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In this episode of The Full Arch Podcast, Dr. Steven Vorholt is joined by Dr. Alex Sharp to unpack what's really happening inside today's DSO landscape and why many organizations are starting to feel the pressure. Coming off a recent leadership conference, Alex shares key insights on growth, debt, and operational challenges shaping the industry.

The conversation challenges the idea that slow growth is normal in dentistry. Alex explains how specialization, strong systems, and focusing on bottlenecks have allowed SPG to outperform traditional models—while highlighting the growing opportunity in implant dentistry and the importance of differentiation.

Key Insights 🔹 The DSO Doom Cycle – Why overpaying, under-integrating, and relying on outdated growth models is putting major organizations under pressure 🔹 Breaking the Growth Ceiling – How focusing on systems, bottlenecks, and specialization can unlock performance beyond industry norms 🔹 Competing vs. Differentiating – Why most practices stay stuck in competition—and how shifting your model creates real leverage

🎧 Listen to Episode 164: Alex Sharp on the DSO Doom Cycle to hear how shifting your model and focusing on the right levers can unlock real growth on The Full Arch Podcast.

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Dr. Alex Sharp on the DSO Doom Cycle