The Hidden Power of Sales Coaching in Orthodontics

Why Orthodontic Conversion Success Starts Before the Financial Conversation
Key Takeaways
- Many practices rely too heavily on financing to drive case acceptance.
- Orthodontic case acceptance depends on three key conversion points: attending the exam, accepting treatment, and making a financial commitment.
- Treatment acceptance is often overlooked but critical to the patient journey.
- Sales coaching helps staff build trust, address hesitation, and guide confident decisions.
- Gaidge 360 Consulting trains orthodontic teams to improve case acceptance without sacrificing financial health.
When orthodontic practices think about improving case acceptance, the conversation often turns to financial flexibility. That means offering lower initial payments, spreading monthly payments well beyond the estimated treatment time, and making orthodontic care feel more affordable.
While these tactics can help increase access to orthodontic treatment, they shouldn’t be the default strategy for improving case acceptance.
Strengthening your team’s sales coaching, especially among treatment coordinators and administrative staff, helps balance affordability and profitability.
Most practices focus on two key conversion points:
- Getting the patient to attend the exam
- Securing financial commitment
But there’s a critical step in between:
Accepting treatment.
If the recommendation doesn’t resonate, the financial conversation never even starts. That’s why I’m breaking down the three conversion points every orthodontic team should focus on and how sales coaching helps strengthen each one.
The 3 Critical Orthodontic Conversion Points
1. The Connection to the Exam
Before any treatment can happen, the patient has to show up. It sounds simple, but this first step is where many practices lose momentum.
Whether or not the patient walks through the door depends on how your administrative team handles inquiries, schedules appointments, and sets expectations. If your front desk doesn’t communicate value and urgency, patients cancel or no-show. Sales coaching helps this team see their role in securing the first “yes” by getting the patient to the exam.
2. Treatment Recommendation (The Overlooked Conversion)
This is where confusion often arises. Many practices assume that once a patient is in the chair, they’ll automatically accept treatment and only focus on the money. However, that’s not the case.
Treatment acceptance is a decision in itself, made up of many smaller ones (or small “yesses”) that lead to a final commitment. First, patients must recognize a need. Then, they need to understand that treatment is necessary, trust your practice to provide it, and feel confident in the plan.
Think of it as closing one door before opening the next. You can’t move into a financial discussion until the patient fully accepts the need for treatment. The treatment coordinator must guide that conversation, ensuring the patient and the responsible party understand the urgency and value before cost ever comes up.
Without a strong focus on this middle conversion point, practices often move too quickly into financial discussions. When patients are still unsure, this leads to more hesitation and more lost starts.
Sales coaching prepares TCs to:
- Recognize and address hesitation before moving forward.
- Personalize their approach based on the patient’s concerns and lifestyle.
- Frame treatment as a necessary step rather than an optional one.
- Create momentum by securing small agreements that lead to a confident “yes.”

3. The Financial Commitment
Only after securing the first two conversions can financial discussions begin. Many practices assume that offering extremely low-down payments and extended financing options are the only ways to overcome cost objections.
However, a well-trained orthodontic team can achieve high case acceptance without giving away financial leverage. Sales coaching teaches them how to:
- Present financial options confidently without immediately defaulting to the lowest down payment.
- Explain the value of treatment over the cost.
- Flexibly offer financing, but also secure a responsible financial commitment.
Why Orthodontic Sales Coaching Changes the Game
Many practices unknowingly sabotage their financial health by over-relying on extended payment plans and minimal down payments. While these options may help some patients start treatment, they shouldn’t be the main driver of case acceptance.
Instead, practices need to equip their administrative and treatment coordination teams with the skills to guide patients through the full decision-making process.
With orthodontic sales training, your team:
- Uses strong communication skills to convert calls into scheduled exams.
- Builds rapport and trust so that patients see value in treatment.
- Approaches financial discussions confidently, focusing on value rather than just affordability.
By focusing on training and skill development, practices can reduce their dependence on extreme financing options. They can maintain a healthy cash flow and still see strong case acceptance rates.
Work with Stacey Bybee and the Gaidge 360 Consulting Team

Successful case acceptance isn’t just about offering low payments. It’s about mastering the patient journey from the first call to financial commitment. Our expert consultant, Stacey Bybee, specializes in sales coaching for treatment coordinators and administrative teams, helping them navigate these critical conversion points confidently and skillfully.
Connect with our team today for a complimentary new patient audit that covers your digital presence through critical conversion KPIs. Discover how to optimize your new patient experience and maximize case acceptance without compromising financial stability.
Orthodontic Team Training FAQs
Does our team need orthodontic sales coaching?
If patients are hesitant after the consult or case acceptance relies too heavily on discounts, your team may need support guiding patients toward confident decisions.
Why are patients still unsure even when the treatment plan is clear?
Because understanding the plan isn’t the same as being ready to commit. Patients also need trust, a sense of urgency, and confidence in your team. Sales coaching helps your staff recognize and respond to those needs.
Can orthodontic sales training help us improve case acceptance?
Yes! It gives your team tools to handle hesitation, personalize conversations, and create momentum without lowering your fees.
How is Gaidge 360 Consulting different from other orthodontic consulting teams?
We don’t drop in with a script. We work with your data, your workflows, and your team structure to deliver training that fits how your practice runs and improves it.
What kind of results can we expect from Gaidge 360 Consulting?
Practices we work with see stronger case acceptance, smoother team communication, and more consistent growth without sacrificing profitability to get there.
Imani, M. M., Jalali, A., Ezzati, E., Heirani, Z., & Dinmohammadi, M. (2018). A decision-making process to undergo orthodontic treatment: a qualitative study. Patient Preference and Adherence, Volume 12, 2243–2251. https://doi.org/10.2147/ppa.s177462
Pilgrim, C., Catunda, R., Major, P., Arnaldo Perez-Garcia, & Flores-Mir, C. (2024). Patient-provider communication during consultations for elective dental procedures: A scoping review. American Journal of Orthodontics and Dentofacial Orthopedics, 166(5). https://doi.org/10.1016/j.ajodo.2024.07.014
Vinson, K. (2025, March 21). How to Maximize Case Acceptance & Improve Collections in Today’s Orthodontic Market. Gaidge. https://www.gaidge.com/blog/how-to-maximize-case-acceptance-improve-collections-in-todays-orthodontic-market