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Healthcare · head to head

Open Dental vs Planmeca Romexis

Open Dental logo

Open Dental

Healthcare

Powerful, Affordable Practice Management

From
$169/month
Rated
-
Full reviewWebsite
Planmeca Romexis logo

Planmeca Romexis

Dental

Complete Dental Imaging Platform

From
$2999/one-time
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Open Dental uS support is $199 per month per location on an initial 12 month contract, dropping to $149 per month only after that year; Planmeca Romexis vendor does not publish pricing on website; request-based or quote-driven sales model not clarified
  • They diverge on capability: Open Dental covers Patient scheduling, Planmeca Romexis covers 2D/3D image management.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which Open Dental and Planmeca Romexis actually diverge.

Attributes where Open Dental and Planmeca Romexis differ
AttributeOpen DentalPlanmeca Romexis
Starting price$169/month$2999/one-time
Pricing modelsubscriptionone-time
PlatformsWindows, Web, ApiWindows, Macos
CategoryHealthcareDental
Founded20031971

Identical on both: free tier (No), user rating (Not yet rated).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Open Dental

  • Patient scheduling
  • Clinical charting
  • Insurance claim processing
  • Treatment planning
  • Digital imaging integration
  • Patient communication
  • Reporting and analytics
  • eServices integration

Only in Planmeca Romexis

  • 2D/3D image management
  • CBCT viewing
  • Implant planning
  • CAD/CAM integration
  • Cephalometric analysis
  • DICOM compatibility
  • Image enhancement
  • Surgical guides

Both cover

  • HIPAA Compliant
  • Data Encryption
  • On-premise deployment

What people use each for

The jobs each tool is most often brought in to do.

Open Dental

  • Practice management, charting and scheduling for dental officesnot Planmeca Romexis
  • Dental insurance claims, billing and treatment planningnot Planmeca Romexis
  • Running an open source dental system with direct database accessnot Planmeca Romexis

Planmeca Romexis

  • 2D and 3D dental imaging software with CBCT analysisnot Open Dental
  • Implantology planning and cephalometric measurement toolsnot Open Dental
  • Dental CAD/CAM design for crown and bridge fabricationnot Open Dental
  • Virtual reality training for dental students and residentsnot Open Dental
  • Patient smile design and treatment visualizationnot Open Dental

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Open Dental

  • US support is $199 per month per location on an initial 12 month contract, dropping to $149 per month only after that year
  • The monthly fee covers up to 3 providers per location; each additional provider is $20 per month
  • Fees are charged per location, so a multi site practice pays for every office
  • eServices are charged separately per location, including eClipboard at $45 a month, ODMobile at $35 a month and eConfirmations at $25 a month
  • Electronic prescribing through DoseSpot costs $57 per month per prescribing provider
  • Conversion and implementation fees are not published and require consultation

Planmeca Romexis

  • Vendor does not publish pricing on website; request-based or quote-driven sales model not clarified

Pricing, plan by plan

Open Dental

$169/month
  • Standard$169/month
    • Full software access
    • Unlimited workstations
    • Technical support
  • Cloud$249/month
    • Everything in Standard
    • Cloud hosting
    • Automatic backups

Planmeca Romexis

$2999/one-time
  • Romexis ViewerFree
    • Image viewing
    • Basic measurements
    • DICOM support
  • Romexis Standard$2999/one-time
    • Full imaging suite
    • 2D/3D viewing
    • Treatment planning
  • Romexis Enterprise$5999/one-time
    • Everything in Standard
    • CAD/CAM integration
    • Implant planning

Which should you pick?

Choose Open Dental if

  • You need patient scheduling.
  • You work on Windows, Web, Api.
  • You also want clinical charting.
Open Dental review

Choose Planmeca Romexis if

  • You need 2d/3d image management.
  • You work on Windows, Macos.
  • You also want cbct viewing.
Planmeca Romexis review

Questions people ask

Is Open Dental or Planmeca Romexis better?
Neither clearly leads. Open Dental starts at $169/month and Planmeca Romexis at $2999/one-time, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Open Dental or Planmeca Romexis?
Open Dental starts at $169/month and Planmeca Romexis at $2999/one-time.
Does Open Dental or Planmeca Romexis run on more platforms?
Open Dental runs on Windows, Web, Api. Planmeca Romexis runs on Windows, Macos.
What is Open Dental best used for?
Open Dental is most often used for practice management, charting and scheduling for dental offices, dental insurance claims, billing and treatment planning, running an open source dental system with direct database access. Of those, practice management, charting and scheduling for dental offices and dental insurance claims, billing and treatment planning are not what Planmeca Romexis is typically brought in for.
What can Open Dental do that Planmeca Romexis cannot?
Open Dental covers Patient scheduling, Clinical charting, Insurance claim processing, Treatment planning. Planmeca Romexis covers 2D/3D image management, CBCT viewing, Implant planning, CAD/CAM integration. Both handle HIPAA Compliant, Data Encryption, On-premise deployment.

Answered from the vendors’ own pages

Open Dental: How much does Open Dental cost?

Open Dental costs $199/month per location or office with a 12-month contract minimum. After the initial 12-month term, pricing continues on a month-to-month basis at a reduced rate.

Source
Planmeca Romexis: How much does Planmeca Romexis cost?

Planmeca does not publish pricing for Romexis on its website. The vendor sells imaging software and hardware through distributor partnerships.

Source
Open Dental: What does the $199/month fee include?

The monthly fee includes software access, full telephone support, all software releases, imaging and video capture, patient portal and web forms, and automated reminder features for up to 3 dentists per location.

Source
Planmeca Romexis: Does Planmeca offer cloud hosting for Romexis?

Planmeca lists cloud hosting service as a supporting application for Romexis, but costs and service tiers are not detailed on the vendor site.

Source
Open Dental: Does Open Dental offer a money-back guarantee?

Open Dental includes a 90-day money-back guarantee on subscription fees.

Source
Planmeca Romexis: What licensing model does Romexis use?

Planmeca does not disclose licensing costs, per-seat pricing, or subscription options for Romexis on its website.

Source
Open Dental: What additional costs are there?

Data conversions from other dental software systems incur additional fees. Customized training with an Open Dental trainer is also available at extra cost.

Source
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