Not every problem in a dental practice is obvious. In this episode, Dr. Killeen highlights one of the biggest hidden drains on growth: patients leaving hygiene appointments without scheduling their next visit. While many practices focus on attracting new patients, keeping the ones you already have is often the highest return investment. He explains why tracking your hygiene reappointment rate is one of the most important metrics in your practice and how a simple, consistent pre-appointment process can create a healthier schedule, stronger patient retention, and long-term growth. Small improvements in this area can compound into big results over time.