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Written by the dentist who invented the category — an honest comparison of every AI clinical documentation tool worth considering, including the one I built.
Full disclosure: I built DigitalTCO and I invented this category. It's ranked #1 because I believe it's the most comprehensive dental documentation tool available — but I'm obviously biased. I've listed its limitations honestly alongside its strengths. Every other product here is reviewed fairly using publicly available information. Try any of them and decide for yourself.
First, a word about the term "AI scribe." I hate it. A scribe is someone who writes down what you say. That's transcription. What these tools actually do — or should do — is listen to you describe a clinical appointment and generate a structured, defensible clinical note from it. That's not scribing. That's intelligent clinical documentation. But "AI scribe" is what people search for, so here we are.
I built DigitalTCO in 2023 after a GDC complaint exposed the gap between the clinical work I was doing and the records I was keeping. At the time, there was nothing like it. No AI tool that took a dentist's voice and turned it into a structured clinical note. I built the category because I needed it to exist — and it didn't.
Now there are half a dozen tools claiming to do the same thing, plus several general medical products that have bolted on "dental" as an afterthought. They all sound identical on their websites. "Voice to notes." "Save time." "Focus on patients." "AI-powered." After reading five landing pages, they blur together.
So I've done something none of them will do — I've reviewed them honestly, including my own product, with its limitations listed clearly. Not from a marketing perspective. From the perspective of a dentist who's stood in a surgery with gloves on, a patient in the chair, and eight minutes until the next one sits down.
I've looked at what each tool actually does in that moment. Not what the demo looks like. Not what the landing page promises. What happens when it's 4pm on a Thursday and you've got three patients left and your notes from this morning still aren't done.
Here's what I found.
Before the rankings — here's what separates the tools that genuinely change your day from the ones that look good in a demo and gather dust after a week.
You need to speak naturally and get a structured note. If you're still clicking through dropdown menus or selecting templates before you start, the tool is adding steps, not removing them.
The documentation burden isn't just notes — it's referral letters, patient letters, consent forms, reply letters. A tool that only does notes solves half the problem.
The whole point is having notes that hold up if a complaint lands. The AI needs to understand dental terminology, structure notes properly, and capture the detail that protects you.
If it takes an afternoon to configure, you'll never start. The best tools work the moment you open them — speak, get a note, paste into your PMS, done.
You shouldn't need an integration project or IT involvement. Generate, copy, paste. If the tool only works with specific practice management systems, that's a limitation.
General medical scribes can transcribe dental appointments. But dental-specific tools understand the terminology, the note structures, and the medico-legal requirements that generic tools miss.
Side-by-side overview of all six tools. Scroll down for detailed reviews of each.
| Feature | DigitalTCO | Kiroku | Heidi | Bola AI | Denota | Dentistry Dashboard |
|---|---|---|---|---|---|---|
| Price | $120/mo | ~$48/mo | $799/yr+ | Quote | $49-99/mo | Varies |
| Free trial | 28 days | 14 days | 14 days | Demo | 7 days | 14 days |
| Voice-to-notes | Limited | |||||
| Letter generation | Limited | |||||
| Consent forms | ||||||
| Reusable content (Spiel Store) | Snippets | |||||
| Template-free AI (Cheat Mode) | ||||||
| Built by a dentist | ||||||
| Users / scale | 1,000+ | 6M appts | 2M/week | 10,000+ | ~300 | 500+ |
The original. Voice-to-notes, letters, consent forms, and reusable content — the tool that created the category.
$120/mo
28-day free trial
Founded by
Kevin (BDS Dundee) — ex-dentist (2014–2026) who invented the category
Users
1,000+ dentists · 1M+ notes generated
Best for
Dentists who want to eliminate their entire documentation burden, not just notes
Founded
2023
The verdict
Full disclosure: this is our product. I built DigitalTCO after a GDC complaint nearly derailed my career. At the time, nothing like it existed. I built the first AI tool that turned a dentist's voice into a structured clinical note, and then I kept building. It is unapologetically a premium product. If you are a beginner searching for the absolute cheapest software available, there are other tools that do the basic job. But if you're a high-performing dentist or specialist who wants the fastest, most meticulously adapted 'F1 car' of clinical documentation to completely conquer your workload, this is for you.
Smart clickable templates with AI assistance — the original dental notes tool.
~$48/mo
14-day free trial
Founded by
Hannah Burrow (dentist, Bristol)
Users
6M+ appointments completed
Best for
Dentists who prefer structured, click-based templates and work with a nurse charting alongside them
Founded
2017
The verdict
Kiroku is a solid, established product with the longest track record in dental-specific AI notes. If you work with a nurse and prefer structured templates over freeform voice, it's an excellent and affordable choice. The limitation is scope — it does notes well but doesn't touch letters, consent, or the broader documentation burden. The voice features are newer and not yet as mature as the template system that made Kiroku's name.
General medical AI scribe that covers 200+ specialties including dental.
$799/yr+
14-day free trial (free tier available)
Founded by
Tech company (Australia)
Users
2M+ consultations per week across all specialties
Best for
Clinicians who work across multiple healthcare settings, not just dentistry
Founded
2021
The verdict
Heidi is the biggest player on this list by scale, but it's a general medical scribe, not a dental documentation tool. If you work across multiple healthcare settings or want enterprise-level team features, Heidi has the infrastructure. But for dental-specific documentation — the terminology, the note structures, the letter workflows — purpose-built dental tools go deeper. The mobile app reliability issues flagged in user reviews are worth investigating before committing.
Voice perio charting and dental charting specialist for US practices.
Quote-based
Demo required
Founded by
Rushi Ganmukhi (MIT ML researcher)
Users
10,000+ dentists and hygienists · 3M+ charts
Best for
US hygienists who need hands-free perio charting without an assistant
Founded
2019
The verdict
Bola is the best tool on this list for one specific thing: voice perio charting for US hygienists. If that's your primary need, nothing else comes close. But it's a charting tool, not a documentation platform. It doesn't handle the broader clinical notes, letter writing, consent forms, or correspondence workflows that eat up most of a dentist's documentation time. Great at what it does, but limited in scope.
AI note generator with financial tracking and portfolio features.
$49-99/mo
7-day trial (100 notes)
Founded by
Lynn (dentist, King's College London) & Gerrard (developer)
Users
~300 dentists
Best for
Dentists who want a simple, affordable note generator with built-in financial tracking
Founded
2024
The verdict
Denota is the most affordable option if you want basic AI note generation with financial tracking on the side. The income dashboard and portfolio features are unique additions that other tools don't offer. But it's input-based rather than voice-first, has the smallest user base, and the shortest trial period. The lack of publicly available user reviews makes it harder to assess real-world reliability. If budget is the primary constraint, it's worth a look — but the 7-day trial doesn't give you much time to evaluate properly.
Practice management platform with AI notes, rotas, compliance, and chatbots.
Varies (modular)
14-day free trial
Founded by
Dr Stephen Nkansah (dentist)
Users
500+ dentists
Best for
Practices wanting an all-in-one platform for notes, rotas, compliance, and patient communication
Founded
2019 (Outlook Aesthetics Ltd)
The verdict
Dentistry Dashboard offers the broadest feature set of any tool on this list — but breadth comes at the cost of depth. If you want AI notes, rotas, compliance, chatbots, and CPD listings in a single platform, it covers a lot of ground. But for clinical documentation specifically — the notes, letters, consent forms, and reusable content that make up a dentist's daily paperwork burden — it doesn't go as deep as tools that focus exclusively on documentation. The corporate structure (an aesthetics company trading under multiple names) is worth noting; all details are publicly available on Companies House for anyone who wants to verify.
Rankings are based on how well each tool solves the complete dental documentation problem — not just note generation, but the letters, consent forms, and administrative paperwork that follow every patient appointment. Tools that handle the full workflow scored higher than tools that only handle notes.
We also weighted: whether the product is dental-specific or adapted from a general medical tool; whether it was built by a practising dentist; the length and quality of track record; transparency of pricing and corporate structure; length of free trial; and the availability and sentiment of genuine user reviews.
This guide is written by Kevin, the ex-dentist who built DigitalTCO and created the AI dental documentation category in 2023. DigitalTCO is ranked #1. Every competitor on this list entered the space after DigitalTCO proved the category existed. You should factor that context — and the obvious bias that comes with it — into your evaluation. The best way to decide is to try the products yourself.
Yes. Over 1,000 dentists use DigitalTCO every day in NHS and private practices across the UK and US. The key is that voice-first tools don't add steps to your workflow — you speak naturally for 30 seconds after the patient leaves, and the note is done. The dentists who get the most value are the ones who just start using it on their next patient rather than waiting for the "right time" to set it up.
Most tools on this list work via copy-and-paste — you generate the note, copy it, and paste it into your PMS. This means they work with any system: Dentrix, Eaglesoft, Open Dental, Curve, SOE, Exact, and anything else. Bola AI offers deeper direct integrations with some US PMS systems. Kiroku has a Chrome extension for cloud-based systems like Dentally.
All tools reviewed here claim HIPAA alignment and/or GDPR compliance. The critical things to verify for any tool you consider: data encryption in transit and at rest, whether patient data is used to train AI models (it shouldn't be), whether a Business Associate Agreement (BAA) is available, and where your data is stored. DigitalTCO encrypts everything, never uses data for training, offers a BAA, and stores data securely on cloud servers.
No. Most tools work with your phone's built-in microphone. Many dentists who use AI notes daily choose to add a wireless clip-on mic (like the DJI Mic or Rode Wireless Go II) for convenience, but it's not required to get started. Avoid the cheapest wireless mics from Amazon — they're designed for occasional social media use, not eight hours of daily clinical dictation.
A transcription tool types what you say. An AI scribe listens to what you say and generates a structured clinical note from it — with proper formatting, clinical terminology, exam findings, consent documentation, and post-op instructions in the right places. The output of an AI scribe is a medico-legally defensible note, not a transcript of your words.
Yes. AI dental scribes work for any type of appointment — NHS, private, specialist. The note quality is the same regardless of funding type. Several tools on this list (DigitalTCO, Kiroku, Dentistry Dashboard) are specifically designed for the UK market and understand GDC requirements and UK dental terminology.
DigitalTCO gives you 28 days to use it in clinic, on real patients, in your actual workflow. Record your first note in under 60 seconds. If you don't love it, cancel.
Start My 28-Day Free Trial →Up and running in 2 minutes. Works on your phone.
Detailed comparisons