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What Software Do Fast-Growing DSOs Use to Scale
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Ezra Angelo
- • March 6, 2026
The platform that works at two locations often becomes the primary operational constraint at eight. Fast-growing DSOs that pay for scale-appropriate software early avoid an emergency migration. Those that did not pay for it in operational inefficiency and a disruptive, expensive re-platforming project at exactly the point when they are adding locations fastest.
Ekim IT Solutions is the dental-exclusive IT provider that has managed the software infrastructure for DSOs at every stage of growth across Maine, New England, Tampa Bay, and nationally, and the software platform decision is the single most consequential technology choice a fast-growing DSO makes.
A DSO grows from two to four locations on a platform that was never designed for multi-location management, discovers the reporting, scheduling coordination, and billing consolidation limitations at five or six locations, and faces a full migration at exactly the moment they have the least operational bandwidth to absorb it.
What Fast-Growing DSOs Need from Dental Software
Ekim IT Solutions evaluates DSO software against these four scale requirements.
Can DSO leadership see production, scheduling, and treatment plan data across all locations in a single organizational dashboard?
Without logging into each location separately.
Can a patient seen at one location have their record accessed or transferred to another location within the DSO?
Without manual export and re-import.
Can the DSO run insurance billing and accounts receivable management centrally across all locations?
Or does each location require separate billing management?
The Platforms Fast-Growing DSOs Choose
Denticon by Planet DDS
The most established cloud-native DSO platform, built exclusively for multi-location groups. Organizational reporting, centralized scheduling, and cross-location patient records are core features, not bolt-ons. Best fit for DSOs at five or more locations with reliable internet at every site. Ekim IT Solutions has configured Denticon for DSOs across multiple markets.
CareStack
A cloud-native platform with strong multi-location management and built-in analytics. Increasingly chosen by fast-growing mid-sized DSOs in the five to twenty location range. Strong patient communication and billing consolidation features. Ekim IT Solutions has managed CareStack deployments for DSOs in the Northeast and Florida.
Dentrix Enterprise
Server-based with a centralized database architecture designed for large DSOs. Deepest feature set among the major DSO platforms. Requires significant server infrastructure investment. Best fit for larger, established DSOs with centralized IT infrastructure capacity.
Open Dental with Clinics Feature
The most cost-effective multi-location option for DSOs that prioritize data ownership and low per-location cost. Ekim IT Solutions is a certified Open Dental vendor partner with specific expertise in the Clinics feature that enables shared database management across locations.
What IT Infrastructure Changes With Each Platform
Denticon and CareStack require no local server but demand consistent internet at every location. Dentrix Enterprise requires a centralized server infrastructure. Open Dental Clinics requires a shared server with MySQL database management expertise. Ekim IT Solutions assesses the infrastructure requirements at every location before any DSO platform selection is finalized.
Which DSO Platform Fits Your Scale
1. Server preference
2. Top priority
Suggested platform
Frequently Asked Questions
Ekim IT Solutions works exclusively with dental practices. We serve New England and New York with on-site support and dental practices nationwide with remote support. We have managed DSO software infrastructure at every growth stage and can tell you which platforms scale cleanly and which ones become the constraint before you find out the hard way.
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- • March 6, 2026
