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Dental Ads · Paid Social · Google Ads · 10 min read

The Facebook vs Google Ads Dilemma, and Why It Matters More Than Ever

Thinking of Facebook and Google as competitors is the biggest mistake you can make. For dental practices, the smartest results come from understanding how both platforms work together across the patient journey.

Written by
Leah Standen
Published 25 April 2026 Last updated June 2026 10 min read Reviewed by Wise Agency Dental Marketing Research Team

If you are running Facebook and Google Ads for your dental practice but still wondering where your next new patient is coming from, you are not alone.

If you run a dental practice, NHS or private, you have probably sat looking at your marketing dashboard thinking, “Should we be putting more money into Facebook, or is Google where the real patients come from?”

This is not just a theory debate. The choice genuinely affects your daily enquiries, the type of patients you attract and your overall profitability.

In this blog, we will break down how both platforms are performing right now, what the latest UK data shows, how Google Ads is changing with AI Max, and how to use both platforms together without overspending.

01.Understanding Facebook vs Google Ads in a Dental Context

Here is a simple truth: Facebook and Google Ads work in completely different ways. Understanding that is half the battle.

Google Ads: the answer engine

Google shows up the moment someone is looking for a dentist like you. Someone searches “Invisalign near me” or “emergency dentist open now”, and your practice appears right when they need help.

Best for: high intent, low-funnel searches where patients are ready to take action.

Facebook Ads: the awareness engine

Facebook appears while someone is scrolling, not searching. You are sparking interest, building familiarity and creating demand before the patient has actively searched.

Best for: awareness, storytelling, retargeting, offers and community trust.

02.What Does the UK Data Say?

These figures are based on aggregated performance data from more than 200 UK dental campaigns managed by the Wise Dental Marketing team, combined with benchmark insights from Google Ads, Meta Ads, Ahrefs, SEMrush and Google Keyword Planner. The benchmarks below were verified by Wise Agency's research team and reviewed by the Wise Agency Dental Marketing Research Team.

Channel or metricBest use in dental marketingUpdated 2026 benchmarkWhat this means
Google Search AdsHigh-intent treatments, emergency searches, implants, Invisalign and local dentist searches.£4.50 to £8.50 CPC
£45 to £120 cost per lead
More expensive than Meta, but usually stronger intent and better booking quality.
Google AI Max / Performance-led Google AdsExpanding search coverage, testing new intent signals and improving conversion paths as Google Ads changes.£55 to £140 blended CPLWorks best when landing pages, tracking and conversion quality are properly managed. Read more on Google Ads AI Max for dental practices.
Facebook / Meta lead campaignsAwareness, retargeting, cosmetic offers, open days and community trust building.£8 to £35 CPLLower lead cost, but leads normally need faster follow-up and stronger nurturing.
RetargetingRe-engaging people who visited treatment pages, watched videos or clicked previous ads.£12 to £45 CPLOften performs best when paired with Google Search traffic and CRM follow-up.
Cost per booked patientThe metric practices should use before judging ROI.£120 to £250 for general dentistry
£250 to £450 for implant or Invisalign campaigns
A cheap lead is not always a profitable patient.

Updated June 2026. Verified by Wise Agency's research team. Reviewed by Wise Agency Dental Marketing Research Team.

So yes, Google clicks and Google leads usually cost more, but they are often worth more. When patients are actively searching for treatments like implants or Invisalign, they are usually far more likely to convert. The key is to compare cost per lead, cost per booked patient and profit-based ROI together.

03.Which Platform Works Better for High-Ticket Dental Treatments?

For high-value treatments such as implants, veneers and smile makeovers, Google Ads is usually the stronger performer.

Why? Because those patients are already deep in their decision-making process. They are researching, comparing and ready to book when they find the right practice.

When we ran ads in Manchester for All-on-4 dental implants, the average CPC was around £6.40. That sounds high, but the campaign consistently delivered booked implant patients for under £300 each, with an average treatment value over £4,000.

Facebook can still play a role, especially for storytelling, testimonial videos or open-day offers. But it tends to require more nurturing, faster follow-up and tighter admin systems to stop leads from slipping away.

04.What About Facebook Ads for Everyday Dentistry?

Not every patient is searching for implants or Invisalign. Most are simply looking for a friendly, local practice they can trust with check-ups, hygiene visits or whitening.

That is where Facebook Ads really earn their place.

Unlike Google, where patients are already looking for something specific, Facebook lets you create demand by staying top of mind and building familiarity before people even start searching.

Facebook works when:

  • You are telling stories with team intros, transformations and behind-the-scenes clips.
  • You are offering something light, such as free consultations, whitening discounts or giveaways.
  • You are building trust within your local community.

05.So, What Should a Dental Practice Spend, and Where?

Private clinics targeting high-value treatments

Focus primarily on Google Ads, then use Facebook for retargeting, storytelling or open-day campaigns.

NHS or general practices

Lead with Facebook Ads, particularly in less competitive postcodes where brand recognition and community familiarity make a difference.

The truth is, your best results come when you use both platforms together.

  • Google drives people searching “emergency dentist near me”.
  • Facebook retargets them later with a testimonial video or offer.
  • Your CRM captures their details and books them in.

Ready to turn dental insight into better marketing?

If your dental practice wants fresh, innovative marketing ideas for ads, our Dental Ads service helps you create campaigns that stand out, connect with the right patients, and drive real enquiries. Learn More About Ads →

06.The Patient Funnel: From Scroll to Booking

Today’s patient journey is not a straight line. It is a loop.

1. They see a Facebook ad

They are scrolling, seeing what Sarah had for Sunday roast, then they spot a free Invisalign consultation ad.

2. They click but do not book

They visit your website, look around, but are not quite ready to enquire yet.

3. They search Google later

A week later, they search “Invisalign price near me”.

4. Your Google Ad appears

This time, the intent is stronger, the brand feels familiar and they book.

You needed both touchpoints. And both needed to be connected.

07.What ROI Should You Expect from Facebook and Google?

General dentistry ROI

Many marketing articles quote “2 to 3x returns” for general dentistry, but that is usually based on revenue, not profit.

A typical new patient may be worth around £300 on their first visit. But after the associate split, materials, nurse time and surgery costs, the practice may keep closer to £90 to £120 profit.

With a typical booked-patient CPA of £120 to £250, general dentistry rarely produces a big return immediately. The real ROI comes from retention and lifetime value: patients returning for check-ups, hygiene and eventually cosmetic or restorative work.

General dentistry

3x to 7x

Potential return over 12 to 24 months when retention and lifetime value are included.

Invisalign

3x to 6x

Realistic profit-based return when case profit and acquisition cost are calculated properly.

Implants

4x to 8x+

Potential profit-based return, depending on case value, lab fees, supplier costs and conversion rate.

Typical CPA

£250 to £450

Common booked-patient acquisition range for implant and Invisalign campaigns when campaigns, landing pages and follow-up are properly managed.

These are realistic, sustainable ROI figures, not inflated revenue-based numbers agencies sometimes quote.

08.Common Mistakes Dental Practices Make

Running Facebook Ads without follow-up

Leads can be cheap, but they vanish quickly if your team does not respond within the hour.

Sending Google traffic to your homepage

Always use tailored landing pages that match the treatment, offer and patient intent.

Running premium treatments on tiny budgets

For example, £300 a month will not go far in central London. Match spend to your goals and area.

Not connecting your platforms

Facebook, Google, your CRM and your website must all work together, otherwise you will lose leads.

09.Final Thoughts: What’s the Smartest Move?

Here is the reality: it is never about Facebook vs Google. It is about strategy, timing and intent.

When used together, these platforms do not compete. They compound. Google captures the moment someone is ready to act, and Facebook keeps your brand top of mind until they are.

If your campaigns have not delivered before, it is rarely the platform’s fault. It is usually how the journey has been connected. Once you get that right, your ads stop feeling like marketing and start feeling like momentum.

If you would like help mapping your ad spend across both platforms, we can show you exactly how to get more enquiries without wasting budget.

10.Frequently Asked Questions

How much should a dental practice spend on paid ads if they have not before?

Start with a controlled test budget that matches your treatment goals, location and competition. Once you know your cost per enquiry, cost per booked patient and ROI, you can scale with more confidence.

What is the best platform to start with?

Google Ads is usually the stronger starting point for high-intent treatments like implants, Invisalign and emergencies. Facebook is often better for awareness, everyday dentistry, community trust and retargeting.

What is a realistic cost per lead for dentists?

Facebook dental leads are now more realistically benchmarked at £8 to £35 for many UK campaigns. Google Search leads often sit higher, commonly around £45 to £120, because the patient intent is stronger. The key metric is not just cost per lead, but cost per booked patient and profit-based return.

Do Facebook leads actually convert?

Yes, but they need fast follow-up and good nurturing. Facebook leads are often earlier in the decision journey, so CRM systems, calls, texts and remarketing matter.

Should Google Ads traffic go to the homepage?

Usually no. Google Ads traffic should go to focused landing pages matched to the treatment or offer being advertised.

How do we know if our ads are working?

Track cost per lead, cost per booked appointment, treatment value, conversion rate, call quality and actual profit. Vanity metrics alone are not enough.

Does a dental practice need a CRM?

Yes, if it wants to manage leads properly. A CRM helps track enquiries, automate follow-up and stop warm leads from slipping through the cracks.

Ready to make Facebook and Google Ads work together?

If your dental practice wants campaigns that connect awareness, search intent and follow-up, Wise can help you map your ad spend across both platforms and turn more enquiries into booked patients.

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