Jill Allen & Associates Blog

Navigating Orthodontic Practice Transitions

Written by Jill Allen | Thu, Apr 03, 2025 @ 06:00 AM

Practice transitions can be equal parts exciting and overwhelming—and if you’re an orthodontist wondering what the road ahead looks like, this episode of the Hey Docs! Podcast is for you. Jill Allen sits down with Shannon Patterson, partner at Bentson Copple Patterson and Associates, to unpack what’s happening in the orthodontic world right now, and more importantly, how to navigate it like a pro.

From DSOs and OSOs to partnerships, rebranding, and retirement planning, this episode is packed with real talk and actionable takeaways for doctors on both sides of the deal.

2025 Market Trends: It’s a Buyer’s Game (But Sellers, Don’t Panic)

Post-COVID, the landscape has shifted. What used to be a hot seller’s market is now tilting toward buyers. With rising student debt and economic pressures, some buyers are approaching ownership cautiously—but that doesn’t mean they’re backing away. In fact, many are ready to buy smart.

Shannon notes a growing appetite for smaller, less flashy practices with long-term potential. If you’re a buyer, this is your moment to strategize. If you’re a seller, it’s time to make your practice irresistible—and realistic.

Partnerships Are In—Especially Among Women Doctors

One major shift worth noting? The rise in partnership models. Shannon shares that more female orthodontists are seeking flexible, shared ownership structures that allow for better balance and collaboration. It’s a trend we expect to continue as the industry evolves with a new generation of doctors leading the charge.

For Sellers: Don’t Wait Until You’re Ready to Retire

If selling your practice is even a blip on your radar, don’t wait until you’re burned out or heading for the exit. Shannon’s advice is clear: start preparing early. That means evaluating your financials, understanding your local market, and getting the right support team in place—whether that’s a consultant, a valuation expert, or both.

For Buyers: Do Your Homework (and Then Some)

Buying a practice is a big move—emotionally and financially. Shannon encourages future owners to look beyond surface-level metrics and understand what it really takes to run a successful business. A mentor or consultant can be a game-changer here. So can a seller who’s willing to stick around during the transition.

The Power of a Planned Transition

Speaking of sticking around… sellers, your role doesn’t end at the signing table. A thoughtful, well-structured transition period is one of the most valuable gifts you can give a buyer. It helps retain patients, build team trust, and set the new owner up for long-term success.

DSOs & OSOs: Shifting from Buyouts to Partnerships

DSOs and OSOs aren’t going anywhere, but the way they’re showing up has changed. Instead of buying out practices entirely, many are now focused on growth partnerships that keep doctors engaged and involved. Shannon breaks down what to look for—and what to avoid—if you’re exploring this route.

Invest in Your Growth—At Every Stage

No matter where you are in your practice journey, one theme rings true: investing in yourself and your team is never a bad idea. Shannon encourages doctors to pursue leadership development, lean on expert advisors (like, hey—Jill!), and stay open to new tools and technologies that can help practices grow smarter.

Final Thoughts: Take the Leap

Shannon wraps the conversation with a powerful reminder: “Go for it.” Whether you're buying, selling, or stepping into a new phase of practice ownership, taking action is what moves the needle. Don’t let uncertainty hold you back from creating the career—and life—you want.

🎧 Catch the full episode on the Hey Docs! Podcast for even more insights from Shannon. And if you’re ready to start your own transition journey, our team at Jill Allen & Associates is always here to help guide the way.