cases carefully and expect a learning curve.
Mistake #3: Trying to Do Everything In-House Too Fast
The allure of same-day dentistry is powerful. Patient comes in, prep the tooth, design the crown, mill it, cement it. One appointment. Amazing patient experience.
So I bought a mill. And immediately got overwhelmed.
Designing restorations takes time. Operating a mill takes attention. Managing inventory of blocks takes organization. Doing all of this while also running a practice? Something had to give.
My first in-house crowns took 3-4 hours of chair time. That’s not efficient—that’s a scheduling disaster.
The lesson: Hybrid is your friend. Start by sending scans to a lab. Build your digital skills without the pressure of same-day delivery. Once scanning is second nature, then consider adding in-house design. Then milling. Each step only after the previous one is solid.
Mistake #4: Ignoring the 3D Printing Maintenance Reality
When I added a 3D printer for surgical guides and models, I pictured easy on-demand fabrication. Need a guide? Print it overnight. Simple.
What nobody emphasized: 3D printers require maintenance. Resin management. Tank replacement. Calibration. Post-processing workflow.
My first printer sat unused for a month because a tank failed and I didn’t have a replacement. Then I underestimated post-cure times and delivered a guide that wasn’t fully cured. Then I learned about resin shelf life the hard way.
The lesson: Factor in consumables, maintenance time, and backup supplies. Printing is a mini-production operation, not just pushing a button. Either commit to the process or outsource to printing services.
Mistake #5: Not Tracking the Real Economics
I knew digital would have a learning curve. I expected initial inefficiencies. What I didn’t do was actually measure them.
For the first year, I had no idea whether digital was saving money or costing money. I assumed the lab bill reductions were offsetting the equipment costs. I assumed chair time was improving. I assumed.
When I finally did the analysis, some assumptions were right and some were wrong. In-house crowns were indeed more profitable—but only after I got chair time under 90 minutes. Outsourced digital crowns were actually more expensive than my previous lab, once you factored in design time.
The lesson: Track everything from day one. Chair time per procedure. Remake rates. Lab bills. Maintenance costs. You can’t optimize what you don’t measure.
What I’d Do Differently
If I started over today:
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Scan only for six months. Send everything to the lab. Build scanning skills without other complications.
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Partner with one lab that does great digital work. Learn from their design feedback. Understand what makes a good scan from their perspective.
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Add capabilities one at a time. Don’t buy the full ecosystem upfront. Let each addition prove itself before adding the next.
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Create measurement systems immediately. Track time, cost, and quality from the first digital case.
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Join a community. Facebook groups, forums, local study clubs—somewhere to ask questions and learn from others’ mistakes.
Was It Worth It?
Absolutely. Today, my digital workflow is smooth, profitable, and delivers better patient experiences than traditional methods ever could.
But the path there was harder than it needed to be. The technology works. The challenge is building the systems and skills to use it well.
That takes time, intention, and a willingness to learn from mistakes—preferably other people’s mistakes, when possible.
What was your biggest digital workflow learning moment? I’m collecting stories for a follow-up piece. Reach out if you’re willing to share.