Why are big economic trends quietly killing average dental practices? Because no single trend looks fatal, but together they sink the ship. Frozen insurance maximums losing value. Carriers fighting to pay less. Equipment and staffing costs climbing. Younger patients needing almost nothing. Real household income flat for decades. Real dental spending soft once you remove inflation. Any one of those is survivable. Stack all six on one practice at the same time and the dentist who refuses to address marketing and selling is standing on a sinking ship, wondering why the water keeps rising. You will not find these laid out [...]