Female Dentists Are More Optimistic.
By Rachel W. Morrissey and Dr. Marko Vujicic
The economic landscape is in a state of flux as of early 2025. From lingering inflation to uncertainty around tariffs and interest rates, the effects are being felt across the health care industry, including dentistry. Since 2022, the American Dental Association’s Health Policy Institute (HPI) has conducted a regular survey of dentists in private practice to gauge their economic outlook for their practices, the dental sector, and the U.S. economy. This ongoing pulse check offers insight into how external economic pressures translate into real-time confidence—or caution—within the profession.
Since HPI began collecting these data, dentists’ confidence in the six-month outlook for their practices and the dental care sector has remained relatively stable. Between half and two-thirds of dentists reported feeling somewhat or very confident in these two sectors since early 2022. Confidence in the outlook for the U.S. economy, while rising steadily over the years, has consistently been lower than the dentistry-related measures.
Reverses in Confidence
At the end of 2024, dentists appeared optimistic about the U.S. economy. Confidence reached its highest level since the poll began, with a majority of dentists (56%) reporting a very or somewhat confident outlook for the coming six months. However, this trend reversed sharply by the end of March 2025, with just over one-third of dentists (35%) expressing the same level of confidence in the near-term economic outlook.

Dentists’ confidence in their own practices and in the broader dental sector remains higher than their confidence in the U.S. economy. Since early 2022, a majority of dentists have reported a positive economic outlook for the dental sector. However, this confidence dipped in the first quarter of 2025, with only 45% of dentists feeling somewhat or very confident in the outlook for their practices—a decline of about 17 percentage points from the previous quarter.
The Gender Gap
Among female dentists, the decline in dentistry-related confidence was less pronounced. Female dentists have consistently reported higher confidence levels in the dental sector and slightly higher confidence in their individual practices compared to male dentists.
Additionally, when comparing female dentists and male dentists, confidence patterns differed. From early 2022 through the end of 2024, female dentists consistently reported higher confidence in the U.S. economy than their male counterparts. In December 2024, while both groups saw an increase in optimism, the rise among male dentists was steeper.
By early 2025, confidence among women dentists had dropped to 34%, with men only marginally higher at 35%.
Falling Consumer Confidence
The decline in dentists’ economic confidence mirrors broader national sentiment and rising consumer pessimism. According to April 2025 data from The Conference Board’s Consumer Confidence Index, consumer confidence has fallen for five consecutive months. Short-term expectations—based on perceptions of business conditions, employment opportunities, and income—have reached their lowest levels since 2011.
Patient Demand: Perception vs. Reality
Consumer caution may already be affecting patient behavior. HPI’s survey tracks dentists’ ability to meet patient demand by monitoring their perceived busyness over the previous three months. In the first quarter of 2025, there was a slight increase in the percentage of dentists who reported being “not busy enough,” rising from 24% to 28% compared to the previous quarter. Dentists working in DSO-affiliated practices were more likely to be busier.
However, other data tell a slightly different story on patient demand. The Bureau of Economic Analysis tracks consumer dental spending. The latest data show that spending on dental services has been trending up slightly through March of 2025. Accordingly, it is still unclear how much the downturn in dentist economic confidence in early 2025 is being driven by a drop in patient demand.
HPI will continue to monitor these trends and share insights as more data become available. In the meantime, tune into the ADA Chief Economist’s take on future trends in the dental care market at the ADA’s Dental Sound Bite podcast.