Starting a Dental Practice in 2025-26

Starting a dental practice in 2025 presents a mix of challenges and opportunities. While economic uncertainties persist, strategic planning and adaptability can position new dental startups for success.
Dental start-ups represent a significant amount of Renew Digital customers. We've worked with hundreds over our 14 years in business, outfitting their imaging technology with certified pre-owned equipment - helping save 30-50% off list prices.
To help you get started from the very beginning of the process, I wrote an article "The 5 B's of a Dental Start-Up" outlining all you need to put together for success.
This time, we're talking about today's economic landscape as well as key considerations for pulling the trigger this year or early 2026.
Economic Landscape
In early 2025, dentists' confidence in the U.S. economy declined, with only 34.9% expressing optimism about the next six months, down from 56.3% in late 2024. This dip reflects broader economic concerns, including inflation and shifting consumer behaviors. [Becker's Dental Review]
Despite these challenges, 60% of dental practices reported same-store production growth in 2024, indicating resilience and potential for new entrants who adopt effective strategies. [Business Wire]
Key Considerations for Dental Startups
1. Financial Planning
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Startup Costs: Initial investments can range from $350,000 to over $500,000, covering equipment, leasehold improvements, and working capital.
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Financing Options: Explore loans from banks specializing in dental practices, and consider Small Business Administration (SBA) loans for favorable terms.
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Budgeting: Allocate funds for marketing, staff salaries, and unforeseen expenses to ensure operational stability.
2. Staffing Challenges
Staff recruitment remains a significant hurdle, with 62.2% of dentists citing it as a top concern. Offering competitive salaries, benefits, and a positive work environment can attract and retain qualified personnel. [Becker's Dental Review]
3. Insurance and Reimbursement
Low insurance reimbursements and claim denials affect profitability. Implementing efficient billing systems and considering a mix of insurance and fee-for-service models can mitigate financial strain.
4. Embracing Technology
Investing in digital tools like 3D printers, intraoral scanners, milling machines and more can enhance patient experience and streamline operations. Staying updated with technological advancements positions your practice competitively.
5. Marketing and Patient Acquisition
With increased competition, effective marketing is crucial. Utilize digital marketing strategies, including search engine optimization (SEO), social media engagement, and online reviews, to attract new patients.
Strategic Opportunities
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Flexible Payment Options: Offering financing plans can make dental services more accessible, appealing to a broader patient base.
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Specialized Services: Focusing on niche areas like pediatric dentistry or cosmetic procedures can differentiate your practice.
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Community Engagement: Participating in local events and health fairs can increase visibility and build trust within the community.
Congratulations on your big next step in your dental career! Opening a start-up is a big challenge but is a potentially lucrative investment in your future. It also, of course, comes with major considerations - finances, staffing/recruiting, patients, service offerings, construction, legal, technology and equipment, and the list goes on.
With so much on your plate, how can you find balance and make sure you’re making the right decisions for your practice?
If you're ready to find an affordable option for your next dental CBCT, check out our article: Choosing a 3D Cone Beam Dental System for a Startup Practice.
BONUS - CPO Dealers: Getting Unbeatable Value by Purchasing Refurbished Equipment
Since you’ve read this far, we’ll tell you a little bit about ourselves too.
We’re Renew Digital, we’re the market leaders in certified pre-owned dental imaging. We’re here to help you with one big piece of the equation, one of the most significant investments you’ll make for your start-up: imaging equipment.
With over 10 years in this business, we’ve helped thousands of dental and specialty practices find affordable 3D imaging as well as 2D panoramic and pan/ceph, and now intraoral scanners.
We have a wide inventory of imaging equipment, curated to the brands doctors trust most. We also help our customers with installation, warranties and 5-star customer service, all included with your purchase price - so you have peace of mind you’ll be up and running for the long-term.
You have a lot on your plate, and we're here to help. Let us be of help to you by providing a 5-star experience from start to finish, starting with our experienced Regional Sales Representatives through installation and your warranty period. There’s a reason over 300 customers have left us 5-star reviews on Google.
We offer mid FOV CBCT starting at $32,995, saving our customers 30-50% off new list prices on CBCT.
What are you waiting for? There’s never been a better time to find affordable dental imaging equipment and start making that investment to improve your profitability.
Give us a call, we’ll connect you to your dedicated sales rep at (888) 246-5611, or complete an online form by clicking the button below.