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For office managers4 min read

The Unscheduled List in Open Dental: a weekly routine that empties it

How appointments land on the Unscheduled List in Open Dental, why it grows, and a 30-minute weekly routine to sort, call and close it out.

Every Open Dental practice has one: a list that started as a place to park missed appointments and turned into the drawer nobody opens. The Unscheduled List is one of the most useful tools in Open Dental, and one of the easiest to let grow. This post explains how appointments get there, what the list is and is not for, and a weekly routine that keeps it short.

What the Unscheduled List is for

Open Dental’s manual describes the Unscheduled List as a place to temporarily store appointments that need follow-up, such as no-shows and broken appointments 1. The word that matters is temporarily. An appointment on the list keeps its procedures, its provider and its notes, so when the patient calls back you can put the same appointment back on the schedule instead of rebuilding it.

There are three common ways onto the list: right-click an appointment and choose Send to Unscheduled List, use the Unsched button on the appointment toolbar, or set the appointment’s status to UnschedList 1. The most common route in practice is breaking an appointment. When you break one, Open Dental asks whether it was missed or cancelled and can add the matching procedure code, D9986 for a missed appointment or D9987 for a cancelled one, before sending the appointment to the Unscheduled List, copying it to the Pinboard or leaving it crossed out on the schedule 2. The ADA treats those two codes as non-clinical procedures that record the event, not treatment 3.

Why the list grows

The list grows for a structural reason: sending an appointment there takes one click, and taking it off takes a phone call. Nothing in the software forces a follow-up, so the list holds whatever the team has not had time to chase. Research on appointment-keeping points at the same thing from the patient side. A review of dental appointment-keeping research groups the barriers into psychological, structural and health-literacy factors 4, and a study of 410,000 appointments at a dental school clinic found that a patient’s own attendance history was the strongest signal of whether they would attend 5. A patient who has broken one appointment is the one most worth a well-timed call.

A weekly routine: thirty minutes, same day each week

Pick a quiet block, the same one every week, and give it to one person. Start with thirty minutes, clear the backlog over the first few weeks, then adjust to what your own list needs.

  1. Open the list and filter it. Filter by provider or clinic if you use them, and sort by date so the newest entries sit at the top. Open Dental offers a filter to include broken appointments that are still on the schedule; its manual marks that option as not recommended 1.
  2. Sort each entry into one of four groups. Use two questions: how urgent is the treatment, and how long has it been on the list? The figure below shows the four groups.
  3. Call the urgent, recent entries first. These are patients with active treatment: a crown prep waiting for a seat, a root canal between visits.
  4. Log every attempt. Add a communication log entry in the patient’s account each time you call, with the outcome. The next person working the list should see what was tried.
  5. Rebook from the list itself. Drag the appointment back to the schedule so its procedures and notes come with it.
  6. Close out what is finished. A patient who has moved, gone to another practice or declined treatment should come off the list, with a note saying why.
Sorting the listCall firsturgent, recentDentist reviewsurgent, months oldCall this weekroutine, recentLetter, then closeroutine, months oldTime on the listTreatment urgency
Two questions sort the list: how urgent is the treatment, and how long has it waited? Urgent and old entries go to the dentist before anyone calls.

How to treat each group

Unscheduled List triage
GroupWhat to doWho
Urgent treatment, recentCall this week, twice if needed, at different times of dayFront desk or treatment coordinator
Urgent treatment, months oldAsk the dentist whether the plan still stands before callingDentist, then front desk
Routine, recentCall once; offer two specific times, not “when works for you”Front desk
Routine, months oldOne letter or email, then close it out with a noteFront desk

Keep the call short and specific. “Dr. Reyes wanted to finish the crown we started. I have Tuesday at 10 or Thursday at 2” gets a decision. “Just calling to see if you want to reschedule” gets a callback that never comes.

Pair it with the ASAP list

The Unscheduled List holds people you need to call. The ASAP list holds people who want to be called: patients who asked for an earlier appointment if one opens up 6. When a patient on the Unscheduled List says “sooner would be better,” book the first time that works and mark the appointment ASAP. When a same-day cancellation opens a chair, the ASAP list is where you look first. Open Dental groups both, with the recall and confirmation lists, under its appointment lists 7.

Two numbers to track

Count the entries on the list at the start of each weekly session, and count how many you rebooked. Write both down. If the first number keeps rising, the routine needs more time or a second person. If the second is close to zero, look at the call script before you look at the patients.

Sources

Every number and every rule in this post comes from one of these. Links open the source itself.

  1. Unscheduled List. Open Dental Software, online manual (v24.4).
  2. Break appointment. Open Dental Software, online manual (v24.4).
  3. 2023 annual measures review. American Dental Association, Dental Quality Alliance, 2023.
  4. Toward a better understanding of dental appointment-keeping behavior. Lapidos A et al. Community Dentistry and Oral Epidemiology, 2016.
  5. Using business intelligence and data visualization to understand the characteristics of failed appointments in dental school clinics. Weber et al. Journal of Dental Education, 2021.
  6. ASAP list. Open Dental Software, online manual (v24.4).
  7. Appointment lists. Open Dental Software, online manual (v24.4).

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