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The Modern, All-in-One Alternative to Dentrix.
Switching from Dentrix? Gnathos runs the whole practice in the cloud, with no server in the back office. Online booking, two-way texting and intake forms, which Dentrix charges extra for, come included, as does voice perio charting, all in one login with Anna, the AI treatment coordinator, automated recall and much more.
Lakeside Dental StudioTuesday · production through yesterday
Live✦
Morning huddle"12 patients expected today. 9% of slots booked over the next 3 days. $18,183 in open balances across 37 accounts. 288 patients are 6+ months overdue."
Total recoverable
$128,617
$116,241Unscheduled treatment
$1,860Lapsed recall
$10,516Open balances
Compare Gnathos with
Every Gnathos Feature, Side by Side with Dentrix.
Gnathos's 85 features across ten areas, and how Dentrix handles each.
Gnathos84 of 85 Included1 through partners
DentrixIncludes 21 of Gnathos's 85 Features22 partial · 22 paid add-on or third party · 20 not found
| Feature | Gnathos | Dentrix |
|---|---|---|
| Schedule & Front Desk | ||
| Day, week and month schedule by operatory and provider | ✓ | ✓Core feature |
| ASAP list: cancellations refilled automatically | ✓ | ◐ASAP list; filling the slot is manual |
| Smart waitlist ranked by pending treatment value | ✓ | —Not found in published features |
| Online booking with live availability | ✓ | $Dentrix Patient Engage |
| Self-reschedule link for patients | ✓ | $Patient Engage |
| Check-in board: arrived, seated, done, live for the team | ✓ | ◐Appointment statuses |
| One-click counters: treatment due, x-rays due, recall overdue, insurance unverified | ✓ | ◐Lists and reports, not schedule counters |
| Production goals shown on the schedule | ✓ | ◐Monthly goal on the Appointment Book's production calendar |
| Patient search with PHI hidden until hovered | ✓ | —Not found in published features |
| Clinical | ||
| Tooth chart with conditions, planned work and history | ✓ | ✓Core feature |
| Perio charting | ✓ | ✓Core feature |
| Voice perio charting | ✓ | $Voice-powered charting sold as an add-on |
| Dictated note becomes a structured clinical note (AI) | ✓ | ✓Voice Notes, in the Connected Care Essentials plan |
| Note templates, typed or dictated from any page | ✓ | ✓Clinical note templates |
| Sign and lock restricted to providers | ✓ | ✓Included |
| Treatment plans with versions and acceptance tracking | ✓ | ✓Treatment Planner |
| Patient-facing estimates with e-signature | ✓ | ◐Estimates built in; case consent e-signed in the office |
| Treatment plan sender: plan, notes and quote by text, email or print | ✓Efficiency plan | ◐Printed plan with notes and estimates; no texting found |
| Plan Optimizer: sequencing across insurance years and benefits | ✓Efficiency plan | —Not found in published features |
| Treatment acceptance prediction per plan | ✓Efficiency plan | —Not found in published features |
| Imaging viewer opens from the chart | ✓Efficiency plan; cloud DICOM viewer built in | ✓Dentrix Imaging, built into the chart |
| AI findings on x-rays | ◐Efficiency plan; Pearl and Overjet findings open in the chart; AI reads billed by the partner | $Dentrix Detect AI or partner |
| E-prescribing with controlled substances (EPCS) | ✓Efficiency plan, through an e-prescribing partner | $Dentrix ePrescribe |
| Lab case tracking with a schedule alert when a case is not back | ✓Efficiency plan | ◐Lab Case Manager; case status icon on the appointment |
| Medical alerts and allergies on every patient | ✓ | ✓Included |
| Patient Records & Portal | ||
| Full profile: demographics, insurance, plans, recall, history, activity log | ✓ | ✓Core feature |
| Ledger with charges, payments, adjustments and statements | ✓ | ✓Core feature |
| Documents and forms stored per patient | ✓ | ✓Document Center |
| Pre-visit intake forms by link | ✓ | $Patient Engage forms |
| Patient portal: book, pay, sign, message, view records | ✓ | $Patient Engage |
| Insurance card scanned from a photo | ✓Efficiency plan | $Forms reads the card photo, with Patient Engage or a monthly fee |
| Family linking with an unscheduled-family view | ✓ | ✓Family File |
| Insurance & Claims | ||
| Real-time insurance eligibility | ✓Through a clearinghouse | $Paid eServices add-on |
| Week-ahead verification page | ✓Efficiency plan | $Eligibility Essentials checks 7 days ahead, shown on the schedule |
| Claims built from completed procedures, reviewed before submission | ✓ | ✓Core feature |
| AI claim scrubber: likely rejections and missing attachments flagged | ✓Efficiency plan | ◐Basic claim validation |
| Electronic claims with attachments | ✓Through a clearinghouse; attachments on the Efficiency plan | ✓Claims and attachments in every Dentrix package |
| ERAs post automatically | ✓Efficiency plan | $eClaims ERA service |
| Automatic claim status checks | ✓Efficiency plan | $eClaims status reports |
| Denied-claim alerts with the reason | ✓Efficiency plan | ✓Denied claims flagged; rejection reasons shown |
| Payer portal link on every claim row | ✓ | —Not found in published features |
| Money | ||
| Card payments at the desk and online | ✓Through Payzli | ✓Dentrix Pay at the desk and by text or email link |
| Text-to-pay links | ✓ | $Patient Engage or Dentrix Pay |
| Membership plans with auto-billing | ✓ | $Third-party membership platforms |
| Payment plans with consent and auto-charge | ✓Efficiency plan | ◐Payment agreements; auto-charge needs Dentrix Pay |
| Financing partners recorded on the patient | ✓ | ◐CareCredit integration |
| Loyalty points and rewards | ✓ | —Not found in published features |
| Daily financial check: collected, patient portion, insurance portion, deposit line | ✓ | ◐Day sheet and deposit slip reports |
| Card processing on the same bill as the software | ✓Payzli processing, on the Gnathos bill | $Processed by Worldpay, a third-party processor |
| Communication & Reputation | ||
| Two-way texting on your practice number | ✓ | $Dentrix Patient Engage |
| Reminders, confirmations and recall campaigns | ✓ | $Patient Engage |
| Review requests sent the same way to every patient | ✓ | $Patient Engage reputation |
| One inbox: text, email, chat and voicemail per patient | ✓ | ◐Patient Engage inbox for texts and email |
| AI-drafted replies waiting for a person | ✓Efficiency plan | —Not found in published features |
| Incoming call opens the patient (call pop, click-to-call) | ✓Efficiency plan; works with your existing phone line | $Phone partners such as Weave or Mango |
| Consent built in: STOP handling and frequency caps per patient | ✓ | ◐Per-patient opt-out; per-patient caps not found |
| Morning Huddle, Reports & AI | ||
| Morning huddle screen: yesterday, today, tomorrow | ✓ | ✓Daily Huddle Report |
| AI morning brief written from your own numbers | ✓Efficiency plan | —The Daily Huddle Report is a data report, not an AI brief |
| Post the huddle to team chat in one click | ✓ | —Not found in published features |
| Standard reports: production, collections, AR aging, payer mix, utilization | ✓ | ✓Core feature |
| Ask Gnathos: plain-English questions answered from your data | ✓Efficiency plan | —Not found in published features |
| Daily AI insights | ✓Efficiency plan | —Not found in published features |
| Practice Health: benchmarks and overhead so owners see take-home | ✓Efficiency plan | ◐Practice Advisor Report compares KPIs with industry benchmarks; overhead and take-home not found |
| Revenue Recovery | ||
| Dead-revenue ledger: dollars by category, ranked recovery queue | ✓Efficiency plan | $Analytics add-ons such as Dental Intelligence |
| Automated recovery campaigns tracked in dollars | ✓Efficiency plan | $Patient Engage campaigns |
| Anna: AI treatment coordinator drafting follow-ups from the chart | ✓Efficiency plan | —Patient Engage sends templated reminders |
| Recall Outreach with one-click batches | ✓Efficiency plan | ◐Continuing Care cards and letters in batches; automated text and email recall through Patient Engage |
| Retention Radar: risk score per patient with reasons and a call script | ✓Efficiency plan | —Not found in published features |
| Payment recall on open balances with text-to-pay | ✓Efficiency plan | $Billing & Payments Suite (QuickBill Premium text statements with Dentrix Pay links) |
| Inactive patient reactivation | ✓Efficiency plan | ◐Continuing Care overdue lists and letters built in; automated campaigns through Patient Engage |
| Unscheduled treatment follow-ups | ✓Efficiency plan | ◐Treatment Manager list for calls, email and letters; automated reminders through Patient Engage |
| Recovery mode: see your number on live data before you switch | ✓ | —Not found in published features |
| Team & Operations | ||
| Clock-in and timesheets; payroll export coming soon | ✓ | ✓Time Clock |
| Tasks with due dates, self-added and assigned | ✓ | ◐Office Journal |
| Team chat with patient tagging that opens the profile | ✓ | —Not found in published features |
| HR documents with expiry reminders | ✓ | —Not found in published features |
| Predictive inventory | ✓Efficiency plan | —Not found in published features |
| Roles and permissions; controls hidden, not greyed out | ✓ | ◐Per-user permissions with role templates; restricted actions show a password prompt |
| Audit log on every record access and change | ✓ | ◐Audit Trail logs changes and logins; views not found |
| Migration, Security & Support | ||
| Live sync with your current system within minutes | ✓ | —Not found in published features |
| Migration and onboarding included, no setup fees | ✓ | ◐Guided data conversion and training; fees not published |
| Line-by-line reconciliation against your old system before go-live | ✓ | —Not found in published features |
| Cloud-based, works from any device | ✓ | —Office server; Dentrix Ascend is a separate cloud product |
| Encryption in transit and at rest | ✓ | ◐On-premise; depends on your server setup |
| Signed BAA available | ✓ | ✓For eServices |
✓ Included◐ Partial or basic$ Paid add-on or third party— Not found in published features
Competitor information comes from each vendor's public website, help center and documentation, checked September 25, 2026, with updates from October 27, 2026, and every cell says why it's marked the way it is. Add-ons and inclusions vary by plan and change often; if something here is out of date, email matt@carifyone.com and we'll correct it. Dentrix, Eaglesoft, Open Dental, CareStack, Curve Dental and Archy are trademarks of their owners; Gnathos is not affiliated with them.
Switching from Dentrix, Plainly.
What You Keep
Every patient, appointment, procedure, plan, claim, ledger balance, note, perio chart and document. Reconciled line by line before go-live, so nothing is left behind.
What Changes
No server in the back office: Gnathos runs in the cloud. The whole practice runs in Gnathos, and your team learns one system.
How Long
Live sync within minutes of connecting, recovery mode from the first week, and a cutover that is scheduled and staffed once your numbers reconcile.
Ready to Make the Move?
Book a 15-minute demo and we'll map your migration from Dentrix on the call.