Most likely, if your website is more than two or three years old, it needs a serious refresh, if not a total redo. And there are a lot of website companies out there willing to build you a site and “guarantee” to get you on the first page in a Google search.
There are a number of reasons why that is not possible, and the promise is a false one. But the primary reason is this: Google gives different results to different people based on their search history. In other words, you could be sitting there on your laptop, and do a search for “comedy clubs in Baltimore”, and your spouse could be sitting next to you using her iPad, and do the exact same search, and you would get two different results.
That’s because Google has built a profile on you based on your previous searches, and tries to decide what your preferences might be. Their goal is to give the best possible result for you, and they have a number of tricks to figure that out. This is not unlike what Amazon does, offering you recommendations based on what you previously bought and viewed.
The fact is that Google gives search results based on anywhere from 400-800 bits of information, much of it variable, particularly location, but most of them Google does not tell us, as they don’t want companies “gaming” the search and stealing the clicks. Also, different devices and browsers affect results. For example, if you use Google Chrome, it’s looking at your Google+ page to see what you post, share and comment on relative to that search. All in milliseconds, of course.
So what does that website designer mean when they make this “promise”? They mean that they can get you to appear on the first page of Google on one computer, one time, and they are going to take a screen shot to show you that it happened, so they can bill you for the website and keep your money.
Why do they promise this? Because that’s what dentists tell them they want. Of course. Who doesn’t want to be on the first page? But when half the dentists in your area have a website, you’re not all going to get on the first page, unless the screen is the size of a movie theater screen. And even if you do appear today on the first page, it won’t mean you’ll be there tomorrow. Or an hour from now.
So what’s a dentist to do? The operative principle is to have truly relevant, ever-changing content on a website that is visually appealing and easy to navigate. It used to be that you just needed relevant content. (Of course what I’m talking about here is appearing organically, or naturally, in a search, not bidding on AdWords to show up there. But even when you bid on AdWords, your site needs to be relevant to the search criteria to appear.)
What is going to happen is that, as people get more and more sophisticated in their searching, they are going to put in more detail in the search box, otherwise they will get too many results, and none of those will be precisely what they’re looking for. So, for example, instead of searching for “dentist Spokane” they will search “dentist 99026 Saturday hours reviews CEREC”, and get a much more refined SERP. (SERP stands for “search engine results page”, which is an acronym you will start to see more and more.)
This will mean that the more relevant, precise content you have in your website, the more Google will be able to offer you as a first page result when people get this specific. Google is also advancing to the point where you can ask detailed questions, rather than just putting in keywords, and get relevant results.
But remember where I mentioned that Google wants “ever-changing content”? This is where your website most likely needs to change. You need to be able to have reviews appearing automatically, and easily change various texts, images and videos on your website. This has become essential.
And be aware that it has been well-documented that people are making judgments about the quality of your dentistry based on the quality of your website. It doesn’t matter that these two things are factually unrelated–this is what they do with most businesses, and it often makes sense to do so. This is why your website needs to look fresh and modern, and be easily navigated.
I hope this gives you some insight into the escalating importance of having a high-quality website, while also making you suspect of anyone promising you magical results. Good luck!
P.S. I’m doing a free webinar on September 10 where I go into deep detail on everything you need to be doing to satisfy Google on your website. It’s free, and if you want to register click here. Also, it will be recorded, so if you can’t make it at that time, register anyway and we will send you a link to the recording.

Beautifully put Fred. Getting to front page one time is not what it’s about…but it’s what a lot of dentists pay for and think that it’s about….
Thanks for setting the record straight!
Good grief! Thanks for your insight and advice, Fred! You remind me of our Atlanta-area radio consumer advocate, Clark Howard, advising us of various scams designed to separate us from our cash! Cyberspace is a challenging concept for some, so thanks for always looking out for us, and for helping us remain competitive in an increasingly difficult and changing marketplace!
Fred – don’t forget Personalized Search! If you’re logged into your Google account, your SERP results are also affected by any people you’ve Circled on Google+. Of course, this is why dentists should be trying to get as many people in their area as possible to Circle their G+ Local Page, too, whether patients or not.
You are the Google+ whiz, Chip! Thanks for those key insights.
nice post