A mum whose nine-year-old was just told he needs expanders opens Google, taps the three orthodontists at the top of the map, and skims. Photos, star rating, and whether the practice has posted anything since last spring. Your clinical results are not on that screen. Your last post is.
The part that stings is knowing your treatment planning is better than the corporate office two exits down. They are not winning on outcomes. They are winning because their listing looks like someone works there and yours looks like a phone number.
So you assign posting to whoever is at the front desk. It happens in slow weeks and stops in busy ones, which means the listing goes quiet exactly when new-patient flow matters. The gaps stretch from days to months and nobody notices, because nothing breaks.
Then a new patient says she found you through her dentist, and you realise you cannot name a single case that came from search this quarter. Somewhere out there, dozens of parents in your postcode compared three practices and never saw yours at all.