● Premium custom Open Dental enhancement

Your Open Dental,
exactly how your practice works.

odontOS isn't a replacement — it's a premium, custom layer built on top of Open Dental. Your data stays the source of truth; we build the workspace, automations, integrations and connected devices around how your team actually runs. Ground up. Hand in hand. Yours.

Try the live demo See what we build
Built on Open Dental · API-first & version-safe · romanov.solutions × alphagentic.io
odontOS dashboard — the daily cockpit
Live demo on synthetic data · login tetri / smile
Enhancement, not reinvention

We enhance Open Dental — we don't replace it.

Open Dental is the most open, developer-friendly platform in dentistry. We keep it as your foundation and build a premium experience on top — safely, and on the current version.

Open Dental stays the truth

Your records live in Open Dental. We read and write through its sanctioned REST API — never risky direct database writes.

Built around your workflow

Not how the software wants you to work — how you work. Per-doctor, per-role, down to the field on the screen.

Yours, ground up

Complete customization — built specifically for your practice, hand in hand with your team. Owned, not rented from a sealed box.

The workspace

A front end your team will love opening.

Fast, flat, beautiful — and shaped to each provider. This is the real odontOS, running on synthetic Open Dental data.

Complete customization

Built exactly how your practice wants it.

Most software makes your team bend to its layout. odontOS bends to your team — assembled ground-up around your real day, then refined hand in hand until it fits like a glove.

1
Drag-and-drop field builder
Compose every screen from a library of 60+ fields — the data each role actually needs, nothing they don't.
2
Per-doctor & per-role presets
Founder, endodontist, hygienist, front desk — each gets their own saved workspace, set as default.
3
Your brand, your theme
Boutique or clinical surfaces, dark or light, accent palette — it looks like your practice.
4
We tune it with you
Not a template you fight. A workspace we shape together and keep refining as you grow.
odontOS dashboard customized for Dr. Baruch Tetri
What we build on top

Automations, integrations & feature add-ons.

Three layers of custom work — every one sanctioned, version-safe, and aimed at the same goal: fewer manual clicks, fuller schedules, faster cash, and a front desk that isn't drowning.

Automations

The repetitive work your team does by hand — done for them, on a schedule.

  • Smart recall & reminder engine with escalation
  • No-show & cancellation auto-fill from the ASAP waitlist
  • Treatment-plan follow-up & reactivation
  • Insurance eligibility & benefit refresh
  • Statements, Message-to-Pay & AR collection flows
  • Morning-huddle & end-of-day KPI reports

Integrations

API middleware that wires Open Dental to the rest of your stack.

  • Payments & accounting — Stripe, terminals, QuickBooks
  • Messaging — SMS/voice (Twilio), email, campaigns
  • Calendars — Google / Outlook two-way sync
  • Imaging cloud & lab-case portals
  • VoiceChart dictation, written straight to the chart
  • FHIR / HIE medical interoperability

Feature add-ons

Net-new capability built to fit how your practice actually runs.

  • Branded patient portal & online scheduling
  • Membership / in-house discount plans
  • Digital forms, e-signature & documents
  • Multi-location dashboards & reporting
  • AI imaging triage & AI front-desk agent
  • Kiosk & tablet check-in experiences
Hardware we connect & program

Real devices, wired into the workflow.

Software is half the story. We integrate the equipment around the operatory and front desk so it talks to Open Dental — through bridges, the API, or purpose-built middleware.

Sensors & X-ray
Dexis, Carestream, pano/CBCT bridged to the chart.
Intraoral scanners
iTero, 3Shape TRIOS, Medit — scan status by appointment.
Payment terminals
Card payments posted straight to the ledger — no double entry.
Check-in tablets & kiosks
Digital intake & self check-in writing forms back to the record.
VoIP screen-pop
Incoming calls pop the chart; outcomes log as commlogs.
AI imaging & diagnostics
AI radiograph analysis surfaced in the chart for clinician review.
Featured module · integrate it or own it

See your whole office network — map it, watch it, own it.

A live topology map and read-only diagnostic suite built for dental + imaging networks — iDixel / Romexis servers, sensors, workstations, switches and printers. Auto-discover the LAN, watch it live, and catch a problem before the front desk does.

odontOS network topology — live map of an office imaging network
Auto-discovery
Sweep the LAN and drop every device on the map, typed automatically.
Live monitoring
Up/down state, port & printer changes — with toasts, beeps and a live feed.
Read-only & safe
Binds to 127.0.0.1 only, strict command allow-list — nothing on the network can reach it.
Per-device reports
One-click diagnostics per device, attached and searchable, saved to a USB stick.
Integrated

Inside odontOS

The live map and monitoring, built into your workspace — one operatory or twenty locations in a single view, alerting your team the moment something drops. Imaging-aware out of the box.

Own it outright

Standalone diagnostic suite

Runs read-only from a USB stick — no install, nothing to break, nothing on the network can reach it. Buy out the source and it's yours.

  • You own the source code — a one-time buy-out, not a subscription.
  • One office, unlimited machines — license is per practice, not per seat; run it on every PC in the office.
  • No redistribution — the software stays within the purchasing office and is not resold or shared.
Schedule a sales call
Safe by design

Senior engineering, HIPAA-aware, version-safe.

API-first, never risky writes

Every change goes through Open Dental's sanctioned API — audited, permissioned, reversible. Direct database writes are how others corrupt records. We refuse to do it.

On the current version

We build on the latest Open Dental release line and keep your enhancements working through updates — no being frozen on yesterday's version.

Measured in hours saved

We baseline your real numbers and measure the result — recovered chair time, fewer manual clicks, faster cash. Switch any integration off in seconds.

Case study · first tenant

Tetri's Smile Dental Boutique.

A boutique practice across Miami · Sunny Isles · New York — odontOS's first partner and live testing tenant in 2026.

Tetri's Smile

Partner · First testing tenant · 2026

We started by stabilizing the foundation — securing the workstation fleet — then layered odontOS on top of their Open Dental, customized to each provider. The public demo runs on this tenant's configuration with fully synthetic data, so anyone can explore the real experience safely.

Open DentalVoiceChart dictationi-Dixel ⇄ RomexisPer-doctor workspace
Explore the Tetri's Smile demo →
Try it now

The whole workspace, in your browser.

No signup. Synthetic Open Dental data — book, chart, plan, customize, poke at everything. This is the real odontOS.

Launch the live demo →
Login — user tetri · password smile
● Built in the open

Shipped, not promised.

We build in public. Here's the last 90 days of momentum — and the next 90 already on the board. Hover the grid; every lit day is real work that shipped.

NEW What's new this cycle