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In this episode of Behind the Smiles, Nipun Kathuria, Founder & CEO of Smile Genius, sits down with Andy Sloan, Managing Director of Agilio Dental, to explore the realities of scaling modern dental groups — and why fragmented systems are the silent bottleneck holding the industry back. From private equity influence to operational governance, this conversation dives deep into what it actually takes to scale from 5 to 500 practices without losing control. Key Topics Covered • The current state of UK dentistry and the pace of digital transformation • The mindset shift from independent practice to group scalability • Why software fragmentation limits decision-making at scale • The operational impact of private equity-backed growth • Data connectivity as a driver of accountability and performance • The valuation impact of governance and standardisation • Why dentistry still lags behind primary care in integration • Integrating labs and external partners into connected workflows • Leadership shifts required to scale without operational chaos At Smile Genius, we see this every day: Scaling doesn’t fail because of clinical standards — it fails because systems don’t speak to each other. Connected workflows create visibility. Visibility creates accountability. Accountability drives scalable growth. Timestamps 00:00 – Introduction 02:07 – The fragmented reality of modern dentistry 03:35 – Growth of multi-site practices and shifting mindset 05:20 – Small vs. large group operational challenges 07:58 – Private equity and operational discipline 10:26 – The cost of disconnected systems 12:52 – Building connected workflows 15:12 – Dentistry vs. primary care integration 17:48 – Why dentistry still lags digitally 20:30 – Leadership advice for scale 31:16 – Operational journeys vs. siloed departments 33:44 – Connected excellence and valuation 34:13 – Final question for future guests Resources Agilio Dental https://agiliosoftware.com/dental/ Andy Sloan on LinkedIn / andysloanned 🚀 About Smile Genius Smile Genius is building the connected governance layer for dental groups — bringing structured lab ordering, real-time visibility, and operational control across clinics and labs. Scaling fails when systems don’t speak to each other. We help ensure growth doesn’t create chaos. 👉 Book a strategy conversation https://smilegeniusdental.com/contact-us 👉 Learn more https://www.smilegeniusdental.com 👉 Connect with Nipun / nipunkathuria