The recent Google algorithm update which has potential to wreck website rankings.

linksTo the layperson who has limited or no exposure to search engine optimisation and how Google works, this may sound both a little bizarre and perhaps quite worrying too. What has a “penguin” got to do with a dentist’s website search ranking and how can it be so bad as to wreck my Google positions?

These are two very valid questions, and with the latest iteration of the Google Penguin update just released (the last was well over a year ago), we thought it worthwhile to quickly recap on perhaps one of the most significant elements of Google search algorithm and the way it works to determine how your website fares in the ranking results.

What is the Penguin update and how does it work?

Firstly it’s perhaps important to explain that the Penguin update is not new. It was first introduced back in April 2012 and the effects of that are covered elsewhere in this blog. In a nutshell, it was introduced as an anti-spam measure, particularly to seek out those websites which had been using manipulative techniques such as mass link-building and exact-match anchor text to boost their Google positions. As we’ve covered previously, many dentists’ websites were hit really hard and pushed way back in the ranking results – quite a big blow to business for many of them.

The update has been run a few times since 2012 and more refined in the way it acts; but each time more websites which have been using promotional techniques outside of Google’s guidelines, have been caught out and penalised.

Before we move on the discuss how your own website may be at risk, it’s also worth noting that the Penguin updates to-date, have not been part of the core Google algorithm; more an add-on filter which is periodically invoked specifically to weed out offenders. However, it was announced that with the new update, that Penguin will actually become part of the core and run in real time.

Is your own website at risk?

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What is it and why you need to understand it.

minimise irrelevant search queriesIf you’ve done any research into search engine optimisation for your dental practice, you may have come across the phrase “vanity SEO” or more specifically “vanity keywords”.

Whilst this may sound like a technical term and perhaps not particularly interesting, the topic it refers to is extremely important and can be the difference between success and failure for a web optimisation campaign.

In a nutshell, vanity SEO refers to chasing the wrong keywords and particularly ones which may sound really useful, but actually deliver relatively little traffic or traffic which is not very targeted and unlikely to result in new patients enquiries.

A few examples

Let’s take a look at a few examples of vanity keywords which may surprise you. Also the alternatives which should be included in any well-thought-out dental SEO campaign.

A real example from a dentist who joined us recently, concerned an optimisation campaign which had been run for him but which had resulted in very limited success. His SEO company had chosen a list of keywords which, to a layperson, looked very useful but in reality missed the mark by some way. The keywords had targeted county phrases i.e. dentist Kent, cosmetic dentist Kent and so forth and the SEO work had achieved rankings in the top half of page one. Very good you may think but in reality, the success from the campaign was very limited. Not only was the traffic increase as measured in Analytics really quite small, but the conversions were also very light too. Relatively few people were actually searching these generic terms and those who were, weren’t really delivering targeted enquiries. Only when the dentist started to dig in to the data and actually correlate this with what he was seeing at the practice, did he realise that what looked good in his monthly performance report, actually didn’t really help at all.

So chasing these types of vanity keywords may feel good but often don’t add a great deal of value.

Which keywords should you pursue?

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…. or even £150 per month

Cheap SEO doesn't workA new SEO client recently called us to query the prices for our service following a conversation he’d just had with the provider of payment services at his dental practice.

The provider of payment services concerned is extremely well-known, operates world-wide and perhaps surprisingly had started to offer search engine optimisation services as a business “add on” for their clients – at a very low price of £45 per month. The client was confused why our services were considerably more expensive when he’d been offered “great” results for very little outlay.

The discussion which followed between the dentist and myself, served to show just how easy it is to tempt some people with silly offers and why, particularly when it comes to SEO, that you need to have a reasonable understanding of what is being offered. Let’s take a look at this particular example in more detail and then a few more questionable SEO offers to watch out for.

The small print

Following our discussion, I actually headed over to the provider’s website to evaluate what they were offering for £45 per month – for sure it couldn’t be credible but how were they masking it to make it look so? Firstly they were leveraging on their reputation as a leading payment service for businesses, potentially lulling the inexperienced into thinking that they can also offer other business services too. But high-quality SEO is quite tricky and very time-consuming to do properly; not a cheap bolt-on. It also takes a lot of experience and insight, particularly within the dental business niche, to achieve great SEO results and just because you provide payments services, doesn’t mean you know about SEO.

What was also apparent on the website was the use of “throw away” terms the provider obviously introduced to make it look like they know what they’re doing e.g. “ethical SEO” and “quality link building”. They also provided a couple of examples of where their work had yielded great Google success for a couple of their clients. All well and good until you search for the websites of those companies and find them back on page 2 and 3 for their key terms. Ironically one was a dentist! I suspect that particular client may have rumbled it by now and moved elsewhere.

However, the really telling information was tucked away at the base of the small-print – “we guarantee to get one search term into the top ten results for over 200 search engines”. Sounds impressive but it’s actually not impressive at all, in fact it’s pretty awful. You see, getting just one, unspecified result into the top ten search results whilst very easy, just isn’t going to yield the traffic you need. You need multiple search results in the top half of pages one of the search results to really start getting traction and provide new dental patient enquiries.

So please read the small print before you throw money down the drain. This particular provider was setting themselves a very low bar and tempting unsuspecting clients on mass. Money for old rope? I think so.

Watch out for these other questionable SEO offers and recommendations

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The pros and cons of pay-monthly website builders.

mistake signWe were recently contacted by a potential new client whose dental practice website had been built for him using an online web builder called “Squarespace”. He had purchased some business cards on a budget from a new dental web marketing company who also offered to build his website; an offer he took up as it appeared to be a good price – at least on face value.

When he elected to take the website update he confessed that he didn’t really know much about the attributes of a modern dental website, albeit he thought what they offered appeared to tick the boxes he needed, such as a content management system, GDC compliance etc.

However, what he hadn’t realised was that he was actually getting a template site, i.e. not bespoke and also that it was hosted on a third-party website building platform, popular with DIYers called Squarespace. When the website was delivered, he realised that there were actually some significant limitations and concerns and that he felt he’d made a mistake in going that particular route.

What he’d actually wanted, was a truly bespoke website, hosted on an independent hosting platform, and with much more flexibility than his templated version offered. He simply assumed he was getting this but later realised his error. The dentist concerned is now starting the process all over again but this time with his requirements met in full.

Let’s take a closer look at website building tools and why some companies choose to use them. Also their pros and cons so that you can ask the right questions and make an informed decision should you be in a similar position.

Why some dental marketing companies choose online website builders.

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Will my website alone ensure great Google rankings or do I need more?

rising Google positionsThe need (or not) for SEO to promote a new website is quite a hot topic in the dental marketing world and worthy of further explanation to help ensure that dentists who are embarking on new website builds, don’t get misinformed.

It seems that some web design companies are underplaying the role of ongoing search engine optimisation and claiming that a good website is all that is needed to rank well in Google. Unfortunately this is not correct; particularly in competitive areas where dentists are already promoting their websites actively and have been firmly in place at the top end of the ranking results for some time. In this scenario, a great site will not be sufficient to get you up there, even if it has more information and uses that latest “on site” SEO techniques. This is not a play to sell SEO services, it’s simply how the search landscape works.

Can a great website ever get me prominent in Google without SEO?

The answer is yes, but only where competition is slight. So if you are a new practice in a relatively small village where there are just three or four competing businesses, then if you build a really good website, you might expect it to rank well on page one without a comprehensive SEO campaign to support it. Of course it still makes sense to ensure that you have submitted your website to Google “My Business” as well as implementing Google “Search Console” and submission to decent local business directories. Those free tools, along with seeking out reviews, should give you a great chance of getting on to page one quite quickly – but only in areas of limited competition.

My practice is in a competitive environment – what do I need to do?

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Google reviews – why they are essential for dentists.

It’s reasonable to suggest that most dentists understand the importance of the Google search engine when it comes to acquiring new patients. It’s also fair to say that most also know that you need a range of search terms prominent on page one of the results for your particular location. However, this is as far as some dental business owners go and relatively few fully understand how page one of the Google results is split into different sections i.e. paid adverts, traditional organic results and “local” (or map) results.

It’s the third area, the local results, which we’ll look at today and in particular, how Google business reviews can affect your placement in there.

A quick recap on Google “local” results

These are the three results which appear prominently on page one of the search results, typically just down from the top organic result and the paid adverts. They are typically embellished with other features which are eye-catching e.g. map segments, “star” ratings etc. Consequently a position in the local results on page one is very important to any business, dentistry included.

The image below shows a search for “dentist Burton” and in this case, the local results actually appear right at the top of the page and would be the first section that a searcher would see.

local Google results for a dentist

What factors influence inclusion in the local results?

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How the changing layout of search results pages may force your hand.

how adwords for dentists show on a mobile phoneWe’ve previously discussed how AdWords, Google’s pay-per-click advertising system, can be beneficial for dentists who have a new website which doesn’t yet have prominent free ranking results and hence very limited traffic.

Indeed AdWords can be useful for any application where you need to gain prominent search results quickly, for example advertising a new treatment or special offer. However, the downside of AdWords is the cost and the substantial budget you need to get past the tipping point where the technique begins to deliver success.

As well as the cost issue, there are two other main reasons why many dentists shun pay-per-click campaigns 1) they tried previously and spent a lot with minimal success 2) they already have prominent organic (free) rankings and feel they don’t need to supplement that with a paid campaign. Whilst the perceived poor value of AdWords can be overcome if you have a well-optimised account and sufficient budget, many dentists don’t really give the system a chance due to the reasons mentioned above.

However, there is a force working behind the scenes which is inexorably pushing businesses into using AdWords, even where they feel they don’t really want or need to. That force is Google itself. In particular, Google is changing the way the search results are displayed to give more prominence to adverts and less visibility to the free search results. One aspect is particularly important – the rising use of mobile devices for search.

How Google has changed where ads show in mobile search results – and what it means for your website traffic

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Watch out for these “gotchas”….

mistake signThe increased level of competition in dentistry has resulted in a proliferation of new dental marketing providers; all vying to grab a piece of the action and your budget too. Along with the raft of new providers, the long-established marketing teams have also introduced numerous ways to try to differentiate their services; some of it useful but unfortunately a lot of it just the same old methodology wrapped up in a new guise and often with a hefty price tag to boot.

The rather distasteful side of the new marketing landscape, is that many providers are leveraging on the lack of understanding of their unsuspecting clients, leading to a lot of money being spent on services which are either ineffective, or way over-priced for what they are. So to help you through the minefield, here are several marketing pitfalls to avoid to help you get the results you are looking for without paying dramatically over the odds.

The monthly maintenance contract

This is a standard tool used by many marketing companies and could be classed as “money for old rope” in most cases. This is where your web designer insists that you take out a long-term monthly contract for security updates and maintenance activities on your website. In reality, very little work actually gets done and unless you are updating your website monthly, you are likely wasting a substantial sum of money.

Perhaps worse than this is where the the maintenance contract also claims to perform SEO for your website but actually doesn’t – more on that in our blog here. But unfortunately many dentists and practice managers neither have the time or inclination to understand exactly what they are getting for their cash.

Over-priced SEO for easy search terms

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Even though it’s new?

bored man asleepDo you ever wonder why lots of new dental websites all look very similar? Perhaps you recently commissioned a new site but were perturbed to see “Dazzling Whites Smiles” just down the road publish something very similar just a few weeks later? You’re not alone.

An increasing number of clients who come to us to help re-invigorate their web presence are commenting that they are fed up with the “same old, same old” templates they see rolled out time and time again by some dental design companies.

So what’s going on? Just why are there so many dentist’s websites which all look very similar? They may be differentiated slightly by using different stock images but fundamentally they are all pretty similar and, frankly, fairly boring. And boring is no good at all when it comes to engaging potential new patients and getting them to contact you.

Step away from the template!

One of the main reasons why websites are all starting to look “samey” is the rise of the template. This is a pre-designed framework which sits on top of content management systems such as WordPress. You can buy them for £50 or so, change the images to “dental” and get online very cheaply. Your site may look poor and very similar to lots of other dentists but if budget is a key concern, then this is an option. In fact lots of web designers make a killing like this – buying templates for next-to-nothing, tweaking them “dentally” and then selling them on to the unsuspecting for a few thousand pounds. So please check the scope of supply before you enter into any web design contract – are you really getting something bespoke or is it a quick, templated “knock off”?

Images

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Why regular updates to your website count for SEO

reviewing website contentOne feature of a website which is accepted to affect search engine optimisation is “freshness” i.e. the age of the content. This doesn’t mean that all new content will rank better than old content – there is much more to it than that of course. Indeed Google has advised that older pages which are still popular and engaging for users, can continue to rank just as well as new content which is of a similar quality.

However, what it does mean is that pages which are still useful but less than stellar in popularity (many dental website pages to be frank) may see slips in search positions as new content on competitor websites is published. Lots of other factors play a part, for example the number of other websites which link to the page, but, all other things being equal, fresher content usually ranks better than content which has become stale. So why is this?

One of Google’s stated objectives is to deliver the most relevant content to users and it does this by surfacing what it considers to be the best pages higher up in the search results. Logically, one of the factors it uses to evaluate this is the age of the content. Whilst new isn’t always good, the fact that content is relatively new is an indicator that it may deserve to rank higher. Google uses many other signals to determine where the page ultimately lands in the search results, but “freshness” is considered to be a strong indicator.

This is perhaps why we regularly see new blog posts get relatively high ranking fairly quickly before dropping away slightly over the following months. Another good reason for a practice blog!

What does this mean for your dental website?

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