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DigitalTCO turns a 30-second voice dictation into a structured clinical note that goes beyond SOAP — covering everything an expert witness looks for, not just the four elements you learned in dental school.
No setup. No templates to configure. Just speak.
Real example. 30 seconds of natural speech becomes a comprehensive clinical note that covers everything SOAP covers — and everything it misses.
What you say (30 seconds)
“Lower left six. Patient came in with sensitivity to cold, been going on about two weeks. On examination, large MOD amalgam with a crack line extending mesially along the marginal ridge. Vital to cold test, no periapical pathology on the PA. Discussed options — crown versus replacing with a composite versus monitoring. Explained the crown gives the best protection against further fracture, composite is cheaper but less protective, monitoring risks a catastrophic fracture. Patient chose composite for now, cost was a factor. Risks discussed — sensitivity, possible need for root canal if closer to the pulp than expected, might still need a crown eventually. Rubber dam, selective etch, Filtek Supreme A2 body shade in increments. Checked occlusion, adjusted slightly. Told her it might be sensitive for a few days, ibuprofen if needed, come back in two weeks if it doesn’t settle. Reviewed in six months.”
Same appointment. Same 30 seconds of speech. One captures 4 elements. The other captures 9.
The four extra elements are the ones a malpractice attorney looks for.
Watch exactly how DigitalTCO turns conversational dictation into a comprehensive clinical note, bypassing the limitations of standard SOAP templates.
SOAP — Subjective, Objective, Assessment, Plan — is the note framework every dentist learns. It’s clean, logical, and easy to remember. There’s nothing wrong with it as a structure.
The problem is what it leaves out.
| Documentation element | SOAP | DigitalTCO |
|---|---|---|
| Chief complaint (patient's words) | ||
| Clinical findings | ||
| Diagnosis / assessment | ||
| Treatment plan | ||
| Medical history confirmation | ||
| Treatment options presented (including declined options) | ||
| Specific risks discussed | ||
| Informed consent documentation | ||
| LA details (type, concentration, dose, technique) | ||
| Materials used | ||
| Adverse events and management | ||
| Specific post-op instructions given | ||
| Follow-up plan with reasoning | ||
| Soft tissue screening (even if NAD) |
SOAP captures four of the fourteen elements an expert witness evaluates. DigitalTCO captures all fourteen. The ten it adds — consent, risks, options, LA details, materials, post-op instructions, adverse events — are exactly the elements that malpractice cases turn on.
A SOAP note that says “A: Caries #30. P: Composite” is technically a SOAP note. It’s also a note that wouldn’t survive five minutes of scrutiny. DigitalTCO generates notes that survive five years of scrutiny.
Three steps. Under 60 seconds total. No template to select first.
After the patient leaves, pick up your phone and describe the appointment for 30 seconds. Don’t worry about structure — talk the way you’d explain it to a colleague. Mention findings, what you discussed, what you did, and what you told the patient.
DigitalTCO’s Cheat Mode listens to what you said and generates a structured note. It determines the note type from your words — you don’t select “SOAP” or “extraction” or “exam.” The AI figures it out. Every element populated from your voice.
Check the note. Tweak anything that needs it. Copy into your PMS — Dentrix, Eaglesoft, Open Dental, SOE, Dentally, anything. Then generate referral letters, patient letters, or consent forms from the same note in one click each.
The clinical note is the source. Everything else — letters, consent, reusable content — generates from it in one click.
Template-free note generation. Speak naturally, AI determines the structure. No SOAP selection, no procedure dropdown. Just talk.
One-click referral letters, patient letters, and absence letters. Generated directly from the clinical note you just created.
Templated correspondence for the letters you send repeatedly. Build once, reuse forever.
Freeform dictated letters. Insurance narratives, complaint responses, anything. Speak it, send it.
Procedure-specific PDF consent forms generated from the treatment plan. Print-ready. Every risk and alternative documented.
Record clinical explanations once. Insert them into any note with a voice trigger. Consent discussions, post-op instructions, word-perfect every time.
You see 18 patients and write notes for the last six from memory at the end of the day. The notes are thin because you can’t remember the details. With DigitalTCO, each note is done in 30 seconds between patients. You leave when the last patient leaves.
“S: Pain UR. O: Caries UR6. A: Irreversible pulpitis. P: RCT.” Technically a SOAP note. Also a note that doesn’t document consent, risks, alternatives, anaesthetic details, or post-op instructions. DigitalTCO generates all of it from the same 30-second dictation.
You know exactly what bad documentation costs. You know the feeling of reading your own notes in front of an investigator and wishing you’d written more. DigitalTCO exists because I had that exact experience. Every feature was built to make sure it doesn’t happen again — to you or to me.
You’re paid per patient, not per hour. Time spent typing notes is unpaid time. DigitalTCO turns 10 minutes of typing into 30 seconds of speaking. You get better notes and you get home earlier. Both matter.

I wrote SOAP notes for twelve years. They were fast, familiar, and completely inadequate. When a formal complaint was filed against me, my SOAP notes — “Examined. Discussed options. Pt happy to proceed” — couldn’t prove what I’d actually done.
I didn’t need a better SOAP template. I needed a tool that captured everything SOAP misses — the consent conversation, the specific risks, the alternatives presented, the post-op instructions — without adding ten minutes of typing to every appointment.
So I built DigitalTCO. 30 seconds of speaking produces a note that goes beyond SOAP — covering every element an expert witness evaluates. I created the AI dental documentation category in 2023. Over 1,000 dentists use it daily.
Kevin · BDS Dundee · Ex-dentist (2014–2026) · Founder, DigitalTCO
Record your first note in under 60 seconds. Compare it to whatever you wrote yesterday. The difference is the gap that gets you in trouble.
28-day free trial. $120/month. Everything included — notes, letters, consent forms, Spiel Store.
Start My 28-Day Free Trial →Works with Dentrix, Eaglesoft, Open Dental, SOE, Dentally — any PMS.