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DENTSPLY SIRONA Inc (XRAY)
NASDAQ:XRAY

DENTSPLY SIRONA (XRAY) AI Stock Analysis

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XRAY

DENTSPLY SIRONA

(NASDAQ:XRAY)

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Neutral 52 (OpenAI - 5.2)
Rating:52Neutral
Price Target:
$15.00
▲(2.18% Upside)
Action:ReiteratedDate:02/28/26
The score is primarily constrained by weak financial performance—persistent losses, flat-to-down revenue, and higher leverage—despite positive operating/free cash flow. Technicals are a modest positive with price above key moving averages, while valuation is mixed due to a negative P/E even as dividend yield is high. The latest earnings call adds guarded support via a defined turnaround plan and cost savings targets, but near-term sales headwinds and execution risk remain key overhangs.
Positive Factors
Diversified product portfolio
Dentsply Sirona’s broad product set across equipment, digital imaging, CAD/CAM and consumables creates recurring revenue and cross-sell opportunities. This diversified portfolio reduces reliance on any single segment and supports durable clinical and dealer relationships that underpin sustainable revenue streams.
Consistent cash generation
Steady positive operating cash flow and a return to positive free cash flow in 2025 provide internal funding to support the turnaround plan, de-leveraging and selective reinvestment. Reliable cash generation strengthens financial flexibility versus peers with weaker cash profiles.
Governance & distribution support for execution
Recent board refresh, formation of a Growth/Value committee and renewal of strategic distribution ties bolster execution capacity. Enhanced board expertise plus Patterson distribution continuity improve oversight, commercial reach and the odds of successfully executing the multi-year turnaround.
Negative Factors
Elevated leverage
Materially higher leverage reduces balance-sheet flexibility and increases interest and covenant sensitivity. With net debt/EBITDA ~3.0x and constrained equity, the company faces less room for strategic missteps and must prioritize debt reduction, which can limit investment capacity during the recovery.
Weak revenue trend & sustained losses
Prolonged top-line stagnation paired with recurring losses erodes profitability and equity, hampering reinvestment and long-term returns. Persistent volume weakness in key categories suggests structural demand challenges that could delay meaningful margin recovery and return-to-growth targets.
Restructuring & external headwinds
Significant impairments, tariff-driven margin pressure and near-term restructuring charges increase earnings volatility and raise the bar for management execution. The planned cost saves require precise implementation; failure or slower realization would prolong leverage and cash constraints.

DENTSPLY SIRONA (XRAY) vs. SPDR S&P 500 ETF (SPY)

DENTSPLY SIRONA Business Overview & Revenue Model

Company DescriptionDENTSPLY SIRONA Inc. manufactures and sells various dental products and technologies for professional dental market worldwide. The company operates through two segments, Technologies & Equipment, and Consumables. The Technologies & Equipment segment provides dental equipment, such as treatment centers, imaging equipment, motorized dental handpieces, and other instruments for dental practitioners and specialists; dental CAD/CAM technologies for dental offices to support various digital dental procedures, including dental restorations; dentist-directed clear aligner solutions, SureSmile, and direct-to-consumer clear aligner solutions, as well as high frequency vibration technology device; implants; and urology catheters and other healthcare-related consumable products. The Consumables segment offers endodontic products comprising drills, filers, sealers, irrigation needles, and other tools or single-use solutions, which support root canal procedures; restorative products that include artificial teeth, dental ceramics, digital dentures, precious metal dental alloys, and crown and bridge porcelain products. It also provides small equipment products, which comprise intraoral curing light systems, dental diagnostic systems, and ultrasonic scalers and polishers, as well as dental anesthetics, prophylaxis paste, dental sealants, impression materials, teeth whiteners, and topical fluoride. The company was founded in 1877 and is headquartered in Charlotte, North Carolina.
How the Company Makes MoneyDENTSPLY SIRONA generates revenue through multiple streams, primarily by selling dental equipment and consumables to dental professionals and clinics. Their revenue model includes direct sales of products, as well as service and support contracts for their equipment. Key revenue streams include sales of imaging systems, CAD/CAM technology, and restorative materials. The company also benefits from partnerships with dental practices and educational institutions, which help to promote their products and expand their market reach. Additionally, DENTSPLY SIRONA invests in research and development to innovate and introduce new products, thereby driving future revenue growth.

DENTSPLY SIRONA Key Performance Indicators (KPIs)

Any
Any
Adjusted Operating Income by Segment
Adjusted Operating Income by Segment
Reveals profitability across different business segments, highlighting which areas drive earnings and where operational efficiencies or challenges exist.
Chart InsightsDENTSPLY SIRONA's 'Connected Technology' segment shows volatility, with a sharp decline in early 2024 but a rebound by year-end. 'Essential Dental' and 'Wellspect Healthcare' demonstrate consistent growth, while 'Orthodontic & Implant' faces instability, highlighted by a significant dip in late 2024. The earnings call underscores challenges, with U.S. sales and tariffs impacting profitability. However, the DS Core platform's growth and Germany's sales performance offer optimism. Despite global sales decline, cost reduction efforts have improved EBITDA margins, suggesting strategic resilience amid market pressures.
Data provided by:The Fly

DENTSPLY SIRONA Earnings Call Summary

Earnings Call Date:Feb 26, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:May 13, 2026
Earnings Call Sentiment Neutral
The call conveyed a mixed but constructive tone: management reported a solid Q4 finish and full-year margin improvement while acknowledging material topline pressures (FY revenue decline, implant and CAD/CAM weakness), a sizable goodwill impairment and tariff headwinds. Leadership laid out a detailed 24-month Return to Growth plan with increased R&D and commercial investments, a $120M run-rate cost savings target, strategic hires, dealership agreements and a capital allocation shift (dividend elimination) to prioritize debt reduction and buybacks. Near-term execution risks (restructuring charges, inventory model transition, Byte comparability) and persistent volume weakness temper optimism but the strategy and financial actions provide a clear roadmap to restore growth and improve cash generation over time.
Q4-2025 Updates
Positive Updates
Q4 Revenue and Sequential Momentum
Q4 2025 revenue of $961M, reported sales increase of 6.2% and constant-currency growth of 2.5% (note: benefited from ~570 bps of onetime Byte refund/distributor pre-buys tailwind and +370 bps FX headwind/benefit mix). Management expects positive sequential sales momentum in H2 2026.
Adjusted EBITDA Margin Expansion for Full Year
Full year 2025 adjusted EBITDA margin expanded 150 bps to 18.1%, driven primarily by lower SG&A, demonstrating improved margin discipline despite gross profit pressure.
Profitability and Cash Generation
Q4 adjusted EPS of $0.27 (up $0.01, +4.9% year-over-year). Full year adjusted EPS $1.60 (in line with guidance). Q4 operating cash flow $101M and free cash flow $60M; full year operating cash flow $235M and free cash flow $104M. Ending cash of $326M and net debt/EBITDA of 3.0x.
Strong Performance in Several Product Areas and Regions
EDS constant-currency sales +4% in Q4 with preventative products up 17%; OIS reported constant-currency sales +6.9% (with Byte comparison effects); Wellspect constant-currency sales +1.9% with U.S. +15%; imaging posted high single-digit to double-digit growth in Europe/Rest of World for the year.
Return-to-Growth Plan and Investment Priorities
Management rolled out a 24-month 'Return to Growth' plan (5 pillars), plans to increase R&D spending by double digits, boost clinical education investment by 50%, reorganize commercial teams, and invest in scaling manufacturing/distribution. Plan targets ~ $120M annual run-rate savings to be reinvested.
Capital Allocation Shift
Company eliminated the dividend (~$128M annual), reallocating cash toward debt repayment and disciplined share repurchases to strengthen the balance sheet and support shareholder returns over time.
Negative Updates
Full-Year and Segment Revenue Pressure
Full year 2025 sales $3.68B, reported decline of 3% and constant-currency decline of 4.3%. Key headwinds included lower volumes for CAD/CAM and implants across regions; CTS constant-currency sales down 1.9% in Q4; IPS (implants) declined high single digits.
Significant Noncash Impairment
Recorded a $144M noncash, net-of-tax impairment charge in Q4 related to goodwill and other intangibles in CTS and OIS, driven by tariffs, volume declines and competitive pressures.
Gross Profit and Tariff Impacts
Adjusted EBITDA margin fell 10 bps in Q4 to 14.1% due to a 300 bps gross profit decline driven by lower volume, mix and tariff impacts. Tariffs reduced gross profit by approximately $15M in Q4 and ~$23M for the full year 2025.
Byte and Dealer Inventory Comparisons
Comparability issues: Byte-related items negatively impacted full-year constant-currency by ~1.9%, and prior-year Byte refunds/distributor pre-buys provided a sizeable tailwind in Q4. Management expects a ~ $30M dealer inventory sell-through headwind as they shift to drop-ship models in 1H 2026.
Ortho and SureSmile Weaknesses
SureSmile declined low single digits in Q4; U.S. SureSmile volumes down ~10% while Europe grew 15%. Ortho (software modernization) is expected to be a longer-term initiative and may not drive near-term revenue.
Earnings and Free Cash Flow Pressure on 2025 Basis
Full year adjusted EPS declined $0.07 (-4.6%) to $1.60, partly due to a higher tax rate. Free cash flow was modest at $104M for the full year, leaving limited near-term excess cash before the company’s reallocation plans.
Near-Term Charges and Execution Risk
Restructuring/program expected to unlock ~$120M annual savings but will incur $55M–$65M of nonrecurring charges (majority cash) in 2026–2027. Execution of the Return to Growth plan is critical and carries execution and timing risk.
Leverage and Balance Sheet Considerations
Net debt-to-EBITDA at 3.0x (Q4), and management prioritized debt reduction; eliminating the dividend may be viewed negatively by some income-focused investors despite being redeployed for debt reduction and buybacks.
Company Guidance
Management guided 2026 net sales of $3.5–$3.6 billion (operational growth of –3% to –1%), explicitly excluding a 2.1% Byte headwind and a one‑time dealer capital equipment sell‑through (management estimated roughly $30 million), and expects positive sequential sales momentum in H2 with a goal of a U.S. turnaround by Q4; adjusted EPS is guided to $1.40–$1.50, reflecting accelerated investments (double‑digit R&D increase, with R&D moving from ~4% toward ~5% of sales and 6% “in sights”), higher commercial and clinical spend and Wellspect investment. To fund the plan the company eliminated its $128 million annual dividend and will prioritize debt reduction and disciplined share repurchases while targeting investment‑grade metrics; it also announced a restructuring to unlock approximately $120 million of annual run‑rate savings (with $55–65 million of one‑time charges, mostly cash in 2026–27). Management framed these targets against 2025 results (FY sales $3.68B, adjusted EPS $1.60, adjusted EBITDA >18%, FY operating cash flow $235M, FCF $104M, cash $326M, net debt/EBITDA 3.0) and noted tariff and Byte-related items (tariffs ≈$23M FY 2025; Byte contributed ≈$0.13 to 2025 EPS) that will affect comparability in 2026.

DENTSPLY SIRONA Financial Statement Overview

Summary
Muted revenue trend since 2021 and sustained net losses weigh heavily, while leverage has increased materially (debt-to-equity rising to ~1.81 in 2025). Offsetting factors include consistently positive operating cash flow and positive free cash flow in 2025, but cash generation is still modest relative to the earnings deficit.
Income Statement
32
Negative
Revenue has been essentially flat to slightly down since 2021 (from $4.23B in 2021 to $3.68B in 2025), showing limited top-line momentum. Profitability has deteriorated materially: net results were profitable in 2021 ($411M) but have been consistently negative in most subsequent years, including a large loss in 2025 (-$598M) despite a still-solid ~50% gross margin. While 2025 improved versus the very weak 2024 operating performance, earnings remain deeply negative, which keeps overall income-statement quality pressured.
Balance Sheet
41
Neutral
Leverage has risen meaningfully as equity has declined: debt-to-equity increased from ~0.70 (2023) to ~1.81 (2025), indicating a more debt-heavy capital structure. Total debt is elevated at ~$2.42B against ~$1.34B of equity in 2025, reducing balance-sheet flexibility. Returns on equity are strongly negative in recent years (2025 ROE about -45%), reflecting losses and a weaker equity base; the main positive is that total assets remain substantial (~$5.43B in 2025), but the trajectory in equity and leverage is a clear risk.
Cash Flow
55
Neutral
Cash generation is a relative bright spot: operating cash flow remained positive in every year shown and was $235M in 2025, with free cash flow also positive at $104M. However, cash flow has been volatile and generally lower versus earlier years (free cash flow of $515M in 2021), and the ability of operating cash flow to cover earnings remains weak in 2025 given the sizable net loss. The strong rebound in 2025 free cash flow growth (up 30%) is encouraging, but the overall level is still modest for the company’s revenue scale.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue3.68B3.79B3.96B3.92B4.23B
Gross Profit1.84B1.96B2.09B2.13B2.35B
EBITDA-46.00M-518.00M249.00M-662.00M952.00M
Net Income-598.00M-910.00M-132.00M-950.00M411.00M
Balance Sheet
Total Assets5.43B5.75B7.37B7.64B9.24B
Cash, Cash Equivalents and Short-Term Investments326.00M272.00M334.00M365.00M339.00M
Total Debt2.42B2.27B2.30B2.15B2.29B
Total Liabilities4.09B3.81B4.08B3.83B4.24B
Stockholders Equity1.34B1.94B3.29B3.81B5.00B
Cash Flow
Free Cash Flow104.00M281.00M228.00M368.00M515.00M
Operating Cash Flow235.00M461.00M377.00M517.00M657.00M
Investing Cash Flow-132.00M-197.00M-89.00M-138.00M-358.00M
Financing Cash Flow-80.00M-302.00M-307.00M-329.00M-379.00M

DENTSPLY SIRONA Technical Analysis

Technical Analysis Sentiment
Positive
Last Price14.68
Price Trends
50DMA
12.27
Positive
100DMA
11.95
Positive
200DMA
13.25
Negative
Market Momentum
MACD
0.11
Positive
RSI
50.71
Neutral
STOCH
46.48
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For XRAY, the sentiment is Positive. The current price of 14.68 is above the 20-day moving average (MA) of 12.80, above the 50-day MA of 12.27, and above the 200-day MA of 13.25, indicating a neutral trend. The MACD of 0.11 indicates Positive momentum. The RSI at 50.71 is Neutral, neither overbought nor oversold. The STOCH value of 46.48 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for XRAY.

DENTSPLY SIRONA Risk Analysis

DENTSPLY SIRONA disclosed 33 risk factors in its most recent earnings report. DENTSPLY SIRONA reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

DENTSPLY SIRONA Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
$37.33B25.3325.68%0.92%9.36%29.56%
76
Outperform
$178.81B63.9316.67%22.18%21.37%
68
Neutral
$50.25B28.836.96%2.13%8.23%-2.04%
66
Neutral
$16.82B31.2710.86%1.74%-25.29%
52
Neutral
$2.93B-4.90-44.44%5.61%-7.08%-113.81%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
47
Neutral
$10.48B-12.13-13.75%2.75%-21.20%-325.40%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
XRAY
DENTSPLY SIRONA
14.68
-1.10
-6.96%
BAX
Baxter International
20.37
-13.68
-40.17%
BDX
Becton Dickinson
176.48
3.00
1.73%
HOLX
Hologic
75.36
11.97
18.88%
ISRG
Intuitive Surgical
503.51
-69.64
-12.15%
RMD
Resmed
256.26
24.82
10.72%

DENTSPLY SIRONA Corporate Events

Business Operations and StrategyExecutive/Board Changes
Dentsply Sirona Expands Board with Two New Directors
Positive
Feb 24, 2026

On February 23, 2026, Dentsply Sirona’s board voted to expand its size from 11 to 13 members and, effective February 27, 2026, appointed veteran healthcare investment banker James D. Forbes and longtime public company CFO Brian P. McKeon as new directors. Forbes will join the Compensation & Human Capital Committee, while McKeon will serve on the Audit and Finance Committee and the Science and Technology Committee, and both will receive the same compensation as other non-employee directors.

The company framed the appointments as a key step in reinforcing board-level financial, strategic, and governance expertise to support execution of its Return-to-Growth action plan and long-term value creation efforts. As part of an ongoing board refresh, 15-year director Willie A. Deese informed the company on February 23, 2026, that he will retire and not stand for re-election at this year’s annual shareholders’ meeting, a move the board said was not due to any disagreement with the company.

The most recent analyst rating on (XRAY) stock is a Buy with a $17.00 price target. To see the full list of analyst forecasts on DENTSPLY SIRONA stock, see the XRAY Stock Forecast page.

Business Operations and Strategy
Dentsply Sirona Renews Patterson Dental Technology Distribution Deal
Positive
Jan 14, 2026

On January 14, 2026, Dentsply Sirona and Patterson Dental announced the renewal of their U.S. dental technology distribution agreement, a non-exclusive arrangement that continues Patterson’s role in distributing Dentsply Sirona’s dental equipment across the United States. The renewed partnership is positioned as a strategic move to accelerate growth, expand access to integrated digital dentistry solutions, and support wider adoption of connected technologies linking devices, software, and services. Patterson Dental’s customers will maintain access to Dentsply Sirona’s full technology portfolio, including the CEREC system, Primescan intraoral scanners, and Axeos and Orthophos imaging systems, with both companies emphasizing that the agreement is designed to help dental practices operate more efficiently, enhance patient outcomes, and reinforce their competitive positioning in an increasingly digital and rapidly evolving dental market.

The most recent analyst rating on (XRAY) stock is a Hold with a $13.00 price target. To see the full list of analyst forecasts on DENTSPLY SIRONA stock, see the XRAY Stock Forecast page.

Business Operations and StrategyExecutive/Board Changes
Dentsply Sirona adds director and forms growth committee
Positive
Jan 13, 2026

On January 10, 2026, Dentsply Sirona expanded its Board of Directors from 10 to 11 members and appointed Donald (Don) Zurbay as a director and member of the Audit and Finance Committee, citing his extensive leadership experience in the dental and healthcare sectors, including his recent role as President and CEO of Patterson Companies and prior CFO role at St. Jude Medical. In tandem with this appointment, the Board formed a four-member, ad hoc Growth and Value Creation Committee, co-chaired by Chairman Gregory T. Lucier and President & CEO Daniel T. Scavilla, to oversee execution of the company’s Return-to-Growth action plan announced in November 2025, signaling a reinforced governance structure aimed at accelerating growth, sharpening capital allocation, and enhancing accountability to support long-term value creation for stakeholders.

The most recent analyst rating on (XRAY) stock is a Hold with a $12.00 price target. To see the full list of analyst forecasts on DENTSPLY SIRONA stock, see the XRAY Stock Forecast page.

Business Operations and StrategyPrivate Placements and FinancingRegulatory Filings and Compliance
Dentsply Sirona Amends Credit Facilities to Enhance Flexibility
Neutral
Dec 31, 2025

On December 24, 2025, Dentsply Sirona amended its revolving credit facility and several private note purchase agreements to reset key financial covenants and update leverage thresholds. The changes introduce stepped maximum total and senior leverage ratios through September 2027, tighten restrictions on restricted payments, cap EBITDA add-backs related to the company’s efficiency initiatives through year-end 2026, and exclude swap obligations from debt calculations, while adding interest rate adjustments tied to leverage levels. These moves are designed to help the company remain in material compliance with its debt covenants as it executes its cost-efficiency programs and manages its capital structure, potentially providing greater financial flexibility but also imposing stricter discipline on leverage and shareholder distributions.

The most recent analyst rating on (XRAY) stock is a Hold with a $12.00 price target. To see the full list of analyst forecasts on DENTSPLY SIRONA stock, see the XRAY Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 28, 2026