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The reality of every business today and that includes dentists is fundamentally there is more competition and the Internet enables patients to have greater choice.
The other big reality is that it doesn’t really matter whether you are the best dentist unless people know something about you and you are engaged in their dialogue they will not become your patient. Dentists have to work at getting patients now – read the article http://dentalmarketingguaranteed.com/dental-advertising – Dental Advertising – 8 Myths About Dental Advertising which talks about some of the realities for dental practices in this economy.