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September 17, 2025

Questions Every Surgeon Should Ask About Their Oral Surgery EHR

Written by: Isaac Shapot, Marketing Director, DSN

Choosing the right oral surgery ehr can make the difference between a practice that runs smoothly and one that constantly fights inefficiency. An EHR (electronic health record) system isn’t just a digital filing cabinet—it’s the backbone of how patient care, documentation, and practice operations fit together. For oral and maxillofacial surgeons, the stakes are even higher because of the complexity of surgical workflows, imaging requirements, and dental-medical billing.

But here’s the challenge: not all EHRs are created equal. Generic systems often fail to account for the unique needs of surgical practices. That’s why surgeons and administrators should be asking the right questions before committing to—or continuing with—an oral surgery ehr.


Does the EHR Fit Oral Surgery Workflows?

Many EHR platforms are designed with general dentistry or medical practices in mind. That means they may lack templates and workflows that oral surgeons depend on every day. Surgeons should ask:

  • Are there procedure-specific templates for extractions, implants, and grafts?

  • Can pre-op and post-op instructions be automated?

  • Does the system support quick, structured note-taking without extra clicks?

An oral surgery ehr should make the surgical day easier, not more complicated. If it feels like you’re constantly customizing or working around limitations, it may not be built for your specialty.


How Well Does It Handle Imaging?

Imaging is central to oral surgery, and it’s often the first place a generic EHR falls short. A good oral surgery ehr should:

  • Integrate CBCT scans and panoramic x-rays directly into the patient record.

  • Make images accessible across locations without complicated file transfers.

  • Allow seamless sharing with referring dentists.

When imaging is siloed from the EHR, staff waste time managing files, and providers risk incomplete records. Integration is essential for efficiency and patient care.


Does It Support Dental and Medical Billing?

Revenue cycle management is one of the biggest stress points in oral surgery. Claims often involve both dental and medical coding, and errors can lead to costly delays. Surgeons should ask:

  • Does the EHR support cross-coding for dental and medical claims?

  • Can it flag potential coding errors before submission?

  • How much does it reduce claim rejections and resubmissions?

An oral surgery ehr with strong billing features doesn’t just speed reimbursement—it helps keep cash flow steady during busy and unpredictable schedules.


What About Referral Tracking?

Referrals drive new cases, but without proper tracking, it’s hard to know which relationships are most valuable. The right oral surgery ehr should provide:

  • Clear visibility into referral sources and patient flow.

  • Tools for sending updates and imaging back to referring dentists.

  • Analytics on which partners generate the most revenue.

For startups or expanding practices, referral management isn’t just nice to have—it’s mission-critical.


Is the System Scalable?

Many surgeons start with an EHR that works fine for a single office but quickly discover its limits as they grow. Ask vendors:

  • Can the software handle multiple providers and locations?

  • Does it scale easily without complicated IT setups?

  • Will reporting remain accurate as patient volume increases?

The best oral surgery ehr grows with the practice, eliminating the need for disruptive switches later on.


How Reliable and Secure Is It?

Data security and uptime are non-negotiable. With sensitive patient information on the line, practices must be confident their system is safe and accessible. Key questions include:

  • How is data encrypted and stored?

  • What backup and redundancy protections are in place?

  • What guarantees exist around uptime and accessibility?

Many practices now prefer cloud-based oral surgery ehr systems because they provide centralized, secure access without the cost of managing servers.


What Training and Support Are Provided?

Even the best system will fail if staff don’t know how to use it. For oral surgery practices, where new hires and complex workflows are common, strong support matters. Ask:

  • Does the vendor provide on-site training?

  • Is support U.S.-based with extended availability?

  • Are there resources that allow staff to troubleshoot quickly without long delays?

The strength of the support team is just as important as the strength of the software itself.


Does It Improve Patient Experience?

Efficiency isn’t only about staff workflows—it’s also about how patients interact with the practice. An oral surgery ehr should support:

  • Patient portals where forms can be signed and balances paid.

  • Easy access to pre-op and post-op instructions.

  • Fewer phone calls through automated reminders and updates.

When patients feel the process is smooth and modern, they’re more likely to comply with treatment, return for follow-ups, and recommend the practice to others.


What’s on the Roadmap?

Technology doesn’t stand still, and practices should think about where their EHR is headed. Many vendors are now testing AI tools that could further improve efficiency, such as voice-to-notes documentation, AI phone agents, and imaging assistance.

While these features are still in development, choosing an oral surgery ehr from a vendor that invests in innovation ensures the system won’t become outdated in just a few years.


Conclusion

Your EHR isn’t just a back-office tool—it’s the foundation of how your practice runs. The right oral surgery ehr supports specialty workflows, integrates imaging, streamlines billing, and strengthens referral management. It scales with your practice, protects your data, and helps create a smoother patient experience.

Asking the right questions up front can save surgeons and administrators years of frustration. Instead of settling for a system that barely fits, choose one that actively supports the way oral and maxillofacial surgery practices work.

If you’re ready to explore what’s possible, you can book a demo with DSN to see how specialty EHR solutions can support your practice from day one.

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