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A Silent Shift: Corporate ownership in dentistry and veterinary medicine (#237)

Writer's picture: RIck LeCouteurRIck LeCouteur


In recent years, the dental landscape has undergone a significant transformation as privately-owned dental practices are increasingly being acquired by corporate entities. This trend is reshaping the patient experience and the dynamics of dental care, yet the public remains largely unaware of the shift.


The question is: why are corporations silent about this?

 

Rise of Corporate Dentistry

 

Traditionally, dental offices have been small, privately-owned practices run by individual dentists. These practices often thrived on long-standing patient relationships and a personalized approach to care. However, corporate dental chains have recognized the profitability of dentistry and entered the market aggressively. With large financial backing, these corporations acquire independent offices and rebrand them or integrate them into larger networks.

 

For dentists nearing retirement or overwhelmed by the increasing administrative and financial burdens of running a practice, selling to a corporation can seem like an attractive exit strategy. Corporations promise streamlined operations, reduced overhead, and marketing resources that private practitioners struggle to match.

 

Lack of Public Disclosure

 

Despite this trend, the average patient walking into their trusted dentist’s office often has no idea that the practice has been acquired by a corporation. This lack of transparency raises ethical questions. Why aren't corporations openly advising the public of these changes?

 

  • Brand Continuity: Corporations often retain the name, signage, and even the original staff of the practice to avoid alarming patients. Publicly announcing a corporate takeover might alienate patients who value the perceived intimacy and authenticity of a locally owned practice.

 

  • Profit Over Patient Loyalty: Transparency might not align with corporate priorities. Highlighting the shift to corporate ownership could prompt patients to seek out remaining independent practices, which are often viewed as providing a more patient-centric experience.

 

  • Patient Perception: Corporations may fear that patients will associate them with cost-cutting measures or impersonal care, even if the reality is more nuanced. By maintaining the appearance of a private practice, they aim to preserve trust and loyalty.

 

Impact on Patients

 

The corporate approach to dentistry introduces a profit-driven model that may, in some cases, prioritize financial goals over patient care. Corporate offices often emphasize meeting revenue targets, which could result in higher-pressure sales tactics or unnecessary procedures. Patients might notice subtle changes, such as increased emphasis on upselling services like teeth whitening or orthodontics, and potentially less time spent with the dentist during appointments.

 

Conversely, proponents argue that corporate practices can offer benefits like extended hours, access to advanced technologies, and standardized protocols that smaller offices might struggle to provide. However, these potential advantages are seldom communicated transparently to patients.

 

What Can Patients Do?

 

To navigate this changing landscape, patients should:


  • Ask Questions: When visiting a dental office, inquire about ownership. Patients have the right to know whether they are being treated by an independent practitioner or part of a larger corporate entity.

 

  • Research Online: Look up the practice to see if it’s affiliated with a corporate chain. Websites or reviews often reveal this information.

 

  • Support Independent Practices: If the personalized touch of a private practice is important, seek out dentists who remain independently owned and operated.

 

Need for Transparency

 

The corporate takeover of dental offices is not inherently negative,

but the lack of transparency undermines patient trust.

 

By staying silent, corporations risk eroding the trust that forms the foundation of patient-provider relationships. It’s time for a more open dialogue about the corporate shift in dentistry. One that empowers patients to make informed choices about their care.

 

Rick’s Commentary

 

The corporate takeover of privately-owned dental offices bears striking similarities to what has been happening in veterinary medicine over the past few decades. Both professions, historically defined by small, community-based practices, are increasingly being absorbed into large corporate entities. This shift has significant implications for both patients and pet owners and raises critical questions about the future of personalized care.

 

Like dentists, veterinarians have traditionally operated independent practices, building strong, trust-based relationships with their clients. These practices often served as community pillars, where the focus was as much on care as it was on commerce. However, the same forces driving the corporate consolidation of dental offices, such as rising operational costs, administrative burdens, and the lure of financial security, have led many veterinarians to sell their clinics to large veterinary chains.

 

In both industries, corporate entities emphasize economies of scale. Centralized purchasing, marketing, and administrative support allow these corporations to reduce costs and maximize profits. Yet, just as in dentistry, this model can shift the focus from personalized care to meeting revenue targets.

 

Veterinary medicine, like dentistry, is a deeply personal service. Pet owners value trust and continuity of care. When a practice is sold to a corporate chain, the familiar faces of long-term staff often change, and decision-making may become more profit driven.

 

In veterinary clinics, this can manifest as upselling of diagnostics, prescription diets, or procedures, sometimes leaving pet owners questioning whether recommendations are truly in their pet’s best interest. Similarly, in dental offices, patients may experience a push for high-cost treatments that may not always be necessary.

 

The corporatization of both fields has also led to increased stress on practitioners themselves. Veterinarians and dentists often report feeling pressured to meet financial goals set by corporate headquarters, which can conflict with their professional judgment and ethical standards. Burnout is becoming a growing concern in both professions.

 

One of the most glaring parallels between these two industries

is the lack of transparency about corporate ownership.

 

Whether it’s a dental office or a veterinary clinic, patients and clients are often unaware when a beloved local practice has changed hands. Corporations frequently maintain the original practice name and branding, creating an illusion of continuity. This lack of disclosure prevents clients from making fully informed decisions about their care providers.

The lessons for dentistry and veterinary medicine are clear:


  • Transparency Matters: Corporations in both industries should openly disclose their ownership and explain how their business models impact care. Trust is built on honesty, and patients and pet owners deserve full transparency.

 

  • Support Independent Practices: Clients who value personalized care should seek out independently owned dental and veterinary practices when possible. By doing so, they help sustain the viability of small businesses in both fields.

 

  • Advocate for Balance: While corporate efficiency has its advantages, such as extended hours, access to technology, and cost containment, this should not come at the expense of personalized, ethical care. Consumers can advocate for corporate policies that prioritize quality over profit.

 

The corporatization of dentistry and veterinary medicine reflects

broader societal trends where profit-driven models

dominate traditionally personal industries.

 

As these changes unfold, patients and pet owners alike must navigate a more complex landscape of care, asking tough questions and making choices that align with their values.

 

 

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