AI Guides / dental

How dental practices can use AI

Practical ways to save time, capture more enquiries, and use the tools you already have.

A dental practice is a recall machine with a perishable product: every unworked name on the overdue-recall list is revenue deferred, and every short-notice cancellation is an hour of chair time gone forever. Open Dental or Dental4Windows can chase the first and fill the second — and because your PMS holds health records, the honest rule for everything below is that no generic AI tool ever touches patient data.

Written for an owner who has never set up a single one of these things. Start at step one, which is free and takes an afternoon, and stop whenever you have had enough — nothing further down is needed for anything above it to work.

Prices checked 27 July 2026 · no affiliate links on this page or any other

The whole page, in order

Week 1 · free$0

Switch on the recall automation already in your PMS — automated recall reminders with a self-booking link, and pre-appointment confirmation texts. One afternoon in settings.

Software: Open Dental Web Sched Recall or Dental4Windows recalls

Cost note: Included if recall messaging is in your current PMS plan

Week 2$0

Pull the unscheduled-recall and 18-month-lapsed lists. These two lists are the cheapest production you will add this year.

Software: Open Dental or Dental4Windows recall lists

Cost note: No additional software

Week 3$0–49/mo

Build the cancellation cascade: a gap today triggers texts to the ASAP list, oldest-overdue first, until the chair is filled.

Software: Open Dental or Dental4Windows plus Make.com

Cost note: Make.com starts at $9/month if the PMS cannot cascade the list

Week 4 · measure$0

Count recalls booked from the backlog, gaps filled same-day, and treatment plans followed up. Only then decide whether anything needs building.

Software: PMS recall and appointment reports

Cost note: No additional software

Step one · start here

3 useful features inside software you may already use.

If you already use Open Dental, Dental4Windows, Xero, these features are settings inside those products, not another subscription. Your current plan still needs to include the feature. If you use something else, skip that card and search your software’s help centre for the named feature before you buy anything.

Extra software cost

$0*

if included in your plan

Hours back per month

≈18

Task 1

Open DentalWeb Sched Recall

saves ≈8 hrs/mo

Why it matters

Automated recall texts and emails where the patient books their own appointment from a link — the reminder and the rebooking in one step, with cadence rules and maximum-reminder limits you control. An eService most practices on support never activate.

What to do

Open the official guide below. In Open Dental, find “Web Sched Recall”. Follow the guide once, switch it on for one real job or customer first, and check that it did exactly what you expected before using it everywhere.

Open the official setup guide

Half a day · $0 extra if included in your current plan

Task 2

Dental4WindowsAutomated recalls and pre-booked reminder SMS

saves ≈7 hrs/mo

Why it matters

D4W's automated recall system plus confirmation SMS 1–2 days before the appointment — Centaur's own best-practice guide walks through setup, including the recall-effectiveness reports that tell you whether it's working.

What to do

Open the official guide below. In Dental4Windows, find “Automated recalls and pre-booked reminder SMS”. Follow the guide once, switch it on for one real job or customer first, and check that it did exactly what you expected before using it everywhere.

Open the official product page

Half a day · $0 extra if included in your current plan

Task 3

XeroInvoice reminders

saves ≈3 hrs/mo

Why it matters

For the balances that don't settle at the desk — labs-heavy treatment, payment plans, the occasional slow account. Built in, off by default, with hardship accounts excluded because those need a phone call.

What to do

Open the official guide below. In Xero, find “Invoice reminders”. Follow the guide once, switch it on for one real job or customer first, and check that it did exactly what you expected before using it everywhere.

Check the official pricing and plan details

20 minutes · $0 extra if included in your current plan

If your software is not named above, the equivalent switch often still exists. Search its help centre for the exact feature name before you buy another tool.

Step two · first workflow to implement

Open Dental Web Sched Recall or Dental4Windows recalls: Work the overdue-recall backlog, oldest first.

Every practice has hundreds of patients past their recall date who got one reminder and went quiet. A standing weekly sequence through that list — text with a booking link, then a call — is production you already earned.

Do this in order

  1. 1. Open the overdue-recall list in Open Dental or Dental4Windows and sort it by the longest-overdue patient first.
  2. 2. Turn on the recall message that includes your self-booking link; keep clinical advice out of the message.
  3. 3. Start with one small batch from the oldest overdue group and give the front desk one owner for replies and exceptions.
  4. 4. Book a staff or test patient through the link, then confirm the appointment lands in the correct diary and leaves the recall list.

Typical size

≈200+ overdue on file

Setup

Half a day

What to use

Open Dental Web Sched Recall or Dental4Windows recalls

Route: Already paid for

How you know it worked

Count it in week one, then count the same thing again in week four. If the number did not move, stop spending.

Do not want to set it up yourself?

In Speed to Lead. Or take the Diagnostic before hiring anyone.

Step three · keep going without adding complexity

Once step two works, take the next three jobs in this order.

Do not start all three at once. Finish one, test it on real work, then move to the next card.

Make.com + PMS list export≈15 gaps/mo

Fill today's cancellation before lunch

A 2pm cancellation at 9am should trigger texts to your ASAP and overdue lists until the chair is filled — not a sticky note and hope. Chair time expires; nothing else on this page is this perishable.

1 week · We do it · $1,900

Make.com + PMS list export≈10 plans/mo unaccepted

Follow up the treatment plan that went quiet

The crown that was 'let me think about it' is deferred, not declined. A touch at two weeks and again at two months — framed around the tooth, not the invoice — recovers cases at zero acquisition cost.

1 week · We do it · $1,600

Web Sched Recall / PMS equivalentevery recall sent

Put the booking link in every reminder

A reminder that requires a phone call converts at the front desk's availability; a reminder with a self-booking link converts at the patient's. The link feature is in the PMS you already run.

2 hours · In Speed to Lead

Step four · only once the first three are running

These are useful, but they are not the place to begin.

This is the first point where a real build may be worth paying for. The earlier steps need to be working before you add it.

Make.com + PMS list export≈100+ lapsed on file

Reactivate the 18-month lapsed list once a quarter

Past the second missed recall, patients drop off the automated cadence and into nowhere. A quarterly, human-sounding message to that list beats any new-patient ad you will ever buy, because they already trust you.

1 week · We do it · $1,600

What this page is automating

What “AI” actually means here.

Almost everything above is a computer sending a message at a moment when nobody was going to send one. That is it. No robot and no replacement for professional judgement.

If you already use one of the products named in step one, those cards are settings inside that product. If you do not, skip the card. This page is not claiming that you already own it.

It is

A message going out because a call, date or status changed.

It is not

Something that decides what to charge or replaces professional judgement.

It is

A reminder sent from records your business already keeps.

It is not

A replacement for you, your trade, or the people who know the work.

Does this look familiar?

These are the problems the named tools above are meant to remove.

01

Work the overdue-recall backlog, oldest first

02

Fill today's cancellation before lunch

03

Follow up the treatment plan that went quiet

04

Put the booking link in every reminder

05

Reactivate the 18-month lapsed list once a quarter

06

Confirmations that cut the no-shows

After thirty days

Four numbers. If they have not moved, stop and do not spend another dollar.

Number one

Work the overdue-recall backlog, oldest first

Write down the current monthly number before you switch anything on. Compare it with the same number after thirty days.

Number two

Fill today's cancellation before lunch

Count it the same way in week one and week four. Do not change the definition halfway through.

Number three

Web Sched Recall

Use the history inside your existing software to count how often the automation actually ran.

Number four

Hours given back

Ask the person doing the work now. They will know before a dashboard does.

Every figure on this page is a typical size, not a measurement of yours. These four are the numbers that are actually about your business.

Reference · come back to this

The full list, once the first four are done.

Nothing here is urgent and nothing here is a starting point. It is the complete set for this business, in rough order of what it returns, with the tool, effort, and done-for-you route on every row.

Wins work

The jobTypical sizeBuy or buildEffortDone for you
01Work the overdue-recall backlog, oldest firstEvery practice has hundreds of patients past their recall date who got one reminder and went quiet. A standing weekly sequence through that list — text with a booking link, then a call — is production you already earned.≈200+ overdue on fileAlready paid forOpen Dental Web Sched Recall or Dental4Windows recallsHalf a dayIn Speed to Lead
02Fill today's cancellation before lunchA 2pm cancellation at 9am should trigger texts to your ASAP and overdue lists until the chair is filled — not a sticky note and hope. Chair time expires; nothing else on this page is this perishable.≈15 gaps/moSmall buildMake.com + PMS list export1 weekWe do it · $1,900
03Follow up the treatment plan that went quietThe crown that was 'let me think about it' is deferred, not declined. A touch at two weeks and again at two months — framed around the tooth, not the invoice — recovers cases at zero acquisition cost.≈10 plans/mo unacceptedSmall buildMake.com + PMS list export1 weekWe do it · $1,600
04Put the booking link in every reminderA reminder that requires a phone call converts at the front desk's availability; a reminder with a self-booking link converts at the patient's. The link feature is in the PMS you already run.every recall sentAlready paid forWeb Sched Recall / PMS equivalent2 hoursIn Speed to Lead
05Reactivate the 18-month lapsed list once a quarterPast the second missed recall, patients drop off the automated cadence and into nowhere. A quarterly, human-sounding message to that list beats any new-patient ad you will ever buy, because they already trust you.≈100+ lapsed on fileSmall buildMake.com + PMS list export1 weekWe do it · $1,600

Saves hours

The jobTypical sizeBuy or buildEffortDone for you
06Confirmations that cut the no-showsBooking confirmation at scheduling, reminder text 1–2 days out, with a reply-to-confirm status the front desk can see at a glance. Already in the PMS; the setup is an afternoon.6 hrs/moAlready paid forPMS reminder moduleHalf a dayWe do it · $390
07New-patient forms before the visit, not on the clipboardMedical history and consents completed at home and filed to the record — instead of fifteen minutes of waiting-room handwriting deciphered into the PMS by the front desk.5 hrs/moBuyYour PMS's forms module or an assessed forms tool1 dayWe do it · $690
08Text back the lunch-hour callDental phones peak exactly when the front desk is thinnest. A missed call gets an instant text with the booking link — the caller wanted an appointment, not a conversation.4 hrs/moBuyOpenPhone, $19/user2 hoursWe do it · $690
09Draft the referral letter from a templateGP and specialist letters assembled from templated structure with the clinician filling clinical content — the formatting and addressing automated, the clinical judgement never. No patient data leaves the PMS environment.3 hrs/moAlready paid forPMS letter templatesHalf a dayWe do it · $690
10Check the cover before they're in the chairEligibility and gap estimates confirmed the day before, not discovered at checkout — fewer awkward desk conversations and fewer accounts that age.4 hrs/moSmall buildFund portals + checklist automation1 weekWe do it · $1,200
11Chase the slow accounts without touching themReminders at 7, 14 and 30 days for the balances that didn't settle on the day, with payment-plan and hardship accounts excluded.3 hrs/moAlready paid forXero20 minutesWe do it · $390

The stack · prices checked

The tools named, priced, and judged.

Practice management

Open Dental

Licence free; support plans extra

Open-source PMS with recall automation, online self-booking and integrated texting.

Verdict: Remarkable value, but 'free' means you pay in setup and the eServices (Web Sched, texting) are paid add-ons on top of support — get the real monthly number before comparing. US-centric; check local fit.

Practice management

Dental4Windows

On quote

The AU incumbent — recalls, reminders, and the reports that show whether your recall system is actually working.

Verdict: If you're on it, you already own the recall automation — configure it before evaluating anything else. If you're not, the switching cost of a PMS migration dwarfs everything else on this page; don't change PMS for a feature.

Recall & engagement layer

Dental Intelligence

On quote

Automated hygiene recall sequences with self-scheduling, layered on top of your PMS.

Verdict: Only worth pricing after you've exhausted the recall features already inside your PMS — for many practices this buys polish on a job the incumbent does adequately. It reads patient data, so it goes through your privacy assessment first.

Phone & messaging

OpenPhone

$19/user

A practice number with shared inbox and instant missed-call text-back.

Verdict: Solves the lunch-hour problem cheaply. Keep clinical content out of texts entirely — booking logistics only.

AI answering

Rosie

$49/mo

Answering overflow and after-hours calls, taking booking details.

Verdict: Configure it to take name, number and preferred time only — it must never collect symptoms or clinical details. If you can't lock that down, don't deploy it.

Accounting

Xero

$35/mo

The practice's books, and the payment reminders nobody enables.

Verdict: You almost certainly have this already. The reminders are free and off by default — twenty minutes in settings, no new spend.

Automation

Make.com

$9/mo

The cancellation cascade and lapsed-list sequences, built on de-identified list exports.

Verdict: Powerful and cheap, but in a health practice every scenario is a privacy decision: names and numbers for booking, nothing clinical, ever. Keep the scenarios few and auditable.

Assistant

ChatGPT Team

$25/user

The team's operational questions — fee schedule, lab turnarounds, sterilisation procedures — from your own documents.

Verdict: Load your procedures and fee schedule and it earns its keep. It never sees a patient record, a chart, or a clinical note — that line is absolute.

Do not bother

Three things not to buy yet.

Any AI tool that plugs into your PMS 'to help'.

Your PMS holds health records. A tool that reads it needs a privacy assessment and a business-associate-grade agreement, not a free trial started by the front desk on a Tuesday.

AI clinical notes as your first automation.

Clinical notes are legal records and the scribes all want chart access. Automate the front desk — recalls, gaps, confirmations — where the money is and the data is boring. The chart comes last, if ever.

Buying new-patient leads while the recall backlog sits unworked.

The overdue and lapsed lists convert at multiples of any ad audience because those people already chose you. Paid acquisition before backlog reactivation is buying strangers while ignoring friends.

Do it yourself

Keep this page. It is free.

Use the official links, do one card at a time, and count the result after thirty days.

See every playbook →

Have it done for you

$500

The AI Opportunity Diagnostic analyses your business and delivers the ranked, buyer-owned implementation report. Implementation and ongoing support are separate, optional work after the report.

Book the 20-minute fit call →