
The Dentalpreneur Podcast w/ Dr. Mark Costes 2432: Why Early Career Dentists Need a New Learning Model
Jan 27, 2026
Dr. Vishal Sharma, Director of Clinical Education and Operations at Spear and former DSO clinical lead, brings experience scaling practices and shaping dental training. He discusses hybrid learning models, AI in diagnostics and training, gaps for early-career dentists after the pandemic, hands-on plus virtual training methods, and tech-driven efficiency and accountability in modern dental education.
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From Solo Clinic To Multi-Location Owner
- Vishal Sharma described acquiring a four-operatory practice then expanding and merging multiple locations into a flagship clinic.
- He explained that growth shifted his focus from clinical skill to business systems and operations.
Prepare Culture Before Merging Practices
- Do cross-pollinate teams and spend time integrating cultures before merging practices to reduce friction.
- Seek synergies by combining complementary services to accelerate growth and justify expensive technology investments.
Keeping Selling Dentists Involved Pays Off
- Sharma described tranche buyouts where selling dentists stay part-time, often rejuvenating their careers and extending their tenure.
- He found that removing management burdens helped older dentists continue practicing longer than expected.


