ButterNote - 2026 Pricing, Features, Reviews & Alternatives

ButterNote is a dental clinical documentation tool designed for private practice dentists and DSOs across all dental specialties, including general dentistry, endodontics, periodontics, oral surgery, prosthodontics, and pediatric dentistry. Available as an iOS app (iPhone and Apple Watch) and a web dashboard at butternote.com, it requires no installation for web access and no integration with existing EHR or practice management software. Clinicians can build notes from procedure-specific templates or activate an ambient AI dental scribe that records chairside conversations and auto-generates structured clinical notes in SOAP, DAP, or custom formats.

The platform combines on-device speech recognition optimized for dental terminology, including procedure names, tooth numbers, materials, and clinical descriptions, with AI-driven transcript analysis that produces specialty-specific notes covering the full range of dental procedures. Free procedure-specific templates are available for composites, crowns, extractions, root canal therapy, scaling and root planing, nitrous oxide administration, and more. All audio processing and full transcripts remain on-device for HIPAA compliance; only de-identified notes are synced to the cloud, making notes accessible from any browser via the web dashboard. One-click copy to clipboard transfers finalized notes into any EHR without a dedicated integration.

For DSOs and multi-provider practices, the web dashboard supports note search and filtering by date, patient, or content, giving clinical teams a centralized access point without workflow disruption. The solution requires no training, demo call, or contracts, and is available to start at no cost without a credit card. Providers report savings of up to 1.5 hours of charting time per day, positioning ButterNote as a cost-effective alternative to human dental scribes across practices of any size.