How I Did It: DRMR

How I Did It: DRMR

DRMR

251 Brompton Road

London

SW3 2EP

Telephone: 07770117000

Website: drmrlondon.co.uk

Manrina Rhode explains how she built DRMR, a dental practice with soul.

I still have moments when I walk through the door of DRMR and think, wow. Especially if I’ve been away for a few days, or I’m coming back from holiday, I’ll step inside, look around, and feel it all over again: this is mine. I created this.

What makes it even more special is seeing it through other people’s eyes. Patients, colleagues – even dentists visiting from abroad who have followed my work online – often stop in their tracks after stepping inside. When they react with that same sense of awe, I relive the excitement of building it. It still feels fresh. It still feels new.

From associate to principal

My journey to this point wasn’t quick. I worked as an associate for 18 years before deciding to open my own practice. Like many associates, I loved clinical dentistry. I still do – it’s my favourite part of the day. It puts me into a flow state that feels effortless and fulfilling.

What I underestimated was the leap from associate to principal. I had no real concept of the sheer volume of work involved in running a business. Looking back, I almost want to revisit my former principals just to thank them. They made it look easy – I now know that it isn’t. It’s a huge responsibility, and the learning curve is steep.

Opening a squat practice, especially one at the top end of the market, was an intense, all-consuming experience. It challenged me in ways I hadn’t anticipated. But it also accelerated my growth, both professionally and personally, in a way nothing else could have.

DRMR: a personal vision

From the beginning, I knew DRMR had to reflect me completely. That was non-negotiable.

I wanted to create something exceptional – something beautiful, distinctive and recognisable. This wasn’t just about opening a clinic; it was about building an environment that aligned with my values, my aesthetic and my way of working.

I wanted it to attract patients from all over the world – and that’s exactly what has happened.

I’m actually quite risk-averse by nature. I like certainty and structure. But opening a squat practice didn’t feel risky to me, because I already had patients seeking me out. I knew that wherever I went, they would come.

That gave me the confidence to focus entirely on delivering the vision. This practice has my soul in it.

Every single detail – down to the shade of gold on a door bolt – was chosen deliberately. If something wasn’t right, it wasn’t good enough. I couldn’t build my dream and then live with compromises that would irritate me every day.

I’m incredibly detail-focused, which is why cosmetic dentistry suits me so well. I approached the design of the practice in exactly the same way I approach smile design. I didn’t ask someone else to interpret my vision, I created it myself.

I thought through every moment of my working day:

  • What frustrates me?
  • Where are the inefficiencies?
  • What could be better?

For example, I’ve always disliked holding a mirror up for patients during consultations. So I designed a solution: a mirror on wheels that could be moved seamlessly into place. It didn’t exist, so we made it.

That process repeated itself throughout the build. I visualised my workflow, identified problems and designed solutions. Nothing was left to chance.

 

The reality of the build

The build itself was, without question, the most stressful part of the journey.

It was new territory for me, and I struggled with the unpredictability. Deadlines shifted, costs increased and plans changed.

At the time, it felt like things were going wrong, but I later realised this is simply the nature of construction. Every colleague I spoke to had experienced the same challenges.

That was a big lesson: things don’t always go to plan, and that’s okay.

Despite the stress, the build was also my favourite part. Seeing an idea evolve into a physical space is incredibly rewarding – and, unexpectedly, addictive. Once it was finished, part of me wanted to start all over again.

It truly takes a village to build a practice.

We held weekly project meetings with the architects, builders, project manager and equipment specialists. While principals don’t always attend these, I was involved in every step.

One of the most important relationships I had during the process was with Pete Higson from RPA Dental. He understood my vision instinctively and supported me throughout, especially during the more emotional moments. When you’re building something so personal that level of understanding and trust is invaluable.

Having people around you who ‘get it’ makes all the difference.

The finished space

There are so many elements of the practice that I love, but one room stands out above all: my treatment room.

To me, it’s the most beautiful surgery in the world. Every detail – from the cabinetry to the finishes – has been meticulously designed. When people walk in, there’s always a moment of silence followed by: ‘wow’. That reaction never gets old.

Even the patient bathroom has its own story. The resin floor was hand-poured and mixed on-site, inspired by a technique I’d learned in a glass-making class. It’s those unexpected, creative touches that bring the whole space to life.

The first six months after opening were intense. I worked constantly – often only sleeping and working, with little time for anything else. It was demanding in a way I hadn’t experienced before, but it was also transformative.

This journey has changed me. It’s made me more resilient, more capable and more confident. The growth has been exponential, and I wouldn’t trade it for anything.

Reflections

If you’re considering opening your own practice, my advice is simple: don’t underestimate it.

Life as an associate can be wonderful, and there’s no obligation to take this step. But if you feel a deep, persistent desire to create something of your own – something you can’t ignore – then you have to do it. Just know that it won’t be easy.

It will be challenging, stressful, and at times overwhelming. However, if you go into it with the right mindset, it will also be one of the most rewarding experiences of your life.

I feel incredibly proud of what I’ve built here.

This practice has elevated my life in ways I couldn’t have imagined. It’s not just a place of work, it’s a reflection of who I am and what I believe in.

Would I do it again? Without a doubt!

Insights from RPA Dental

From the outset, it was clear this wasn’t going to be just another practice. This was about creating something truly exceptional.

The property itself – an unusual, angular space in a prominent Knightsbridge location – required careful consideration to ensure it could function effectively as a dental practice.

Initially, it was far from inspiring: a dated office with suspended ceilings, fluorescent lighting and worn carpet tiles. The key was to look beyond that and focus on the fundamentals – ceiling height, natural light and structure. Once we established feasibility, the process became about unlocking its potential.

The layout demanded detailed planning. Elements such as waste systems, air conditioning and long-term maintenance had to be integrated seamlessly without compromising the design. With the right team in place, we were able to resolve these challenges and create a highly functional clinical environment.

A defining feature of the build is the resin flooring. While a significant investment, both in preparation and installation, it was essential to achieving the desired finish. It adds warmth and continuity throughout the space, elevating it beyond a standard clinical aesthetic.

Ultimately, this project was about delivering a clear, uncompromising vision – balancing technical precision with design to create a space that performs as well as it looks.

 

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