@AlexTL Hi Alex,

I know this was asked some time ago but I believe it still holds relevancy in 2022 and many people asking a similar question can benefit from this.

From my experience and an emd a.k.a exact match domain is incredibly powerful especially with age and even more powerful with off page brand building.

When it comes to dental seo https://hip.agency/ a Juggernaut in the dental marketing space utilizes powerful local SEO practices that have include both these on page and off page core things.

On-Page

1. Keyword in the URL
2. Keyword in the Title
3. Keyword in the H1
4. Secondary Keywords in the H2's and H3's
5. A good amount of very informative and brand content for each heading.
6. Optimized image File+ Geo+AltText
7. Map Embed-Name Address And Phone number Mentioned
8. Local Schema Markup

Also make sure you are internal linking with relevancy.

The important things on this list from my experience is 1-5 and if you are missing any of those it could be a factor. On the other hand you could use a tool like surfer to make sure your content is just as optimized for dental emergency services

If you do not have an emd or an optimized url what I suggest you do is build a few pieces of content around dental emergency service and use a variation of exact anchors to internal link to the page that is stuck.

Then be sure to look at your competitors link profile. Do they have good DR link and even more important anchor text. You want relevant power links that are indexed and pass not only juice but anchor text power.

Hope that helps!