The factors impacting DSO affiliation

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There are a number of characteristics that can impact dentists affiliating with DSOs, including specialty, career stage and gender, according to data from the American Dental Association. 

In 2024, 16.1% of dentists in the U.S. were affiliated with a DSO, but that percentage changes based on certain aspects. 

Some dental specialties, including orthodontics and oral surgery, have a significantly higher rate of DSO affiliation than periodontics and prosthodontics. 

Younger dentists are more likely to be affiliated with a DSO, as more than a quarter of dentists who are up to 10 years out of dental school are affiliated with a DSO, compared to less than 10% of dentists who are more than 25 years out of school. 

Female dentists are slightly more likely to be DSO-affiliated, but only by a few percentage points. 

Here is the percentage of dentists who are affiliated with a DSO, broken down by speciality, career stage and gender, according to the ADA’s Health Policy Institute. 

By specialty

Orthodontics: 23%

Oral and maxillofacial surgery: 22%

Endodontics: 21%

General dentistry: 15%

Pediatric dentistry: 15%

Periodontics: 14%

Prosthodontics: 11%

Other: 11%

By career stage

Up to 10 years out of dental school: 27%

Between 11 and 25 years out of dental school: 14%

More than 25 years out of dental school: 9%

By gender

Female dentists: 18%

Male dentists: 15%

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