In the United States, as primary means of providing dental care, dental offices are organized as solo practices, group practices, or dental service organizations (DSOs).¹ Such entities generally operate in independent fashion. This article reviews and proposes “clique” approach that emphasize the importance of viewing the dentist office as ‘defined node’ of an interconnected ecosystem, rather than an isolated entity, in order to gain a comprehensive understanding of its operations and benefit from “clique”. ^2,3,4

This qualitative study utilizes inductive research approach to explore current dental practice operation methodology, practice management concepts, interpersonal connections² to propose the concept of “clique” structure for dental practice

The practicing dentists may select to become part of “clique” whereby the dentist can connect and interact with a dedicated group of the specialists and non-dentists professionals because of the higher level of cooperation due to ability to establish  strong pairwise ties.² Such group sharing strong connections could significantly enhance the efficiency of the clinical and non-clinical operation of running a dental practice by establishing mutually beneficial terms and clear communication to render faster and effective services which in turn improves patients’ health.^3,4,5