1
What Kind of Ads to Run
Run Google Search Ads only to start — no Display, no PMAX, no Discovery until Search is profitable. We want to capture people who are actively searching for implants right now, not interrupt people who aren't looking.
- Ad format: Responsive Search Ads (RSA) — 15 headlines, 4 descriptions. Google auto-tests combinations.
- Bidding: Start on Manual CPC for the first 4 weeks. Once you have 30+ conversions per campaign, switch to Target CPA. Do not use Smart Bidding before you have data.
- Match types: Exact Match and Phrase Match only. Broad match is prohibited — it will waste 40% of the budget on irrelevant searches.
- Structure: One campaign per location (4 campaigns). Within each campaign, 3–4 tightly themed ad groups. One campaign for brand defence (own name, cheap CPCs).
- Extensions required: Call extensions (phone number), Location extension (clinic address), Sitelink extensions (4 links), Callout extensions (USPs), Structured snippet (procedures offered).
Critical: Add call conversion tracking before any campaign goes live. A call over 60 seconds = conversion. This is what tells Google's algorithm what a qualified lead looks like.
These are the highest-intent keywords for full-arch implant patients. Use Exact for head terms, Phrase for modifiers. Do not deviate from this list in the first month.
| Keyword | Match | Est. CPC | Intent | Ad Group |
| [all on 4 dental implants cost] | Exact | £14.50 | High | Cost / Finance |
| "cost of full mouth dental implants" | Phrase | £12.80 | High | Cost / Finance |
| [full arch dental implants uk] | Exact | £11.20 | High | Full Arch Primary |
| [all on 4 dental implants uk] | Exact | £9.80 | High | Full Arch Primary |
| "same day fixed teeth" | Phrase | £9.50 | High | Same Day |
| [same day teeth implants] | Exact | £8.90 | High | Same Day |
| [teeth in a day implants] | Exact | £8.20 | High | Same Day |
| [alternative to dentures] | Exact | £6.50 | Mid | Denture Escape |
| "failing teeth replacement" | Phrase | £7.80 | Mid | Denture Escape |
| [dental implants bexleyheath] | Exact | £7.50 | Local | Bexleyheath |
| [dental implants rochester] | Exact | £6.80 | Local | Rochester |
| [dental implants ashford] | Exact | £7.10 | Local | Ashford |
| [dental implants barnet] | Exact | £11.00 | Local | Barnet |
| [evodental cost] | Exact | £8.50 | Comp | Competitor Capture |
| [21d dental implants] | Exact | £7.20 | Comp | Competitor Capture |
Note on competitor keywords: Target them but never use their brand names in ad copy — that violates Google policy. Instead write: "Comparing implant chains? See why patients choose us instead."
3
Negative Keywords — Add Before Any Ad Goes Live
Create a Shared Negative List called "FTS — Global Negatives" and apply it to every campaign. This prevents the budget being wasted on people who want NHS treatment, jobs, or single-tooth work. Do this first, before switching anything on.
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Every Monday: Review the Search Query Report. Add any irrelevant searches that triggered the ads to this negative list. Budget saved here is budget available for real leads.
Ads run Mon–Sat 8:00am–7:30pm only. The team cannot call leads outside these hours. A lead that arrives at 8pm and isn't called until 9am the next morning is essentially wasted — the patient has moved on. Hard-stop at 7:30pm to ensure every lead gets a same-session call.
Day
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
Mon
Low
Good
High
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High
Good
Mod
Mod
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Good
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Tue
Low
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High
Good
Good
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Good
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Good
Low
Wed
Low
High
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High
Good
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Good
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Low
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High
Good
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Good
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Fri
Low
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Good
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Sat
Low
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Off
Off
Sun
ADS OFF — Team not available
🔥 Peak — Bid +20%
High — Bid +10%
Good — Base bid
Moderate — Bid −10%
Low — Bid −20%
Off
Saturday 9am–12pm is the single best window of the week. Do not let the daily budget run out before noon on Saturday. Set a higher daily budget or budget boost specifically for Saturday mornings.
- Start narrow, spend precisely. In the first 30 days, only run the exact match keywords listed above. No broad, no PMAX. We'd rather spend £500 on 5 highly-qualified leads than £500 on 50 unqualified ones.
- One landing page per location. The ad for Bexleyheath goes to a Bexleyheath landing page. The ad for Rochester goes to a Rochester landing page. Sending everyone to the homepage kills Quality Score and conversion rate.
- Lead response within 5 minutes during business hours. Google rewards accounts where leads convert. The faster the team calls leads, the better the consultation book rate, the more conversions Google sees, the cheaper the CPL gets. This is a flywheel — the team's speed directly affects ad cost.
- Budget split: weight towards what converts. Start equal across 4 locations. After 2 weeks, shift budget towards the location generating the cheapest cost-per-booked-consultation. Do not keep equal budgets if one clinic is performing 3× better than another.
- Competitor flanking last. Only run [evodental cost] and competitor keywords once the main procedure campaigns are stable. They convert at a slightly lower rate but are worth running once you have budget headroom.
- Never pause for the weekend without a plan. Saturday is peak. If you're manually adjusting budgets and you stop ads Friday night, you're missing the best window of the week.
6
How to Know If It's Working
📞
Primary metric: Cost Per Booked Consultation (CPBC)
Track how much it costs to get someone to sit in a chair. Target: under £300. If CPBC goes above £400 consistently, the campaign or the landing page has a problem.
🎯
Conversion tracking: calls + forms
Set up call conversion tracking in Google Ads (calls over 60 seconds = conversion) and form submission tracking via Google Tag Manager. Both must be live before Day 1. Without this, Google is flying blind.
📊
Weekly numbers to report to Dr Gaurav:
Impressions · Clicks · CTR · Conversions (leads) · Cost per lead · Cost per booked consultation · Show rate (leads who actually came in) · Acceptance rate (who said yes to treatment).
🔍
Search Query Report — review every Monday
Look at what actual searches triggered the ads. Add any irrelevant searches to the negative list. In week 1–2 you'll find 30–50 irrelevant queries to cut. This alone can drop CPL by 20–30%.
🏆
Quality Score — aim for 7+ on all main keywords
Check keyword Quality Scores in Google Ads. Below 5 = your ad is irrelevant or landing page is poor. Above 7 = Google rewards you with cheaper CPCs. QS is influenced by landing page relevance, CTR history, and ad relevance.
📱
UTM parameters on every ad URL
Add UTM source, medium, campaign, and content tags to every destination URL so the GHL CRM and Google Analytics both record where each lead came from. Format: ?utm_source=google&utm_medium=cpc&utm_campaign=bexleyheath-full-arch
Green flag: CPL under £120 in week 3–4. CPBC under £300. At least one accepted case in the first 14 days. Quality Scores 7+.
Red flag: CPL above £200 in week 2. Zero conversions after 7 days. Impression share below 40% (means budget is too low or Quality Score is hurting you).
Days 1–7
Setup & Launch
Campaigns live. Tracking confirmed. First data trickling in. No big decisions yet — this is data collection. Do not pause or change anything.
Days 8–21
Optimise
Review SQR, cut waste, adjust bids by time-of-day. Shift budget to best-performing location. First consultations should be booked. Expect 5–15 leads/week.
Days 22–45
Momentum
CPL should be dropping. First accepted cases confirmed. Switch to Target CPA if 30+ conversions recorded. Scale budget 20–30% on winning campaigns.
Days 46–90
Scale
You should know your exact CPBC. Double down on what works. Introduce PMAX retargeting. Consider YouTube bumper ads targeting competitor search intent.
Realistic expectation: First booked consultations by day 5–7. First accepted cases by day 10–14. Consistent flow (8–12 leads/week) by day 21–28. Full 40–50 arches/month cadence by month 2–3 as Quality Score, landing pages, and team response improve together.
Write one RSA per ad group. Use the location name in Headline 1 (pin it). The goal of every ad is one thing: get the right person to click and call. Don't be clever — be clear.
RSA — Full Arch Primary (e.g. Bexleyheath)
Headline 1 (pinned): Dental Implants Bexleyheath
Headline 2: Full Arch Fixed Teeth · Same Day
Headline 3: All-on-4 from £12,500 · 0% Finance
Headline 4: Walk In. Walk Out. Fixed Teeth.
Headline 5: Free 3D Scan Worth £250 · Book Now
Headline 6: No Dentures. No Adhesive. Fixed.
Headline 7: Consultant-Led · IV Sedation Available
Headline 8: 5-Year Structural Aftercare Included
Headline 9: Spread the Cost · From £X/Month
Description 1: Permanently fixed teeth in one surgical visit. Free 3D CBCT diagnostic scan included. Book your free consultation today.
Description 2: Unlike corporate implant chains, your surgeon is your aftercare provider — for life. No upselling. No rotating locums.
Description 3: All-on-4 from £12,500 per arch. 0% finance available. 4 suites: Bexleyheath, Rochester, Ashford, Barnet.
Description 4: IV sedation available. Same day procedure. Tired of denture adhesive? Speak to our team today — free consultation.
RSA — Cost / Finance Keywords
Headline 1 (pinned): All-on-4 Cost UK · From £12,500
Headline 2: 0% Finance · Pay Monthly
Headline 3: No Hidden Fees · Transparent Pricing
Headline 4: Free Cost Breakdown · Book a Scan
Headline 5: Spread Over 60 Months · From £X/mo
Description 1: Full arch from £12,500 per jaw. 0% finance for 18 months. We show you the full cost before you commit to anything.
Description 2: Worried about the cost? Book a free 3D scan and we'll give you an exact treatment plan with transparent pricing — no surprises.
RSA — Same Day / Urgency Keywords
Headline 1 (pinned): Same Day Fixed Teeth · Kent & London
Headline 2: Walk In. Walk Out. Fixed Teeth.
Headline 3: Teeth in a Day · 4 UK Suites
Headline 4: Immediate Load Implants · Same Day
Headline 5: No Waiting. No Dentures. Fixed Today.
Description 1: Go from no teeth to a full fixed bridge in a single surgical session. Available at Bexleyheath, Rochester, Ashford and Barnet.
Description 2: Same day teeth — screw-retained bridge fitted the same day as your implants. IV sedation available. Book your free assessment now.
Rule for all ad copy: Every headline should be something a patient would actually search for or something that answers their biggest fear (cost, pain, time, permanence). Never write an ad that could be for any dental practice — it must clearly say "full arch / same day / fixed" and a location.