The Evolution of Dental Record Keeping: From Paper Mountains to Cloud-Based Efficiency

Ashley Watson • January 25, 2026



The Evolution of Dental Record Keeping: From Paper Mountains to Cloud-Based Efficiency

Why Good Records Matter More Than Ever

Accurate, concise, contemporaneous notes have always been the backbone of safe and effective dentistry. They protect clinicians medico‑legally and allow us to deliver better, more consistent care—without drowning in administrative overload.

The Early Days: A Room Full of Billy Bookcases

When I began practicing in 1993, the practice I joined had an entire room dedicated to record storage. Billy bookcases bowed under the weight of manila files stuffed with biro‑scribbled hieroglyphics, decades of notes, and the occasional x‑ray. Some even contained dentures or toothbrushes to prevent them from going astray.

Every morning involved pulling the day’s cards from the archive and forcing the previous day’s notes back into the labyrinth. Emergencies had to wait until someone could brave the paper maze to locate the right file. It was a system held together by habit, hope, and a lot of elbow grease.

The First Wave of Digital Dentistry

By the mid‑1980s, Customer Relationship Management (CRM) software began creeping into dental practices. Early platforms like Clockwork were text‑based and rudimentary, but they marked the beginning of a digital shift.

For many clinicians over the last decade, Exact by Software of Excellence became the standard. It offered powerful features and add‑ons, but as time went on, it grew increasingly clunky. The core issue was its architecture: locally installed software requiring constant hardware upgrades, network tinkering, and hefty backup solutions. I remember spending entire weekends upgrading versions, genuinely excited by even the smallest new feature.

The Cloud Arrives: Dentally Changes the Game

Then came Dentally, a cloud‑based platform that redefined what dental software could be. Remote login, instant updates, and near‑limitless scalability made it a breath of fresh air.

Initially, many clinicians resisted the shift—understandably attached to the familiarity of practice‑based systems. But Dentally’s intuitive interface and flexibility quickly won over the market. SoE eventually absorbed Dentally, recognising the direction the industry was heading.

The Only Real Challenge: Letting Go of the Old

Switching systems always comes with growing pains. Customising new software and saying goodbye to years of templates and workflows can feel daunting. But with a bit of focused onboarding—often done remotely—you’ll soon be generating bespoke treatment plans in seconds.

And if Dentally’s AI note‑taking continues to evolve, it may well rival platforms like Kiroku and reshape how we document care entirely.

Looking Ahead: A Future Beyond the Keyboard

The pace of change in dental technology is accelerating. Cloud platforms, AI‑assisted notes, and automated workflows are already transforming the way we practice. Who knows—perhaps in the not‑too‑distant future, we won’t need to tap a keyboard at all.

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