Dentsply Sirona Inc.NASDAQ: XRAY

XRAY Q3 2026 Earnings Presentation vFINAL

· Issued by Dentsply Sirona Inc.

Key figures

  • Net sales (7.6%) YoY
  • Constant currency revenue down (7.0%)
  • $195M cash and cash equivalents
  • Orthodontics: Decline attributable to ($12M) Byte YoY impact and lower volumes in the U.S., partially offset by mid-single digit growth in EMEA

On 6ix: 6ix.com/news/dentsply-sirona-xray-q3-2026-earnings-presentation-vfinal

November 5, 2026

Third Quarter 2026 Earnings Conference Call

Key Developments Building positive momentum in the U.S. through Return-to-Growth Action Plan Record quarterly sales for Wellspect Healthcare; completed U.S. launch of Wellspect SurityTM portfolio Accelerating execution of the redesigned North American Clinical Education program with 6x spend increase in H2 2026 YoY

Hosted DS World events with a 60% increase in workshops, lectures and hands-on CE courses versus prior year

U.S. Commercial recruitment and retention improved significantly

Updating FY2026 outlook to approximately $3.5 billion in net sales and adjusted EPS of $1.20 to $1.30

Established North American Distributor Network New Agreements Simplifying Operating Model
  • Seven new distribution agreements signed YTD

  • Simplified incentive structure and inventory model enabling operational efficiencies

  • Driving growth through mutually beneficial relationships

    Broadening Access to Capital Equipment
  • Expanding commercial reach across North America and key regional markets

  • Supporting practices to optimize workflows

  • Enabling practices to deliver single-visit dentistry

Building U.S. Momentum to Support Return-to-Growth

U.S. Sales Force Investment: Signs of Progress

Stronger field coverage and capabilities are supporting early commercial gains

Mid-single digits

Quota-carrying field vacancies, down from approximately 20%

Recruit & Retain

Improved significantly; attracting talent to

further stabilize sales teams

STABILIZING COVERAGE

MIS certification

MIS sales force to be certified by end of year

100% certified

Premium implant sales force certification completed

BUILDING CAPABILITIES

More conversions

September MIS conversions increased sharply versus the historical monthly pace

Double-digit

U.S. MIS sales growth in Q3 versus prior year

EARLY MIS RESULTS

Building on MIS momentum to deliver more consistent performance across the portfolio

We provide the education our customers need to adopt and use our solutions with confidence

6×

increase YoY

Clinical education investment

>60%

Increase YoY

Implants education engagements

>160

Endo courses in H2

Launch of high-impact, hands-on programs in North America

Scaling hands-on training, digital access and clinician engagement across the dental community

Executing a step-change in clinical education investment in North America

Education delivered across multiple channels

Dental communities

Lunch & learns

Events & congresses

Schools & universities

Study clubs

Forums & summits

Online learning platform

Education centers

Learning formats

Hands-on

Lectures

Virtual

Rep-led training

University events

Partner events

Symposia & summits

Early Signs of Progress Across Key Product Lines

Sales training and clinical education are supporting early gains in adoption and sales

SALES MOMENTUM ADOPTION & CUSTOMER ENGAGEMENT

ENDODONTICS Reciproc Blue growth

Continued year-over-year growth, with total file sales also increasing.

More repeat use

Reorder rates improved consistently throughout the year.

EDS Focus brands recovering

Focus brands returned to growth; Cercon 4D added incremental sales.

Stronger demand signals

Sell-out outpaced sell-in across Restorative and Preventive; new customer retention improved.

IMPLANTS MIS growth

Americas sales grew year over year.

More customer conversions

Conversions accelerated in September versus the historical monthly pace.

Focused commercial investment • Improving adoption • Building more consistent growth

Achieved Record Wellspect Sales Powered by Innovation

Completed Launch of Wellspect SurityTM Portfolio in the U.S.

Female External Catheter

Male External Catheter

Urinary Management System

Medicare Reimbursement

y

  • Surit female external catheter launches with ease of use, discretion, and user comfort

  • Launched January 2026

  • Surit male external catheter builds on expanding portfolio of incontinence management solutions

    y

  • Launched April 2026

  • Surit Urinary Management System, a discreet at-home urine collection device

    y

  • Launched August 2026

  • Surit portfolio, may be covered by traditional Medicare for eligible beneficiaries when medically necessary

    y

  • Important step in expanding access and reducing barriers to at-home management

  • Announced October 2026

    Increased investment 15% YoY to further penetrate Urine Management market

    Transformation Office Shifting from Stabilization to Value Creation

    Standardize and Automize Workflows

    Scale transactional work and capabilities

    03

    Procure-to-Pay

    Increase spend control, standardization and process automation

    02

    Quote-to-Cash

    Simplify pricing, ordering, fulfillment, billing and collections

    01

    Simplification Cost, process and organizational

    complexity addressed

    with urgency

    ✓

    • U.S. Growth Focus

    Commercial actions prioritized around the largest growth engine

    Funding the reset and establishing stronger cost discipline

    Operating Mechanism Transformation Office, governance and

    accountability

    embedded

    ✓

    ~$120M

    savings initiative in 2026

    Stabilizing the Business

    Scale the Model

    Target: lower SG&A, improved cash conversion and a more consistent customer experience

EFFICIENCY + SCALE

SG&A + CASH

CUSTOMER EXPERIENCE

Outcome: stabilized execution and developed repeatable engine for change

Third Quarter 2026 Financial Summary

10

Third Quarter 2026 Financial Summary

Q3 2026

Q3 2025

YoY

Net Sales

$836M

$904M

(7.6%)

Operating Cash Flow

$32M

$79M

(59.5%)

Commentary
  • Net sales (7.6%) YoY

    • Declines in EDS, CTS, and OIS, partially offset by Wellspect

      Constant Currency

      (7.0%)

      ▪

      Adj. EBITDA

      $146M

      $167M

      (13.3%)

      Adj. EBITDA %

      17.3%

      18.4%

      (110) bps

      ▪

      Adj. EPS

      $0.29

      $0.42

      ($0.13)

    • Constant currency revenue down (7.0%)

      Adj. EBITDA margin 17.3%, (110) bps YoY

    • Lower volumes in dental segments

    • Continued OPEX investments

      Operating Cash Flow of $32M

    • Unfavorable working capital drove decline

    • $195M cash and cash equivalents

11 Commentary and trends are based on as reported vs. Q3 2025 unless otherwise noted

Constant currency, adjusted EBITDA, adjusted EBITDA %, and adjusted EPS are Non-GAAP measures as defined on slide 15

Third Quarter 2026 Segment Results

Net Sales

As Reported

Constant Currency

Commentary

Connected Technology Solutions (CTS)

$230M

(11.0%)

(10.1%)

  • CAD/CAM: Lower volumes in Americas driven by the planned shift in distributor inventory model
  • Equipment & Instruments: Lower volumes of Imaging products globally, partially offset by Instruments growth in EMEA and Americas

    • Decline driven by lower volumes of Endo products in EMEA and unfavorable pricing, partially offset by higher volumes of Endo files and Restorative blocks in the U.S.

    (3.6%)

    (4.0%)

    $343M

    Essential Dental Solutions

    (EDS)

Orthodontic and Implant Solutions (OIS)

$171M

(16.6%)

(16.2%)

  • Orthodontics: Decline attributable to ($12M) Byte YoY impact and lower volumes in the U.S., partially offset by mid-single digit growth in EMEA

  • Implants & Prosthetics: Lower premium implant volumes across all regions, partially offset by DD growth for value implants in the U.S.

Wellspect Healthcare

$92M

10.1%

11.0%

Higher product volumes, partially driven by new product launches

Updated 2026 Outlook*

Prior Outlook

Current Outlook

Net Sales $3.5B to $3.6B

$3.5B

Adjusted EPS $1.40 to $1.50

$1.20 to $1.30

Appendix

14

Non-GAAP Financial Measures Definitions

Constant Currency

Reported net sales adjusted for the impact of foreign currency changes, which is calculated by translating current period net sales using the comparable prior period's foreign currency exchange rates.

Adjusted Operating Income and Margin

Adjusted operating income is computed by excluding the following items from operating income (loss) as reported in accordance with US GAAP. Adjusted operating margin is calculated by dividing adjusted operating income by net sales.

  • Business combination-related costs: costs related to consummating and integrating acquired businesses, as well as net gains and losses related to disposed businesses. Costs include the post-acquisition roll-off of fair value adjustments recorded related to business combinations, except for amortization expense of purchased intangible assets noted below.

  • Restructuring-related charges and other costs: costs related to the implementation of restructuring initiatives, including but not limited to, severance costs, facility closure costs, and lease and contract termination costs, as well as related professional service costs associated with these restructuring initiatives and global transformation activity. Other costs include gains and losses on the sale of property, legal settlements, executive separation costs, write-offs of inventory as a result of product rationalization, and changes in accounting principles recorded within the period. This category also includes costs related to investigations and associated legal cases and remediation activities, which primarily include legal, accounting and other professional service fees, as well as turnover and other employee-related costs.

  • Goodwill and intangible asset impairments: include charges related to goodwill and intangible asset impairments.

  • Amortization of purchased intangible assets: includes the periodic amortization expense related to purchased intangible assets, which are recorded at fair value.

  • Fair value and credit risk adjustments: include the non-cash mark-to-market changes in fair value associated with pension assets and obligations, the credit risk component of hedging instruments, contingent consideration from past acquisitions, and equity-method investments.

Adjusted Gross Profit and Margin

Gross profit excluding the impact of any of the above adjustments that affect either net sales or cost of sales. Adjusted gross margin is calculated by dividing adjusted gross profit by net sales.

Adjusted Net Income (Loss)

Net income (loss) as reported in accordance with US GAAP, adjusted to exclude the items identified above and the related income tax impacts of those items, as well as the tax effects of certain significant and discrete tax adjustments, including benefits and provisions related to changes in realization of deferred tax assets and tax credit carryforwards, as well as other events that affect comparability and are not core to our underlying operational performance.

Adjusted EBITDA and Margin

In addition to the adjustments described above in arriving at adjusted net income, adjusted EBITDA is computed by further excluding any remaining interest expense, net, income tax expense, depreciation and amortization. Adjusted EBITDA margin is calculated by dividing adjusted EBITDA by net sales.

Adjusted Earnings (Loss) Per Diluted Share

Computed by dividing adjusted earnings (loss) attributable to Dentsply Sirona stockholders by the diluted weighted average number of common shares outstanding.

Free Cash Flow

Net cash provided by operating activities minus capital expenditures during the same period.

Net Sales as Reported and in Constant Currency (unaudited) Reconciliation of Non-GAAP Financial Measures

Condensed Consolidated Statements of Operations

(in millions, except per-share amounts) (unaudited) Reconciliation of Non-GAAP Financial Measures

Condensed Consolidated Statements of Operations

(in millions, except per-share amounts) (unaudited) Reconciliation of Non-GAAP Financial Measures

Adjusted EBITDA

(in millions) (unaudited)

20

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