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August 19.2025
3 Minutes Read

Private Equity Shifting Gears in Dentistry: What's Ahead for Small DSOs?

Dental professionals discussing strategies for solo dental practice growth and recruitment challenges.


Emerging Trends in Dental Support Organizations (DSOs)

Private equity's evolving role in the dental industry is reshaping the landscape, particularly influencing the operations of dental support organizations (DSOs). Haim Haviv, the founder and CEO of Hudson Dental, recently highlighted notable changes affecting DSOs during Becker's "Dental + DSO Virtual Event." This shift towards smaller DSOs has raised eyebrows across the industry, as investment strategies are rapidly adapting to the current healthcare climate.

Recruitment Challenges Reshaping Investment Strategy

One of the most significant trends is the ongoing shortage of dental talent, which has compelled private equity investors to re-evaluate their approach. Unlike in the past, when larger acquisitions were prioritized, the current environment necessitates a more calculated and nuanced outlook. Haviv notes that recruitment now takes precedence over mere financial terms—investors must ensure that potential acquisitions can adequately staff their operations. This shift indicates a fundamental change in how private equity assesses the viability of dental practices.

The New Focus on Smaller and Nimble DSOs

Traditionally, private equity firms chased substantial platforms with over 100 locations, yet the recent trend reveals a pivot toward smaller, agile groups. Investors are now recognizing that smaller DSOs often exhibit the potential for high growth with less operational complexity. This focus on early-stage acquisitions allows private equity firms to cultivate relationships and directly influence the success of these nimble organizations. Such strategies highlight a transition from mere scaling in size to a more holistic approach that emphasizes patient care, operational efficiency, and community engagement.

Valuable Lessons for Solo Practitioners

For dentists like Dr. Emily Johnson, who runs a solo practice in suburban Pennsylvania, these trends serve as a crucial reminder of the ever-changing dynamics within the industry. The increase in private equity interest in smaller DSOs illustrates a growing recognition by investors of the value embedded in community-oriented practices. As solo practitioners, understanding this shift aids in adapting to potential changes, fostering better patient trust, and enhancing long-term practice growth.

Opportunities for Practice Growth and Patient Trust

Dr. Johnson could leverage these insights to focus on building a robust community presence. With the rising trend towards smaller DSOs, practitioners who embody trust-based marketing and cater to local needs may find themselves more competitive against larger chains. By personalizing patient experiences and establishing connections within the community, solo practitioners can better position themselves in an evolving market.

Strategic Recommendations for Dentists

As the dental landscape shifts, dentists can adopt several actionable strategies to remain resilient:

  • Emphasize Recruitment: Building a talented team is essential. Invest in local training programs and partnerships that can help attract skilled professionals.

  • Monitor Industry Trends: Stay informed about the latest trends in DSOs and consumer behavior to adapt practice strategies effectively.

  • Enhance Patient Engagement: Utilize trust-based marketing approaches to foster relationships with patients that emphasize their participation in care delivery.

In conclusion, by staying adaptable and responsive to market changes - especially as influenced by private equity interests - dentists can navigate the complexities of the healthcare landscape with greater success. Understanding the motivations behind these shifts provides a sound foundation for strategic growth and patient-centered care.


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