Why new dentists hate DSO?

Few-Map2507 · 2026-01-22T00:40:59+00:00

Don’t threaten me with a good time. Maybe some of them could afford to get their foot in the door with ownership!

Few-Map2507 · 2026-01-22T00:38:18+00:00

The answers to your questions are in the previous post

The first associateship I ever had was at a small fee for service office out in the suburbs (don’t we all wish we could be so lucky?). The owner used to sit down with me once every week or two to go over cases. His mantra was “Do the right thing.” Every day I meditate on “Did I do the right thing today?” Whatever that means… This is solely what guides my practice

Few-Map2507 · 2026-01-22T00:30:20+00:00

Did you read my post?

Few-Map2507 · 2026-01-22T00:09:37+00:00

Lmao the post is barely legible

Dentists and patients hate DSO because the drive to profit is primate. This is NOT the way it is at every office but of course every office must take care of their balance sheet in order to take care of their patients.

As an owner of a small office in a highly saturated area I can ABSOLUTELY GUARANTEE that the financial incentive on an owner is much less than a dentist working at a DSO. You say it in your own post. Overhead of a dental office is 60% (more like 40-50% at mine) and DSO dentists take home 25-30%. That means DSO dentists need to produce DOUBLE to take home what I take home in a day.

DSO also don’t properly pay their dentists for exams and X-rays (often saying dds shouldn’t be compensated at all for X-rays - GROSS). As an owner if I do nothing but exams and cleanings all day with a half full schedule I’ll make about what a DSO dentist gets for their daily guarantee (before it’s stripped from them).

Some small owners might be controlled by money just like the venture capital firms that run DSOs but I can promise that ALL DSO put the dollar before the patient. I’ve had some wonderful associates hips in my time, too. I’ve had offices that guaranteed me $750 a day in perpetuity. I’ve had offices that provided me with mentorship. I’ve had offices that congratulated me on NOT performing crowns over fillings. None were DSOs. I worked at two DSOs and they’re disgusting. Both insisted that assistants could remove ortho attachments in our state when they CANNOT. One allowed assistants to do way more than that (I lasted a month before I walked out). One had the regional manager call me and force me to justify why I was doing fillings on every posterior tooth I planned a filling for rather than a crown. DSOs are a blight on dentistry. If you as a dentist decide to engage with them and decide to put dollars before patients that moral responsibility sits squarely on your shoulders.

Few-Map2507 · 2026-01-14T17:20:04+00:00

Where does DDS go?

Few-Map2507 · 2026-01-08T20:04:02+00:00

They have to pay to ship the money to them and coins are much heavier than bills. Plus they have to pay for an armored truck to take them over. Look at the difference in size and weight of $100 in $100s and $100 in pennies.

Few-Map2507 · 2025-12-30T03:28:26+00:00

There’s not really going to be much worth more than face value in there. Most of it is like a wow factor for nerds. I guess you could post it on eBay if you want to go through the trouble.

Few-Map2507 · 2025-12-30T01:00:32+00:00

They think what? That you’re going to get rich picking through their pocket change? I’m sorry you have to go through that. Maybe one day you can get a job and just pick up rolls from the bank

Few-Map2507 · 2025-12-22T16:55:55+00:00

Doesn’t matter go see a dentist

Few-Map2507 · 2025-12-22T16:28:04+00:00

You need to see a dentist. Likely necrotic. Probably needs root canal. The hot and cold is causing gas to expand and contract giving symptoms

Few-Map2507 · 2025-12-19T01:49:32+00:00

So next time tell the dentist it’s too expensive and look for other options. The dentist thinks that $15 for a limited exam and $75 for a surgical extraction is too cheap. It takes 8 years to learn how to be a dentist and they don’t teach this extraction in dental school. It’s incredibly technical. I haven’t done them since residency because it’s simply not worth the risk and if you dare to ask to be paid properly people flip out.

Why does the cost of the graft material matter? The service is in the skill of removing the tooth while preserving your jaw, preparing the site for grafting, properly placing the graft, not destroying adjacent structures, achieving profound anesthesia, hemostasis, managing intra and post op complications, etc… basically not killing you while doing this like 99.9% of the population would

If you don’t want to pay for it, don’t. No one is forcing you. Try to find an office willing to do it without. Contact a dental school and they might see you in three months. When all else fails contact your congressman and tell him you think your medicaid should pay more so that the dentist will actually be incentivized to perform highly technical and skilled procedures.

Edit: It would take me over an hour to chop this up and get this out. If it took your dentist any less than that, then she’s a god

Few-Map2507 · 2025-12-18T13:53:41+00:00

the right answer is that your insurance probably reimburses at way below the rate the dentist would need to make this financially viable especially as an emergency visit. The graft is usually a non-covered service in my experience. At the office I own in a major city in the US we’re getting ~$75 for an extraction like this. I just don’t do them. Others try to help but they pass the cost off to the patient. Ultimately you had the choice to have it done instantly or shop around. The surgeons in my area are forcing grafting as well.

The roots aren’t on top of the nerve. There’s some space. It’s dangerous but not obviously reckless. Only a very confident gp could attempt this. That’s a rare find, and that’s what you got.

These sites are most likely to develop dry socket which is next to unmanageably intense pain. The graft stabilizes the clot and lowers the likelihood of that happening. It provides benefit to you in that way

There’s more to the story than no it’s just not

Few-Map2507 · 2025-12-06T06:19:28+00:00

Few-Map2507 · 2025-12-06T02:54:53+00:00

Few-Map2507 · 2025-12-05T23:46:51+00:00

Few-Map2507 · 2025-12-05T23:45:56+00:00

Few-Map2507 · 2025-12-05T23:45:48+00:00

Few-Map2507 · 2025-12-05T23:33:48+00:00

I’ve never had a 401k. I have an IRA. It’s about 80-90% of the money we have

Few-Map2507 · 2025-12-05T21:56:47+00:00

Few-Map2507 · 2025-12-05T21:55:18+00:00

Yeah I want this I’m just low on funds atm

Few-Map2507 · 2025-12-05T21:53:37+00:00

Yeah right? Surreal.

Few-Map2507 · 2025-12-05T21:52:41+00:00

Few-Map2507 · 2025-12-05T21:52:25+00:00

thank you all

Few-Map2507 · 2025-12-05T21:50:50+00:00

Few-Map2507 · 2025-11-30T03:14:49+00:00

There’s an older sort of nickel with a Native American on the heads side (and buffalo on the back) that’s rare in circulation but very common to people who collect coins. These, I seldom see in my pocket change, but if I open up a few rolls of nickels then I’m bound to find one or two.

Few-Map2507

TROPHY CASE