8 Best Eaglesoft Alternatives For Dentists and DSOs

Eaglesoft has served over 30,000 practices across North America since 1988, but many practices now seek alternatives that address modern patient communication challenges and operational inefficiencies. While Eaglesoft delivers robust clinical charting and billing features, user reviews consistently cite interfaces designed for on-premise deployment, server-based architecture, and patient engagement approaches developed before smartphone adoption. Whether you need a complete practice management system replacement or an AI-powered solution to capture the revenue you're currently losing from missed calls, this guide covers the eight best alternatives for dental practices and DSOs in 2025.

Key Takeaways

• Patient communication gaps cost practices significant revenue: 30% of calls go unanswered, and 78% of patients book with the first practice that responds—making AI-powered missed call recovery essential regardless of which PMS you use
• Cloud-based alternatives eliminate Eaglesoft's mobility limitations: Modern platforms like Curve Dental and Open Dental offer remote access and mobile apps that Eaglesoft's on-premise architecture does not include
• AI receptionists complement rather than replace your PMS: Resonate AI integrates with Eaglesoft, Dentrix, Open Dental, and other systems to solve patient communication problems without requiring a full software migration
• Implementation timelines vary dramatically: Adding an AI communication layer takes days, while switching practice management systems typically requires 4-10 weeks of migration and training
• ROI differs by solution type: AI missed call recovery shows documented returns of 17x to 61x within 30 days, while PMS replacements focus on operational efficiency gains over longer periods

Beyond technical considerations, Eaglesoft—like most traditional practice management software—uses patient engagement approaches developed before AI and smartphone prevalence. This creates a revenue consideration: when calls go to voicemail during busy periods or after hours, practices lose patients to competitors who respond faster.

For many practices, the solution isn't abandoning Eaglesoft entirely but adding AI-powered communication tools that capture missed calls and convert them into scheduled appointments.

1. Resonate AI: Best for Capturing Missed Calls and Patient Communication

Resonate AI addresses the most costly gap in dental practice operations—the 30% of calls that go unanswered during busy periods, lunch breaks, and after hours. Rather than replacing your practice management software, Resonate AI integrates with Eaglesoft and other systems to ensure every patient inquiry converts to a scheduled appointment.

Key Features:

• Instant missed call response: AI texts callers within seconds of a missed call, engaging them in natural conversation to understand their needs and book appointments
• 24/7 availability: Handles after-hours and weekend calls when 40% of calls occur
• Three integrated AI agents: Voice Agent handles phone calls, SMS Agent manages text communications, and Chat Agent responds to website inquiries
• Human-like conversations: AI trained specifically on dental terminology conducts contextual conversations that patients cannot distinguish from human staff
• Multi-language support: Automatic Spanish language detection for bilingual patient populations
• Real-time calendar integration: Books appointments directly by checking provider availability

Documented Results:

• Allied OMS: 41 new patients captured in 30 days, $81,000 revenue recovery, 61x ROI
• Family First Dental: 1,479 missed calls eliminated, 175 appointments captured, $131,000 annual revenue
• Zen Dentistry: 17x ROI after testing multiple AI vendors
• Garden Springs Dental: 338 missed calls converted to 19 new patients in 30 days

Pricing:

• Three tiers available: Small Practice, Growing Practice, and Enterprise DSO
• Free trial available
• No setup fees with month-to-month flexibility
• Contact for custom pricing

Best For:

Practices using Eaglesoft (or any PMS) that want to stop losing revenue from missed calls without changing their entire software stack. Particularly valuable for DSOs managing high call volumes across multiple locations.

Ready to see how many patients your practice loses to missed calls? Book a demo to see Resonate AI in action.

2. Curve Dental

Curve Dental offers a cloud-native alternative to Eaglesoft's on-premise architecture, providing dental practices with remote access capabilities and mobile functionality designed for modern workflows.

Key Features:

• Cloud-based deployment: No server hardware required with internet-based access
• Mobile app: Remote patient data access from smartphones and tablets
• Patient communication tools: Integrated messaging and engagement features
• Multi-location reporting: Real-time dashboard access for DSO management
• Automatic updates: Cloud-based software updates without IT involvement

Pricing Structure:

• Pricing upon request

Best for: Practices prioritizing cloud access, mobile functionality, and modern user interface over Eaglesoft's on-premise architecture.

3. Open Dental

Open Dental provides an open-source practice management solution with transparent pricing and customization capabilities, making it an accessible option for practices seeking alternatives to proprietary systems.

Key Features:

• Open-source architecture: Extensive customization capabilities and transparency
• Cloud-based option: Internet-based deployment available alongside traditional installation
• Community support: Active user community and third-party integrations
• Transparent pricing: Published pricing structure without hidden fees
• Customization control: Full access to modify software functionality

Pricing Structure:

• $199 per month per location or office

Best for: Budget-conscious practices and those wanting customization control. Technical practices comfortable with open-source software.

4. Dentrix Ascend

For practices using Henry Schein products who want cloud capabilities, Dentrix Ascend provides a cloud-based platform while maintaining ecosystem compatibility.

Key Features:

• Cloud-based platform: Internet access from any location with credentials
• Henry Schein integration: Compatibility with existing Henry Schein product ecosystem
• Multi-location management: Centralized oversight capabilities for group practices
• Mobile access: Remote charting and patient data review
• Familiar interface: Design elements recognizable to Dentrix users

Pricing Structure:

• Starter, Accelerator, and Pro packages available
• Pricing upon request

Best for: Practices already using Henry Schein products or those familiar with Dentrix who want to transition to cloud.

5. Denticon

Denticon serves as an enterprise-grade solution for Dental Service Organizations managing multiple locations, offering centralized control and reporting across entire networks.

Key Features:

• Enterprise-scale management: Multi-location oversight capabilities
• Centralized reporting: Consolidated analytics and performance tracking
• Role-based access: Permission controls for different staff levels
• Equipment integration: Compatibility with major dental equipment and imaging systems
• Cloud infrastructure: HIPAA-compliant hosted deployment

Pricing Structure:

• Starts at $795/month

Best for: Large DSOs with 10+ locations requiring centralized management and corporate oversight capabilities.

6. CareStack

CareStack combines practice management with patient engagement tools in a single platform, reducing the need for multiple software integrations.

Key Features:

• Combined PMS: Practice management and patient communication in one system
• Online scheduling: Built-in patient portal and appointment booking
• Insurance automation: Verification and benefits checking capabilities
• Treatment planning: Case presentation and treatment coordination tools
• Cloud-based access: Mobile functionality with internet connectivity

Pricing Structure:

• Pricing upon request

Best for: Practices wanting to consolidate multiple software tools into one platform.

7. Weave

Weave combines phone systems with patient messaging and review management, offering dental practices an integrated communication platform.

Key Features:

• Integrated phone: Call tracking and phone system functionality
• Two-way texting: Patient communication via SMS
• Appointment reminders: Automated reminder scheduling
• Review automation: Review request and management tools
• Payment processing: Integrated payment collection capabilities

Pricing Structure:

• Base plans starting at $249/month
• Ultimate, Elite, and Pro tiers

Best for: Practices wanting an integrated phone and communication system who prefer scheduled reminders over AI-powered conversation capabilities.

8. tab32

tab32 offers a cloud-native dental platform with advanced analytics and AI-assisted features for practices prioritizing technology adoption.

Key Features:

• Cloud-native architecture: Built for internet-based deployment from inception
• Advanced analytics: Business intelligence and reporting dashboards
• AI-assisted features: Clinical decision support capabilities
• Patient communication: Integrated engagement tools
• Open API: Third-party integration capabilities

Pricing Structure:

• Pricing upon request

Best for: Tech-forward practices wanting cutting-edge features and extensive integration capabilities.

Frequently Asked Questions

What specific problems do AI dental receptionists solve that traditional Eaglesoft setups miss?

Traditional practice management software like Eaglesoft handles clinical charting, scheduling, and billing but provides no automated response when calls go to voicemail. This creates a gap: 30% of calls go unanswered, and by the time staff returns Monday morning voicemails, patients have already booked with competitors. AI dental receptionists respond within seconds of a missed call, engaging patients in human-like conversation to understand their needs and schedule appointments 24/7—including evenings, weekends, and holidays when staff isn't available.

How does an AI solution integrate with my existing Eaglesoft system?

Resonate AI connects to Eaglesoft and other practice management systems through lightweight setup via call-forwarding and API integrations. The implementation requires no hardware changes and takes approximately 5 minutes to configure phone forwarding. The AI checks real-time calendar availability when scheduling appointments and sends complete conversation transcripts to your staff for seamless follow-up. Your clinical workflows, billing, and charting continue unchanged in Eaglesoft while the AI handles patient communication.

Can an AI virtual receptionist truly handle complex patient questions about insurance or emergencies?

Yes, dental-specific AI like Resonate AI trains on dental terminology, insurance questions, procedure types, and urgent care protocols. The system conducts contextual conversations that adapt based on patient responses rather than following rigid scripts. For emergencies, the AI assesses urgency levels and routes appropriately. Multiple testimonials reference patients complimenting AI receptionists by name without realizing they're automated, and one oral surgeon reportedly had a full conversation with the AI without detecting it wasn't human.

What's the typical return on investment for adopting an AI solution compared to manual patient communication?

Documented case studies show ROI reaching up to 61x within the first month. Allied OMS captured $81,000 in revenue in 30 days with 61x ROI. Family First Dental generated $131,000 annual revenue from 175 appointments captured in just 8 weeks. Fresh Dental NC achieved 7x ROI with $211,000 annualized revenue from a 30-day pilot. These returns exceed typical PMS migration investments because AI addresses immediate revenue leakage rather than operational efficiency improvements that take longer to materialize.

Are these AI solutions HIPAA compliant and secure for handling patient data?

Resonate AI maintains healthcare-grade security with HIPAA-compliant encrypted communications. The development team is based entirely in North America for data governance compliance. All patient conversations, appointment details, and personal information are protected under the same security standards required for clinical patient data. The platform provides audit trails and conversation transcripts for compliance documentation.