For dentists & treatment coordinators · Case acceptance
You know the x-rays. Rehearse what happens when they say “let me think about it.”
The diagnosis is clear. The treatment plan is printed. You still don’t know what you’ll say when they smile, nod, and defer to their spouse.
Thursday’s 2:30 slot is an implant consult — crown, two implants, perio therapy, $8,500 on the written plan. You’ve watched the Spear video on case presentation. You have financing options loaded in the software. What you can’t picture is the moment the patient looks at the total, says “I need to talk to my husband about this,” and you feel the urge to either lecture about bone loss or awkwardly say “okay, call us.” Kommi puts you in that consult room first — with a patient who deflects the way real deferrals sound — so Thursday isn’t your first attempt at holding the conversation.
Clinical skill isn’t the hard part.
Every CE course teaches the same framework: lead with the patient’s concern, use visuals, present options, ask for commitment. You have the framework. What you don’t have is muscle memory for when the patient says “that’s more than I expected” and you have to decide in real time whether to explain perio staging again or ask what part feels uncertain.
-
What’s at stake
One deferred $8,500 implant case is $2,500+ in lost production this month. Three “let me think about it” exits a week compounds into six figures annually — and a case-acceptance review with the practice owner.
-
Why you procrastinate
You keep refining the x-ray sequence but skip rehearsing the moment the patient cites their spouse and you feel the urge to fill the silence with a payment-plan monologue instead of one clarifying question.
-
What scripts can’t do
Case-acceptance playbooks label scripts as “guides, not scripts” for a reason. Reading them in the operatory kills trust. They can’t simulate the patient going quiet when you pivot from clinical findings to the total.
-
What CE videos can’t do
Lecture courses show the ideal presentation. You need three reps before Thursday — Wednesday night, Thursday morning, the hallway before you open the door — not a post-case debrief with the office manager on Friday.
Sample roleplay · 3 minutes
“I need to talk to my husband about this.”
You’re Dr. Priya. Implant consult. The plan is on the screen. Now it’s the commitment moment.
You (Dr. Priya)
“Based on what we found today — the bone loss here and the failing crown — I’d recommend we start with the implant on the upper right and address the perio before we place the restoration. The full plan comes to $8,500, and we have monthly options if that helps. Does this feel like the right path for you?”
Patient (Marcus)
“Wow, that’s… more than I was expecting. Look, my wife handles the big financial decisions. I need to talk to her before I commit to anything like this. Can I take the paperwork home?”
Your move
- → Acknowledge the spouse deferral without accepting a vague “call us” ending
- → Ask one diagnostic question: cost concern, clinical fear, or genuinely needs partner input?
- → Offer a concrete next step — three-way call or scheduled follow-up with both decision-makers
Each choice changes how Marcus responds. He may reveal it’s really the monthly payment, not the spouse. The room gets uncomfortable. You practice asking one question instead of re-explaining bone grafting — or catching yourself when you’re about to discount before you know what’s actually blocking yes.
Then the coach reads you back to yourself.
Not a case-acceptance scorecard. Not a list of objection scripts from your last CE course. One observation about what you did, one adjustment for next time, one sentence you can carry into Thursday’s consult.
Sample coach debrief
“You opened with a clear recommendation tied to what you found clinically — not a menu of procedures. When Marcus mentioned his wife, you jumped straight to ‘absolutely, take the paperwork and call us when you’re ready.’ That handed him an exit without surfacing the real objection.
Try next time: Pause after the spouse mention. Ask one question: ‘Of course — is it mainly the total amount, or is there something about the treatment itself you want to discuss together?’ Let him answer before you hand over the plan.
Carry into Thursday: ‘I’d rather answer your questions now than have you sit with uncertainty all weekend. What’s the one thing you’d want your wife to understand before you decide?’”
Questions before your next consult
- Is this for dentists or treatment coordinators?
- Both. This page is tuned for the provider-led case presentation — the 10–15 minute window after diagnosis when you have to ask for commitment without sounding salesy. Hygienists, associates, and TCs who present treatment plans can all practice the same spouse-deferral and cost-objection moments.
- I already took a case-acceptance CE course. Why practice?
- CE courses give you frameworks and ideal scripts. They don’t prepare you for the patient going quiet after you show the total, or citing their spouse when the real blocker is monthly payment. Kommi is where you hear yourself respond under pressure — and fix the lecture reflex before it costs you a case.
- What if the patient genuinely can’t afford it?
- Kommi isn’t about pressuring patients who are in real financial distress. You practice distinguishing “I can’t afford this” from “I need to think about it” — and learning when to offer phased treatment vs. when to schedule a follow-up with both decision-makers present.
- Is $11.99/mo worth it for one accepted case?
- One accepted $8,500 implant case pays for 590 months of Kommi. A case-acceptance CE course runs $300–$800 and can’t simulate live pushback before Thursday. You also get unlimited sessions across every scenario we ship: perio consults, full-arch presentations, hard talks outside the operatory.
$11.99 a month.
A coach with a calendar runs two hundred dollars an hour. Kommi runs roughly forty cents a day — and is awake when you can't sleep, which is when most of these conversations are actually being rehearsed anyway.
We don't have a free tier, a team plan, or a premium upsell. One price, no pricing page riddle. If we add tiers later, we'll do it because users asked — not because a growth deck did.
About forty cents a day.
- Two free sessions before billing starts
- Then $11.99 a month — about forty cents a day
- Unlimited sessions — any conversation you can describe
- A coaching read after every session, and your progress over time
- Cancel in two taps; 7-day refund if you change your mind
One conversation you’d have talked yourself out of is worth years of this. Or just sleep better on Wednesday. Either way.
Run your first rehearsal — free →US only at launch. We'll get to the rest of the world.
The conversation is on Thursday. Begin tonight.
Three minutes. Two free. 7-day money back after that.