Clear aligners · Case study

Adults were driving 40 minutes for aligners. Now they stay in town.

A respected general practice in a town of about 25,000 offered clear aligners, but almost nobody knew. Adults searching for Invisalign found a city orthodontist instead. Ten months later the practice was the first result across the whole town.

14Aligner consults / month
6Aligner starts / month
44 of 49Map points in the top 3
$380Cost per start

General dentist, small town. Client identity anonymized. Results reflect this engagement and are not a guarantee.

Where they showed up

The whole town, in the top 3.

“Invisalign” searched from 49 points across the town and surrounding area, before we started and at month ten.

Month 0Top 3 at 12 of 49 points
121099121013139833787733651111533331110533371213123858151113127111215
Month 10Top 3 at 44 of 49 points
4433324321123432111132211123311111322122224232333
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

Offering it isn’t the same as being found for it.

The practice had placed aligners for years. The internet didn’t know.

  • 1 aligner start a month, almost all existing patients who asked
  • The nearest orthodontist, 40 minutes away, ranked first for “Invisalign” in town
  • Aligners were one lineon a services list, with no page of their own
  • 12 of 49 map pointshad the practice in the top 3
  • ChatGPT named the city orthodontist, never this practice
The opening

In a small town, the local practice should win by default.

Small markets have fewer competitors, so the basics move fast. A real aligner page, aligner services on the profile and consistent listings were enough to outrank a practice 40 minutes away.

Adults would rather not drive across the county for monthly check-ins. They just needed to know they didn’t have to.

We made the practice the obvious local answer.

The work

Telling the town what was already true.

Nothing new to offer. Everything was about being found for what the practice already did.

01

An adult aligner page

Cost, timeline, check-ins, and why in-office care beats mail-order kits. Written for adults, approved by the dentist.

02

Aligners on the profile

Clear aligners listed as their own service, with the provider details matching Invisalign’s doctor locator exactly.

03

Listings cleaned up

Three old listings with an outdated address were merged. The practice stopped splitting its own visibility.

04

Fast replies

Aligner inquiries got a same-day answer with a consult time, instead of a voicemail.

Engagement timeline
  1. Week 1Visibility test: 12 of 49 points; ChatGPT names the city orthodontist
  2. Week 2Three duplicate listings merged
  3. Month 1Adult aligner page live; aligners added to the profile
  4. Month 2Same-day replies to aligner inquiries
  5. Month 4Top 3 across most of the town
  6. Month 7Named by ChatGPT in 7 of 9 answers
  7. Month 1044 of 49 points; 6 aligner starts a month
The result

What changed.

Measured against the month before the engagement started.

Clear aligner consults per month3 → 14/mo
0481216314/mo12345678910

Month of engagement

Aligner consults per month▲ 367%
Before3
After14
Aligner starts per month▲ 500%
Before1
After6
Map points in the top 3 (of 49)▲ 267%
Before12
After44
Named by ChatGPT (of 9 answers)▲ new
Before0
After7
Duplicate listings▼ 100%
Before3
After0
What each new start cost▲ new
Before—
After$380
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 → 7 of 9
Gemini0 → 5 of 9
Perplexity1 → 6 of 9
Google's AI Overview0 → 4 of 9
Named in 1 of 36 answers before, 22 of 36 after
What surprised them
1

The fix that moved the map most was merging old listings, not new content. Three listings had been competing with each other for years.

2

Most new aligner patients were already patients of the practice. They hadn’t known it offered aligners.

The patients were already in town. Some were already in the chair. They just didn’t know.

In a small town, be the obvious local answer.

Small markets reward the basics. A clear page, an accurate profile and clean listings beat a bigger practice from out of town within months.

Do patients in your town know what you offer?

We test your treatment searches from across your area and show you who patients find instead.

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