Blog | Parkhurst Consulting CPA PC

Understanding IRAs: A Guide for Dentists

Written by Kathryn Ward | May 21, 2026 1:00:00 PM

May 21, 2026

Retirement planning can feel complicated, especially when you are also managing patients, staff, payroll, taxes, equipment costs, insurance reimbursements, and the daily demands of running a private dental practice.

For dentists who own their practice, retirement planning is not just personal. It is also a business decision.

The account you choose may affect:

    • Your personal tax strategy.

    • Your retirement savings potential.

    • Your practice cash flow.

    • Your team benefits.

    • Your long-term financial flexibility.

This guide breaks down four common IRA options for dentists:

    • Traditional IRA.

    • Roth IRA.

    • SEP IRA.

    • SIMPLE IRA.

Each account has a different purpose. Some are best for personal retirement savings. Others may work as part of a broader dental practice retirement plan.

The goal is not to pick the most popular option. The goal is to choose the option that best fits your income, team size, practice structure, and long-term goals.

Why Dentists Need to Think Differently About IRAs

Dentists who own a private practice are in a unique financial position.

You are both:

    • A high-income professional.

    • A small business owner.

That combination creates opportunity but also complexity.

A W-2 associate dentist may only need to think about personal IRA contributions and an employer-sponsored plan. A dental practice owner has more moving pieces.

You may be deciding whether to:

    • Contribute to a personal IRA.

    • Add a retirement benefit for employees.

    • Reduce taxable income.

    • Maximize owner retirement savings.

    • Keep employer costs manageable.

    • Avoid unnecessary administrative burden.


This is why IRA planning for dentists should not happen in isolation. The right account depends heavily on the practice's size and structure.

A solo dentist may benefit from one strategy. A dentist with eight employees may need a completely different approach.

Quick Comparison: IRA Options for Dentists in 2026

Traditional IRA

Best for: Dentists who want personal retirement savings and may qualify for a current-year tax deduction.

2026 contribution limit:

    • $7,500 if under age 50.

    • $8,600 if age 50 or older.

Who contributes?
The individual dentist.

Employer cost:
None.

Best practice fit:
A personal savings layer, not a team retirement plan.

Roth IRA

Best for: Dentists who want tax-free qualified withdrawals in retirement.

2026 contribution limit:

    • $7,500 if under age 50.

    • $8,600 if age 50 or older.

Who contributes?
The individual dentist.

Employer cost:
None.

Best practice fit:
Useful for tax diversification, especially for dentists who have a backdoor Roth strategy.

SEP IRA

Best for: Solo dentists, owner-only practices, or practices with very few eligible employees.

2026 contribution limit:

    • Up to 25% of compensation.

    • Maximum contribution of $72,000.

Who contributes?
The employer.

Employer cost:
It can be high if the practice has eligible employees.

Best practice fit:
Potentially strong for solo or spouse-only practices, but often expensive for staff-based dental offices.

SIMPLE IRA

Best for: Small dental practices that want a straightforward employee retirement benefit.

2026 employee deferral limit:

    • $17,000 standard limit.

    • $18,100 for certain eligible SIMPLE IRA plans.

    • $4,000 catch-up contribution for age 50+.

    • $5,250 catch-up contribution for ages 60–63.

Who contributes?
Employees and the employer.

Employer cost:
Usually, a 3% match or a 2% non-elective contribution.

Best practice fit:
A practical retirement plan option for many small private dental practices.

1. Traditional IRA for Dentists

A Traditional IRA is one of the simplest retirement savings tools available. It is a personal retirement account, not a dental practice retirement plan.

That means the account belongs to the individual dentist, not the business.

With a Traditional IRA, contributions may be tax-deductible, investments grow tax-deferred, and withdrawals in retirement are generally taxed as ordinary income and are subject to RMD rules.

For 2026, dentists can contribute up to:

    • $7,500 if under age 50.

    • $8,600 if age 50 or older.

A Traditional IRA may be helpful for dentists who want a simple way to save for their own retirement. However, the tax deduction is not automatic for every dentist.

Deductibility depends on:

    • Filing status.

    • Modified adjusted gross income.

    • Whether a workplace retirement plan covers the dentist.

    • Whether a workplace retirement plan covers the dentist's spouse.

For many private practice owners, income may be high enough that the deduction is reduced or eliminated if another retirement plan is involved.

When a Traditional IRA May Make Sense

A Traditional IRA is a good fit for all dentists.

Where a Traditional IRA Falls Short

For dental practice owners, the biggest limitation is the contribution ceiling.

Even though a Traditional IRA can be useful, the annual limit is modest compared to other retirement plan options available to business owners.

For that reason, dentists should usually view the Traditional IRA as one layer of retirement planning, not the entire strategy.

2. Roth IRA for Dentists

A Roth IRA is another personal retirement account, but it works differently from a Traditional IRA.

With a Roth IRA, contributions are made with after-tax dollars. That means the contribution does not reduce taxable income today. However, the long-term benefits can be powerful: investments grow tax-free, qualified withdrawals in retirement are tax-free, and these accounts are not subject to RMD rules.

For 2026, the Roth IRA contribution limit is:

    • $7,500 if under age 50.

    • $8,600 if age 50 or older.

For dentists, the Roth IRA can be especially useful because it creates tax diversification. Many practice owners already have, or will eventually have, a mix of assets that may include:

    • Pre-tax retirement accounts.

    • Practice equity.

    • Real estate.

    • Taxable investment accounts.

    • Cash reserves.

    • Future practice sale proceeds.

A Roth IRA adds another bucket: potential tax-free income in retirement.

The Income Challenge for Dentists

Here is where Roth IRA planning gets tricky for many private practice owners; dentists often earn too much to contribute directly to a Roth IRA.

For 2026, direct Roth IRA contributions begin to phase out at modestly high income levels. Many dentists will find themselves above those limits, especially once practice income, spouse income, or other investment income is included.

That does not necessarily mean Roth planning is off the table.

The Backdoor Roth IRA Option

Many high-income dentists use a strategy commonly known as a backdoor Roth IRA conversion.

In simple terms, the process usually works like this:

    • The dentist contributes to a Traditional IRA, often as a nondeductible contribution.

    • The dentist then converts those funds into a Roth IRA.

    • Once inside the Roth IRA, future qualified growth may be tax-free.

This strategy can allow high-income dentists to build Roth assets even when they are not eligible for direct Roth IRA contributions.

However, there is one important planning issue: existing pre-tax IRA balances can affect the tax result. This includes money in Traditional IRAs, SEP IRAs, SIMPLE IRAs, and rollover IRAs.

That detail matters because many dental practice owners have used SEP IRAs or rolled old retirement accounts into IRAs. Those balances may make a backdoor Roth conversion less tax-efficient.

When a Roth IRA May Make Sense

A Roth IRA may be a good fit for dentists who:

    • Want tax-free qualified withdrawals in retirement.

    • They are early in their careers and expect their income to grow.

    • Want to diversify beyond pre-tax retirement accounts.

    •  Earns  too much to contribute directly but can use a backdoor Roth strategy.

    • Do not have large pre-tax IRA balances that complicate the conversion.

    • Want more flexibility in future retirement income planning.

For private practice dentists, the Roth IRA is less about getting a deduction today and more about creating flexibility later.

In many cases, high income does not eliminate the need for a Roth IRA. It simply changes the path. For dentists who are above the direct contribution limits, the backdoor Roth IRA may be the strategy that keeps Roth planning available.

3. SEP IRA for Dentists

A SEP IRA, or Simplified Employee Pension, is often discussed because it allows much larger contributions than a Traditional or Roth IRA.

For 2026, a SEP IRA allows contributions up to:

    • 25% of compensation, or

    • $72,000, whichever is less

This higher limit can make the SEP IRA attractive for dentists with strong practice profitability.

Unlike a Traditional IRA or Roth IRA, a SEP IRA is funded by the employer. In this case, the employer is the dental practice.

Employees do not make salary deferrals into a SEP IRA. Contributions come from the business.

Why SEP IRAs Appeal to Dental Practice Owners

SEP IRAs are often appealing because they are relatively simple compared to more complex retirement plans.

They may also offer flexibility. In many cases, the practice can decide each year whether to contribute and how much.

That can be helpful for dentists whose practice income fluctuates.

A SEP IRA may work well for:

    • Solo dentists.

    • Owner-only practices.

    • Spouse-only practices.

    • Practices with no eligible employees.

The Big SEP IRA Catch for Dental Practices

The biggest issue is employee cost.

SEP IRA contributions generally must be made using the same percentage of compensation for all eligible employees.

That means if the dental practice contributes 25% of the owner's compensation, it may also need to contribute 25% of the compensation for eligible team members.

For a dental office with multiple hygienists, assistants, front office staff, or associate dentists, this can become expensive quickly.

SEP IRA Cost Example for a Dental Practice

Assume a dentist-owner earns $240,000 and wants to contribute 25% to a SEP IRA.

That would create an owner contribution of:

    • $240,000 × 25% = $60,000.

Now, assume the practice has six eligible employees earning $50,000 each.

The staff contribution would be:

    • $50,000 × 25% = $12,500 per employee.

    • $12,500 × 6 employees = $75,000 total staff cost.

Total employer outlay:

    • Owner contribution: $60,000.

    • Staff contributions: $75,000.

    • Total annual cost: $135,000.

This is why a SEP IRA can look great on paper but become less practical for a team-based dental practice.

When a SEP IRA May Make Sense

A SEP IRA may be a good fit when:

    • The dentist is the only employee.

    • The only employees are the owner and the owner's spouse.

    • The practice has very few eligible employees.

When a SEP IRA May Not Make Sense

A SEP IRA may not be ideal when:

    • The practice has several eligible employees.

    • The owner wants to maximize personal contributions without large staff contributions.

    • The practice needs predictable benefit costs.

    • The owner is planning to add a more advanced retirement plan later.

For many private dental practices with a full team, a SIMPLE IRA or 401(k) may be more practical.

4. SIMPLE IRA for Dental Practice Owners

A SIMPLE IRA, or Savings Incentive Match Plan for Employees, is designed for small businesses.

For many dentists who own private practices, it can be a practical way to offer a retirement benefit without the complexity of a larger plan.

A SIMPLE IRA allows employees to contribute through salary deferrals. The employer must also contribute, usually through either a match or a nonelective contribution.

For 2026, the standard SIMPLE IRA employee contribution limit is:

    • $17,000

Some eligible SIMPLE IRA plans may allow a higher contribution limit of:

    • $18,100

Catch-up contributions may also apply:

    • $4,000 for participants age 50 or older.

    • $5,250 for participants ages 60 through 63.

SIMPLE IRA Employer Contributions

Dental practice owners generally choose between two employer contribution options:

    • A dollar-for-dollar match up to 3% of compensation.

    • A 2% nnonelectivecontribution for eligible employees.

The 3% match is common because employees generally need to contribute to receive it.

The 2% nnonelectivecontribution is different. Under that approach, the employer contributes for eligible employees whether or not the employees contribute from their own pay.

SIMPLE IRA Cost Example for a Dental Practice

Assume a dental practice has seven employees earning $60,000 each.

If the practice offers a 3% match, the maximum staff match would be:

    • $60,000 × 3% = $1,800 per employee.

    • $1,800 × 7 employees = $12,600 total staff cost.

If the dentist-owner earns $240,000, the owner's match would be:

    • $240,000 × 3% = $7,200.

Total annual employer cost:

    • Staff match: $12,600.

    • Owner match: $7,200.

    • Total annual cost: $19,800.

Compared to the SEP IRA example, the SIMPLE IRA may be much more manageable for a dental practice with employees.

Why SIMPLE IRAs Often Fit Dental Practices

A SIMPLE IRA may work well for dentists who want to:

    • Offer a staff retirement benefit.

    • Keep administration relatively simple.

    • Control employer costs.

    • Encourage employees to save.

    • Add a benefit without immediately moving to a 401(k).

    • Support recruiting and retention.

For many small dental practices, a SIMPLE IRA can be a strong starting point.

Where SIMPLE IRAs Are Limited

The main limitation is the lower contribution ceiling.

A SIMPLE IRA usually will not allow the same level of owner retirement savings as a SEP IRA, solo 401(k), safe harbor 401(k), or more advanced plan design.

That matters for dentists who are trying to save aggressively for retirement during peak earning years.

A SIMPLE IRA may be a good fit now, but as the practice grows, the owner may eventually need to evaluate whether a 401(k) plan offers better long-term flexibility.

SEP IRA vs. SIMPLE IRA for Dentists

The bigger decision is often SEP IRA vs. SIMPLE IRA.

SEP IRA

A SEP IRA may be better for:

    • Solo practice owners.

    • Owner-only practices.

    • Spouse-only practices.

    • Dentists with few or no eligible employees.

Potential drawback:

    • It can become very expensive when the practice has eligible employees.

SIMPLE IRA

A SIMPLE IRA may be better for:

    • Dental practices with a small team.

    • Owners who want a staff retirement benefit.

    • Practices that want predictable employer costs.

    • Offices that want lower administrative complexity.

    • Dentists who are not yet ready for a 401(k).

Potential drawback:

    • Lower contribution ceiling for the owner.

How Dentists Should Choose the Right IRA

There is no one-size-fits-all retirement account for dentists.

The right choice depends on how the practice is structured today and where it is headed.

Before choosing an IRA strategy, dentists should think through these questions:

    • Are you saving only for yourself, or for your team as well?

    • How many eligible employees do you have?

    • Is your practice income stable or variable?

    • Do you want a current-year tax deduction?

    • Do you want a tax-free income later?

    • Are you trying to maximize owner contributions?

    • How much employer cost can the practice comfortably support?

    • Is staff retention a priority?

    • Do you expect to add employees soon?

    • Is this a starter plan or a long-term retirement strategy?

The answers matter.

A SEP IRA may be excellent for a solo dentist but inefficient for a practice with a full team. A SIMPLE IRA may be very practical for a small staff-based practice, but it is too limited for an owner who wants to maximize retirement savings.

Traditional and Roth IRAs may still play a role, but they do not replace the need for a broader dental practice retirement plan.

The Bottom Line: IRAs Can Be Useful Tools for Dentists

IRAs are not just generic retirement accounts. For dentists who own a private practice, they can be part of a larger financial strategy.

The key is matching the account to the practice.

Here is the simple summary:

    • Traditional IRA: A personal retirement savings option with possible tax-deductible contributions.

    • Roth IRA: A personal retirement savings option with tax-free qualified withdrawals.

    • SEP IRA: A higher-contribution employer-funded option that may work best for solo or very small practices.

    • SIMPLE IRA: A practical small-business retirement plan that may work well for dental practices with employees.

For private dental practice owners, retirement planning is about more than choosing an account. It is about building a strategy that supports the owner, the team, the practice, and the future.

The best retirement plan is not always the one with the highest contribution limit. It is the one that aligns with the practice's real economics.

And once you understand how each IRA works, the decision becomes much less intimidating.

Not sure where to start? Contact us today!

 

 

 

 

References

Internal Revenue Service. (2025). Publication 590-A: Contributions to Individual Retirement Arrangements (IRAs). U.S. Department of the Treasury.

Internal Revenue Service. (2025, November 13). 401(k) limit increases to $24,500 for 2026, IRA limit increases to $7,500. U.S. Department of the Treasury.

Internal Revenue Service. (2026). Retirement topics: IRA contribution limits. U.S. Department of the Treasury.

Internal Revenue Service. (2026). Retirement topics: SIMPLE IRA contribution limits. U.S. Department of the Treasury.

Internal Revenue Service. (2026). SEP contribution limits, including grandfathered SARSEPs. U.S. Department of the Treasury.

Internal Revenue Service. (2026). SIMPLE IRA plan. U.S. Department of the Treasury.