Full-arch cases are won in the follow-up, not the first consult.
A full-arch patient says no — or “not yet” — an average of several times before saying yes. The case value justifies more follow-up effort than any other treatment in dentistry, yet most practices give it one consult, one brochure, and silence. The practices that dominate full-arch treat the pipeline like a sales organization would: every consult tracked, every objection answered, every “not yet” scheduled for a next touch.
5 steps, in order. The order is the point.
Track every consult like a CRM would
Presented, accepted, financing-pending, went-quiet: if you can’t name the stage of every full-arch consult from the last 24 months, that’s the first fix. The chart already has the data — it needs a pipeline view, not a memory.
Answer the financing objection with a process, not a pamphlet
“I need to think about the cost” is the real no in most full-arch cases. The counter is a scheduled follow-up conversation — options laid out, third-party financing pre-checked, monthly-payment framing — within days, while the clinical urgency is still felt.
Guard the consult show rate obsessively
One no-showed full-arch consult can be a five-figure case evaporating. Multi-touch confirmation, night-before contact with a human-sounding voice, and same-day recovery outreach are worth more per minute here than anywhere else in the practice.
Reactivate the historical “not yet” list
Every full-arch practice has years of consults who weren’t ready — financially, emotionally, logistically. Circumstances change; nobody calls to find out. A respectful re-engagement cadence to that list is the cheapest full-arch case you will ever acquire.
Make the after-hours call a booking, not a voicemail
Full-arch research happens at night, after years of embarrassment and avoidance. The moment a patient finally dials is not the moment to play a greeting. Answer, empathize, book the consult.
The steps that die at a busy front desk, automated.
Revado runs steps 2–5 as configured cadences: consult follow-up Campaigns with financing-question routing to your treatment coordinator, confirmation-to-recovery sequences on every consult, “not yet” reactivation against your historical list, and 24/7 answering that books — in English and Spanish.
Questions practices ask about this playbook.
Isn’t aggressive follow-up off-putting for a $30k case?
Aggressive, yes. Structured, no — full-arch patients are living with a problem they’ve avoided for years, and a respectful check-in reads as care, not pressure. Tone and spacing are configurable; silence is the only approach with a 0% conversion rate.
Can automation really handle a conversation this sensitive?
It handles the logistics — scheduling, confirmations, “are you still considering treatment” touches — and routes the human moments (finances, fear, health changes) to your team with full context. The AI’s job is to make sure the conversation happens, not to close a $30k case.
What’s the highest-leverage single change?
Consult show-rate protection. It compounds with everything else: the ad spend, the coordinator’s time, the surgeon’s blocked schedule. Guarding chairs already booked is cheaper than filling new ones.
How do we measure the pipeline honestly?
Stage counts and conversion between stages, monthly: consults held, plans presented, financing conversations completed, starts. Revado’s ledger adds the outreach layer — who was touched, who replied, who booked — so the pipeline numbers have receipts.
Want the automated version running by next week?
20-minute demo: we connect a sandbox or your real PMS, configure the cadences from this playbook, and you watch the first sequence run. The playbook is free either way — that part we mean.