Dental Service Organization executives are preparing for a wave of mergers and acquisitions in 2026 and beyond, driven by changing economic conditions and accumulated demand from practices seeking consolidation. Five DSO leaders shared their expectations for how the next phase of dental M&A will unfold.

Economic drivers of the next M&A wave

Shifting economic factors are creating conditions favorable for deal-making after a period of relative slowdown. Pent-up demand from practice owners and smaller DSOs suggests consolidation will accelerate as financing becomes more accessible and valuations stabilize. The first wave of dental consolidation demonstrated that scale creates competitive advantages, setting the stage for continued aggregation across the sector.

What DSO leaders expect in 2026 and beyond

Industry executives are positioning their organizations to capitalize on increased M&A activity. The anticipated growth reflects confidence that practices and DSOs will pursue strategic combinations to strengthen market position, improve operational efficiency, and achieve economies of scale. Leaders are preparing teams and capital strategies to participate actively in the coming transaction cycle.