Nothing kills momentum like back-to-back refinements. You think you’re done — and then another scan, another delay, another patient getting frustrated. I’ve been there. At one point, almost every case had a midcourse correction. I blamed the software… but it wasn’t that. It was me skipping steps upfront. Here’s how I reduced refinements by over 50%: Use attachments that actually do something — not just the auto-generated ones Set patient expectations: “This is a process. We’ll make...
7 days ago • 1 min read
A lot of docs start offering aligners… and then hit a wall. Some months you start a case. Some months you don’t. It feels reactive — not strategic. That was me for a while. Until I built in a simple system I called “Aligner Day.” One dedicated day a quarter for consults and case starts. It changed everything. How to build your own Aligner Day system: Pick 1 day/quarter (usually a light Friday or late-start morning) Promote it internally — tell hygiene, front desk, assistants to mention it to...
14 days ago • 1 min read
At one point in 2020, I was $500K in debt, out of work… and delivering Uber Eats. Like most dentists, I started with CE. Spear modules. Clinical deep dives. Two weeks in, I realized: There was nothing to apply it to. So I checked out. Played Xbox. Made margaritas at 5. Took the Jaguars to the Super Bowl in franchise mode (twice). Until my wife looked at me and said, “You need to do something with yourself.” That’s when I signed up for Uber Eats. And weirdly… I liked it. I’d never had a job...
21 days ago • 1 min read
If you’re unsure about pricing… you’ll always undercharge. I did that for months. I priced low because I was scared to lose the case. But that just led to resentment — more work, less profit, no sustainability. Then I switched to a model that made sense — for me and the patient. Here’s how I price aligners now: Take your lab fee (let’s say $1,200–$1,800) Multiply it by 3x for your total fee — that builds in profit, chairtime, and refinements Script the value confidently: “This is designed to...
about 1 month ago • 1 min read
Social media makes it feel like every dentist is doing 10+ aligner cases a month. And if you haven’t started… it feels like you’ve missed the boat. I felt that too. I waited longer than I should’ve — and beat myself up about it. But once I got the right support, I made up for lost time fast. If that’s where you’re at, here’s what I’d focus on first: Pick 1 case you feel good about and commit to starting it this month Block time to learn: 30 minutes/week on just case selection + planning Stop...
about 1 month ago • 1 min read
You’re losing money by paying your associates to do Clear Aligners.I see a lot of practices making this mistake.Here’s why it’s costing you—and how to fix it. 👇🏽When I first saw a practice using the Production Frontload model for paying associates, it seemed logical:• Associate starts the case, earns 30% of production.• Lab bill? Deducted at 30%.• Paid out just like restorative work.Sounds simple, right?It works beautifully when patients pay in full upfront.But let’s be real—most patients...
about 2 months ago • 1 min read
Hey Friends, AI is everywhere in dentistry right now. Some people think it’ll replace doctors. Others think it’s just hype. The truth? It’s a tool. And like any tool, it’s only useful if it actually helps you make more money or improve patient outcomes. Here’s where AI can actually make a difference in your practice: • Treatment planning. Faster, more predictable setups for aligner cases. YOU still need to know what is going on with the movements but it can speed up the process and remove a...
2 months ago • 1 min read
Hey Friends, IPR is one of the most misunderstood parts of clear aligner treatment. Most dentists do it too early, too late, or in too many places. The right approach? • Do less IPR in more strategic locations instead of spreading it everywhere. • Stage the IPR— this allows you to do the IPR at the most favorable position + time. • Group IPR around the canines instead of hitting every contact. 🔥 Actionable Tip: Next time you’re setting up a case, move small IPR amounts to fewer locations....
2 months ago • 2 min read
Hey Friends, If your aligner cases are taking 12+ months, something is wrong. Here’s why most dentists add unnecessary time to their cases: • Not staging movements properly. Too much happening at once = slower results. • Refinements aren’t planned. Every case should expect at least one refinement. • Poor attachment design. If the trays aren’t gripping the teeth properly, movement slows down. 🔥 Actionable Tip: Build in a planned refinement phase. Tell patients upfront: “We’ll evaluate your...
3 months ago • 2 min read
