Open Dental vs Eaglesoft: Complete Comparison 2026

An in-depth comparison of features, pricing, and user experience to help you make the right choice.

Open Dental

8.1(3,900 reviews)

Free, open-source dental practice management software with full charting, billing, and scheduling used by over 19,000 practices.

7.3(3,200 reviews)

Patterson Dental's practice management system offering clinical charting, scheduling, and billing for general and specialty practices.

Aspect	Open Dental	Eaglesoft
Best For	Tech-savvy dental practitioners who value data ownership and customization over polished interfaces	General dental practices wanting a proven server-based system with strong charting and scheduling tools
Pricing Model	Open Source	Contact Sales
Starting Price	Free	Contact Sales
Deployment	on premise, self hosted	on premise
Platforms	WINDOWS	WINDOWS
Rating	8.1/10	7.3/10

Completely free and open-source software — no license fees, no per-user costs, no annual price increases
Full data ownership with no vendor lock-in — you can export or migrate your data anytime without penalties
Extremely customizable through open source code — modify reports, workflows, and integrations to fit your exact needs
Active community of 19,000+ practices sharing custom queries, templates, and workflow optimizations
No per-location licensing makes it cost-effective for DSOs and multi-practice groups scaling up

Interface prioritizes functionality over aesthetics — looks dated and takes longer to learn than polished commercial products
Server management and hardware maintenance falls entirely on you or your IT provider
Support at $350/month plus eServices means the actual monthly cost is $400-550, not free
The DIY nature means more setup time and technical knowledge needed compared to turnkey solutions
Mobile and remote access options are limited compared to cloud-native dental platforms

SmartDoc paperless forms system is a genuine time-saver for patient intake and consent documents
Sidekick scheduling tool actively finds gaps and suggests optimal appointments to hit production goals
Clinical charting depth matches Dentrix for both general and specialty dental procedures
Patterson Dental support network with local reps available for in-office training and setup
Reliable insurance claim processing with solid eClaims integration and ERA posting

Server-based architecture means hardware costs, IT maintenance, and no native remote access
User interface shows its age despite cosmetic updates — workflows feel clunky compared to cloud competitors
Pricing is opaque and requires calling Patterson for quotes — expect $12,000-20,000 upfront
Support quality varies significantly by region depending on your local Patterson representative
No true cloud version available — remote access requires VPN configuration and workarounds

Product	Pricing Model	Starting Price
Open Dental	open source	Free0
Eaglesoft	contact sales	Contact Sales

Choose Open Dental if...

Tech-savvy dental practitioners who value data ownership and customization over polished interfaces

Choose Eaglesoft if...

General dental practices wanting a proven server-based system with strong charting and scheduling tools

Explore more alternatives or read in-depth reviews to make your decision.