The search query "braces near me" is not won at the brand level. It is won at the Google Business Profile level for the specific location nearest to the person searching.
Two orthodontic practices five miles apart are direct rivals for the same Map Pack positions, and the determining factors between them are not which group has the larger national footprint or the more recognisable brand name. They are which location has more recent reviews, a higher average rating, a complete and actively maintained profile, and a consistent response pattern that signals engagement to Google's algorithm.
For an orthodontic group operating 30 locations across metro areas, this means the "braces near me" battle is being fought simultaneously in 30 different local markets, each with its own competitive set, its own review environment, and its own Map Pack ranking dynamics. A group that treats this as a unified national problem will lose in individual metros to smaller independent practices that understand local search and have simply done the unglamorous work of maintaining their Google presence location by location.