NEWS & UPDATES

Buyers pay a premium for your referral moat. Orthodontics has traded 1 to 3 full turns above equivalently sized general dental practices from 2024 through Q2 2026. In multiple terms: 10x to 14x+ EBITDA. A 20 to 40% premium over general dentistry. Ask why, and the answer is remarkably consistent. Sticky, referral-driven revenue. High margins. That's the thesis. Buyers aren't paying for your chairs or your brand. They're paying for the reliability of case flow that arrives with

90% of orthodontists are optimistic. Referrals fell. The 2025 Orthodontic Practice Survey found 90% of orthodontists optimistic about the year ahead and expecting production to increase. The same survey found referrals from general dentists declined from 2024. And referrals from parents of existing patients declined too. Both of your top sources. Down. While confidence is up. That's not a forecast. That's a disconnect. Here's the arithmetic behind it. GPs still refer out more

Site-neutral payment isn't the win you think. The 2026 OPPS rule moves Medicare further toward paying the same rate for the same procedure regardless of where it happens. Hospital outpatient department. ASC. Same money. Most of the ASC world is treating this as a victory. Hospitals lose their premium. The field levels. Finally. I read it differently. The ASC value proposition for thirty years was partly clinical, partly operational, and partly arbitrage. You did the same case

Your exit plan assumes a buyer exists. Baby boomers are roughly 40% of the veterinary workforce. They're retiring across the next 15 to 20 years, and the number of practices for sale climbs every year they do. That's supply. Now look at demand. Younger veterinarians are less likely to own than the generation before them. Women are nearly 70% of veterinary students and 36% of practicing vets, and ownership hasn't kept pace. Meanwhile 40% of the class of 2025 graduated owing $2

The "average" vet school debt is irrelevant, and sheds little to no light on your individual path. Class of 2025: average DVM debt of $212,499 among graduates who carry debt. $174,484 if you average in the ones who don't. The AVMA calls the debt-to-income ratio manageable at 1.4:1. On paper, fine. Now break the average apart. 18% of the class graduated with zero DVM debt. 40% owe $200,000 or more. Nearly 20% owe more than $300,000. 6% owe more than $400,000. That isn't one pr

Your mill pays for itself. Eventually. Part 1 covered the real constraint: completion, not acceptance. You won the case. Now you have to deliver it. That's where digital dentistry looks like the obvious fix. Bring the lab in-house. Cut the turnaround. Own the workflow. And the momentum is real. The dental 3D printer market sits at $191M in 2026, on track for $424M by 2034. The broader category is growing near 28% a year. The per-case math looks even better. Material cost per

Booking All-on-X cases isn't the same as growing. The global implant market is $6.02 billion in 2026, heading to $11.02 billion by 2033. Demand isn't the problem. 72% of patients already know what implants are. 66% view the treatment positively. The bottleneck isn't awareness. It isn't even case acceptance. Here's the part most practices miss. A $40,000 All-on-X case that gets a yes is a promise. Between yes and paid sits months of appointments, components, lab work, surgical

They built a $10M ASC. Then sold the building and signed a 15-year lease to stay in it. That's exactly what the physician group at Orthopedic & Spine Centers of Wisconsin just did in Middleton. Cypress Exchange Properties acquired the newly built 12,000 sq ft, three-OR facility and packaged it into a Delaware Statutory Trust for 1031 exchange investors at 55% LTV. The surgeons? They're now tenants in the building they developed, under a triple-net lease with 3% annual rent es

Finding the right practice isn't the hard part. Having financing ready before it surfaces is. Most buyers start looking for capital after they find a practice. By then, they're racing the clock, and sellers notice. Sellers who want to move fast go with the buyer who's already ready, not the one still lining up capital. That's the real edge in dental and oral surgery acquisitions right now. Not finding the deal, but being positioned to close it the moment it shows up. Ca

The big groups are buying each other now, not individual practices. That shift is creating real openings for associates who've been waiting on the sidelines. Here's what the market looks like right now: - Compressed multiples mean sellers are more realistic - Lower interest rates are improving deal math significantly - Corporate buyers are distracted with their own mergers Veterinary practice acquisition financing for individual associates has never been more structured or ac

The dental industry is experiencing significant change regarding private equity investments. As more private equity firms focus on dental practices and dental service organizations (DSOs), a range of trends and statistics is emerging that shed light on this evolving landscape. In this post, we will explore six key statistics and trends that show how private equity companies are influencing the dental sector and what this means for the future of dental care. New Legislative De

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