The dental software landscape is undergoing a fundamental architectural shift. Cloud-based platforms like Curve Dental, tab32, and Dentrix Ascend compete with traditional server-based solutions. Understanding the trade-offs helps practices choose infrastructure that supports long-term goals.

Cloud-Based Advantages

Cloud platforms eliminate local server maintenance, automatic updates reduce IT burden, and anywhere access supports remote work and multi-location operations. Subscription pricing converts capital expenditure to predictable monthly costs.

For startups and practices embracing flexible work arrangements, cloud solutions remove significant infrastructure complexity. Vendors handle security updates, disaster recovery, and scalability.

Server-Based Advantages

Server-based systems offer complete data control, function during internet outages, and may provide lower long-term costs for stable, single-location practices. Legacy integrations sometimes work better with local installations.

Practices in areas with unreliable internet connectivity often prefer server-based reliability. Large databases with extensive imaging archives may also perform better locally.

Security Considerations

Both models can achieve HIPAA compliance with proper implementation. Cloud providers typically offer more sophisticated security infrastructure than individual practices can maintain. However, server-based systems keep data physically within practice control.

Evaluate specific vendor security certifications, data encryption practices, and business associate agreements regardless of deployment model.

Migration Path

Many practices are adopting hybrid approaches—maintaining local servers for performance-critical imaging while moving practice management and scheduling to cloud platforms. This graduated transition reduces migration risk while capturing cloud benefits. Plan data migration carefully; historical patient records and imaging archives require verified transfer processes.