Oral Wealth: Prosperity in Practice

Oral Wealth: Prosperity in Practice


Beyond the 401(k): Advanced Retirement Strategies for Dentists (Ep. 11)

December 11, 2025

Are you a practice owner facing high taxes in your peak earning years?

In this episode of Oral Wealth: Prosperity in Practice, Brian Swilling breaks down advanced retirement strategies that can help dentists and healthcare professionals reduce taxable income while accelerating long-term savings. He explains how defined benefit plans (cash balance pension plans) can be layered with 401(k)s and profit-sharing to maximize contributions, reduce taxable income, and accelerate retirement savings. Brian also shares real-world examples of practice owners saving six figures in taxes and outlines why these strategies work best for high-income earners with younger staff.

Brian discusses:

  • What a defined benefit plan (cash balance pension plan) is and how it works
  • How 401(k), profit-sharing, and defined benefit plans can layer together
  • Why these strategies are best suited for high-income practice owners with younger staff
  • Real-world examples of dentists using cash balance plans to save six figures in taxes
  • The importance of working with a CPA and financial planner to determine if this approach is right for you
  • And more

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*Roth IRA earnings grow tax-free, and qualified withdrawals are also tax-free, provided certain conditions are met (e.g., the account has been open for at least 5 years and you are age 59½ or older, or meet another qualifying condition). Eligibility to contribute to a Roth IRA phases out at higher income levels. Non-qualified withdrawals of earnings may be subject to income taxes and a 10% early withdrawal penalty.