DSOs are eyeing new opportunities for scalable growth this year, while also continuing to invest in initiatives that have brought them success in the past.
Here are three key trends driving DSO growth this year:
Artificial intelligence
Becker’s has reported on AI rollouts across several DSO networks, including Aspen Dental, Coast Dental, DECA Dental Group, and PDS Health. Many executives agree that technology investments that enhance patient care and improve practice efficiency will be key factors separating top dental groups.
“Five years from now, the most successful dental organizations won’t just be the ones with the best technology, but the ones who know how to integrate AI without losing their humanity,” Stef Simich, director of people development at Lone Peak Dental Group, told Becker’s. “When AI is paired with human judgment, empathy and accountability, it creates sustainable growth, healthier teams and consistently better care.”
De novos
Several DSOs are opting for de novos over acquisitions as a way to maintain consistency and growth across their brands. Smile Partners opened its first de novo office earlier this year as part of a new growth strategy that breaks away from its traditional approach involving practice acquisitions and partnerships.
Source: The big trends driving DSO growth in 2026 / Becker’s Dental

