Dental practice management for clinics in Oman

The odontogram records per tooth and per surface in FDI notation, permanent 11 to 48 and deciduous 51 to 85, across eleven conditions including caries, filled, crown, bridge, root canal, implant, missing, extraction needed and fractured. The teeth are drawn rather than laid out as a grid of numbered boxes, and the whole chart renders right to left without falling over. Periodontal exams hold the six BPE sextant scores with furcation flags, and where a sextant scores three or more you get six site probing depths and bleeding per tooth. A clinical note is a draft until it is signed. Signing locks it permanently, and the only door after that is a dated addendum, because there is no delete for a clinical record anywhere in the schema. Health notes are stricter again: an allergy is struck through rather than quietly reworded, so the record shows what was believed at the time as well as what is believed now.

There is an insurer directory, a policy per patient, pre-authorisation held with its own validity, and fee schedules that belong either to a payer or to self pay. Schedules are dated and old versions are never edited, so a quote given in January can still be explained in November; the resolver takes the newest active schedule on or before today, payer first and self pay as the fallback. A rejected claim is never edited into a resubmission. The resubmission is a new claim linked to the dead one, and the insurer's resubmission window drives a worklist of rejections still inside it, which is the list most clinics keep in one person's head until that person takes leave. Now the line. Claims are prepared, tracked, reconciled and remitted inside Nizro, and nothing is transmitted to an insurer. There is no Dhamani adapter, and Nizro holds no health authority approval in any Gulf country.

Oman exempts dental treatment, so all ten seeded dental categories compute at zero VAT and each line records why, which is what a VAT return will want later. Whitening is flagged as cosmetic and taxable by default. Where a whitening is clinically necessary for a particular patient, a clinician returns that one line to exempt by writing between 3 and 300 characters saying why, and the note stays attached to the line rather than to a memory. On the printed invoice an exempt line carries a dagger, the exempt supplies subtotal appears separately, and a footer names the ground. There is a consequence most clinics meet in their first quarter, and Nizro handles it without being asked: a practice making exempt supplies cannot recover input VAT, so a branch that becomes a dental clinic starts with input VAT set as non recoverable and a supplier invoice goes into cost rather than into a recoverable account you would never be able to reclaim from.

The autoclave log is append only and carries the machine, the cycle number, the result and the spore test, and a visit names the load it used, so proving that a particular instrument set was sterile is one query rather than an afternoon with a folder. The implant registry captures maker, REF, LOT, serial and expiry against the patient and the tooth at placement, and the lot number is indexed, so a manufacturer recall answers which patients rather than which box. Radiographs are tagged by modality and by the teeth they show, so every image of tooth 26 in date order is a real query, and two films of the same tooth open side by side with independent zoom and invert. Both panes are pinned to one patient deliberately, because comparing across two patients is how a wrong patient incident begins. Every film is stamped when it is taken with the earliest date it may be disposed of, taken from the clinic's own retention policy and defaulting to 25 years. Shortening that policy later never moves a film already on record.

The day sheet ties the day off in three numbers: production per practitioner, collections per tender method, and the day's lab cost. The practitioner column is hidden from the front desk by visibility policy, because a receptionist should not be able to read a colleague's production by name. A chair is an appointment resource set to strict, so the database refuses an overlapping live booking on it, while people stay on warn, because clinics deliberately overbook staff and never deliberately overbook a room. Intake forms go to the patient as a link they open on their phone, behind a check on the last four digits of the number you hold, and the answers freeze on submit before a nurse reviews them into the chart's allergy alerts. An invoice line can carry the tooth, the surfaces and the performing practitioner, which is the small thing that makes production per dentist and the associate compensation report possible at all.

CBCT is a valid label on an image, but the upload path takes JPEG, PNG and WebP up to 4MB, which covers intraoral and panoramic photography and does not cover volume data. There is no DICOM support, so scans stay with the scanner's own software. There is no electronic prescribing. Orthodontic revenue is not recognised stage by stage; ortho and implant advances sit as a liability until the work is done. Claims do not leave the building electronically. And a patient record cannot be deleted by the clinic, which is a decision rather than an oversight. Underneath all of it are real double-entry books, posted from every sale and refund, and the accounts, payroll and Omanisation reporting behind the clinic sit on the accounts and payroll page. Twelve written guides cover the clinic in Arabic and English, more than any other trade in the product has, and they appear only against the screens a clinic actually holds. The whole thing runs for 60 days free, with no card and no demonstration to sit through.