The State of Dentistry in 2025: Reasons to Smile—and Challenges to Bite Into

The dental industry is at an intriguing crossroads in 2025. While growth and optimism are apparent, significant challenges could reshape how you navigate your practice. Understanding both the opportunities and obstacles can help you make strategic decisions to thrive in this dynamic landscape. 

Why the Future Looks Bright for Dentistry 

Several metrics highlight the growing opportunities in dentistry. These numbers represent actionable trends that can impact your practice. 

1. Income Growth Across Roles 
Dentist owners saw their incomes rise by 9% between 2023 and 2024, according to the 2025 Dental Salary Survey Report. Even more promising, full-time dental assistants reached a three-year income high of $47,440. For you, this means your practice may face fewer hiring challenges, as increased compensation often attracts and retains better talent. Additionally, these trends point to a stabilizing economy within the sector, which could offer you room to expand services or invest in innovative technologies

2. Dentists Are Feeling More Confident 
A survey by the American Dental Association’s Health Policy Institute revealed increased confidence among dentists regarding their practices, the dental care sector, and the broader U.S. economy by the end of 2024. This optimism suggests that your peers are seeing recovery and resilience post-pandemic, which can also mean more patients are prioritizing oral health again. 

3. More Dentists, More Graduates 
From 2019 to 2023, the number of general dentists increased by 9.8%, reaching 121,640. Likewise, nearly 7,000 graduates emerged from DDS- and DMD-accredited programs in 2023, an 8.2% rise since 2019. A larger talent pool gives your practice better options for associates or partners while also addressing some workforce shortages. 

These growth markers suggest an industry in expansion mode. For you, this could mean opportunities to scale, partner with new graduates, and leverage this wave of optimism to differentiate your practice. 

What’s Keeping Dentists Up at Night 

Despite the positives, the industry is still contending with some serious roadblocks. If left unchecked, these could complicate the path ahead. 

1. Dental Practice Management is Under Pressure 
Unlike the gains seen by dentists, dental practice managers saw their incomes drop by 6.5% in 2024. This could signal dissatisfaction or even turnover in key administrative roles. For your practice, this might translate to operational inefficiencies, slower patient scheduling, or revenue leakage. Ensuring your practice managers feel valued, through fair compensation or professional development, could mitigate this risk. 

2. Dental Care Shortages Are Alarming 
More than 24 million Americans live in dental care shortage areas, and over 21% of U.S. adults still lack dental insurance. These statistics highlight significant gaps in access to care. If you serve in an underserved area, this could mean an influx of new patients if outreach and education efforts are implemented. However, it also underscores the need for advocacy in expanding insurance coverage and workforce distribution. 

3. The Dental Hygiene Workforce Is Shrinking 
Here’s a trend to monitor: the number of graduates from accredited dental hygiene and assisting programs has declined since 2019, and nearly a third of dental hygienists plan to retire within six years. If this continues, you may face increased competition for qualified hygienists and assistants. Proactively building relationships with training programs or offering unique benefits could make your practice stand out. 

Opportunities Amid the Challenges 

Despite these hurdles, there are actionable ways to navigate the current landscape. 

1. Strategic Staffing Is Key 
The reported decline in dental hygiene graduates and pending retirements should push you to prioritize recruitment and retention. Consider implementing signing bonuses, flexible scheduling, or mentorship programs to attract top talent. The income growth seen for dental assistants suggests this is an area where investments can yield long-term benefits. 

2. Expand Access Where Possible 
Dental care shortages present a chance for growth. If your practice can serve underserved populations—through mobile clinics, telehealth services, or partnerships with community health organizations—you could tap into a new patient base while addressing a critical public health need. 

3. Advocate for Change 
The high number of uninsured adults and dental care shortage areas call for industry-wide advocacy. Joining professional organizations like the ADA to push for legislative changes around insurance coverage or funding for dental programs can help create a more sustainable future for the profession. 

4. Leverage Optimism to Innovate 
The growing confidence among dentists and increasing incomes signal a ripe time for innovation. Whether it’s adopting digital workflows, expanding your service offerings (e.g., clear aligners or implants), or enhancing patient experience with technology like AI-driven scheduling, now is the time to explore what can set your practice apart. 

While income growth and an expanding workforce suggest a thriving sector, looming workforce shortages and persistent care gaps demand your attention. By staying informed and proactive, you can turn these trends into opportunities. Whether it’s investing in staff, expanding access to care, or embracing innovation, the time to act is now. 

SOURCES: ADA, Becker’s Dental, Amplify360, ADA, ADA 

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