Open Dental's built-in recall and reminder tools, plus its robust third-party integration API, make it the most flexible dental PMS on the market. Its communication ecosystem — whether built-in or via third-party add-ons — is all outbound. When a patient calls your practice after hours, Open Dental doesn't answer. Skrypt does, and writes the booking straight back.
Open Dental's open architecture makes it one of the easiest PMS systems to build integrations on top of. Skrypt uses that API to deliver a tight integration: calls handled by Skrypt's AI agent result in appointments written directly to the Open Dental schedule, no manual entry required. Existing reminder and recall workflows are unaffected.
Open Dental's open-source architecture makes it unusually flexible — which is why independent dental practices have adopted it at scale. The same API-first design that makes Open Dental easy to extend is what makes Skrypt Health's integration so deep. We use the Open Dental API to read and write practice data bidirectionally, with no middleware or manual sync required.
Practices running Open Dental tend to be independent and lean — often one or two providers, a small front desk team, and a high sensitivity to missed calls. When your front desk handles a patient at the chair, the phone goes unanswered. When the practice closes for the day, calls go to voicemail that gets checked the next morning. Both scenarios convert less than 20% of the time compared to a live answer.
Skrypt Health closes that gap. It pulls your Open Dental schedule before each call, answers with accurate real-time availability, and books the appointment — writing it directly into Open Dental with provider, operatory, and appointment type populated. Recall lists in Open Dental become automatic outreach campaigns. New patient intake notes land in the patient record before the first visit.
Before every call, Skrypt reads your live Open Dental schedule directly through the Open Dental API — open slots, provider availability, operatory assignments — and books the visit back into the same database, with provider, operatory, and appointment type populated exactly as if a staff member had entered it.
Because Open Dental's API is open and documented rather than gated behind a vendor partnership, the write-back is direct: no middleware layer translating between systems, no batch sync running on a delay. The next morning, your front desk opens Open Dental to a schedule that already reflects the overnight calls, with intake notes attached to new patient records and recall status updated for anyone who called back off a recall list.
Open Dental's open-source, API-first design is exactly what makes independent practices choose it in the first place, and it's also what makes Skrypt's integration unusually direct. There's no proprietary gatekeeper to negotiate with and no closed data model to work around — Skrypt reads and writes against the same open schema any other Open Dental integration would use.
Integration depth still follows plan. Starter books into the Client Hub — a fast way to get live without touching database credentials. Pro adds real-time Open Dental reads, so callers hear accurate live availability. Enterprise adds full bidirectional write-back — appointments, notes, and recall status updates land in Open Dental automatically, cloud or on-premise.
We confirm the exact configuration live on your own system during the private walkthrough.
Yes. For cloud instances we connect directly through the Open Dental API. For on-premise installs, we connect through a secure API path configured for your network. Our onboarding team handles the setup either way — nothing for your staff to install.
No. Whatever third-party reminder, recall, or online scheduling add-on you're running through Open Dental's API keeps working unchanged. Skrypt adds the inbound layer — the call itself — which none of those tools handle.
Open Dental's API is open and documented rather than licensed through a single vendor gatekeeper, so there's less negotiation and fewer workarounds involved in reading and writing data. The functional result for your practice is the same tiered depth as any PMS — Starter on the Client Hub, Pro on real-time reads, Enterprise on full write-back — just usually faster to configure.
Tell us which PMS you're on — we'll confirm the integration live in the demo.
Private walkthrough →