Who REALLY has the final say in placing an order in a dental office?

I am working on a project that poses the above interesting question. If you had to estimate the final purchasing authority one member of the dental team, who would it be? Here is what our results are showing so far:

• Dentist 89%
• Dental Assistant 7%
• Office Manager 3%
• Dental Hygienist 1%

I realize that various purchases including 'high ticket' items (equipment, etc.) will require input from several staff members--but in the end, how would you allocate dental staff members who have the authority to actually place orders for products never purchased before? Hope to get a rich discussion on this topic going...as the results would be of considerable value to all of us! 

Cheers, Anita

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