I was in your shoes a few years ago, 50/50 med/dent and went with dentistry. I was also interested in oms when applying and shadowing family practice doctors also basically pushed me away from medicine. I figured if I could get into a medical surgical specialty then I could also get into oms. And if I didn't have what it takes to get into a specialty, I'd much rather be a general dentist than family practice doctor. Sounds pretty similar to you. I also genuinly liked what I saw in a general dentist office. Do you? Even if you do a gpr with exodontia/implant focus, you will still be doing lots of the bread and butter drill/fill/bill type of stuff as you will need to have a patient base in order to do implants. Do you like that bread and butter gp stuff? Doing a class 1 composite restoration may seem "surgical" with a drill and all, but it feels much more like mechanic work. Nothing wrong with that. But you got to be happy with it day in and day out. I ask these questions because all you've mentioned is a desire to grow your business and be entrepreneurial as the reason why you are interested in dental. These are great traits and could lead to a good practice, but just a few things to consider:
1. Do you like being a dentist first and the business growth/entrepreneurial possibilities of the profession because you want to be a successful dentist? Or, do you like business growth/entrepreneurial possibilities first, and find dental to be a safe and acceptable vehicle to carry those entrepreneurial desires? No problem with either...but if your answer is my second question, and you really are an entrepreneur at heart, then my guess is you will be frustrated by dentistry and especially by oms. You will be in borderline torturous schooling for 4 year (dental) plus 4-6 (oms) all while raking up huge amounts of debt, postponing any entrepreneurial endeavors for almost a decade, and making a bet that the health care scene will be as welcoming to the small business owner as it currently is (a big gamble). You will be carving your 100th wax tooth wondering why you aren't out there making money doing something else.
2. When you choose dentistry over medicine due to the business possibilities of dentistry, does money play a large roll in this? Do you anticipate making much more money as a small business owner than a salaried doctor? What if you peered into your future and saw that you would be making the same money running your own dental practice (and working extra hard to handle all that comes with business ownership) as you would be clocking in and out of a medical practice? What if you found out you made less as a dental owner than a doctor clocking in and out without the business ownership worries? Many medical specialties can get you past the 500k mark. A successful dental office can as well. But playing the odds, you'd be better off in medicine if money is your main motivation.
3. Money aside, it sounds like you like the surgical aspect of general dentistry compared to the day to day of a family practice doc. So if you couldn't match surgery, you'd prefer general dentistry. Like I said, I reasoned the same to make my decision. BUT. There are many non "surgical" medical specialties that still get to do cool procedures. Even anesthesia can do cool procedures. There are interventional radiologist and cardiologist, etc etc. All of these have sort of a surgical flare to them. And they all pay extremely good. Unbelievably good in some cases. I realize now I was short sited in thinking it was either full-blown surgical specialty or family practice doc. In medicine/dentistry as in life, its not black and white. But the same can be said for dentistry. A periodontist, for example, gets lots of cool dentoalveolar surgical stuff. You just often have to pay a lot for those residencies as compared to medical residencies which are all paid.
I had some other thoughts, but I've forgotten as I've typed this novel. You seem very similar to myself, so I felt like I should share what I've learned looking back over 2 years of dental school. Bottom line, go to dental school if you want to be a dentist. I'm not trying to dissuade you from going to dental school. I am happy with my decision even with my current aspirations of oral surgery. But you have to be happy being a dentist to go to dental school. If you really do want surgery, your best bet is medicine. If you really do want business/entrepreneurship, your best bet something OTHER than medicine OR dental. If you want to be a dentist, then there is no better way to do it then going to dental school. Just remember it requires A LOT of you. Your time, chunks of your life, your energy, money you don't have, etc. All these thoughts, doubts, and questions will come rushing to your mind as a D1 and will crush you unless you are sure dentistry is the life you want.
...and I agree, presitgue is over rated. "Don't start chasing applause and acclaim. That way lies madness.” - Ron Swanson