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XRAYDENTSPLY SIRONA Inc.Sell4.6·$12.90+1.42%
XRAY · Why this verdict

Why DENTSPLY SIRONA (XRAY) is rated SELL

Updated

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results.

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Methodology · Editorial policy & full disclaimer

VerdictSELL
Overall score4.6/10
ConfidenceMEDIUM
MacroNEUTRAL
TrendMatrix Research · core thesis

Engine thesis — one sentence

Dentsply Sirona trades at a deeply discounted forward P/E of 6.6x with 32% analyst upside from current levels, but the business is in a confirmed downtrend, has missed earnings in 2 of the last 4 quarters, and carries an elevated put-to-call ratio of 8.50 that signals heightened institutional hedging activity.

Falsifiable statement — pillar-level invalidators below. Engine-derived; not personalized advice.

Thesis pillars

With a forward P/E of 6.6x, a PEG ratio of 0.72, and peer-ranking in the top decile for value, Dentsply is priced as a deep-value recovery candidate, but that valuation reflects genuine fundamental weakness rather than temporary mispricing given the quality score of 3.5.

TrippedImproving
Valuation breakdown
Expectation
Forward earnings estimates stabilize and begin rising, pushing the forward P/E above 8x within 12 months as cost restructuring gains traction.

CounterDental equipment companies facing competitive and procedural-volume headwinds have historically stayed cheap for multiple years during restructuring cycles before realizing valuation expansion.

A Piotroski F-Score of 8 out of 9, positive free cash flow with a 4% FCF margin and 6.4% FCF yield, and volume accumulation on the chart suggest the company's core cash generation is more intact than the quality score and sentiment imply.

Stable
Quality breakdown
Expectation
FCF margin improves above 6% within 12 months as operating expenses are restructured and dental demand volumes recover.

CounterFCF margins of 4% in a medical instruments company with no competitive moat and declining revenue trends are not high enough to drive multiple expansion on their own.

Dentsply has missed earnings in 2 of the last 4 quarters with an average surprise of negative 5.5%, and the 200-day moving average is declining at negative 4.7% per month, combining fundamental and technical evidence of a company struggling to stabilize its earnings trajectory.

Stable
Earnings
Expectation
EPS beats emerge in at least 2 of the next 4 quarters and the average EPS surprise turns positive, above 0%, signaling the earnings trough has been reached.

CounterDental equipment demand is tied to dental office capital spending cycles, which tend to be multi-year in duration, making rapid earnings recovery unlikely without a meaningful catalyst.

A put-to-call ratio of 8.50 is among the highest in the screened universe and indicates that options market participants are paying a substantial premium to hedge downside risk, which is consistent with the earnings miss pattern and quality concerns.

Stable
Key risks
Expectation
Put-to-call ratio falls below 3.0 within 12 months as earnings stabilize and hedging demand eases, reducing the implied uncertainty premium in options pricing.

CounterElevated put-to-call ratios can be contrarian bullish signals when they reach extremes, as they may reflect maximum pessimism before a sentiment reversal.

Per-dimension breakdown

Value

7.7/10data confidence 83%
ComponentSub-score
P/S9.9
EV/EBITDA6.7
Fwd P/E9.5
PEG8.5
Analyst target4.0
  • Forward P/E: 8.3x
  • PEG: 0.75
  • Attractively valued

Quality

3.5/10data confidence 100%
ComponentSub-score
ROE0.0
ROA1.5
Gross margin5.8
Op margin1.4
Net margin0.0
Current ratio5.6
FCF quality4.7
Moat3.9
Piotroski F8.9
  • FCF-positive but moderate margins (FCF margin 4%, FCF yield 5.0%)
  • No competitive moat
  • Strong Piotroski F-Score: 8/9

Growth

2.5/10data confidence 33%
ComponentSub-score
Rev growth2.5

Momentum

3.8/10data confidence 100%
ComponentSub-score
RSI5.5
MACD3.7
OBV1.0
MA position8.0
Volume0.7
  • Volume distribution (falling OBV)
  • Above 200-MA but MA slope flat

Sentiment

5.2/10data confidence 100%
ComponentSub-score
Analyst rating5.0
Price target5.5
erm sentiment5.0

Insider

7.5/10data confidence 75%
ComponentSub-score
materiality5.5
holder change10.0
notable moves7.0
  • Insider buying (low materiality) — $515,799 (0.020% of mkt cap)
  • Institutions accumulating

Peer rank

2.9/10data confidence 80%
ComponentSub-score
value rank9.7
quality rank0.8
growth rank1.0

Technical

4.4/10data confidence 100%
ComponentSub-score
bollinger3.8
support resistance3.2
52w position5.6
gap5.0

Risk (lower is worse)

4.2/10data confidence 100%
ComponentSub-score
short interest1.8
days to cover5.8
volatility0.5
put call10.0
implied vol0.0
beta7.6
debt equity3.4
  • High short interest justified: 17%
  • High IV: 83%

Catalyst

3.6/10data confidence 100%
ComponentSub-score
erm5.0
earnings history1.1
earnings timing5.0
surprise avg0.0
dividend safety7.0
  • Earnings concerns: 1B/2M
  • Earnings in 12 days
  • Dividend: 5.0%

How the verdict was assembled

Engine trigger

Quality below minimum threshold.

Engine technical detail
verdict_path: L1:HARD_BLOCK:QUALITY_FLOOR
Passed (5)
  • INSIDER:OK
  • 8K:CLEAN
  • NEWS_EVENTS:NONE_RECENT
  • SEMI_CYCLE_PEAK:CLEAR
  • MATERIALS_CYCLE_PEAK:CLEAR
Failed (3)
  • MOMENTUM:3.8<4.5
  • ASYMMETRY:-0.5=NEGATIVE
  • DEATH_CROSS:HARD_BLOCK
Warning (1)
  • EARNINGS_PROXIMITY:12d<=14d (soft)
Reward-to-Risk
-0.46
Upside
-6.9%
Downside
15.0%
Sizing output
AVOID

SetupRange Bound RSI 56 mid-range, Bollinger mid-band

EdgeNo clear edge No clear edge identified

SuitabilityAggressive MCap $2.6B<$5B

Investment implication

The SELL_IF_HOLDING verdict reflects the MOMENTUM gate's 3.8<4.5 outcome against Value at 7.7 and asymmetric R:R of -0.46.

The strongest dimensions are Value at 7.7, Insider at 7.5, and Sentiment at 5.2; the weakest are Growth at 2.5, Peer rank at 2.9, and Quality at 3.5. The V9 engine flagged 3 failed gates with 1 warning, producing an asymmetric reward-to-risk of -0.46 and an engine sizing output of AVOID.

What would invalidate the thesis

Falsifying conditions — when triggered, the corresponding pillar's thesis is invalidated.

  • P1Deep Value Versus Earnings DeteriorationTripped

    Trip ifForward earnings estimates decline by more than 20% from current levels, pushing the forward P/E above 8x on lower estimates rather than price appreciation.

  • P2Earnings Miss Pattern Downtrend

    Trip ifEPS surprise falls below negative 5% in at least 3 of the next 4 quarters, indicating deterioration is accelerating.

  • P3Elevated Put Call Ratio Hedging

    Trip ifPut-to-call ratio rises above 12.0, increasing more than 41% above the already elevated current level of 8.50.

  • P4Strong Piotroski Quality Backbone

    Trip ifPrice falls below $9.43 stop-loss, declining more than 7% from the current $10.14.

Engine reasoning is mechanically derived from pipeline gate outputs. See decision view.

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