Efficiency is the dentist’s cheat code


Most dentists believe growth comes from doing more complex cases.

That is true for implants. You start with a single tooth, then move to multiple, then full arch cases. But aligners are different. Complexity does not equal growth.

Here is why.

More complexity means more refinements. More refinements means more time. More time means less profitability.

If you want to grow with aligners, you need efficiency, not complexity.

Here are 3 levers to focus on:

  1. Case selection: Do more of the simple, predictable cases. They finish faster, keep patients happy, and build your confidence.
  2. Workflow systems: Stop treating every case like the first one. Create repeatable systems for scans, photos, approvals, and delivery.
  3. Patient communication: Patients do not buy “attachments and refinements.” They buy confidence, convenience, and fewer visits. Keep the message simple.

The bottom line: Growth in aligners does not come from chasing complexity. It comes from making simple cases efficient and scalable.

That is all for today.

If you want to see the exact framework I use to help dentists grow their aligner practice without burning out, I put together a free training:


Video of the Week

video preview

Stop trying to make your patients decide everything at once.

Most dentists overwhelm their patients by combining two hard decisions:

1️⃣ Is this treatment necessary?
2️⃣ How will I pay for it?

That confusion kills case acceptance.

In this video, I’ll show you the $250 commitment strategy — the same simple method that helped hundreds of dentists boost their “YES” rate without discounting a single case.

-Dr. Avi


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I used to think growth meant taking on harder cases. That is what I saw other dentists doing with implants. They would start with a single tooth, then graduate to multiple teeth, and eventually full arch cases. Complexity stacked, and so did their confidence. So I assumed aligners worked the same way. But it did not take long to realize they don’t. Here is what I noticed. On Instagram, the dentists posting complex aligner cases were not celebrating at the finish line. They were relieved. More...

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I once had a patient who kept cracking his molars one by one. At the start I told him it was happening because of his occlusion and that we needed to even out his bite with aligners to distribute the forces. He did not listen. He just kept breaking teeth. Then on the final crown seat appointment he looked at me and said, “I think I want to do aligners.” That experience stuck with me. Most dentists fail to convert existing patients because they simply do not offer it. They feel like if they...

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One of the biggest mistakes I see with aligners is the dentist trying to do everything alone. You run the consult, you talk case acceptance, you scan, you handle the ClinCheck, you deliver trays. No wonder it feels overwhelming. The truth is, if you want aligners to scale in your practice, your team has to own their role in the workflow. Here are 3 ways to make sure that happens: Define the playbook clearly. Confusion kills execution. If your assistant does not know exactly what to say when...