Future-Proofing Your Orthodontic Practice in 2026 by Michelle Shimmin

Future-Proofing Your Orthodontic Practice in 2026 Proven strategies to drive growth, efficiency, and patient engagement

by Michelle Shimmin


Running a thriving orthodontic practice in 2026 looks very different from what it did just a few years ago. Rising overhead costs, evolving patient expectations, digital-first workflows, and rapidly advancing technology have created both challenges and opportunities for practice owners.

The good news? Practices that adopt smarter systems, leverage patient-focused technology, and stay ahead of industry trends are seeing measurable growth, even in an uncertain economic landscape.

In this article, we’ll explore the six most critical focus areas for orthodontic practice owners today and how embracing new and updated strategies can help you streamline operations, boost patient satisfaction, and maximize profitability.


1. Leverage technology to drive practice growth
Technology is no longer optional; it’s the foundation for efficiency and scalability in orthodontics. Today’s most successful practices invest in integrated, digital-first systems that enable them to manage everything from scheduling to treatment planning in one place.

Key benefits of embracing digital tools:

  • Improved team efficiency: Streamline administrative workflows and reduce redundancies that waste valuable chair time.
  • Enhanced patient engagement: Tools like online scheduling, text review requests, and patient portals decrease no-show rates and increase satisfaction.
  • Better data-driven decisions: Advanced reporting and dashboards provide real-time insights into production, case acceptance, and overall health and performance of the business.

Practices using automated tools for tasks such as claims submission report clean claim rates of up to 99%, leading to faster collections and improved cash flow.


2. Increase case acceptance and treatment efficiency
In 2025, the average orthodontic case acceptance rate hovered around 64.4%, and treatment efficiency was well below optimal, creating a significant opportunity for improvement and financial gain. That gap represents one of the most significant growth opportunities in 2026.

Patients often leave consultations excited, but follow-through declines when they face unclear financing options, confusing treatment plans, or a lack of follow-up.

Strategies to close the gap:

  • Enhance consult presentations: Use visuals, before-and-after imagery, and animations to simplify explanations and build confidence in your recommendations.
  • Streamline financial discussions: Tools like payment sliders and flexible financing options make treatment decisions less intimidating; patients can have more interaction in this process.
  • Automate follow-ups: Implement email and text reminders to re-engage hesitant patients and ensure consistent touch points, with your treatment coordinator’s ability to influence the patient’s decisions.
When your treatment coordinator pairs these tools with a structured process, you not only increase starts but also improve treatment efficiency rates through higher patient involvement and compliance.


3. Optimize operational workflows to reduce bottlenecks
For many orthodontic practice owners, scheduling inefficiencies and operational bottlenecks are among the biggest daily challenges. These disruptions not only frustrate patients and staff but also limit production and profitability.

Research shows that optimizing scheduling and patient flow can reduce wait times by up to 40% and enable practices to see three to four additional patients per day without hiring additional staff.

Strategies for streamlining operations:

  • Use real-time dashboards: Monitor key performance indicators such as production, starts, collections, and cancellations in one place to make quicker, smarter decisions. Ensure your team understands these reports.
  • Refine scheduling templates: Adjust time blocks based on appointment type, provider needs, and patient flow patterns to increase chair utilization.
  • Improve team communication: Implement task management systems or color-coded workflows to ensure the entire team knows priorities and next steps.
When everyone operates with clarity and accountability, operational friction decreases, and the patient experience improves.


4. Modernize your marketing to attract and retain more patients
Today’s patients, especially Gen Z and younger millennials, are making orthodontic decisions based on online visibility, reviews, and digital convenience. Practices that haven’t evolved their marketing strategies risk falling behind.

Key marketing strategies for 2026:

  • Optimize your Google Business Profile: More than 70% of new patients begin their search for an orthodontist online. Keeping your profile updated with photos, FAQs, and patient reviews helps you rank higher and convert more leads.
  • Leverage social media for storytelling: Short-form video platforms like Instagram Reels and TikTok are powerful for showcasing smile transformations and highlighting your team’s personality and practice culture.
  • Automate review requests: Sending personalized review invitations after key milestones, like debonding appointments, builds social proof organically.
  • Create engaging video content: Educational clips explaining braces, aligners, or retainer care establish your authority and strengthen patient trust.
By pairing these strategies with modern digital tools, you create the frictionless experience patients expect, and competitors may not yet provide.


5. Make data-driven financial decisions
With rising staffing costs, economic uncertainty, and shifting patient behaviors, financial oversight has never been more important. Orthodontic practices that track the right metrics consistently can pivot faster and stay ahead of challenges.

Key metrics to track:

  • Case acceptance vs. starts: Analyze where prospective patients drop off to improve conversion strategies.
  • Accounts receivable (AR) and collection rates: Automated billing and insurance workflows reduce AR days and improve cash flow.
  • Chair utilization: Measure how effectively each appointment block is being used to maximize capacity.
  • Marketing return on investment: Evaluate cost per lead and cost per start to ensure your investments are driving growth.
The practices thriving in 2026 are those relying less on gut instinct and more on data visibility to drive decisions.


6. Invest in team development and culture
While systems and technology play a significant role in practice success, your team remains your greatest asset. In today’s competitive hiring market, retaining top talent requires a strong focus on culture, recognition, and professional growth.

Ways to build a high-performance team:

  • Role-specific training: Equip treatment coordinators, office managers, and clinical staff with targeted skills training that enhances performance in their lanes. Don’t just “fill seats” of need within your practice. Ensure you have the right people in the right role to maximize their strengths and minimize their weaknesses.
  • Clear accountability metrics: Transparent reporting empowers staff to see their direct impact on production, collections, and patient outcomes.
  • Celebrate wins: Recognize team achievements regularly, whether that’s meeting monthly production goals, earning five-star reviews, or hitting start targets.
  • Invest in ongoing education: Encourage your team to attend workshops, webinars, and conferences to stay current on industry innovations.
When your team feels supported, valued, and connected to the practice vision, productivity, morale, and patient satisfaction all improve.

Orthodontic practices that embrace digital transformation, streamlined workflows, and patient-centered strategies are positioning themselves for long-term success.

The key is finding ways to:

  • Simplify processes for your team.
  • Reduce friction for patients.
  • Align marketing, operations, and financial management under a unified strategy.
In a competitive orthodontic landscape, the practices that thrive won’t necessarily be the ones working harder; they’ll be the ones working smarter.

The orthodontic industry is evolving rapidly, but with the right systems, strategies, and focus, practice owners can create scalable, profitable, and patient-centered businesses that succeed regardless of market conditions.

By investing in technology, data visibility, marketing innovation, and team development, you can set your practice apart while future-proofing your growth.

The future of orthodontics isn’t about doing more; it’s about doing things differently. Start by evaluating your workflows, aligning your team on shared goals, and adopting tools that help you deliver an exceptional patient experience.

Your growth, profitability, and long-term success depend on it.


Author Bio
Michelle Shimmin Michelle Shimmin is a founding partner of Shimmin Consulting. She is an esteemed international speaker, trainer, and consultant in orthodontics, with more than 30 years of experience. Since 1990, Shimmin has held various roles, from registered dental assistant to expert educator, specializing in orthodontic assisting, treatment coordination, marketing, financials, and practice management. Passionate about empowering dental professionals, she helps practices both nationally and internationally streamline systems to boost efficiency, foster growth, and achieve sustainable success. Known for her dynamic approach to training, Shimmin is a highly sought-after expert, delivering engaging lectures and workshops at events worldwide.



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