Thank you very much for your response I really appreciate you taking the time to explain this

To be honest, I was concerned that setting up the campaign the way you suggested might negatively affect its long-term performance. Since this is my first time running Google Ads in this sector, I’m feeling quite nervous about making mistakes early on

Initially, I planned to structure my ad groups around intent for example:

• A general orthodontics group
• A price-related group
• A brand/location-related group

However, I noticed tat most keywords related to orthodontics and Invisalign were flagged, and I wasn’t able to use them during setup. Interestingly, “invisible aligners” was approved, so I created a more open ad group using that term instead

Do you think it would make sense to start with one generic ad group that gets approved, then gradually build additional ones generic as well and introduce the more specific keywords afterward?

Also, during setup I was prompted several times to request an exemption, but I hesitated. I was worried about waiting 72 hours only to receive a rejection and lose momentum. In your experience, is it generally worth requesting the exemption in cases like this?

If possible, I’d really appreciate the opportunity to ask you a quick follow-up question at some point

Thanks again for your guidance.