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


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Most dentists avoid aligners because they’re afraid of refinements, upset patients, or getting stuck on complex cases. I was there too. After getting certified, I sat on the sidelines for months. I told myself I needed to “learn more” before starting. Truth is, you learn faster by doing — with the right support and simple first cases. Remember - you’re moving teeth with plastic over an 8 month period… not doing surgery or drilling straight down into their teeth with a high speed burr. You’re...

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I used to wait for patients to ask about aligners. Then I made one change: we started scanning every hygiene patient. It seems small, but it created instant awareness and opened doors for conversations we never had before. We didn’t “sell” — we educated. Patients started asking questions and seeing their own crowding on the scans. If you want to try this: Train your team to scan every hygiene patient by default Show patients their scans right away — let them ask questions Have a simple...

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I see it all the time. Docs get excited and jump into tough cases first — severe crowding, major bite changes, or posterior crossbites. Crazy stuff. Why? Because we weren’t taught that there are LEVELS to ortho cases. I did the same. My first few cases took forever and needed tons of refinements. I lost confidence fast. When I started focusing on simple cases — mild crowding, no big bite changes — my confidence (and case acceptance) skyrocketed. If you’re just starting: Stick to mild anterior...