As of 2025, server-based systems like Open Dental still hold 45.5% of the market, but today's practices are looking for smarter ways to support multiple locations and streamline technology across their workflows.
As part of our mission to modernize dental workflows, Flex Dental Solutions serves as the essential high-performance bridge for Open Dental users. Flex does this so well, in fact, that HealthStream Ventures wrote in its 2026 Industry Trends Report:
…a significant number of practices continue to run Open Dental, one of the strongest server-based PMS options due to its open architecture and robust ecosystem. For these practices, modernization is increasingly approached in phases. Overlay solutions such as Flex Dental Solutions for patient engagement and automation, and DentalHQ for membership plan management and recurring revenue, allow practices to address immediate operational gaps while extending the useful life of Open Dental. For many, this hybrid approach serves as a transitional step while planning for eventual cloud migration.
You don’t have to wait for a platform migration to get the benefits of automated workflows and AI capabilities. Flex effectively "upgrades" your existing setup, providing a modern performance that industry experts recommend:
1. Unified Data for AI Readiness
AI-driven automation is the "efficiency mandate" for 2026, but it requires clean, unified data to work. Flex brings your Open Dental information into a modern, unified interface, enabling smarter scheduling, faster insurance eligibility checks, real-time performance insights, and automated patient communication—all without disrupting the workflows your team relies on.
2. Automated Workflow Assistance
Many practices discover they do not need to replace their practice management system to modernize their workflows. With Flex and Open Dental, they already have the upgrade they need. Flex provides remote access to online self-scheduling and the convenience of digital forms and text-to-pay links that meet today's patients' expectations in fast, on-demand experiences they have come to enjoy.
Flex handles the high-stress, tedious tasks that lead to team burnout:
Investing in Flex isn't just a software cost; it's a revenue generator. By adding 12 new patients a month and saving the front desk 15 hours a week in phone time, the system typically pays for its annual cost within the first 30 to 60 days of implementation.
We talk to many Open Dental users who want the automated workflows and advanced capabilities of modern platforms—but are clinically happy with the power and control Open Dental provides.
You don’t have to leave Open Dental to get a modern experience. Flex upgrades your current system with the smarter automation and speed you’ve been missing.
Would you like to see what it would be like to modernize without migration? We’d love to show you.