The Operating System for Preventive Dentistry
PREVENTION · PREDICTION · PROTECTION
P2I™ transforms your morning huddle from a financial checklist into a clinical intelligence briefing — powered by CAMBRA evidence and Open Dental integration.
See How It WorksThe Problem
Every dental practice holds a morning huddle. It's the most important 15 minutes of the day. But every huddle tool on the market asks the same question:
"How do we produce more revenue today?"
Not one asks the question that actually matters:
"How do we take better care of our patients today?"
CAMBRA has been the evidence standard for 20+ years, yet fewer than 30% of general practices perform systematic caries risk assessments on every patient.
Over 500 commonly prescribed medications cause xerostomia. Most dental software doesn't screen for drug-induced dry mouth at the chairside.
Only 27% of rural Texas communities have fluoridated water, compared to 73% of urban areas. Rural patients carry significantly higher caries burden.
Existing morning huddle software focuses exclusively on production goals and financial KPIs. None deliver clinical decision support at the point of care.
The Platform
A 6-page Clinical Intelligence Report generated automatically from your Open Dental data every morning. Evidence-based. HIPAA-compliant. Clinician-ready.
P2I™ connects to your Open Dental database via MySQL, pulls every scheduled patient's clinical data overnight, runs CAMBRA risk assessments, screens medications against 49 known xerostomic drugs, checks fluoride exposure status, and delivers a complete clinical intelligence briefing before your first patient arrives.
Every patient is assessed using the CAMBRA protocol (Featherstone & Chaffee 2018) with ADA/AAPD alignment. Disease indicators, risk factors, and protective factors are weighted into a composite score that drives clinical recommendations.
P2I™ screens every patient's active medications against a comprehensive database of 49 xerostomic drugs across 10 drug classes — built from the Wolff et al. 2017 JADA systematic review.
Community water fluoridation status is checked against patient ZIP codes. Combined with risk level, the system generates appropriate fluoride recommendations — with age-gating per FDA October 2025 guidance.
Beyond individual patient intelligence, P2I™ aggregates risk data across your entire scheduled population to reveal practice-wide trends and opportunities.
Individual "Dental Fitness Report Cards" for each patient — printable summaries showing risk level, key clinical indicators, and priority interventions for the hygienist and doctor to review chairside.
Dashboard Preview
Real patient intelligence — not just a schedule. Every card below is generated automatically from Open Dental data overnight.
Evidence Base
Every recommendation in P2I™ traces to published, peer-reviewed evidence. No guessing. No fabrication.
The foundational evidence-based protocol for individualized caries risk assessment and management in clinical practice.
Systematic review of 500+ medications causing xerostomia — the scientific basis for P2I™'s 49-drug screening database.
National data on fluoridation coverage disparities between urban and rural communities — the evidence behind P2I™'s ZIP-code lookup.
Evidence that clinical decision support systems improve adherence to evidence-based protocols and reduce practice variation.
Clinical practice guideline establishing risk-stratified fluoride protocols — the framework P2I™ uses for intervention recommendations.
Evidence documenting elevated caries burden and access barriers in rural communities — the market reality P2I™ addresses.
Integration
Four steps from Open Dental data to clinical intelligence at the chairside.
P2I™ connects to your Open Dental MySQL database via secure, read-only access. No cloud. No third-party servers. Your data stays on-premises.
Overnight, the CAMBRA engine assesses every patient on tomorrow's schedule — medications, ICD-10 codes, procedure history, fluoride exposure, plaque records.
A 6-page Clinical Intelligence Report is generated with risk stratification, medication alerts, intervention protocols, and patient report cards.
The report is delivered via email, PDF, or the P2I™ web dashboard before your first patient arrives. Your team is prepared before the huddle begins.
Technical Specifications
Open Dental MySQL Integration · HIPAA-Compliant On-Premises Deployment · Docker Containerized
FastAPI + PostgreSQL + Celery · Fernet Encryption at Rest · RBAC Multi-Tenant Architecture
FDA CDS Guidance Compliant (January 2026) · ADA/AAPD Protocol Aligned
Get Started
See P2I™ running against real Open Dental data. Schedule a 30-minute walkthrough with Dr. Donald.