ExACT Medical & Oral

ExACT Medical & Oral is a dental electronic patient-record and practice-management system for clinics that want clinical charting and administration in one Windows deployment. It is best suited to practices prepared to maintain a local server-and-workstation environment and license the software per dentist. Its integrated odontogram and operational workflow are compelling, but the platform and infrastructure requirements make it a poor fit for device-diverse or cloud-first teams.

Overview

ExACT brings accounting, scheduling, charting and clinical notes into a single practice system. Its built-in administration modules keep operational work alongside patient records, while the clinical record uses an odontogram to capture dental status, plaque score and periodontal health. That combination is useful when clinicians and administrators need one shared patient and practice workflow rather than separate applications.

The product is on-premises and uses a server-and-workstation arrangement. Every computer running ExACT needs current Windows updates, so the practice remains responsible for maintaining its local environment. Installation and training are performed remotely by the vendor's technical and support teams. Telephone and WhatsApp assistance is offered through five support numbers. Executive Connections International (Pty) Ltd. is identified as the maker, based in Durbanville, Cape Town, and the vendor says practices and client institutions in several African countries use the system.

Key features

Clinical charting

The odontogram provides a structured way to record dental status, plaque scores and periodontal health. Practices that want these measures embedded in the electronic patient record get a more purpose-built clinical workflow than a generic notes tool would provide.

Practice administration and calendars

Accounting, scheduling, charting and clinical notes are connected in one system, with provider calendars and appointment reminders included. This favors practices seeking a unified daily workflow, although the value depends on accepting the local Windows deployment.

Imaging, messaging and calls

ExACT integrates with third-party digital imaging and digital messaging modules, extending the core system without making those functions native to it. Its auto-dialer can connect a phone headset to a PC and work with a practice switchboard, a practical option for offices that handle patient calls from the workstation.

Deployment and support

On-premises installation gives the practice a locally hosted setup, but it also means keeping the server and every workstation current. Remote installation and training reduce the need for an on-site visit, while telephone and WhatsApp support provide direct assistance.

Pricing

ExACT uses a freemium, per-dentist licensing structure in South African rand. The free Locum plan costs free and uses the same database. It is the logical choice for a locum arrangement, but it is not presented as the primary dentist license.

The Main License costs 579 ZAR a month, billed monthly per dentist, for one dentist and one database. That is the baseline paid option for a single-dentist practice. The Sub License is 479 ZAR a month, billed monthly, for the second dentist and can use a shared or separate database. The 2nd Sub License costs 385 ZAR a month, billed monthly, for the third dentist, also with a shared or separate database.

The lower-priced sub-licenses are tied to additional dentist positions rather than standalone primary use, so practices should map their staffing and database arrangement before choosing them. The free locum tier and paid licenses make the product easier to start than an all-paid system, but multi-dentist costs accumulate monthly and the deployment still requires Windows infrastructure.

Platforms

ExACT supports Windows and is deployed on-premises. The server-and-workstation model, plus the requirement for current Windows updates on each computer, suits practices with controlled local IT. It does not suit teams looking for a browser-first or broad mobile-platform deployment.

Who it's for

Choose ExACT when a dental practice wants odontogram-based records, provider calendars, reminders and administration tied to accounting and clinical notes, and has the capacity to maintain a Windows server-and-workstation setup. The locum tier also gives practices a no-cost way to accommodate that working arrangement.

Look elsewhere if clinicians need to work across Android, iOS, macOS or the web, or if the practice does not want responsibility for local infrastructure and Windows maintenance. Per-dentist monthly licensing also deserves scrutiny as the team grows.

Pros and cons

Pros

• Purpose-built odontogram: records dental status, plaque score and periodontal health in the patient record.
• Unified practice workflow: connects accounting, scheduling, charting and clinical notes.
• Useful communications: appointment reminders, third-party messaging integrations and a switchboard-aware auto-dialer support front-desk work.
• Free locum option: the Locum plan costs nothing and uses the same database.

Cons

• Windows-only, on-premises deployment: practices must maintain a local server-and-workstation environment and current updates.
• Per-dentist monthly pricing: the main and sub-license charges increase as more dentists require access.
• Remote implementation: installation and training require vendor staff to connect remotely to the practice computer.

Alternatives

For a wider comparison of scheduling tools, see Dental Appointment Scheduling Software.

• Open Dental is the stronger choice when a practice needs Android, iOS, Linux, macOS, web or self-hosted access, along with a free trial.
• Oryx Dental suits practices preferring Android, iOS, macOS, web and Windows support and a paid cloud-oriented offering.
• Apexo is worth choosing for a free, open-source dental PMS under GNU GPLv3, provided the practice can host a PocketBase server.
• Dentella fits clinics wanting Android, iOS and web access with a free one-chair tier and paid AI check-in options.
• Denteasy is an alternative for practices seeking Android, iOS and web access with a free first three months and a trial.
• DentinCloud is better for a web-based start with a free tier capped at two users, 250 patients and 500 MB of storage.
• ABELDent is another Windows dental system with a freemium plan and optional chargeable services.
• Curve Dental is an option for practices wanting Android, iOS, macOS, web and Windows support with specially priced implementation and licensing.

Verdict

ExACT is a sensible choice for a Windows-based dental practice that values odontogram charting and a single application for clinical and administrative work. Choose it for that integrated local workflow and the free locum tier; look elsewhere if cross-platform access, cloud deployment or simpler scaling matters more than on-premises control.