
The Dentalpreneur Podcast w/ Dr. Mark Costes 2321: How Decision Fatigue Can Derail Dental Practice Owners Pt. 2
Aug 27, 2025
Discover the intense pressures that dental practice owners face, including decision fatigue and rising student debt. Explore the pros and cons of starting a new practice versus acquiring an established one. Learn about the unique challenges new owners encounter and the mindset shifts needed for success. Gain insights into strategies for attracting new patients and ensuring long-term sustainability. Understand the critical role of strong vendor relationships and how consultancies can support aspiring dentists in navigating this complex landscape.
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Decision Fatigue Limits Owner Capacity
- Decision fatigue is real: we have a finite amount of energy to make decisions each day.
- That limited capacity harms clinical and business choices for dentists launching practices.
Fix Infrastructure Before Producing More
- Fix business infrastructure before trying to produce more dentistry.
- Plug operational 'holes' first, then add patient volume or advanced clinical services.
Dental Ownership Is Declining
- Ownership rates have declined sharply: overall ownership fell from 85.9% (2005) to 72.5% (2023).
- Female and male ownership both dropped significantly, shrinking the addressable owner market.
