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The Modern, All-in-One Alternative to Open Dental.
Switching from Open Dental? With Gnathos, online booking and two-way texting are included instead of billed as eServices, AI turns dictation into structured clinical notes, and a morning huddle screen, Anna, the AI treatment coordinator, and much more are built in.
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 Open Dental.
Gnathos's 85 features across ten areas, and how Open Dental handles each.
Gnathos84 of 85 Included1 through partners
Open DentalIncludes 27 of Gnathos's 85 Features26 partial · 15 paid add-on or third party · 17 not found
| Feature | Gnathos | Open Dental |
|---|---|---|
| Schedule & Front Desk | ||
| Day, week and month schedule by operatory and provider | ✓ | ◐Day and week views; no month view found |
| ASAP list: cancellations refilled automatically | ✓ | ◐ASAP list; staff text openings through Web Sched ASAP, a paid eService, and patients claim them online |
| Smart waitlist ranked by pending treatment value | ✓ | —Not found in published features |
| Online booking with live availability | ✓ | $Web Sched eService |
| Self-reschedule link for patients | ✓ | $Web Sched eService |
| 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 | ✓ | ✓Daily production and daily goal shown in the Appointments Module |
| Patient search with PHI hidden until hovered | ✓ | ◐SSN and birthdate masking; other details shown |
| Clinical | ||
| Tooth chart with conditions, planned work and history | ✓ | ✓Core feature |
| Perio charting | ✓ | ✓Core feature |
| Voice perio charting | ✓ | ✓Native voice charting at no extra cost |
| Dictated note becomes a structured clinical note (AI) | ✓ | —Not found in published features |
| Note templates, typed or dictated from any page | ✓ | ✓Auto-notes and templates |
| Sign and lock restricted to providers | ✓ | ✓Included |
| Treatment plans with versions and acceptance tracking | ✓ | ✓Included |
| Patient-facing estimates with e-signature | ✓ | ✓Included |
| Treatment plan sender: plan, notes and quote by text, email or print | ✓Efficiency plan | ◐Print or email from the chart; texting is an eService |
| 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 | ✓Imaging Module built in; takes radiographs directly from sensors |
| AI findings on x-rays | ◐Efficiency plan; Pearl and Overjet findings open in the chart; AI reads billed by the partner | $AI Image Analysis (BetterDiagnostics), $149 a month, or Pearl |
| E-prescribing with controlled substances (EPCS) | ✓Efficiency plan, through an e-prescribing partner | $DoseSpot |
| Lab case tracking with a schedule alert when a case is not back | ✓Efficiency plan | ✓Lab cases, with a Not Received count in the Appointments Module |
| 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 | ✓ | ✓Web Forms, included with support |
| Patient portal: book, pay, sign, message, view records | ✓ | ◐Patient Portal included with support; online booking is a paid Web Sched eService |
| Insurance card scanned from a photo | ✓Efficiency plan | $eClipboard OCR, a paid eService |
| Family linking with an unscheduled-family view | ✓ | ✓Included |
| Insurance & Claims | ||
| Real-time insurance eligibility | ✓Through a clearinghouse | $Through a clearinghouse, billed per check or per month |
| Week-ahead verification page | ✓Efficiency plan | ◐Insurance Verification List; batch checks through a clearinghouse, mismatches by hand |
| 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 | $Through a clearinghouse account |
| ERAs post automatically | ✓Efficiency plan | $Through a clearinghouse |
| Automatic claim status checks | ✓Efficiency plan | ◐Accepted or rejected status imported from 277 files; other status checks manual |
| Denied-claim alerts with the reason | ✓Efficiency plan | ◐Claim status reports |
| Payer portal link on every claim row | ✓ | —Not found in published features |
| Money | ||
| Card payments at the desk and online | ✓Through Payzli | $Third-party processor integration |
| Text-to-pay links | ✓ | $Message-to-Pay free; texts billed per message |
| Membership plans with auto-billing | ✓ | ✓Discount plans; membership fees billed automatically with repeating and recurring charges |
| Payment plans with consent and auto-charge | ✓Efficiency plan | ✓Signed payment plans charged automatically by recurring charges |
| Financing partners recorded on the patient | ✓ | ◐CareCredit integration; pre-approval shown on the patient |
| Loyalty points and rewards | ✓ | —Not found in published features |
| Daily financial check: collected, patient portion, insurance portion, deposit line | ✓ | ◐Daily reports |
| Card processing on the same bill as the software | ✓Payzli processing, on the Gnathos bill | —Third-party processor |
| Communication & Reputation | ||
| Two-way texting on your practice number | ✓ | $Integrated Texting eService |
| Reminders, confirmations and recall campaigns | ✓ | ◐eReminders and recall emails free; eConfirmations and texting paid |
| Review requests sent the same way to every patient | ✓ | ✓General Messages invite a review after each visit |
| One inbox: text, email, chat and voicemail per patient | ✓ | ◐Text inbox |
| 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 opt-out standard; contact limits only on recall and reactivation lists |
| Morning Huddle, Reports & AI | ||
| Morning huddle screen: yesterday, today, tomorrow | ✓ | —Not found in published features |
| AI morning brief written from your own numbers | ✓Efficiency plan | —Not found in published features |
| 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 | ◐SQL query tool for advanced users |
| Daily AI insights | ✓Efficiency plan | —Not found in published features |
| Practice Health: benchmarks and overhead so owners see take-home | ✓Efficiency plan | ◐Built-in accounting profit and loss; benchmarks through third parties |
| Revenue Recovery | ||
| Dead-revenue ledger: dollars by category, ranked recovery queue | ✓Efficiency plan | ◐Treatment Finder lists unscheduled treatment in dollars; no combined ledger |
| Automated recovery campaigns tracked in dollars | ✓Efficiency plan | $Third-party campaigns |
| Anna: AI treatment coordinator drafting follow-ups from the chart | ✓Efficiency plan | —eReminders are templated |
| Recall Outreach with one-click batches | ✓Efficiency plan | ✓Recall List batch email and postcards; texts billed per message |
| 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 | $Message-to-Pay free; texts billed per message |
| Inactive patient reactivation | ✓Efficiency plan | ✓Reactivation List built in |
| Unscheduled treatment follow-ups | ✓Efficiency plan | ◐Unscheduled list built in; messaging is an eService |
| Recovery mode: see your number on live data before you switch | ✓ | —No pre-switch recovery estimate found |
| Team & Operations | ||
| Clock-in and timesheets; payroll export coming soon | ✓ | ✓Time Clock |
| Tasks with due dates, self-added and assigned | ✓ | ✓Tasks |
| Team chat with patient tagging that opens the profile | ✓ | ◐Office chat; tasks link to and open the patient |
| HR documents with expiry reminders | ✓ | —Not found in published features |
| Predictive inventory | ✓Efficiency plan | ◐Supplies list; no prediction |
| Roles and permissions; controls hidden, not greyed out | ✓ | ◐Granular permissions |
| Audit log on every record access and change | ✓ | ✓Audit Trail |
| Migration, Security & Support | ||
| Live sync with your current system within minutes | ✓ | —Not found in published features |
| Migration and onboarding included, no setup fees | ✓ | $Data conversion is billed separately |
| Line-by-line reconciliation against your old system before go-live | ✓ | ◐Free test conversion checked by the practice; A/R totals compared |
| Cloud-based, works from any device | ✓ | ◐Windows desktop; hosted option at extra cost |
| Encryption in transit and at rest | ✓ | ◐On-premise; database encryption optional |
| Signed BAA available | ✓ | ✓Standard BAA for customers |
✓ Included◐ Partial or basic$ 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 Open Dental, 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
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 Open Dental on the call.