Why "All-in-One" Is Out: Dental Practices Are Customizing Their Tech Stack
The Rise and Fall of the "All-in-One" Dream
For years, "all-in-one" was the gold standard in dental tech marketing. The pitch was simple: fewer vendors, fewer headaches. One platform to manage your PMS, imaging, analytics, communications, and marketing. It sounded like the perfect solution for overburdened teams and time-starved practice owners.
But here’s the problem: few of those platforms ever did everything well.
We’ve entered a new era. Dental practices—especially those that want to grow—are rejecting bundled platforms in favor of best-in-class solutions. It’s not just a software preference. It’s a strategy shift. It’s about precision, performance, and partnering with experts who do one thing exceptionally well.
Why Unbundling Is Gaining Momentum
Data Point: A 2023 survey by Dental Products Report found that over 67% of private practices plan to switch away from bundled platforms in the next 12–18 months, citing customization, speed of innovation, and user experience as top reasons.
Another stat worth noting: In Peerlogic's own client data, practices that moved away from legacy all-in-one platforms and adopted specialized tech saw a 23% increase in operational efficiency within the first 60 days.
1. Bundled systems mean compromise.
All-in-one platforms promise convenience, but that often comes at the cost of functionality. When your imaging is decent, your analytics are basic, and your call tracking is barely usable, your practice ends up working around the tech instead of being powered by it.
2. Innovation moves faster in focused companies.
When a vendor is trying to be everything to everyone, innovation slows down. Compare that to niche platforms with tight focus: they update faster, adapt better, and drive real change in the part of your business they support.
3. Integration isn’t the enemy anymore.
A decade ago, integrations were painful. Today, modern APIs, middleware, and cloud-based systems mean the right stack doesn’t just work—it flows. Data is more visible, more actionable, and more aligned across systems.
4. DSOs and private practices need adaptability.
Your needs evolve. You scale. You acquire. You launch a specialty. With a modular, unbundled stack, you can swap out components as your business shifts—without a total overhaul.
What This Looks Like in Practice
Let’s break it down by capability:
- Call intelligence and missed call recovery
- Marketing analytics
- Practice management systems (PMS)
- Clinical imaging and diagnostics
- Patient communications and engagement
Each layer of the tech stack is specialized, intentionally selected, and strategically implemented.
When you stop looking for one vendor to solve everything, you start building a system that performs better across the board. Your front office gets better tools. Your ops team gets cleaner data. Your patients get a better experience.
The Doctor-Partner Dynamic Is Changing
There’s a bigger cultural shift happening, too.
Doctors don’t want to be tech buyers. They want to be clinical leaders. They want to focus on delivering care—not troubleshooting platforms or making do with a mediocre feature set.
The most successful practice leaders today aren’t trying to be experts in marketing analytics or AI call automation. They’re partnering with companies that already are.
They’re hiring fractional COOs. Investing in ops leads. Collaborating with tech partners that actually show them the data and work to improve outcomes. This is what modern leadership looks like in dental.
DSOs Are Leading the Charge
DSOs have seen this movie before. They know the cost of inefficiency. They’ve lived through platform lock-in. They’ve built acquisition strategies around agility.
Which is why the savviest DSOs are prioritizing:
- Interoperability across systems
- Real-time visibility into performance metrics
- Conversion tracking tied to marketing spend
- Vendor relationships based on outcomes, not checklists
They’re not afraid to fire a partner that underperforms. And they’re not afraid to pay more for tools that drive measurable ROI. That mindset is now trickling down to midsize groups and even solo practices.
What You Risk by Staying Bundled
- Limited customization: You’re stuck with the way the platform works, even if it doesn’t match your workflow.
- Slower innovation: You wait months (or years) for updates while niche players are shipping new features quarterly.
- Data silos: Ironically, all-in-one tools often hide data behind clunky dashboards or limited export capabilities.
- Support gaps: When everything is bundled, support is broad but shallow. You don’t get the depth you need to solve complex issues.
Not All Vendors Are Trying to Be All-in-One
At Peerlogic, we’re intentionally not an all-in-one platform. We focus on three powerful, interconnected capabilities: VoIP, analytics, and AI.
- VoIP: Streamlined, reliable call infrastructure built for healthcare
- Analytics: Actionable call and conversion insights that drive smarter decisions
- AI (Aimee): Real-time follow-up and patient recovery that supports, not replaces, your staff
We don’t do digital forms. We don’t process payments. We don’t offer watered-down tools that sound good in a demo but get ignored in real workflows.
Instead, we build tech that plays well with others and delivers fast ROI in the areas that matter most.
That’s the unbundled mindset. That’s how modern practices win.
The era of “all-in-one” is fading fast. The future is modular, measurable, and built around expert partners who do what they do best.
Unbundling isn’t about making your life more complicated. It’s about making your tools work for you—not the other way around.
And for practices that want to grow, scale, and compete? That’s not optional. That’s table stakes.
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The Reality: Pet Parents Don’t Wait
Today’s veterinary clients expect quick answers and frictionless scheduling. Multiple studies show:
- 24%–28% of all calls to the average veterinary clinic go unanswered—that’s as many as 1 out of every 4 potential appointments lost, especially during busy times or after hours.
- 85% of callers will not call back if you miss their call, and most won’t leave a voicemail—they’ll call a competitor instead.
- Most clinics rely heavily on phone calls: over 90% of appointments are still scheduled over the phone in many practices.
“Even two missed calls a day can mean 40 lost opportunities a month—and most are gone for good.”
The Hidden Cost of Missed Calls
The cost of even a single missed call adds up fast. Here’s what the numbers look like across real clinics:
- The average small business loses about $126,000 annually due to missed calls—not a small number.
- For each new client lost, the potential value can exceed $10,000 over the pet's lifetime, considering long-term and preventive care.
- Up to 60% of calls go unanswered during the busiest hours if staff are stretched thin.
- Clinics with inefficient phone systems miss out on over $100,000 of recoverable revenue every year—often a conservative estimate.
Pressure on Staff and Practice Reputation
- Staff shortage and multitasking make it almost impossible to answer every call—causing stress and missed connections.
- Missed calls undermine trust and satisfaction: Negative client experiences can damage reputation and result in poor online reviews.
- Nearly 80% of veterinary negligence cases have a communication element—a missed call or message can become a risk factor.
AI-Powered Call Recovery: A Fast Fix
Hiring more people isn’t always feasible, and traditional answering services can be costly and inconsistent. That’s why a growing number of clinics are turning to AI call recovery tools.
How AI Solutions Like “Aimee” Help
- Answer every call, 24/7—including lunch breaks, after hours, or staff busy moments.
- Follow up automatically: Proactively return missed calls and even convert voicemails into bookings, no staff action needed.
- Book in real time: AI assistants can access your scheduling software and confirm appointments on the spot, reducing the phone tag cycle.
- Improve efficiency: One clinic cut missed calls from 25% to under 2% and reduced admin training time by 80%, thanks to AI.
- High ROI: Many practices see an additional $100,000+ in recovered revenue per year, per location.
Results You Can Measure
- 60% reduction in missed calls after system upgrades or implementing AI.
- AI-driven clinics typically recover 20% more appointments and boost client satisfaction by 15%.
- Fewer no-shows: AI receptionists can minimize the “no-show” rate, preventing $50,000+ per year in wasted slots for an average veterinarian.
- Transparent data: Call analytics reveal when, why, and how calls are being missed, so practices can act quickly.
The Bottom Line
Your phones are still the #1 gateway to more appointments, happier clients, and a thriving business. But the cost of missed calls is steeper than most realize, impacting revenue, reputation, and staff wellbeing. AI-assisted solutions now give clinics a simple way to make sure every call is answered, every opportunity is captured, and every pet parent is cared for.
This ebook aims to help DSOs navigate portfolio expansion in 2025/2026 with confidence and data-driven insights. The global dental services market reached $457.5 billion in 2023 and is forecast to exceed $788.8 billion by 2033, growing at a 5.6% CAGR.
U.S. dental spend alone rose to $174 billion in 2023, up 2.5% from theprevious year.Cosmetic, preventive, and tech-enabled care are now essential growth drivers—not fringe services.Meanwhile, DSOs are absorbing more practices than ever. With scale comes complexity, and expectations of operational maturity.
Consolidation is up, but so is competition. Patients are acting more like empowered consumers than passive recipients. They have options, tools, and review platforms at their fingertips. They are not loyal by default.
DSOs must evolve from acquisition engines to experience-driven organizations.
Revenue growth will increasingly depend on your ability to:
- Deliver consistent patient journeys across every location
- Enable performance from the front desk to the executive suite
- Use automation to drive both efficiency and personalization
- Build a brand that earns loyalty, beyond price or proximity
Where will growth come from in 2025 and 2026? Download our e-book to find out.
The dental industry is consolidating, but market shifts are changing the rules for those rolling up practices looking to package and exit.
Consolidation now requires integration across a portfolio to drive the enterprise value needed to move that portfolio to a private equity sponsor.
Five years ago, an operator could get away with packaging up 25–50 practices and turning them over to PE to integrate and optimize. As is typically the case, PE learns that EBITDA growth is in the operations, and operations is hard, therefore shifting the onus to the operator to create value in the portfolio before entertaining the transaction.
Now, dental operators must be adept at integration across people, process, and technology. No small feat—but to make investors whole, it’s the only way.
As an institutional investor in B2B vertical SaaS, I see the dental industry going through a common tech consolidation cycle.
Core systems lead the charge, in this case, Practice Management Software (PMS) becomes the technology backbone of the practice. Then smaller tech solutions flood the market to fill the gaps in the core solution. The stack starts to bloat, raising costs and complexity.
As in other industries, the tech leaders in the space do a great job of influencing process in the form of “best practices.” The best of them build armies of raving fans (power users) who become the mouthpiece in the practice for the adoption of new solutions. That’s great for the software company—but not always for the business. When an operator decides to roll up practices, this problem compounds, as you now have conflicting opinions about the right solution moving forward.
The next phase is tech consolidation, which typically looks like a series of M&A transactions led by the system-of-record tech (PMS), trying to roll up smaller solutions into their platform to acquire customers, transition them to their core, and generate the perception of a fully integrated solution. There are varying degrees of success here. But the reality is, most companies are not going to acquire the best-of-breed solutions—those are expensive transactions. And just like the DSOs rolling up practices, tech companies are building enterprise value for their investors. The result is often a half-baked solution that isn’t much more than a customer grab.
So, what’s the solution?
First, look at best-of-breed solutions focused on delivering tangible ROI for your portfolio, those that facilitate the consolidation of people and process through a seamless technology experience.
Second, examine their partner ecosystem. The best companies create deep partnerships that bring together the best of the best across specialized use cases. These partnerships go beyond tech integration. They extend into go-to-market strategy, deploying a value-based model that highlights the levers they can pull in your portfolio, the outcomes of pulling them, and the roadmap to get there. These partnerships often lead to M&A transactions that create outsized outcomes for both stakeholders and customers.
DSOs are at a crossroads when it comes to delivering enterprise value to their investment partners. The only path forward is an integrated portfolio, built on solutions that drive revenue, production, and efficiency across the enterprise—setting the standard for people, process, and technology.
As an investor and operator in Peerlogic, our charge is to serve 1 million patients through our AI-first solutions and deliver $1 billion in incremental revenue for dental practices. We do this through a truly integrated, value-first solution—one focused on meeting the DSO market where they are: building integrated portfolios that deliver enterprise value at the next turn.
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