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The Modern, All-in-One Alternative to Eaglesoft.
Switching from Eaglesoft? Gnathos runs in the cloud with one login and one bill. Online booking, two-way texting, online intake forms and voice perio charting, which Eaglesoft offers through paid add-ons and partners, come included, with Anna, the AI treatment coordinator, an AI morning brief 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 Eaglesoft.
Gnathos's 85 features across ten areas, and how Eaglesoft handles each.
Gnathos84 of 85 Included1 through partners
EaglesoftIncludes 22 of Gnathos's 85 Features19 partial · 28 paid add-on or third party · 16 not found
| Feature | Gnathos | Eaglesoft |
|---|---|---|
| Schedule & Front Desk | ||
| Day, week and month schedule by operatory and provider | ✓ | ✓Core feature |
| ASAP list: cancellations refilled automatically | ✓ | ◐Quick-fill list; filling the slot is manual |
| Smart waitlist ranked by pending treatment value | ✓ | ◐Quick Fill list sorts by appointment amount; not ranked by pending treatment |
| Online booking with live availability | ✓ | $Patterson eServices |
| Self-reschedule link for patients | ✓ | $eServices partners |
| Check-in board: arrived, seated, done, live for the team | ✓ | ✓Patient Arrival Tracking: late, arrived and in chair, refreshed every minute |
| One-click counters: treatment due, x-rays due, recall overdue, insurance unverified | ✓ | ◐Lists and reports, not schedule counters |
| Production goals shown on the schedule | ✓ | ✓Scheduled vs. goal shown at the top of OnSchedule |
| Patient search with PHI hidden until hovered | ✓ | ◐Names can be hidden on the schedule (Ctrl+H); not in patient search |
| Clinical | ||
| Tooth chart with conditions, planned work and history | ✓ | ✓Core feature |
| Perio charting | ✓ | ✓Core feature |
| Voice perio charting | ✓ | $Bola AI Voice Perio, sold by Patterson |
| Dictated note becomes a structured clinical note (AI) | ✓ | $Through Bola AI voice notes, a paid integration |
| Note templates, typed or dictated from any page | ✓ | ✓Note templates |
| Sign and lock restricted to providers | ✓ | ✓Included |
| Treatment plans with versions and acceptance tracking | ✓ | ✓Included |
| Patient-facing estimates with e-signature | ✓ | ✓Estimates and signature-pad e-signature built in |
| Treatment plan sender: plan, notes and quote by text, email or print | ✓Efficiency plan | ◐Print or email from SmartDoc; texting through partners |
| 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 | ✓Advanced Imaging built in, no added fees |
| AI findings on x-rays | ◐Efficiency plan; Pearl and Overjet findings open in the chart; AI reads billed by the partner | $Pearl partnership |
| E-prescribing with controlled substances (EPCS) | ✓Efficiency plan, through an e-prescribing partner | $DoseSpot through Patterson |
| Lab case tracking with a schedule alert when a case is not back | ✓Efficiency plan | ✓Lab case icon on the appointment shows outstanding cases |
| 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 | ✓ | ✓Included |
| Pre-visit intake forms by link | ✓ | $eServices partners |
| Patient portal: book, pay, sign, message, view records | ✓ | $eServices partners |
| Insurance card scanned from a photo | ✓Efficiency plan | —Not found in published features |
| Family linking with an unscheduled-family view | ✓ | ✓Included |
| Insurance & Claims | ||
| Real-time insurance eligibility | ✓Through a clearinghouse | $Through Vyne Trellis, DentalXChange or Weave, paid eServices |
| Week-ahead verification page | ✓Efficiency plan | $Automated pre-visit checks through Vyne Trellis or Pearl, paid partners |
| Claims built from completed procedures, reviewed before submission | ✓ | ✓Core feature |
| AI claim scrubber: likely rejections and missing attachments flagged | ✓Efficiency plan | $Payer rule checks via partners such as DentalXChange |
| Electronic claims with attachments | ✓Through a clearinghouse; attachments on the Efficiency plan | $Through Vyne Trellis or DentalXChange, paid eServices |
| ERAs post automatically | ✓Efficiency plan | $ERAs through Vyne Trellis or DentalXChange, paid eServices |
| Automatic claim status checks | ✓Efficiency plan | $Claim tracking in Vyne Trellis or DentalXChange, paid eServices |
| Denied-claim alerts with the reason | ✓Efficiency plan | $Claim status tracked in Vyne Trellis, a paid partner |
| Payer portal link on every claim row | ✓ | —Not found in published features |
| Money | ||
| Card payments at the desk and online | ✓Through Payzli | $Eaglesoft Card Payments, separate contract |
| Text-to-pay links | ✓ | $eServices partners |
| Membership plans with auto-billing | ✓ | $Third-party membership platforms |
| Payment plans with consent and auto-charge | ✓Efficiency plan | ◐Payment plans; auto-charge needs card add-on |
| Financing partners recorded on the patient | ✓ | ◐CareCredit integration |
| Loyalty points and rewards | ✓ | $Through Dental Intelligence, a paid eService partner |
| Daily financial check: collected, patient portion, insurance portion, deposit line | ✓ | ◐Day sheet and deposit reports |
| Card processing on the same bill as the software | ✓Payzli processing, on the Gnathos bill | ◐Separate agreement |
| Communication & Reputation | ||
| Two-way texting on your practice number | ✓ | $Paid eServices partners |
| Reminders, confirmations and recall campaigns | ✓ | ◐Recall Wizard emails and postcards built in; automated reminders and confirmations through eReminders (paid) or partners |
| Review requests sent the same way to every patient | ✓ | $Partners |
| One inbox: text, email, chat and voicemail per patient | ✓ | $Patient inbox through partners such as RevenueWell |
| 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 |
| Consent built in: STOP handling and frequency caps per patient | ✓ | ◐STOP handling standard; per-patient caps not found |
| Morning Huddle, Reports & AI | ||
| Morning huddle screen: yesterday, today, tomorrow | ✓ | ◐Reports |
| AI morning brief written from your own numbers | ✓Efficiency plan | —Partner huddle reports (Pearl, Dental Intelligence) are reports, not an AI-written 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 | $Partners such as Dental Intelligence or Pearl |
| Practice Health: benchmarks and overhead so owners see take-home | ✓Efficiency plan | $Dental Intelligence |
| Revenue Recovery | ||
| Dead-revenue ledger: dollars by category, ranked recovery queue | ✓Efficiency plan | ◐Revenue Opportunities and Money Finder built in; no ranked dollar queue |
| Automated recovery campaigns tracked in dollars | ✓Efficiency plan | $Partner campaigns |
| Anna: AI treatment coordinator drafting follow-ups from the chart | ✓Efficiency plan | —Templated reminders through partners |
| Recall Outreach with one-click batches | ✓Efficiency plan | ◐Recall Wizard batches recall emails and postcards; texts through partners |
| 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 | $Partners |
| Inactive patient reactivation | ✓Efficiency plan | ◐Money Finder lists lapsed patients for letters or email; automated campaigns through partners |
| Unscheduled treatment follow-ups | ✓Efficiency plan | ◐Money Finder lists unscheduled treatment for letters or email; automated texts through partners |
| 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 | ✓ | ✓Task Manager |
| Team chat with patient tagging that opens the profile | ✓ | ◐Eaglesoft Messenger; no patient tagging |
| 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 | ✓ | ◐Roles and permissions |
| Audit log on every record access and change | ✓ | ✓Audit reports |
| Migration, Security & Support | ||
| Live sync with your current system within minutes | ✓ | —Not found in published features |
| Migration and onboarding included, no setup fees | ✓ | $Data conversion and setup are paid services |
| Line-by-line reconciliation against your old system before go-live | ✓ | —Not found in published features |
| Cloud-based, works from any device | ✓ | —Office server; Patterson Fuse is a separate cloud product |
| Encryption in transit and at rest | ✓ | ◐AES-256 database encryption since version 21.20; office network encryption not documented |
| Signed BAA available | ✓ | ✓Patterson BAA, acknowledged in the Eaglesoft license agreement |
✓ Included◐ Partial or basic$ 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 Eaglesoft, 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 Eaglesoft on the call.