Small practices are disappearing—here’s how to stay ahead


Hey Friends,

The dental industry is changing fast.

DSOs are expanding. More practices are consolidating. Competition is at an all-time high.

What does that mean for you?

If you’re not growing, you’re falling behind.

But scaling your practice doesn’t have to mean opening more locations or taking on more patients.

The smartest practices are scaling by:

Increasing case value instead of increasing patient volume.

Leveraging high-profit procedures like clear aligners to maximize revenue per hour.

Building efficient workflows so their team runs like a machine.

🔥 Actionable Tip: Start tracking profit per visit instead of production. A dentist seeing 20 patients a day doing fillings and crowns can be out-earned by a dentist seeing 8-10 patients doing aligners, implants, and high-value procedures.

If your profit per visit is low, your scaling strategy is broken.


Video of the Week

video preview

In this video, I’ll walk you through how to solve crowding using aligner strategies for dentists that are predictable and efficient. Learn why adult ortho crowding happens, explore techniques like distalization with aligners, IPR, and premolar expansion, and discover how to create space by addressing narrow arches.

This video is packed with clear aligner tips, predictable aligner techniques, and real-world aligner case studies to help you elevate your practice. Watch now and master aligner treatment strategies with confidence!

If you enjoy dental content and you are not already - ​subscribe to my youtube channel​ - I drop a new video every week!


Straight Talk

Let’s get real: most dentists think clear aligners aren’t profitable.

And they’re right—if you’re wasting chair time.

But when you streamline your workflow and focus on efficiency, aligners can become one of the most profitable procedures in your practice.

Here’s the playbook: start with predictable cases that can wrap up in 6-8 months.

Skip the complex cases—they’re better suited for Ortho.

Make hygiene your secret weapon by maximizing same-day starts and having your hygienist introduce aligners during routine appointments.

Your treatment coordinator should offer flexible financing options that remove barriers for patients to say “yes.”

Delegate attachment placements to your assistant and stick to a structured schedule for every appointment.

The goal? Patients come in only once mid-treatment.

When you implement these strategies, you’re not just cutting chair time—you’re transforming aligners into a system that works for your practice.

Your team stays efficient, your patients love the process, and your profits soar.

What’s your best tip for making aligners work in your practice? Let’s keep the conversation going.


Your Friend,

Dr. Avi


P.S. Want to learn more from me?


Check out my online courses below

Clear Aligner Masterclass (free)

How To Maximize Revenue And Minimize Chair Time (Free)

Clear Aligner Blueprint (Core Curriculum Aligner Course)

Aligner Launchpad (Comprehensive Aligner Course)

Clear Aligner Advisor Website

Do you own multiple practices and feel bogged down by mentorship?
Would you like to outsource your aligner training and support so that your practices can increase their revenue + you can get more time to focus on other aspects of your business?
If so...your group may be a good candidate for our Aligner Advantage program - book a time HERE so we can see if we can help.


P.P.S. - If you have any questions about Aligner Launchpad (clear aligner training program) feel free to book a no obligation - 1 on 1 discovery call with me here: https://calendly.com/doctoravi/aligner-launchpad-discovery-call


Did you enjoy this edition and want to read previous editions of Clear Insights?


Refer Friends!

If you enjoyed today's newsletter, please share it with your friends and family! Use this link!

If this email was forwarded to you, consider subscribing to receive them in future!

Follow me on social!

Don't want to be part of the newsletter community anymore? No worries! Unsubscribe here

600 1st Ave, Ste 330 PMB 92768, Seattle, WA 98104-2246

If you do not want another email from me ever again - unsubscribe below. I will be sad to see you go as I plan to continue to bring as much value as I can for you - but I understand if you don't find any of this valuable. Best of luck with everything and thanks for your time!
Unsubscribe · Preferences

Get Clear Insights Straight to Your Inbox

Sign up for Clear Insights – your weekly source for all things Clear Aligners! I share exclusive insights, practical tips, and industry news that will help you take your Clear Aligner game to the next level - delivered straight to your inbox every week! Sign up below!

Read more from Get Clear Insights Straight to Your Inbox
video preview

I want to tell you about a pattern I have noticed. The dentists who grow the fastest are not always the most technically skilled. They are not always the ones with the best equipment or the biggest marketing budget. They are the ones who read. Not just dental journals. Not just CE materials. Books on sales. Books on psychology. Books on business and human behavior and communication. They are pulling ideas from completely different industries and bringing them into their practice. The dentist...

video preview

Most dentists track the wrong things. Production. Collections. New patients per month. These are real numbers but they do not tell you why your aligner program is working or why it is not. The number that actually tells you everything is your case acceptance rate. Out of every patient you present aligners to, how many say yes? That is it. That is the whole scorecard. If you do not know that number off the top of your head, you do not have a system. You have a series of random events that...

video preview

I want to tell you something that took me a while to see. The doctor is not the reason most aligner cases fall apart. The team is. Not because they are doing anything wrong. Because no one ever trained them on what to do right. Here is what happens in most offices. The patient sits down. The doctor does the exam, sees a great aligner candidate, presents the case, and the patient says they will think about it. The doctor moves on. What the doctor does not know is that when the patient checked...