tab32
tab32
Cloud all-in-one with a published entry price aimed at start-up practices.
Best for: New and single-location practices that want cloud without a five-figure annual commitment.
Deployment · updated 2026-08-01
Cloud-based dental practice management software
7 of the 14 systems we track are true cloud products, and 3 are offered either way. Only 3 of the cloud options publish a price.
“Cloud-hosted” is not the same as cloud
This distinction costs practices real money. A cloud-native product is built to run in a browser and the vendor operates it. An on-premise product that someone hosts for you is still Windows software on a server — you have simply moved whose server it is, and you are now paying a hosting bill on top of the licence.
The clearest example: Open Dental is not cloud-based. It is excellent, it is the cheapest credible option for many practices, and you can absolutely reach it remotely — but that means self-hosting, a third-party Open Dental host, or remote desktop. If you want nobody in your practice to think about a server again, that is a different product category.
Ask any vendor two questions: does it run in a browser with no local install, and who is responsible when the server needs patching. The answers separate these two groups completely.
True cloud
Browser-based, vendor-operated. No server, no backups, no patching on your side.
Oryx Dental Software
Oryx Dental Software
Cloud all-in-one built around guided clinical workflows and automation.
Best for: Clinically-driven practices that want one system doing everything, and new practices exploiting the start-up tier.
CareStack
CareStack
Cloud all-in-one aimed at growing groups, with published tier pricing.
Best for: Multi-location groups that want one vendor for practice management, RCM and engagement.
Curve Dental
CD Newco, LLC (backed by Battery Ventures)
Long-running cloud practice management, now sold as Curve SuperHero.
Best for: Single and small-group practices that want cloud and will negotiate a quote.
Denticon
Planet DDS
Enterprise cloud platform built specifically for DSOs and multi-location groups.
Best for: DSOs and groups above roughly five locations that need centralised control and reporting.
Dentrix Ascend
Henry Schein One
Henry Schein One’s cloud platform, aimed at DSOs and growth-focused groups.
Best for: Groups and DSOs that want cloud and multi-location reporting from an established vendor.
iDentalSoft
iDentalSoft
Cloud practice management for single practices through to groups.
Best for: Small groups wanting cloud without committing to an enterprise platform.
Cloud or on-premise
Sold both ways, so you can change deployment without changing vendor.
ABELDent
ABELDent Inc.
Long-established practice management offered both cloud and on-premise.
Best for: Practices that want a conventional, dependable system and the option to move between cloud and on-premise.
Adit
Adit
Front-office platform — phones, messaging and marketing — with practice management attached.
Best for: Practices happy with their clinical software but frustrated by phones, messaging and marketing.
DentiMax
DentiMax
Practice management with unusually strong, hardware-agnostic imaging.
Best for: Imaging-led practices, especially those running mixed or non-standard sensor hardware.
What cloud actually costs you
Cloud looks more expensive per month and often is not, once you account for what the on-premise price excludes: the server itself, its replacement cycle, backup software, the IT contract, and the add-ons that cloud platforms bundle. Our worked cost breakdown runs the numbers using each vendor’s own published add-on rates — a $129/month on-premise system reaches $472/month once a normal practice switches on texting, booking, forms and reviews.
The genuinely cloud-specific trade-off is not price, it is dependency. You need reliable internet, and you cannot see your data if the vendor has an outage. On-premise fails differently: it fails when your server does, and then it is your problem to fix.
Staying on-premise
Open Dental, Practice-Web, Dentrix, Eaglesoft are on-premise only. They dominate on published price, and they remain the right answer for practices with IT support and a preference for owning their own data.