Building Sustainable Growth
Consumer affordability has fundamentally changed, and so has the way orthodontic organizations need to think about growth. In this first installment of the Ortho at Scale: Growth Series, OrthoFi CEO & Co-Founder, Dave Ternan, and Senior Director of Solutions Engineering, Alex Moreno, explore the economic forces reshaping patient decision-making and what they mean for orthodontic groups, OSOs, and DSOs.
Drawing from national economic trends and data across the OrthoFi network, they discuss why today’s patients evaluate treatment through the lens of monthly affordability, how leading organizations balance conversion with cash flow and risk, and why Net Production Per Start is emerging as one of the most important KPIs for measuring sustainable growth.
In this webinar, you’ll learn:
- How changing consumer behavior is impacting treatment acceptance
- Why affordability has become a competitive growth strategy
- The principles behind Intelligent Flexibility and Open Choice
- How to improve conversion without sacrificing financial performance
- Why Net Production Per Start provides a more complete view of growth than starts alone
Whether you’re leading a single orthodontic practice, an OSO, or a DSO, this session offers practical insights to help you strengthen growth while protecting profitability.
Originally aired July 16, 2026
About Ortho at Scale
Ortho at Scale brings together executive leaders, industry experts, and market data to explore the strategies driving sustainable growth across today’s orthodontic organizations.
Real experts, real data, and real insights.

