More Than a Smile by Dr. Trevor Nichols and Alec Gallego

Categories: Marketing; Orthodontics;
More Than a Smile 

How branding shapes perception and results in orthodontics


by Dr. Trevor Nichols and Alec Gallego


It’s not just about straight teeth anymore
If you’re starting a new practice, you’re making hundreds of decisions that shape how people will perceive you, from the lighting in your lobby to the tone of your first email. And if you’ve been practicing for years, you might realize that while your clinical skills have advanced, your brand hasn’t kept pace. This article is for both of you!

Branding isn’t just a logo or color palette. It’s the sum of how your practice looks, sounds, feels and, ultimately, what it promises. It’s what patients remember when they leave your office. And it’s what sets the stage for their expectations of your results. We’ve experienced this firsthand. From building our premium practice from scratch, we’ve learned that branding and clinical delivery must work together. One builds trust, and the other fulfills it. Whether you’re just starting out or rebuilding something better, this is your road map to creating a brand that truly reflects the quality of your work. Let’s get started.


Why branding is more than skin deep
We’ve always loved Nike, not just for their products, but for how they make us feel. From the moment we walk into a store to how their boxes open, we know what to expect: excellence, confidence and consistency. We never doubt the quality. We don’t even need to read the label. It’s a seamless, immersive experience that we want to come back to.

That’s what your patients should feel when they interact with your practice. Take a moment and think about two brands you love and two you avoid. What is it about their experience that drives that feeling? Now ask yourself: How would patients describe my brand in that same exercise?

Technical skill doesn’t automatically build trust. Patients can’t assess torque, bracket slots or digital bonding protocols, but they recognize when your experience feels polished, consistent and elevated. That feeling sets the expectation. Branding reflects what you value and how consistently you deliver it. It encompasses your environment, tone, visuals, systems and even your finishes. When done correctly, it drives trust, desire and word of mouth.

Patients determine if you’re premium based on your environment, tone and visuals before they ever sit in your chair. Every detail—your social media content, website, waiting room and staff—sends a message. When these details conflict, they create uncertainty. And uncertainty kills trust. Branding isn’t about hype. It’s about giving people a reason to trust you without hesitation.


The three anchors of a premium brand
Your brand goes beyond just a logo. It’s a multi-layered, sensory experience rooted in trust and design. These three anchors are what sustain a premium brand.

Clarity means knowing who you are and what you stand for and making it easy for others to understand that identity. When patients connect with your practice, they should immediately recognize what makes you unique. This message must be boiled down to a single, compelling idea that guides every decision you make. At Nichols Orthodontics + Aesthetics, we believe: “It’s about more than teeth. It’s about the people.” This clarity shapes our tone, visuals and care philosophy.

How to apply it:
  • Post your core message visibly in team areas and patient spaces.
  • Incorporate it into brochures, consultations and team training.
  • Begin team meetings with one brand-alignment insight or win.

Cohesion means everything functions together, visually and experientially. Your website, office design, social content, uniforms, language and clinical workflows should all reflect the same voice and values. Cohesion builds subconscious trust and helps patients feel grounded in your environment.

How to apply it:
  • Build a shared brand guide that encompasses fonts, logos, tone and photography.
  • Make sure all vendors and staff follow these same guidelines.
  • Conduct quarterly audits of social, print and in-office materials.

Consistency is your brand’s muscle memory. It means delivering your experience the same way, every time, no matter how busy or stretched you are. This applies to your finishing work, onboarding, photography and chairside conversations. Repetition builds recognition. Recognition builds loyalty.

How to apply it:
  • Define non-negotiable service and clinical standards.
  • Role-play patient scenarios to reinforce tone and delivery.
  • Assign team leads to monitor consistency across the journey.

A premium brand isn’t built by accident. It’s engineered through alignment between what you say, what you show and what you deliver. Never compromise your standards.
More Than a Smile
More Than a Smile
More Than a Smile
More Than a Smile


Crafting your visual identity with a premium designer
Once you’ve clarified your message, the next step is making it visible, and that starts with your visual identity. Your logo, colors, typography and imagery create the first impression long before a patient walks through your door. They communicate mood, trustworthiness and aspects of your brand that reflect your objectives.

Working with a premium graphic designer is one of the smartest early investments you can make. A seasoned designer doesn’t just make things look pretty; they translate your values into visually appealing designs. They’ll help you:
  • Create a logo that maintains its strength across all platforms, including signage, digital and print.
  • Select color palettes that align with the emotion you aim to evoke.
  • Establish typography guidelines that are both legible and sophisticated.
  • Create branded templates and photo guidelines that stay consistent.
A great designer will also deliver a brand guide—a document your team and vendors can follow to ensure cohesion over time. This becomes your standard, especially as your practice grows.

Premium visuals won’t build your brand alone, but they absolutely shape the perception of quality, care and consistency. They make your orthodontic outcomes feel as intentional as they are.
More Than a Smile
More Than a Smile
More Than a Smile
More Than a Smile


Smile design as brand identity
Branding and clinical design are interconnected. A cohesive brand is reflected through your finishes. In today’s orthodontic landscape, where outcomes are shared, posted and reviewed by patients online, smile design becomes a powerful expression of your brand promise. We use the Nichols Smile Score, a 10-point diagnostic and design system that ensures every smile meets consistent aesthetic and functional benchmarks.

These are not abstract concepts. They are measurable standards we track case to case, finish to finish:
  1. Facial profile and lip volume: Orthopedic correction improves soft tissue support and airway function.
  2. Alignment and contact: Teeth are straight, spaces closed—enhancing hygiene and confidence.
  3. Smile width: A full smile supports cheeks and prevents facial collapse.
  4. Smile arc: Teeth curve with the lips for a dynamic, youthful look.
  5. Upper tooth position: Proper tooth display has minimal gum show.
  6. Midlines: Upper and lower midlines align to facial symmetry.
  7. Occlusion: Ideal function and protection from wear or TMJ issues.
  8. Tooth shape and proportion: Balanced, youthful tooth forms that reflect light.
  9. Gum display and shape: Sculpted gingival margins reveal the full tooth.
  10. Tooth color: A bright, clean shade with no spots or discoloration.

We use the Nichols Smile Score for design and accountability. It helps us teach, track and refine. It has also become a communication tool with patients, helping them understand that their result isn’t about “done” but about being designed. Every patient’s finish should reflect the same precision as your branding, messaging and photography.
More Than a Smile


Jen’s story: A smile that changed everything
Jen presented with a gummy smile and low confidence. Her treatment required temporary anchorage devices (TADs) for vertical control. The change was transformational. At debonding, it was clear: she didn’t just look different, she felt different. That’s what premium orthodontics can achieve.
More Than a Smile


Turning patients into advocates
Your most influential marketers are already in your chairs. When patients understand your philosophy, systems and outcomes, they carry your message with them. Every patient interaction is an opportunity to reinforce your values. From consultations to retainer delivery, the goal is to guide patients through a story they can share. When we explain what we are doing and why, patients start to internalize the purpose behind our actions. When we walk them through their Nichols Smile Score and explain how their smile was designed, they become more than just recipients—they become advocates.

How to implement this effectively:
  • Use chairside visuals or tablets to walk through design principles in real time.
  • Create digital handouts or cards summarizing their Nichols Smile Score.
  • Train your team to narrate treatment beyond clinical terminology with confidence.
  • Invite patients to share their smile story in their own words on social media or through a quick video.
Educated patients amplify your brand. They trust your process, they justify your pricing and, most importantly, they refer others with clarity and enthusiasm.

Tools that deliver the brand promise
The tools we select reflect our standards and reinforce the premium care we deliver. Each one supports more precise, efficient and aesthetic results, and each communicates who we are and how we practice. These systems help us deliver on the promise of a premium brand through efficiency, clarity and confidence that patients experience from Day 1.

Damon Ultima enables full expression with no slop between wire and slot. This means fewer bends, more predictable movements, faster finishes and improved hygiene for patients. The bracket is designed for precision and comfort, which for clinicians means fewer compromises and cleaner outcomes.
Spark Clear Aligners provides exceptional clarity and stain resistance, but what sets it apart is its clinical control. Complex movements—like rotations, extrusions and torque—track more reliably. For patients who want an invisible, lifestyle-friendly treatment, Spark offers an elite alternative to mainstream brands.
Digital bonding (Ormco indirect bonding and etch-free adhesives). This workflow allows us to digitally plan precise bracket positioning in advance. Brackets are preloaded into transfer trays and placed with exactness on Day 1. Etch-free bonding accelerates placement, reduces chair time and supports hygiene by minimizing cleanup.
Soft-tissue laser. With diode technology, we contour gingival margins quickly and comfortably. Whether correcting uneven gum lines or reducing excessive gingival display, the laser allows same-day esthetic refinements that support a more balanced smile.
Hard tissue contouring tools. Post-debonding, fine adjustments to incisal edges or surface texture are made using rotary tools designed for conservative enamel reshaping. These final touches elevate a good result to a great one—refining shape, proportions and symmetry.
Presurv is our retainer replacement protection program. It automates the process of delivering retainers without hassle or guilt. Patients feel supported, and we maintain the integrity of the finished smile.

Final action plan: Where to go from here
Here’s a refined six-step road map to align your brand and outcomes:
  1. Audit your brand. View your practice with fresh eyes: your signage, scent and onboarding process. Does it reflect what you want to be known for? Ask a friend, spouse or mystery shopper for a first-time impression. Review your website and social media. Are they aligned with your physical space?
  2. Identify your unique value proposition. Define it in one compelling sentence. What can patients consistently expect from you that no one else provides in the same way? Use that statement in team meetings, on your homepage and during consultations. Create a simple brand guide that visually and verbally emphasizes this promise.
  3. Outline the patient experience. Map out your entire patient journey from the first inquiry to the retainer handoff. For each stage, note what the patient sees, hears and feels. Assign a team member to oversee each moment. Develop scripts or service standards that ensure the brand appears consistently at every step.
  4. Invest in premium products and systems. Your tools either support your brand promise or reinforce it. Train your team to explain why you use these tools, so patients understand what they’re investing in.
  5. Educate your patients. Use tools like the Nichols Smile Score, printed visuals or before/after overlays to show patients what sets your design philosophy apart. Send them home with a one-page summary that explains their treatment in simple language. Empower them to share their results with others.
  6. Do not budge. Build internal accountability. Define what “premium” means to your team, from finishes to phrasing. Role-play tricky scenarios. Audit one brand element each week. Consistency builds trust, and trust compounds.

Branding is a mission
Branding is something you build into every part of your practice. It’s how patients experience your values before they even sit in the chair. And it’s what shapes the expectations they’ll carry with them through treatment. That’s why premium branding must lead to premium outcomes. The consistency, cohesion and clarity of your brand set a standard. Your finishes prove whether or not you met it.

Everything we’ve explored, from your visual identity, your patient experience, your design philosophy and your clinical tools, works together to reinforce that standard. When you align those pieces, your brand becomes a reflection of the care you actually deliver.

Build with intention. Deliver with precision. And let your results speak for themselves.


Author Bios
Dr. Trevor Nichols Dr. Trevor Nichols attended Arizona State University, where he completed a bachelor’s degree in science and fitness and graduated as valedictorian. He then attended the Arizona School of Dentistry and Oral Health (ASDOH) for his doctoral training, where he served as class president. While there, he also completed a certificate in dental public health. After obtaining his DMD, Nichols completed his specialty training in orthodontics at ASDOH and earned a master’s degree while completing research on TMD. He has also received inaugural awards in clinical excellence and leadership. Nichols is involved in organized orthodontics and, as a lecturer, educates other orthodontists and residents in the creation of beautiful, healthy, life-lasting smiles.

Alec Gallego Alec Gallego, MBA, is a brand, marketing and operations executive with a strong background in building and scaling businesses from scratch. He has helped launch and scale companies across various industries, leading brand strategy, go-to-market plans and operational systems for global startups and brands, including Crumbl. Gallego thrives at the intersection of identity and execution, turning bold ideas into campaigns, content and customer experiences that drive effective growth. His work spans tech, education, health care and hospitality, always grounded in clarity and momentum. Outside of work, he’s a proud husband to his wife and dad to three wild little boys.


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