The Unexpected Headwinds Facing Dentistry
A pioneer in modern dentistry for over 30 years! Dr. Kallas earned his Doctor of Dental Medicine (DDS) degree in 1989. In 1993, he graduated from the Howard University College of Dentistry postdoctoral program. While there, he completed his internship at the District of Columbia General Hospital. Since then, he has pursued... more
Geith Kallas, DDS. Dentist and CEO of Smile Makers Dental Center (Tyson’s Corner, Va.): In 2025, the U.S. dental industry is grappling with a series of unexpected challenges that are impacting both private practices and DSOs. These obstacles span staffing issues, financial pressures, policy changes and evolving patient expectations.
No. 1: Persistent staffing shortages: Despite an increase in dental hygiene program graduates, many practices continue to face difficulties in recruiting and retaining qualified staff. This shortage extends beyond clinical roles to administrative positions, such as medical billing specialists, which are crucial for efficient operations. The lack of trained personnel in these areas can lead to delayed billing cycles and financial losses.
No 2: Financial strains from insurance and rising costs: Low insurance reimbursement rates, coupled with administrative complexities, are placing a heavy burden on dental practices, affecting their financial stability and operational efficiency. Additionally, escalating overhead costs, particularly in employment and supplies, are squeezing profit margins.
No. 3: Impact of tariffs and economic policies: Recent tariff implementations on imported goods, including dental products, have led to increased costs for essential supplies. The American Dental Association has expressed concerns that these tariffs could limit the availability of necessary materials, further straining dental practices.
No 4: High interest rates affecting practice investments: Elevated interest rates have made financing for practice acquisitions and equipment purchases more expensive. This financial environment poses challenges for both new and expanding practices, as higher borrowing costs can deter investment and growth.
No. 5: Potential cuts to medicaid and public health funding: Proposed reductions in Medicaid funding threaten to decrease patient access to dental services, particularly for low-income populations. Such cuts could lead to increased emergency visits for untreated dental issues and place additional financial strain on practices serving these communities.
No. 6: Evolving patient expectations and technological integration: Patients are increasingly seeking practices that offer innovative technologies, such as AI and digital solutions, for enhanced care experiences. This shift necessitates investments in new technologies and adaptations in practice management to meet these expectations.
No. 7: Changing workforce dynamics: The dental workforce is experiencing notable shifts, including a generational transition with more dentists moving from solo practices to group settings or affiliating with [dental service organizations]. Additionally, there’s an increasing number of female dentists entering the profession, influencing practice models and patient care approaches.
Navigating these multifaceted challenges requires strategic planning, adaptability, and proactive engagement with industry trends and policy developments to ensure the continued delivery of quality dental care.
