Orthodontic practices rely heavily on local search, patients search by city and proximity, not by provider name.
Every time I run a local SEO audit for an orthodontic practice, the first thing I check is the same: are they showing up when a parent in their city searches "orthodontist near me"? That single search represents thousands of dollars in potential revenue per patient, and most practices are leaving it on the table.
The orthodontic category has specific local SEO dynamics worth understanding. Patients are searching by geography, they want the most convenient option, not the most famous one. Reviews carry enormous weight because parents are entrusting their child's treatment to you. And the category is competitive enough that basic GBP optimization separates practices in the Local Pack from those on page 2.
The same local search tactics apply to other verticals, including local SEO for medical spas.
Orthodontic patients don't choose a provider by reputation the way they might choose a specialist for a complex condition. They choose by proximity, by reviews, and by the quality of their first impression. "Orthodontist near me" is how it starts, and that search leads directly to Google's Local Pack.
The three practices in the Local Pack capture the overwhelming majority of clicks from that search. The others compete for the small percentage of searchers who scroll further. In a mid-size market with 8–12 orthodontic practices, the difference between ranking 1st and ranking 5th can represent 30–40 new patient consultations per month.
The higher-value searches, "braces for kids near me," "Invisalign provider [city]," "orthodontist accepting new patients", are even more specific and represent even higher intent. Ranking for those requires more than a claimed GBP, it requires the optimization steps in this guide.
📊 Flento Data: Flento's analysis of healthcare listing performance found that orthodontic practices with 50+ reviews and complete GBP profiles appear in the Local Pack for "orthodontist near me" searches at 4x the rate of practices with under 20 reviews.
🛠️ Action Step: Search "orthodontist near me" and "Invisalign [your city]" right now. If your practice isn't in the top 3 for both, you have gap work to do.
Category selection is make-or-break for orthodontic practices. The wrong primary category means you're competing in the wrong search pool.
The correct primary category is "Orthodontist", not "Dentist," not "Dental clinic," not "Healthcare provider." Google treats these distinctly, and using a general dental category means you'll appear for general dentist searches but miss the specific orthodontist queries where your conversion rate is highest.
Secondary categories to add:
⚠️ Common Mistake: Adding "Dentist" as the primary category and "Orthodontist" as secondary. The primary category carries the most ranking weight. Orthodontist first, always.
🛠️ Action Step: Check your current GBP categories. Confirm "Orthodontist" is your primary. If not, change it today and add relevant secondary categories.
Your GBP description tells Google which treatment searches to match you with, and tells prospective patients what to expect before their first call.
Most orthodontic descriptions I audit are either too generic or too clinical. Here's the structure that works:
Line 1: Your practice name, city, and what you specialize in. Line 2: Your specific treatment options by their search names. Line 3: A differentiator, years of experience, specific certifications, technology (3D imaging, digital impressions), or patient demographics you focus on. Line 4: Appointment availability and a neighborhood reference.
Example:
"[Practice Name] is an orthodontic practice in [City, State] offering braces, Invisalign, and clear aligner treatment for children, teens, and adults. Our board-certified orthodontist uses 3D digital imaging for precise treatment planning. Located in [neighborhood], we welcome new patients from [nearby areas] and offer free initial consultations."
That description includes: treatment keywords, technology signal, credential mention, location, patient type, and a conversion offer (free consultation). All things Google and prospective patients use to evaluate your listing.
🛠️ Action Step: Rewrite your GBP description using the four-line framework. Include your top 3 treatment names, your city, and a credential or differentiator.
Orthodontic treatment decisions for children are made by parents, and parents are doing visual due diligence before they call. Your photo profile is part of their research process.
What your photo profile needs:
Cover photo: Your office exterior or reception area, clean, welcoming, professional. This is what appears in the Local Pack preview.
Team photos: The orthodontist and key staff members, not just headshots, photos in the clinical environment, with the equipment, looking approachable. Parents want to know who will be treating their child.
Before/after photos: Compliant with state advertising regulations for dental and orthodontic practices. Many states require a disclosure statement near before/after advertising. When done right, before/after photos are the single most persuasive content category in this specialty.
Facility photos: Treatment chairs, waiting room, reception. Modern, clean facilities visible in photos reduce the "I don't know what to expect" hesitation.
Appointment and consultation process photos: Photos of the consultation process, treatment planning, impressions, and first fitting help patients know what their first visit will look like.
🔥 Quick Win: If you have zero before/after photos on your GBP, that's your first priority. Even two or three properly disclosed before/after cases is a significant conversion driver compared to a profile with none.
🛠️ Action Step: Upload at least 15 photos this week. Prioritize in this order: cover photo, team photos, before/after (if compliant in your state), facility photos.
Orthodontic practices are healthcare providers, which means your review strategy needs to comply with HIPAA and FTC guidelines while still building the review velocity that drives Local Pack rankings.
The rules are simpler than most practices think:
You can ask patients for reviews. Asking a patient to share their experience on Google is not a HIPAA violation. The patient controls their own information.
Your responses cannot confirm patient status. If a reviewer mentions their treatment, you cannot confirm or add any details in your response. Respond generically: "Thank you for sharing your experience at [Practice Name]!", not "We're so glad your braces treatment went well!"
No incentivizing reviews. Offering discounts, gifts, or free services in exchange for reviews violates both Google's policies and FTC guidelines.
The Flento Review Velocity Method for orthodontic practices:
Ask at key appointment milestones. Debanding (when braces come off) is the highest-satisfaction moment, this is your best review conversion point. Also ask at: completion of Invisalign treatment, 6-month progress check, and first successful consultation.
Send a follow-up text within 2 hours. Include a direct link. After an emotional milestone like finishing treatment, conversion rates from timely follow-ups are very high.
Respond to every review within 24 hours, keeping responses compliant. Even "Thank you for the kind words! We love hearing from our patients." is enough.
💡 Pro Tip: Train your front desk staff to make the review ask personal, "Dr. [Name] would really appreciate if you shared your experience online." Personalized asks from a trusted staff member convert significantly better than generic automated requests.
🛠️ Action Step: Identify the 3 milestone appointment types with the highest patient satisfaction in your practice. Build your review request process around those moments specifically.
Your website sends location signals to Google that reinforce your GBP and help you rank for city-level and neighborhood-level orthodontic searches. Most orthodontic websites miss this entirely.
Location-specific pages: Create a dedicated page titled "[City] Orthodontist" with 500+ words of genuinely useful content, what orthodontic treatment involves, what to look for in an orthodontist in your market, and why your practice serves [city] patients well. Include your address, phone number, and an embedded Google Map.
NAP consistency: Your Name, Address, and Phone number on your website must match exactly what's on your GBP. Even small variations ("Suite 200" vs "#200") create inconsistency signals that can suppress your ranking.
Local schema markup: Add LocalBusiness and Physician schema markup to your website with your practice's address, phone, hours, and specialty. This helps Google correctly categorize your practice in its knowledge graph.
Service-specific pages: Build individual pages for your top treatments, "Invisalign in [City]," "Braces for Kids in [City]," "Adult Orthodontics in [City]." These pages rank organically for treatment-specific searches and funnel traffic directly to consultation requests.
🛠️ Action Step: Check that your website's contact page shows your exact NAP, matching your GBP down to the last character. If there's a mismatch, fix it today.
Flento's Google Business Profile Optimizer runs automated audits against the criteria in this guide, category accuracy, description keywords, photo freshness, review health, and activity signals. For orthodontic practices that are strong on clinical quality but weak on their digital presence, the audit creates a prioritized action plan.
For reviews, Flento's Google Review Management Software automates HIPAA-aware review requests at configurable appointment milestones. The response templates are designed to keep responses compliant while maintaining a human, warm voice.
For citation consistency across Healthgrades, Zocdoc, Google, and dental-specific directories, Flento's Business Listing Management Software runs the Flento NAP Lock to catch discrepancies before they affect your ranking.
✅ Done? Automate review requests and GBP management with Flento → Try Flento free
How competitive is local SEO for orthodontists? It varies significantly by market. A practice in a mid-size city might compete with 6–10 other practices; a practice in a major metro area might face 30+. In most markets, completing your GBP, building 40–60 reviews, and creating location-specific web content puts you in a competitive position for top-3 ranking.
Should orthodontists be on Zocdoc and Healthgrades? Yes, both are high-authority healthcare directories that contribute to NAP consistency and domain authority. Claim and complete your profiles on both. They also send direct patient referrals independently of Google.
How important are patient reviews for orthodontic ranking specifically? Very important. In the orthodontic category, review count and rating are among the strongest ranking signals. Practices with 50+ reviews consistently outrank those with 10–15, even when other optimization factors are equal.
What's the best way to ask for reviews without violating HIPAA? The ask itself isn't a HIPAA issue, you're inviting the patient to share their own experience. The response is where HIPAA applies. Don't confirm patient status, treatment type, or any identifiable health information in your public response. Keep responses warm but generic.
