Working as a dental assistant can be rewarding and fulfilling, but it also comes with its challenges. One of the more difficult aspects of the job is working with a dentist who has a dominant personality. While a strong-willed dentist may have a clear vision for their practice and high expectations for their team, it can sometimes lead to tension, misunderstandings, or feelings of being undervalued. However, with the right mindset, dental assistants can effectively manage these dynamics and maintain a positive, professional working relationship.
Understand Their Perspective
Dentists with dominant personalities are often highly driven, detail-oriented, and passionate about their work. They have spent years developing their skills and building their practice, so they naturally want things done a certain way. Understanding this perspective can help dental assistants approach their work with empathy rather than frustration. Their assertiveness is usually not personal, it’s about achieving the best results for their patients and their practice.
Develop Clear and Respectful Communication
Communication is key when working with any personality type, but it is especially important when dealing with a dominant dentist. Be direct, professional, and concise when discussing tasks or concerns. If instructions are unclear, ask for clarification in a way that shows you are committed to doing things correctly rather than questioning their authority. For example, instead of saying, “I don’t understand what you want,” try, “Just to confirm, you’d like me to set up the tray this way, correct?”
Anticipate Their Needs
Dominant personalities appreciate efficiency and competency. Being proactive in anticipating the dentist’s needs can help establish trust and reduce friction. Pay attention to their preferences, routines, and pet peeves. If you notice that they like a particular setup for procedures or prefer instruments arranged in a specific order, make sure to have everything ready ahead of time. The more you demonstrate your ability to stay ahead of their requests, the more likely they are to see you as an invaluable part of the team.
Stay Calm Under Pressure
A dominant dentist may have a high-energy approach to their work, sometimes leading to moments of tension or stress. As a dental assistant, it’s important to remain calm and composed, even if they become impatient or frustrated. Avoid reacting emotionally and instead focus on problem-solving. Taking a deep breath, maintaining eye contact, and responding in a steady tone can help de-escalate tense situations and show that you can handle challenges with professionalism.
Establish Boundaries and Maintain Professionalism
While it’s important to be accommodating and adaptable, dental assistants should also establish professional boundaries. If a dominant dentist speaks harshly or unfairly, it’s okay to address the issue professionally. Saying something like, “I understand that this is a stressful situation, but I want to make sure we are communicating effectively,” can help redirect the conversation toward a more constructive exchange. If issues persist, consider having a private conversation about workplace expectations or seeking support from management.
Focus on Your Strengths and Contributions
CONFIDENCE is crucial when working with a strong-willed leader. Instead of feeling intimidated, focus on the value you bring to the practice. A skilled dental assistant plays a critical role in patient care, office efficiency, and overall workflow. When you perform your job well and contribute positively to the team, it becomes easier to gain respect from a dominant dentist.
Adapt to Their Leadership Style
Every dentist has their own way of leading a team. Some may appreciate frequent updates and verbal confirmations, while others prefer minimal conversation and expect assistants to take initiative without much instruction. Observing their preferences and adapting accordingly can make daily interactions smoother. If they like fast-paced work, practice staying one step ahead. If they are particular about cleanliness or organization, ensure those aspects are always prioritized.
Seek Feedback and Show Willingness to Improve
A dominant dentist often values competence and continuous improvement. Instead of fearing criticism, view it as an opportunity to grow. Ask for feedback on your performance and show that you are open to constructive input. A simple question like, “Is there anything I can do differently to better assist you?” demonstrates initiative and professionalism, which can help foster mutual respect.
Find a Support System
Working with a dominant personality can sometimes be exhausting, so having a support system is essential. Whether it’s talking with other dental assistants, seeking guidance from a mentor, or joining professional forums, sharing experiences with others can provide valuable insight and encouragement.
Know When to Speak Up
While adapting to a dominant dentist’s personality is important, there are times when it’s necessary to speak up, especially if their behavior crosses professional boundaries. If you ever feel disrespected or undervalued, approach the situation assertively and professionally. If direct conversations don’t lead to improvement, discussing concerns with the office manager or human resources may be necessary.
In short, working with a dominant personality dentist as a dental assistant can be challenging, but it doesn’t have to be a negative experience. By understanding their perspective, maintaining clear communication, anticipating their needs, and staying confident, you can build a productive and respectful working relationship. Over time, your adaptability and professionalism will not only help you succeed in your role but also earn the trust and appreciation of even the most assertive dentists. The key is to remain patient, professional, and proactive—qualities that make any dental assistant an invaluable asset to their team!

Sherri Merritt
Dental Consultant & Trainer