Why do my biggest treatment plans get the worst case acceptance?
Because the bigger the case, the more your patient feels the gap between what you know and what they understand. You walk in with months of clinical thinking behind a full-mouth reconstruction, and they walk in with fear and a vague sense that this is going to cost a lot. That mismatch kills acceptance, not the dentistry. I see doctors pour huge time into the plan and almost none into how they present it. Flip that. Your optimal plan deserves an equally built process to deliver it. When you slow down, show the problem before the solution, and let the patient own their own mouth, the big cases start closing at the same rate as the small ones. The dentistry was never the issue.
If the answers you are finding here resonate with you, my team and I work with a small group of clients each year. The next step is a complimentary Discovery Consultation and Practice Review with Dr. McAnally.