By Reuben Kamp, CEO and Founder, Darkhorse Tech

For years, ransomware followed a predictable formula:
Hackers encrypted your files. You couldn’t access your data. You paid to get it back.

That model is changing.

According to the Arctic Wolf 2026 Threat Report, data-only extortion attacks increased elevenfold in one year, rising from 2% to 22% of incident response cases. Instead of encrypting files, attackers are now breaching networks, stealing sensitive data, and demanding payment to prevent it from being leaked or sold.

For dental practices, this shift is significant.

What Is Data-Only Extortion?

Traditional ransomware relied on encryption to shut down operations.

Then came double extortion — data was stolen and encrypted.

Now, some groups are skipping encryption entirely.

They:

• Breach your network
  
  
• Exfiltrate patient and business data
  
  
• Demand payment to prevent public exposure
  
  

No shutdown.
No obvious warning.
Just stolen data and reputational leverage.

Groups like PEAR (Pure Extortion and Ransom) and Silent Ransom have adopted this model exclusively.

Why Attackers Are Changing Strategy

Encryption increases detection risk.
It takes time.
And more organizations now have reliable backups.

As practices improve their ability to recover from encryption events, attackers are pivoting. The reputational damage of leaked patient data is often enough to pressure payment.

In other words:

Backups don’t stop data theft.

Why This Matters for Dental Practices

Dental offices store highly sensitive information:

• HIPAA protected health information (PHI)
  
  
• Insurance data
  
  
• Social Security numbers
  
  
• Financial information
  
  

Even if your systems never go down, stolen data can trigger:

• HIPAA breach notifications
  
  
• Regulatory investigations
  
  
• Patient lawsuits
  
  
• Reputational harm
  
  
• Long-term patient trust erosion
  
  

For DSOs, the impact multiplies across locations.

This is no longer just a downtime problem.
It’s a liability problem.

The Numbers Behind the Shift

From November 2024 to November 2025:

• Ransomware accounted for 44% of incident response cases
  
  
• Data-only extortion increased elevenfold
  
  
• Business Email Compromise (BEC) accounted for 26% of cases
  
  
• Remote access tools and VPN exploitation became dominant entry points
  
  

Attackers are evolving into structured business enterprises, complete with affiliate programs and tiered revenue models.

This isn’t random hacking anymore.

It’s organized.

What Dental IT Strategy Must Change

If encryption is no longer the primary tactic, recovery planning must evolve.

Strong Dental IT support must now focus on:

• Preventing unauthorized access
  
  
• Securing remote access tools and VPNs
  
  
• Monitoring for data exfiltration
  
  
• Enforcing least-privilege access controls
  
  
• Strengthening endpoint detection
  
  
• Ongoing employee phishing awareness
  
  

Because once data leaves your network, backups don’t fix it.

Downtime Is No Longer the Only Risk

Historically, the fear was operational shutdown.

Now, the greater risk may be quiet data theft.

Data-only extortion changes how impact is assessed and managed. It shifts the conversation from “How fast can we restore systems?” to:

“How exposed are we if our data is stolen?”

For dental practices and DSOs, that’s a much bigger question.

The Bottom Line

Cybercriminals adapt.

When organizations get better at recovering from encryption, attackers pivot to data theft.

The increase in data-only extortion attacks is a signal: prevention, monitoring, and access control matter more than ever.

If your current IT approach focuses primarily on backups and recovery — but not active threat detection — it may be time to reassess.

Because in 2026, ransomware isn’t just about locking files.

It’s about leveraging your data.

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Arctic Wolf® Threat Report Highlights 11x Growth in Data Extortion. (2026, February 17). Business Insider Markets. Retrieved from https://markets.businessinsider.com/news/stocks/arctic-wolf-threat-report-highlights-11x-growth-in-data-extortion-incidents-and-continued-dominance-of-ransomware-1035834522

Darkhorse Dental IT Is Here For You

We understand that caring for your patients is your top priority. Dealing with a computer issue, slow IT response time or HIPAA compliance requirements just aren’t high on your list of to-do’s. That’s where Darkhorse Dental Tech comes in. Our team of Dental IT specialists are experts when it comes to running a great, secure and successful practice —and so much more. Whether you’re looking for IT services for startups, or existing support and security services for your practice, Darkhorse can do it all for you, so you can get back to your patients.

Have questions? Looking for ideas? Just want to talk teeth? Drop us a line at sales@darkhorsetech.com to get the conversation started! Or head to our Contact page to send us a message. Don’t forget to follow us on Instagram!

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