By Dental Strategy Institute | June 2026 | 7-Minute Read Right now, in the summer of 2026, demand for dental practices is high and supply is low. DSOs are hungry. Sixty-nine percent of them expect to increase their acquisition activity this year, and many report relying more heavily on brokers beca...

Here's how equipment capital planning works in most dental groups: a chair breaks at Location 7. Someone calls the service company. The service company comes out and says the pump motor is gone. The office manager calls the regional director. The regional director calls the CFO. The CFO asks why thi...

There's a version of this conversation that happens constantly in dentistry right now, and it almost always goes the same way. A practice owner gets an offer. Or a recent graduate is evaluating associate paths. Or a mid-career dentist is trying to figure out whether to build, buy, or affiliate. And ...

The letter of intent arrived on a Thursday. It looked good — 7x EBITDA, a two-year earn-out with solid upside, rollover equity with a projected second-bite return. The dentist called his accountant, who said the number looked reasonable. He signed the LOI the following week. Eighteen months later, h...

If you run procurement for a dental group — or you're the CFO signing off on capital requests — you already know the problem I'm about to describe. I've spent more than 25 years working inside and alongside dental organizations of every size. And in all that time, one operational blind spot shows up...

You got the letter of intent. The number looks right. The buyer's team has been professional, the process has moved quickly, and everyone keeps telling you this is a strong deal.

Then the Asset Purchase Agreement arrives — three hundred pages of legal language — and somewhere in Article 6 is the ...

  You negotiated hard. You got a strong multiple. The letter of intent is signed, due diligence is underway, and closing is scheduled for next quarter. The total consideration looks excellent on paper — but a meaningful portion of it isn't paid at closing. It's deferred, contingent on future perfor...

Every dentist eventually hears the pitch. A well-dressed rep from a regional or national dental support organization sits across from you, slides a deck across the table, and starts talking about "partnership." The numbers look interesting. The promises sound reasonable. And somewhere in the back...