By Dental Strategy Institute | June 2026 | 8-Minute Read | For DSO Operators and Group Practice Leaders

The DSO model had a run in the early 2020s that looked, in retrospect, like a period where almost anything worked. Low interest rates made debt cheap. Private equity was aggressive. Multiples exp...

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...

The Question That Costs Practices Thousands — Answered Wrong The service tech just told you the repair is $2,200. The chair is 9 years old. Should you fix it or replace it? Most practice owners answer this question by feel. Below is the actual framework — so the answer is a calculation, not a guess....

There's a piece of equipment in almost every dental practice that's older than it should be. Sometimes it's the compressor, running warm and loud in the utility room. Sometimes it's a delivery unit that the rep keeps telling you is "totally fine" even though the chair-side assistant is holding the 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...