Oral & Maxillofacial Surgery
marketing.
Oral surgery is the widest CAC and case-value range in dental. The two segments (third-molar extraction volume vs. full-arch fixed implant cases) require entirely different acquisition systems.
The operating reality.
Oral and maxillofacial surgery has the widest spread of any dental specialty when you measure case value, marketing channel, and operating dynamics. Third-molar extraction volume is referral-driven (orthodontists, general dentists, pediatric dentists) and low-cost-per-case at $800 to $1,500 per case. Full-arch fixed implant cases (All-on-4, All-on-X, full-mouth fixed implant restoration) are direct-to-patient driven, marketed with case-study sites and consultation flows, with case values in the $25,000 to $45,000 range and effective marketing spend in the $2,500 to $8,000 per case range. The two segments share an OR but they are different businesses, and most oral surgery practices that struggle on growth are running them under one undifferentiated marketing budget. The right posture is two parallel systems. For the referral-driven extraction volume: a referring-dentist program (case communication, scheduling access, clean clinical handoffs to the orthodontist or referring GD) that produces predictable extraction volume from a small number of high-trust referring offices. For the full-arch implant book: a dedicated marketing surface that treats full-arch implant as a flagship procedure with its own consultation flow, financing-aware patient education, and case-study library. Smile-in-a-Day and All-on-4 marketing in 2026 is intensely competitive because the case value is high and the consideration period is long; practices that compete on real before-and-after galleries, transparent case complexity discussion, and DDS-reviewed clinical content outperform practices running generic implant-marketing playbooks. Local search depth on full-arch queries is substantially deeper than on third-molar queries because patients self-research full-arch options aggressively. The CAC range reflects both: $400 entry-level for extraction-mix practices, $1,500+ for practices building the full-arch implant book direct-to-patient.
Same playbook.
calibrated per market.
Each city below carries the oral surgery operating reality adapted to local market dynamics, referral-network depth, and the competitive field a oral surgery practice in that metro actually faces.
The full dental playbook.
Start with the audit.
Three minutes, ten questions. We return a real read on where your oral surgery practice stands and an honest answer on whether Macbach is the right fit.