Creating an Innovative Business Model for the Performance of Commercial Dental Clinics

Evgeniy V. Kostyrin, Grigoriy G. Bagdasaryan


Providing dental care to the population is associated with the active introduction of new technologies, personnel management methods, and business processes. In this sense, dentistry is at the forefront of the development of medicine and other economic sectors. However, the active practical implementation of advanced technologies for the provision of dental services requires personnel to have increased motivation and highly qualified labor, to develop new protocols for patient management, and to use more advanced equipment and materials, while administrative and management personnel should introduce progressive methods of labor motivation and economic and mathematical models of material and moral stimulation. This research aims to create an innovative business model for the development of a commercial dental clinic (CDC) that provides paid dental services. Economic and mathematical modeling and nonlinear programming are aimed at maximizing dentists’ wages, together with financial incentives for the work of administrative and managerial personnel and deductions for the development of a typical commercial dental clinic in Moscow based on the actual volume of dental services and the costs of their provision. With the volume of paid dental services growing by one and a half times, the innovative business model makes it possible to increase clinic income by a factor of 1.66 and dentists’ salaries by a factor of 2.24, raise deductions for labor incentives for administrative and managerial personnel by a factor of 1.66, and increase total profit by a factor of 1.75. During the research, it was possible to ensure early repayment of a loan of 5 million rubles for clinic development in 21 months. Additional research is needed because of the possible variability of the dental market and lending conditions.


Doi: 10.28991/HIJ-2024-05-01-05

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Innovative Business Model; Dentistry; Commercial Dental Industry; Economic And Mathematical Model; Labor Incentives; Wages; Dentist; Dental Services; Management Model; Innovation Model.


Alotaibi, K. F., & Kassim, A. M. (2023). Factors That Influence the Adoption of Digital Dental Technologies and Dental Informatics in Dental Practice. International Journal of Online and Biomedical Engineering (IJOE), 19(15), 103–126. doi:10.3991/ijoe.v19i15.43015.

Goncharuk-Khomyn, M. (2022). Digital Approaches in Forensic Dentistry Practice: Clustering or Fractal Differentiation? Journal of Dentistry, 121, 103970. doi:10.1016/j.jdent.2022.103970.

Di Fiore, A. (2022). Think Digital—The New Era in the Dentistry Field. Journal of Clinical Medicine, 11(14), 4073. doi:10.3390/jcm11144073.

Abakarov, S. I., Sorokin, D. V., Lapushko, V. Yu., Abakarova, D. S., & Nikiforova, K. I. (2021). Mathematical modeling and modern physical research methods in orthopedic dentistry. Bulletin of Postgraduate Medical Education, (1), 58–63.

Komuro, A., Yamada, Y., Uesugi, S., Terashima, H., Kimura, M., Kishimoto, H., Iida, T., Sakamoto, K., Okuda, K., Kusano, K., Baba, S., & Sakamoto, T. (2021). Accuracy and dimensional reproducibility by model scanning, intraoral scanning, and CBCT imaging for digital implant dentistry. International Journal of Implant Dentistry, 7(1), 63. doi:10.1186/s40729-021-00343-w.

Schweiger, J., Edelhoff, D., & Güth, J. F. (2021). 3D Printing in Digital Prosthetic Dentistry: An Overview of Recent Developments in Additive Manufacturing. Journal of Clinical Medicine, 10(9), 2010. doi:10.3390/jcm10092010.

Wu, Y., Hu, Z., Zhang, X., Bai, H., Sun, Y., & Fan, B. (2021). Optimum design of reference points distribution in three-dimensional reconstruction of dental model in intercuspal position. BMC Oral Health, 21(1). doi:10.1186/s12903-021-01919-z.

Yanushevich, O., Arutunov, S., Zolotnitskiy, I., Bagdasaryan, G., Kirakosyan, L., Sokolov, E., & Kostyrin, E. (2022). Economic efficiency of digital transformation of non-removable prosthetics technology in the management of dental services. Rossiiskaya Stomatologiya, 15(2), 3. doi:10.17116/rosstomat2022150213.

Yanushevich, O. O., Sterlikov, P. F., Zolotnitsky, I. V., Grachev, D. I., Bagdasaryan, G. G., Arutyunov, S. D., Sokolov, E. V., & Kostyrin, E. V. (2022). Economic and Mathematical Model of Stimulating the Work of Dentists. Ekonomika I Upravlenie: Problemy, Resheniya, 4/1(124), 5–15. doi:10.36871/ek.up.p.r.2022.04.01.001.

Ryu, J. I., & Jeong, H. R. (2022). The analysis of dental treatments among the disabled in a charity dental clinic, Cheongju city. Journal of Korean Academy of Oral Health, 46(2), 78–84. doi:10.11149/jkaoh.2022.46.2.78.

Prosalova, V. S., & Nikolaeva, A. A. (2023). Efficiency of the use of artificial intelligence in the work of a dental clinic-economic aspect. Azimuth of Scientific Research: Economics and Management, 12, 81-84. doi:10.57145/27128482_2023_12_03_18.

Srivastava, R., & Verma, P. K. (2023). Smart materials in dentistry. IP Indian Journal of Conservative and Endodontics, 8(4), 193–197. doi:10.18231/j.ijce.2023.037.

Kostyrin, E., & Rozanov, D. (2023). Economic and Mathematical Modeling for the Process Management of the Company’s Financial Flows. Emerging Science Journal, 7(3), 897–916. doi:10.28991/esj-2023-07-03-017.

Kamali, A. H., Moradi, M., Goodarzian, F., & Ghasemi, P. (2021). A discrete event simulation method for performance analysis of an additive manufacturing in the dental clinic. The International Journal of Advanced Manufacturing Technology, 118(9–10), 2949–2979. doi:10.1007/s00170-021-08135-7.

Thejane, K., du Preez, W., & Booysen, G. (2023). Implementing digital twinning in an additive manufacturing process chain. MATEC Web of Conferences, 388, 10001. doi:10.1051/matecconf/202338810001.

Lee, H., & Yang, H. (2023). Digital Twinning and Optimization of Manufacturing Process Flows. Journal of Manufacturing Science and Engineering, 145(11). doi:10.1115/1.4063234.

Lazviashvili, L. (2022). Marketing system in a dental organization. Modern Issues of Medicine and Management, 23(1), 85-91. doi:10.56580/geomedi0006.

Vesinurm, M., Halminen, O., Linna, M., Mikkola, H., & Lillrank, P. (2023). A realist evaluation of policy interventions to reduce public subsidies of private dental care in Finland. Community Dentistry and Oral Epidemiology. doi:10.1111/cdoe.12938.

Printz-Markó, Erzsébet & Fekete, Nikoletta & Zsuzsa, Ivancsó. (2018). Dental Tourism through the Example of a Dental Clinic in Mosonmagyaróvár on the Austrian-Hungarian Border. In Proceedings of IAC in Vienna: Global Education of Teaching and Learning and Management, Economic, Business and Marketing and Transport, Logistics, Tourism, and Sports Science, Czech Technical University in Prague, 305-317.

Khabadze, Z., Negorelova, Y., Gevorkyan, A., Nazarova, D., Shilyaeva, E., Kotelnikova, A., & Mordanov, O. (2022). Comparative analysis of smear layer removal techniques in the treatment of dental caries. The New Armenian Medical Journal, 1, 49–57. doi:10.56936/18290825-2022.16.1-49.

Semin, A., Vasiljeva, M., Sokolov, A., Kuznetsov, N., Maramygin, M., Volkova, M., Zekiy, A., Elyakova, I., & Nikitina, N. (2020). Improving early warning system indicators for crisis manifestations in the Russian economy. Journal of Open Innovation: Technology, Market, and Complexity, 6(4), 171. doi:10.3390/joitmc6040171.

Flemming, J., Meyer-Probst, C. T., Speer, K., Kölling-Speer, I., Hannig, C., & Hannig, M. (2021). Preventive Applications of Polyphenols in Dentistry—A Review. International Journal of Molecular Sciences, 22(9), 4892. doi:10.3390/ijms22094892.

Zhachko, N. I., Nespriadko-Monborgne, T. S., Skrypnyk, I. L., & Zhachko, M. S. (2021). Improving dental health – is improving quality of life. Wiadomości Lekarskie, 74(3), 722–725. doi:10.36740/wlek202103229.

Hajek, A., König, H. H., Buczak-Stec, E., Rose, L. M., Kretzler, B., Spinler, K., Schiffner, U., Aarabi, G., & Walther, C. (2022). Regular childhood dental visits, health-related factors and quality of life in later life. Archives of Gerontology and Geriatrics, 99, 104585. doi:10.1016/j.archger.2021.104585.

Chililov, A. M., Kadyrov, F. N., & Obuhova, O. V. (2022). Labour remuneration in public health system in time of digital transformation of medical services. Vestnik of the Plekhanov Russian University of Economics, 2, 136–148. doi:10.21686/2413-2829-2022-2-136-148.

Kostyrin, E., & Sokolov, E. (2023). Social Financial Technologies for the Development of Enterprises and the Russian Economy. Advances in Science, Technology and Engineering Systems Journal, 8(3), 118–135. doi:10.25046/aj080314.

Sokolov, E. V., & Kostyrin, E. V. (2021). Models for Managing Medical Organizations. Scientific Library, Moscow, Russia.

Kostyrin, E. V. (2020). Economic and Mathematical Modeling of Financial Resource Management in Medical Organizations. Industrial Engineering & Management Systems, 19(3), 716–729. doi:10.7232/iems.2020.19.3.716.

Kostyrin, E. V. (2020). Economic and mathematical models of financial incentives for the personnel at medical organization departments. International Journal of Pharmaceutical Research, 12(04). doi:10.31838/ijpr/2020.12.04.253.

Sukhina, N., Lebedeva, E., Zhuravlev, P., Chernykh, I., Kotova, X., & Hajiyev, H. (2021). Financial management methods and ways to optimize costs. International Review, 3–4, 179–187. doi:10.5937/intrev2103177s.

Medvestnik (2023). A Specialized Portal for Medical Specialists and Healthcare Organizers. Available online: (accessed on December 2023).

ConsultantPlus (2023). Decree of the Government of the Russian Federation of December 29, 2022 N 2497 "On the Program of State Guarantees for Free Medical Care to Citizens for 2023 and for the Planning Period of 2024 and 2025". ConsultantPlus, Moscow, Russia. Available online: (accessed on May 2023).

Kostyrin, E. V., Vasilevskaya, N. A., Sterlikov, P. F., Zolotnitsky, I. V., Arutyunov, D. S., He, P., & Arutyunov, S. A. (2023). Innovative technologies for increasing the availability of medical care to citizens of the Russian Federation. Economic Sciences, 223, 169-203. doi:10.14451/1.223.169.

Woldemichael, A., Rezaei, S., Kazemi Karyani, A., Ebrahimi, M., Soltani, S., & Aghaei, A. (2021). The impact of out-of pocket payments of households for dental healthcare services on catastrophic healthcare expenditure in Iran. BMC Public Health, 21(1), 1474. doi:10.1186/s12889-021-11209-6.

Najafi, E., Amini-Rarani, M., & Moeeni, M. (2021). Inequality in dental care expenditure in Iranian households: analysis of income quintiles and educational levels. BMC Oral Health, 21(1), 550. doi:10.1186/s12903-021-01912-6.

Cope, A. L., Bannister, C., Karki, A., Harper, P., Allen, M., Jones, R., Peddle, S., Walters, B., & Chestnutt, I. G. (2022). The development and application of a chairside oral health risk and need stratification tool in general dental services. Journal of Dentistry, 123, 104206. doi:10.1016/j.jdent.2022.104206.

Starodubov, V., Kadyrov, F., & Chililov, A. (2022). COVID-19 treatment in the Russian Federation: state support of medical workers treating covid-19 in the Russian Federation and quality management with industrial and manufacturing engineering. International Journal for Quality Research, 16(1), 3–18. doi:10.24874/ijqr16.01-01.

Morozko, N., & Didenko, V. (2022). Applying the theory of fuzzy logic in the financial management of small companies. Montenegrin Journal of Economics, 18(4), 49-60. doi:10.14254/1800-5845/2022.18-4.5.

Gasparian, M. S., Kiseleva, I. A., Titov, V. A., & Olenev, L. A. (2021). Simulación y gestión de riesgos de actividades financieras en la era de la economía dogital. Nexo Revista Científica, 34(04), 1388–1395. doi:10.5377/nexo.v34i04.12684.

Althumairy, R. I. (2022). Exploring the quality of life for saudi patients utilizing dental healthcare services: a systematic review. Journal of Multidisciplinary Healthcare, 15, 309–315. doi:10.2147/jmdh.s344963.

Schierz, O., Reissmann, D. R., Rauch, A., John, M. T., Marré, B., Luthardt, R. G., Mundt, T., Hannak, W., Kohal, R., Kern, M., Nothdurft, F., Hartmann, S., Böning, K., Boldt, J., Stark, H., Edelhoff, D., Wöstmann, B., Wolfart, S., Jahn, F., & Walter, M. H. (2021). Impact of shortened dental arch on oral health-related quality of life. Journal of Evidence Based Dental Practice, 21(4), 101622. doi:10.1016/j.jebdp.2021.101622.

Choi, J. H., Park, I., Jung, I., & Dey, A. (2015). Complementary effect of patient volume and quality of care on hospital cost efficiency. Health Care Management Science, 20(2), 221–231. doi:10.1007/s10729-015-9348-9.

Lo Russo, L., Zhurakivska, K., Guida, L., Chochlidakis, K., Troiano, G., & Ercoli, C. (2022). Comparative cost-analysis for removable complete dentures fabricated with conventional, partial, and complete digital workflows. The Journal of Prosthetic Dentistry, 1-8. doi:10.1016/j.prosdent.2022.03.023.

Taylor, M., Masood, M., & Mnatzaganian, G. (2022). Longevity of complete dentures after relines: A 20-year population based retrospective study of 187,227 publicly insured adults. Journal of Dentistry, 121, 104073. doi:10.1016/j.jdent.2022.104073.

Breusov, A. V. & Kaneva, D. A. (2018). Motivation of medical personnel of dental organizations of various forms of ownership: data from a sociological study. Saratov Medical Scientific Journal, 14(2), 287–293.

Breusov, A.V., Kaneva, D.A. & Kharchenko, V.V. (2018). Sociological aspects of activity of medical personnel of the stomatologic organizations of various form of ownership. Journal of New Medical Technologies (E-Edition), 4, 123–131. doi:10.24411/2075-4094-2018-16197.

Vasiljeva, M. V., Semin, A. N., Ponkratov, V. V., Kuznetsov, N. V., Kostyrin, E. V., Semenova, N. N., Ivleva, M. I., Zekiy, A. O., Ruban-Lazareva, N. V., Elyakov, A. L., & Muda, I. (2023). Impact of Corporate Social Responsibility on the Effectiveness of Companies’ Business Activities. Emerging Science Journal, 7(3), 768–790. doi:10.28991/esj-2023-07-03-08.

Losev, F. F., Markina, L. A., & Wagner, V. D. (2023). Economic feasibility of providing paid medical services by the dental department of a state medical organization. Medical Alphabet, 12, 36–39. doi:10.33667/2078-5631-2023-12-36-39.

Shkatova, E. Yu., Bezdetko, G. I., Bessonova, T. I., & Oksuzyan, A. V. (2015). Timing studies in dentistry as a condition for the formation of a safe hospital environment. Modern Problems of Science and Education, 616.3, 1-8.

Gotfredsen, K., Hosseini, M., Rimborg, S., & Özhayat, E. (2021). Patient’s perception of timing concepts in implant dentistry: A systematic review. Clinical Oral Implants Research, 32(S21), 67–84. doi:10.1111/clr.13861.

Sokolov, E. V., Kostyrin, E. V., Volokhova, T. V., Ilchenko, M. A., & Shakhruev, M. E. (2023). Money. Credit. Banks. Course Design: Educational and Methodological Manual. Scientific Library, Moscow, Russia.

AL-Zararee, A., Ali Almasria, N., & Ahmad Alawaqleh, Q. (2022). The effect of working capital management and credit management policy on Jordanian banks’ financial performance. Banks and Bank Systems, 16(4), 229–239. doi:10.21511/bbs.16(4).2021.19.

CBR. (2023). Central Bank of the Russian Federation. Average Market Values of the Total Cost of a Consumer Credit (Loan). Moscow, Russia. Available online: (accessed on December 26, 2023).

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DOI: 10.28991/HIJ-2024-05-01-05


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