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Kokuai is a real patient-communication software, and it works well for clinics with someone on the team willing to configure and operate it every week. If you're searching for a "Kokuai alternative", it's probably not because the product is bad — it's because nobody at your clinic has those spare hours. That's the question that actually matters before you sign anything: who is going to operate it, you or the provider?
An autonomous system generates dozens of reactivation, recall, and booking conversations every week. If nobody turns them into a number, that activity stays invisible. The four KPIs worth checking every month are: dormant database coverage, contact-to-booking conversion, off-hours bookings, and contact data quality. Each one is calculated with your own clinic's arithmetic, not external promises.
Many first visits are lost outside clinic hours: someone decides to book at ten at night, can't, and by the next day has already called another clinic. 24/7 online booking closes that door. At Keishal it works in two stages: the patient asks questions and resolves doubts over WhatsApp at any hour, and when they want to book, they get a link to a calendar where they pick their own slot. The confirmed appointment lands in your agenda, without anyone on your team having to be available at that hour.
73% of patients check Google reviews before choosing a dentist, but most clinics don't get reviews consistently because it depends on someone remembering to ask in person. The fix: automate the request over WhatsApp a few hours after each visit, when patient satisfaction is at its highest, with no one on the team having to manage it.
Reactivating inactive patients isn't sending a mass "we miss you" message. It's a seven-step process: segment the list (a 12-month patient isn't the same as a 36-month one), filter out who you shouldn't contact, write a message that recognises the person, pick the right channel and moment, make booking immediate, follow up without nagging, and measure what happens. Done by hand for a database of a thousand dormant patients, that's around a hundred hours of work. Which is why most clinics try it once, it goes badly, and they never try again.
WhatsApp is today the most effective patient communication channel in Spain, with open rates above 95%. It lets you manage reminders, reactivation, bookings, recall, post-treatment follow-up, and much more from the channel the patient already uses every day. That said, communicating with patients — over WhatsApp or any other channel — means handling sensitive personal data, and that carries data protection responsibilities. Doing it with a solid compliance framework isn't just an obligation: done well, it's a signal of trust the patient perceives.
At minimum, a dental clinic needs a PMS covering scheduling, clinical records and billing. Two generations coexist in the Spanish market: the veterans (Gesden) and the cloud wave (Nubimed, Dentalink, Clinic Cloud, Klinikare). There's no such thing as "the best dental software" — only the one that best fits each clinic's size, specialisation and way of working. Here we compare the main PMS with their strengths and weaknesses. A transparency note: at Keishal we don't sell any practice management software — we integrate with all of them. That's what lets us be neutral.
Most patients who stop coming to a dental clinic don't leave angry, and they don't switch to a competitor: they simply disconnect. Life gets in the way, the check-up gets postponed "until next month", and with no one reminding them to come back, that month never arrives. In Spain, only half the population visits the dentist each year — one of the lowest rates in Europe. The five real reasons: the inertia of daily life, perceived cost, dental anxiety, a bad experience they never told you about, and the absence of a system that reminds them to return. The good news: most of these causes can be addressed.
AI for dentists covers two distinct areas: clinical AI (radiography, diagnostics, treatment planning) and administrative AI (patient reactivation, booking management, insurance, reminders, reviews, and forecasting). The first area is where most investment has gone so far. Administrative AI, by contrast, remains less explored, and that's where the impact on revenue and team workload is most immediate. There are three ways to adopt it: simple chatbots, AI software the clinic operates, or autonomous systems that operate on the clinic's behalf.
Dental recall is the system through which a clinic periodically contacts its patients so they come back for check-ups, maintenance, or pending treatment. The industry standard is to contact each patient at least once a year; clinics that optimise go to two annual contacts. Most clinics don't run recall consistently — not for lack of intent, but because the team has no time. There are three ways to solve it: manual reminders with templates, recall software, or an autonomous system that operates on the clinic's behalf.
