This paper is a part of the series for executives of DSOs or enterprise accounts. These carefully researched and professionally written papers draw on the knowledge and experience of oral health leaders and innovators. Key questions highlighted below:

• How can organizations as large and complex as DSOs pivot to meet the needs of a rapidly changing market, especially when faced with challenges such as those introduced by the COVID-19 pandemic?
• How do DSOs turn ambitious slogans and goals into actionable improvements in daily practice?
• How can DSOs navigate and leverage these industry trends to create a robust dental care strategy?