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On today’s episode, Alastair MacDonald joins Dr. Mark Costes during the Dental Success Summit 2026 for a powerful conversation on dental practice partnerships, equity, growth, and retention. Together, they unpack why many partnerships fail, especially when they are built from fear, scarcity, or a desire to retain an associate before that person is truly qualified for ownership.
Alastair explains the difference between giving equity as a reaction and designing a partnership with clear incentives, contribution, responsibility, authority, and long-term alignment. He also breaks down why high-producing associates are not always the best ownership candidates, how to think about qualification versus qualities, and why owners must use math, structure, and honest conversations to determine whether partnership, increased compensation, or another path makes the most sense.
Be sure to check out the full episode from the Dentalpreneur Podcast!
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