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Most dentists can tell you what they earned last month. Far fewer can tell you what they earn per hour once the real costs of running a surgery are taken off, and that blind spot quietly wrecks pricing, confidence, and work-life balance. We sit down with Dr Pav Khaira to get brutally practical about dental practice profitability, from implants and oral surgery to everyday restorative work.

We talk about the uncomfortable bits too: the personal cost of business mistakes, why “it feels unethical to charge properly” is often just conditioning, and how patients actually decide who to trust. The big shift happens when you stop thinking in months and start thinking in chair time. If you know your hourly operating margin, you can decide when to put fees up, when to streamline, and when a so-called high-ticket treatment is actually paying less than simpler work.

From there we get into real tactics that stay ethical: how to structure volume pricing so patients genuinely save while your hourly rate rises, how anchoring affects patient perception, and why you are medico-legally obliged to discuss implants after many extractions. We also cover the four levers Dr Papkerer uses to scale results capability, efficiency, volume, and sedation plus a look at where AI in dentistry is heading, including AI-assisted complication pathways and stronger clinical notes.

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