Comprehensive Digital Marketing Audit

East Texas Orthodontics is losing patients to competitors every single day

This comprehensive audit reveals exactly where patients are being lost, why they're choosing competitors instead, and the precise steps needed to dominate the Tyler orthodontic market.

90%
Patients Lost Before Contact
23.5×
Review Gap vs. #1
5
Broken Mobile Links
42
Digital Health Score

Digital Health Score Card

A comprehensive assessment across five critical dimensions of digital marketing performance. Each score reflects current competitive position and growth potential.

Overall Digital Health
42out of 100
Critical Attention Needed
35
Reviews & Reputation
Declining
55
SEO Performance
Stable
70
Local Visibility
Improving
25
Paid Advertising
Declining
45
Website & UX
Stable
50
Social Presence
Stable

Competitive Position at Risk

With an overall score of 42/100, East Texas Orthodontics is significantly underperforming compared to local competitors. Without immediate action, the gap will continue to widen as competitors invest in their digital presence.

The hidden cost of standing still

Every day these gaps remain unfixed, potential patients are choosing competitors instead. Here's where the biggest opportunities are being missed.

Mobile Navigation Broken
5
location links all go to wrong page
Review Gap Impact
23×
fewer reviews than top competitor
Mobile UX Issues
60%+
of visitors on broken mobile nav
Ineffective Ads
Low
engagement vs. industry benchmarks
The Competitive Reality
Patients Are Choosing Competitors

Every gap in your digital presence is an open door for competitors. When patients can't find you, can't trust you, or can't navigate your site — they go elsewhere.

Mobile visitors hitting broken navigationMajority
Patients who compare reviews before choosing~90%
Mobile visitors hitting broken navigationMajority
Ad impressions with low engagementOngoing

The Gap Is Widening Every Month

+12-15
Reviews competitors add monthly
Growing
Competitive gap every quarter
Harder
To catch up the longer you wait

What competitors are doing right

A detailed comparison of the Tyler-area orthodontic market shows exactly where ETO stands and what competitors are doing to capture market share.

Practice
Reviews
Rating
Local Pack
Momentum
East Texas Orthodontics
34
4.9★
Mack & Hansen
799
4.9★
Wilkinson Orthodontics
493
4.9★
Reuland & Barnhart
156
5★
Bailey Family Ortho
89
4.8★

What Competitors Do Better

  • Systematic review generation — Wilkinson adds ~15 reviews/month consistently
  • Optimized Google Business Profiles — Complete info, regular posts, Q&A responses
  • Professional ad creative — Emotional imagery, clear value props, strong CTAs
  • Consistent NAP data — Same address/phone across all directories

ETO's Competitive Advantages

  • 5 convenient locations — More coverage than any single competitor
  • #1 in Local Pack — Top position for "orthodontist Tyler TX" searches
  • Excellent rating (4.9★) — Quality is there, just need volume
  • Established brand — Name recognition in East Texas market

Where patients are being lost

Mapping the patient journey reveals critical leak points where potential patients are choosing competitors or abandoning their search entirely.

1

Google Search

Patient searches 'orthodontist Tyler TX' — ETO appears #1 in Local Pack. Strong visibility, but the review count (34) immediately stands out against competitors (150-800).

-15%
Lost
2

Review Comparison

Patient compares reviews — sees ETO with 34 reviews vs. competitors with 150-800. Social proof deficit causes immediate trust gap.

-25%
Lost
3

Website Visit

Patient visits ETO website — encounters full-screen popup immediately. On mobile, navigation links are broken (all point to Canton).

-15%
Lost
4

Contact Attempt

Patient tries to call — finds different phone numbers on website vs. Google. Confusion leads to abandonment or calling competitor.

-10%
Lost
5

Conversion

Remaining patients who navigate all obstacles successfully book a consultation.

Cumulative Impact

Of every 100 potential patients who start searching for an orthodontist in Tyler, approximately 90 are lost before ever contacting ETO. Fixing these leak points could potentially triple new patient inquiries.

Critical bugs confirmed

Our technical analysis confirmed several critical issues that directly harm user experience and SEO performance.

Mobile Navigation Bug

Critical

In the mobile menu, all location links incorrectly point to the Canton page. This affects the majority of users who browse on mobile devices.

Broken Links (All → Canton)
Mabank/location/orthodontist-in-canton-tx/
Athens/location/orthodontist-in-canton-tx/
Tyler/location/orthodontist-in-canton-tx/
Lindale/location/orthodontist-in-canton-tx/

NAP Inconsistencies

Critical

Multiple Name, Address, and Phone inconsistencies found across the website. These confuse search engines and damage local SEO signals.

Lindale Location
Address 1:1433 S. Main Street
Address 2:408 Eagle Spirit Dr.
Phone 1:(903) 636-8077
Phone 2:(903) 882-8513
Tyler Location
Website Phone:(903) 420-9896
Google Phone:(903) 561-7861

Intrusive Interstitials

Confirmed

Full-screen "New Patient Special" overlay and DearDoc chatbot widget create a double-interstitial experience that likely violates Google's policies and harms Core Web Vitals scores.

Current Meta ad is severely underperforming

ETO's current Facebook/Instagram ad uses a static building exterior photo with generic copy. This approach fails to capture attention, convey emotion, or differentiate from competitors.

Current Ad Creative

Poor Performance
ETO Current Meta Ad - Building Exterior

Building Exterior Photo

Shows a parking lot and storefront — zero emotional appeal or patient connection

Generic Copy

"Your perfect smile is unique" — bland, forgettable messaging with no clear CTA

No Human Element

No smiling patients, no doctors, no team — fails to build trust or relatability

No Value Proposition

Lists services but doesn't communicate why ETO is the right choice

Estimated Performance
0.3%
Est. CTR (Industry avg: 0.9%)
Low
Engagement Score

Professional Alternatives

High Impact

These professionally designed ad creatives demonstrate what effective orthodontic advertising looks like — featuring real emotions, clear value propositions, and compelling visual design.

Professional Ad - Change How You Walk Into a Room

"Change How You Walk Into a Room"

  • Powerful emotional headline
  • Real patient testimonial with stars
  • Confident, smiling adult model
Professional Ad - Confident Smiles for Life's Adventures

"Confident Smiles for Life's Adventures"

  • Father-daughter adventure imagery
  • Real patient review integration
  • Lifestyle-focused messaging
Professional Ad - Family Smiles

"Confident Smiles" (Family)

  • Happy family social proof
  • Instagram-style engagement
  • Warm, approachable aesthetic
Professional Ad - Smile Journey

"Your Smile Journey"

  • Mother-daughter emotional connection
  • Clear value icons (locations, financing)
  • Brand-consistent design elements
Professional Ad - Smile Brighter

"Smile Brighter, Texas!"

  • Team photo builds trust
  • Local Texas identity
  • Clear bullet-point benefits
Professional Ad - Teen Confidence

"Your Teen's Confidence"

  • Targets parent decision-makers
  • Modern office environment
  • Emotional benefit (confidence)

Key Takeaway

Professional ad creatives feature real people showing genuine emotion, clear value propositions, and brand-consistent design. ETO's current ad has none of these elements and is likely wasting significant ad spend with poor engagement rates.

The path to market dominance

A week-by-week action plan to fix critical issues, close the competitive gap, and position ETO as the dominant orthodontic practice in East Texas.

Week 1-2

Emergency Fixes

  • Fix mobile navigation bug (all location links)
  • Correct all NAP inconsistencies
  • Remove or minimize intrusive popup
  • Verify Google Business Profile accuracy
Week 3-4

Foundation Building

  • Implement systematic review generation process
  • Optimize Google Business Profile completely
  • Begin responding to all existing reviews
  • Audit and fix all citation sources
Week 5-8

Content & SEO

  • Create dedicated Invisalign service page
  • Build out location-specific landing pages
  • Add schema markup for local SEO
  • Develop content calendar for GBP posts
Week 9-12

Growth Acceleration

  • Launch professional ad creative campaign
  • A/B test ad messaging and targeting
  • Monitor and adjust review velocity
  • Track Local Pack progress weekly

Expected Outcomes After 90 Days

100+
New Google Reviews
0
Technical Bugs Remaining
Ad Click-Through Rate
Visible
To Every Local Searcher

Things to fix today

These items require minimal effort but will have immediate positive impact. Most can be completed within hours at no cost.

Update Lindale address and phone number

Ensure consistent NAP data across all pages and directories. This directly impacts local SEO signals.

Easy EffortHigh Impact

Fix mobile navigation links

Update the mobile menu so each location links to its correct page instead of Canton.

Easy EffortHigh Impact

Respond to all Google reviews

Personalized responses to every review (positive and negative) show engagement and build trust.

Easy EffortMedium Impact

Remove or delay the popup

Either remove the full-screen interstitial or delay it by 30+ seconds to improve user experience.

Easy EffortMedium Impact

Verify Google Business Profile phone numbers

Ensure the phone number on GBP matches the website for Tyler and all other locations.

Easy EffortHigh Impact

Add business hours to all location pages

Clear, consistent hours on each location page improves user experience and local SEO.

Medium EffortMedium Impact

References

  1. [1]
    East Texas Orthodontics - Google Maps
  2. [2]
    Mack and Hansen Orthodontics - Google Maps
  3. [3]
    Wilkinson Orthodontics - Google Maps
  4. [4]
    Google Search: orthodontist Tyler TX
  5. [5]
    Google Search: Invisalign Tyler TX
  6. [6]
    East Texas Orthodontics - Official Website
  7. [7]
    Industry Benchmark: Average Orthodontic Case Value ($4,000-$6,000)
  8. [8]
    Industry Benchmark: Local Pack Click-Through Rate (70%+ of local searches)

The gap is growing every day

Ready to close the gap?

Every month of inaction means more patients choosing competitors and the review gap widening further. The foundation is strong — now it's time to build on it.