

Back in 2014, I wrote a post called The Dentist Office Software Story that outlined the lack of defensibility in enterprise software. Many people have told me how much they appreciated it when I wrote it.
But we now need an additional "chapter" in the story. An over-the-air update, if you will.
So here it is, with the new chapter in italics:
An entrepreneur, tired of the long waits he is experiencing in his dentist’s office, decides that dentist offices are badly managed. So he designs and builds a comprehensive dentist office management system and brings it to market. The software is expensive, at $25,000 per year per dentist office, but it’s a hit anyway as dentists realize significant cost savings after deploying the system. The company, Dentasoft, grows quickly into a $100mm annual revenue business, goes public, and trades up to a billion dollar valuation.
Two young entrepreneurs graduate from college, and go to YC. They pitch PG on a low cost version of Dentasoft, which will be built on a modern software stock and include mobile apps for the dentist to remotely manage their office from the golf course. PG likes the idea and they are accepted into YC. Their company, Dent.io, gets their product in market quickly and prices it at $5,000 per year per office. Dentists like this new entrant and start switching over in droves. Dentasoft misses its quarter, citing competitive pressures, churn, and declining revenues. Dentasoft stock crashes. Meanwhile, Dent.io does a growth round from Sequoia and hires a CEO out of Workday.
Around this time, an open source community crops up to build an open source version of dental office software. This open source project is called DentOps. The project takes on real life as its leader, a former dentist turned socialist blogger and software developer named NitrousOxide, has a real agenda to disrupt the entire dental industry. A hosted version of DentOps called DentHub is launched and becomes very popular with forward thinking dentist offices that don’t want to be hostage to companies like Dentasoft and
Back in 2014, I wrote a post called The Dentist Office Software Story that outlined the lack of defensibility in enterprise software. Many people have told me how much they appreciated it when I wrote it.
But we now need an additional "chapter" in the story. An over-the-air update, if you will.
So here it is, with the new chapter in italics:
An entrepreneur, tired of the long waits he is experiencing in his dentist’s office, decides that dentist offices are badly managed. So he designs and builds a comprehensive dentist office management system and brings it to market. The software is expensive, at $25,000 per year per dentist office, but it’s a hit anyway as dentists realize significant cost savings after deploying the system. The company, Dentasoft, grows quickly into a $100mm annual revenue business, goes public, and trades up to a billion dollar valuation.
Two young entrepreneurs graduate from college, and go to YC. They pitch PG on a low cost version of Dentasoft, which will be built on a modern software stock and include mobile apps for the dentist to remotely manage their office from the golf course. PG likes the idea and they are accepted into YC. Their company, Dent.io, gets their product in market quickly and prices it at $5,000 per year per office. Dentists like this new entrant and start switching over in droves. Dentasoft misses its quarter, citing competitive pressures, churn, and declining revenues. Dentasoft stock crashes. Meanwhile, Dent.io does a growth round from Sequoia and hires a CEO out of Workday.
Around this time, an open source community crops up to build an open source version of dental office software. This open source project is called DentOps. The project takes on real life as its leader, a former dentist turned socialist blogger and software developer named NitrousOxide, has a real agenda to disrupt the entire dental industry. A hosted version of DentOps called DentHub is launched and becomes very popular with forward thinking dentist offices that don’t want to be hostage to companies like Dentasoft and
Dentasoft is forced to file for bankruptcy protection while they restructure their $100mm debt round they took a year after going public. Dent.io’s board fires its CEO and begs the founders to come back and take control of the struggling company. NitrousOxide is featured on the cover of Wired as the man who disrupted the dental industry.
A decade later, a Dentist, tired of waiting for the latest update from the DentOps community, decides to vibecode her own custom dental office software product using Claude Code. Even though she has never written a line of code in her life, she keeps prompting, deploying, and modifying the software to meet the unique needs of her office that DentOps never could. She rips out DentOps and deploys her own software suite that she calls Dentsure. Her team loves using her software, and so do her patients.
Dentasoft is forced to file for bankruptcy protection while they restructure their $100mm debt round they took a year after going public. Dent.io’s board fires its CEO and begs the founders to come back and take control of the struggling company. NitrousOxide is featured on the cover of Wired as the man who disrupted the dental industry.
A decade later, a Dentist, tired of waiting for the latest update from the DentOps community, decides to vibecode her own custom dental office software product using Claude Code. Even though she has never written a line of code in her life, she keeps prompting, deploying, and modifying the software to meet the unique needs of her office that DentOps never could. She rips out DentOps and deploys her own software suite that she calls Dentsure. Her team loves using her software, and so do her patients.
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Hi Casters. A decade ago I wrote a post called The Dentist Office Software Story that outlined the lack of defensibility in enterprise software. I decided that it is time to update it and so I wrote a new chapter this morning. Here it is, with the new chapter in italics. https://avc.xyz/an-updated-dentist-office-software-story