Periodontics · Case study

The periodontist who stopped waiting for referrals

Almost every implant case arrived through a referring dentist, and two of those dentists had started placing implants themselves. Twelve months later, patients searching for implants were finding the practice on their own.

17Direct implant consults / month
31 of 49Map points in the top 3
63%Share of cases from referrals
$640Cost per case

Periodontal practice, mid-size metro. Client identity anonymized. Results reflect this engagement and are not a guarantee.

Where they showed up

From the edge of the map to the middle of it.

“Dental implants” searched from 49 points around the office, before we started and at month twelve.

Month 0Top 3 at 3 of 49 points
20+20+20+1820+2020+20+161516151720+1920163151619181815315182020+15141431620+2020+1818181520+20+20+2020+20+1820+
Month 12Top 3 at 31 of 49 points
6462355332123632111235211124621112443321666434374
Top 34–1011–20Not in the first 20Each circle is the practice’s position for the search from that point; the ringed circle is the office.
The situation

A great reputation with dentists. Invisible to patients.

The practice was trusted by every general dentist in town. Patients searching on their own never saw it.

  • 88% of implant casescame from referring dentists
  • Two referring officeshad started placing their own implants
  • 3 of 49 map pointsshowed the practice in the top 3 for implant searches
  • The websitewas written for dentists sending referrals, not for patients
  • No pageanswered cost, financing or what a periodontist does differently
The opening

Patients were searching for exactly what this practice does best.

The general practices ranking for implants offered them as one service among many. None of them explained bone grafting, failing implants or complex cases, which is where a periodontist is the obvious answer.

A patient who reads why a specialist matters for their case is ready to book with one.

We built the practice’s presence for patients, without touching the referral relationships.

The work

A second front door, for patients.

The referral side stayed exactly as it was. Everything new was aimed at patients searching on their own.

01

Pages for the hard cases

Bone grafting, implants after gum disease, failing implants and full-arch. The cases general dentists send out are the ones patients search for most anxiously.

02

A specialist, explained

A page on what a periodontist is and when it matters, written for patients, with the doctor’s training and years placing implants.

03

A profile built for implants

Implant services listed one by one, real photos of the surgical suite, and a review request after every completed case.

04

Reviews in patients’ own words

Review volume quadrupled. Patients describing their own implant experience gave both Google and AI assistants something specific.

Engagement timeline
  1. Week 1Visibility test: 3 of 49 points in the top 3
  2. Month 1Pages for bone grafting, failing implants and full-arch
  3. Month 2“What a periodontist does” page with the doctor’s training
  4. Month 3First direct implant case from search
  5. Month 6Bone-grafting page becomes the top consult source
  6. Month 9Referral share under 70% while referrals hold steady
  7. Month 1231 of 49 points in the top 3; 17 direct consults a month
The result

What changed.

Measured against the month before the engagement started.

Implant consults from patients finding them directly4 → 17/mo
05101520417/mo123456789101112

Month of engagement

Direct implant consults per month▲ 325%
Before4
After17
Map points in the top 3 (of 49)▲ 933%
Before3
After31
Share of cases from referrals▼ 28%
Before88%
After63%
Implant searches in the top 3▲ new
Before0
After8
New reviews in the last 90 days▲ 311%
Before9
After37
What each direct case cost▼ 69%
Before$2,050
After$640
AI answers

Named by the
AI assistants.

The same patient questions asked 9 times on each assistant, before and after. Answers vary by person, place and day; these are dated test results.

AssistantAnswers naming the practiceBefore → after
ChatGPT0 → 5 of 9
Gemini1 → 4 of 9
Perplexity0 → 6 of 9
Google's AI Overview0 → 3 of 9
Named in 1 of 36 answers before, 18 of 36 after
What surprised them
1

Referrals didn’t drop. The referring dentists kept sending cases; the practice simply stopped depending on them.

2

The bone-grafting page brought in more consults than the main implant page. Anxious patients search for their specific problem.

Referrals are a relationship. Search is a second front door, and it doesn’t depend on anyone else’s business plan.

A specialist should be the obvious answer to the hard questions.

General practices compete on “dental implants”. A periodontist wins on the questions general practices can’t answer well: bone loss, gum disease, failed implants. That is where we aimed.

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