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EVERY ISSUE INCLUDES
Built for the People Behind the Practices
Not another clinical tip sheet. The Cascade Report covers what matters to the B2B side of orthodontics, the market moves, the deal flow, and the operational patterns shaping the industry.
Market Pulse
Align stock movement, DSO M&A activity, PE deal signals, the numbers that tell you where the money is going.
Trends on the Ground
What CascadEffects is actually seeing inside practices, staffing, tech adoption, case acceptance patterns, and operational gaps.
Casey's Take
A direct, unfiltered perspective from Casey Bull on the one topic that matters most this month. No hedge. No fluff.
Events & Conferences
Industry conferences worth attending and curated content from podcasts, reports, and conversations shaping the space.
The Numbers
Key data points driving decisions right now case acceptance rates, valuation benchmarks, overhead comparisons, and more.
Partner Spotlight
A monthly look at the technology and service partners building tools that actually move the needle for ortho practices.
Sneak Peek
Inside the April 2026 Issue
Here's what Volume 1, Issue No. 1 covers, so you know exactly what you're getting.
01
ALGN Stock, DSO Deal Activity & PE Confidence
04
Casey's Take: Why Financial Clarity Wins in 2026
02
Phase 1 Equity Expands + AI Integration in Ortho
05
ALGN Stock, DSO Deal Activity & PE Confidence
03
3 Practice Patterns We're Seeing on the Ground
06
4 Data Points Driving Decisions Right Now
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The Landscape Right Now
Why This Report Exists
The orthodontic industry is moving fast. These are the kinds of numbers we track so you don't have to.
68%
Average ortho case acceptance rate, up from 64% last year
74%
Of orthodontic practices report a staffing shortage
1/3
Of all dental M&A is now orthodontic
$1.05B
Align Technology Q4 2025 revenue, a record quarter
From the Desk of
Casey Bull
Founder & Consultant, CascadEffects
Casey has spent over a decade inside high-growth healthcare companies as COO and CMO, building leadership infrastructure, fixing broken operations, and helping orthodontic practices scale without burning out.
The Cascade Report is what she wished existed years ago: a dedicated home for the B2B conversation in orthodontics. Not a product pitch. Not clinical tips. Real market intelligence for the people who power this industry.
A practice that doesn't know its numbers is making every decision by feel. And feel doesn't scale.
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What Readers Are Saying
This is the kind of newsletter industry professionals actually get value from. It connects what’s happening in the market to what it means on the ground in a clear, actionable way. It’s also a reflection of how Casey Bull and CascadEffects continue to raise the bar.
-Brooke McIntyre
Questions
Good to Know
How much does it cost?
Nothing. The Cascade Report is completely free. We publish it to serve the industry and share what we're learning on the ground.
How often will I hear from you?
Once a month. That's it. No drip sequences, no sales emails, no spam. Just one high-value issue per month.
Who is this for?
Reps, vendors, technology partners, DSO operators, consultants, anyone shaping orthodontics from the business side. Not clinical content.
Can I share it with my team?
Please do. Forward it, print it, share the link. The more people informed, the better the conversations get.
Stay Ahead of What's Moving in Ortho
Market intelligence, operational insights, and expert analysis, delivered once a month, completely free.