Open Dental
Flexible, open-source dental practice management
Best For
Tech-savvy dental practices that want maximum customization, open database access, and lower monthly costs.
Key Features
Open Database
MySQL database with full access for custom reporting, integrations, and data ownership.
Practice Management
Scheduling, charting, treatment planning, and patient management.
Imaging
Bridge integration with 200+ imaging devices including sensors and CBCT.
eServices
Online scheduling, patient portal, eConfirmations, and web forms.
API & Plugins
Open API and plugin architecture for custom integrations and third-party tools.
Reporting
Built-in reports plus full SQL access for custom queries and business intelligence.
Pros
- Lowest total cost of ownership among full-featured systems
- Open database means you own your data completely
- Extensive API and plugin ecosystem
- Active user community and regular updates
Cons
- Requires more technical knowledge to maximize value
- Interface is functional but not as polished as competitors
- Some advanced features require technical setup
- Cloud hosting is optional and adds cost
Real-World Use Cases
Multi-location DSO
A 15-location dental organization saved $120K annually by switching to Open Dental and building custom reporting through the open database.
Tech-forward solo practice
A dentist built custom patient communication workflows using Open Dental's API, automating 80% of recall management.
Frequently Asked Questions
The software license is free. You pay for a support plan ($179/mo and up) which includes updates, support, and eServices.
Yes, Open Dental offers an optional cloud hosting service, or you can use any Windows-compatible cloud hosting provider.
Open Dental offers comparable features at lower cost with more flexibility, but Dentrix has a more polished interface and larger training ecosystem.
Quick Facts
- Starting Price
- From $179/mo
- Customer support plan required. One-time setup fee typically $500-$1,500.
- Our Rating
- 4.5
- Category
- Dental Software
- Headquarters
- Salem, OR
- Founded
- 2003
- Website
- opendental.com
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Review last updated February 2026. Affiliate disclosure.