UK dental practice software has serious incumbents - Dentally, Software of Excellence, Carestream - and a sharp AI specialist (Kiroku). Here's where SmileOS fits, where it doesn't, and why founder-led, consultation-first software exists in the first place.
Dentally, EXACT and Carestream are practice management systems with decades of breadth. SmileOS is a consultation-first, AI-assisted platform for cosmetic and orthodontic-focused private practices. Different shape, different goal.
Stay with Dentally, EXACT, or Carestream. They've spent decades on FP17s, NHS contracts, charting, recall. We don't try to be them.
Kiroku is excellent at that - and we won't pretend to win the notes-only battle. Use them if AI dictation is the whole problem you're solving.
SmileOS is built for the full consultation-to-treatment flow: notes, consent, estimate, payment, treatment plan. Founder-led by a UK clinical director.
Includes where we lose. Sourced from competitors' public websites - verify any of it.
| Capability | SmileOS | Kiroku | Dentally | EXACT | Carestream R4+ |
|---|---|---|---|---|---|
| Built by a UK GDC-registered dentist | ✓ | - | - | - | - |
| AI clinical notes from voice | ✓ | ✓ | Partial | Via Pearl | - |
| Consultation → consent → estimate flow | ✓ | Consent only | Modules | Modules | Modules |
| Patient pipeline dashboard | ✓ | - | ✓ | ✓ | ✓ |
| Patient-facing video walkthroughs | ✓ | - | - | - | - |
| Digital TCO / case acceptance workflow | ✓ | - | - | - | - |
| Treatment estimate → patient inbox in one click | ✓ | - | Partial | Partial | Partial |
| Case acceptance analytics | Coming Q3 | - | - | - | - |
| 90-day trial, no card required | ✓ | 30 notes free | Demo | Demo | Demo |
| Direct line to the founder | ✓ | - | - | - | - |
| Modern cloud-native UI | ✓ | ✓ | ✓ | Hybrid | Hybrid |
| Patient-facing portal (treatment plan / payments) | Coming Q3 | - | ✓ | Partial | ✓ |
| Online booking widget | Coming Q3 | - | ✓ | ✓ | ✓ |
| NHS FP17 forms / claims | - | - | ✓ | ✓ | ✓ |
| 30+ years of dental software depth | - | - | ✓ | ✓ | ✓ |
| Integrated radiology AI | - | - | - | Via Pearl | - |
| Multi-site group rollups | Coming Q3 | - | ✓ | ✓ | ✓ |
| Founder pricing locked in for life | ✓ | - | - | - | - |
Information from public websites of Kiroku, Dentally, EXACT and Carestream R4+, last reviewed 18 May 2026. Features evolve quickly - verify on each vendor's site. Trademarks belong to their respective owners. "Coming Q3" denotes the SmileOS roadmap, not a current capability.
The consultation is the most important conversation in your week. SmileOS treats it that way.
You want consent and pricing inside the consult, not bolted on after. SmileOS is built around that.
Not a ticket queue, not "raise it with support". WhatsApp the dentist building it.
First 50 UK practices get founder rates that don't move with public launch. Worth more than a discount.
We don't do NHS claim submission. Dentally / EXACT / Carestream are the right tools for that workflow.
We integrate where it matters (Stripe, email, calendar). If you need 20-year-old radiology or charting tools wired in today, we're not there yet.
90 days free. No card. One direct email to the dentist building it.
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