How to convert existing patients into aligner starts


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 never brought it up before, starting now will make the patient question why. The dentist gets fearful.

But the simple truth is this: you just did not know how to do it before. And once you invest in yourself and learn, that is when you start offering.

You are allowed to grow and improve.

I remember offering aligners to another existing patient and they said, “Thank you for telling me. I see ads all the time when I watch football and I thought about doing it but never did because you never told me and I did not think I qualified.”

That was the moment I realized I was the bottleneck.

I learned to never assume or judge patients. If they qualify, offer it.

The bottom line: Existing patients already trust you. The only barrier is your belief in offering aligners.

That is all for today.

If you want to see the exact framework I use to help dentists convert existing patients into aligner starts, I put together a free training:


Video of the Week

video preview

In this video, I walk you through a real patient case shared by a doctor in our Clear Aligner Advisor program—and explain exactly why I would seriously consider referring this one to an orthodontist.

I’ll show you my thought process—step by step—highlighting red flags, treatment plan breakdowns, IPR concerns, pontic design flaws, molar movement issues, and attachment tips.

If you’re a general dentist wanting more predictable, clear aligner outcomes, this one is a must-watch.

-Dr. Avi


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Most dentists fail to convert existing patients into aligner starts for one simple reason: they do not offer it. They fear the patient will ask, “Why did you not tell me this before?” But the truth is you just did not know how before. You are allowed to grow and improve. Here are 3 simple tactics to convert existing patients into aligner starts: Cracked teeth. If a patient is repeatedly fracturing molars, evaluate their bite. Even distribution of forces through alignment is the long-term fix....

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