Private practice has traditionally been the career goal for many dentists, but rising barriers to entry and evolving market conditions are making ownership increasingly difficult to achieve. Nine dental industry professionals discussed with Becker's the challenges confronting new dentists and how the route to practice ownership has shifted in recent years.

Barriers to practice ownership

New dentists face mounting obstacles when attempting to establish or acquire their own practices. The financial, operational, and regulatory hurdles that once seemed manageable have intensified, reflecting broader changes in how dental care is organized and delivered. Student debt levels, practice acquisition costs, and the complexity of managing a standalone business have all contributed to slowing the traditional pathway to ownership.

Shifting career trajectories

As independent practice becomes less accessible, new dentists are exploring alternative career structures. Dental service organizations (DSOs), group practices, and associate positions at larger facilities now represent viable long-term career options rather than stepping stones. This shift reflects both the realities of the current marketplace and the changing preferences of newer generations of dental professionals who may prioritize flexibility, mentorship, and reduced financial risk over solo ownership.