Kiroku Review 2026: Features, Pricing & Limitations

Kiroku is a UK dental notes software platform that combines structured clinical templates with AI-assisted voice note generation. Founded in 2017 (per trykiroku.com), it has become one of the most widely recognised dental documentation tools in the UK market, used by general dental practitioners, specialists, hygienists, and therapists. This review covers what Kiroku does well, where it falls short, how it is priced, and which clinicians it suits best — including a fair comparison with alternatives.

This is not a sponsored review. It is written by the team at Nosht — a competing product — which means we have a commercial interest in being honest about where Kiroku is genuinely strong, because overclaiming would undermine our credibility. Tested on Kiroku Essential by the founder, a GDC-registered dental therapist: first-hand use over two years and more than 2,500 notes. Pro-only features are described from Kiroku's public website and documentation (trykiroku.com, checked 1 October 2026). Where our analysis is based on public information rather than direct experience, we say so.

What is Kiroku?

Kiroku is a browser-based dental note-taking application. It is not a practice management system — it does not handle appointments, billing, or patient records directly. Its purpose is to help clinicians write better clinical notes faster, then transfer those notes into their existing practice management software (PMS).

The product sits at the intersection of two documentation approaches: structured template-based notes (where you click through pre-defined options) and AI voice notes (where you speak and the AI transcribes and formats the output). Kiroku offers both. Which approach a clinician uses depends on their preference — voice and click input are both on the Essential plan (trykiroku.com/pricing, checked September 2026).

Kiroku is aimed primarily at UK dental professionals. Its templates reflect UK clinical standards — GDC record-keeping requirements, FGDP(UK) guidelines, BSP BPE scoring, BSP periodontal classification, and SDCEP drug prescribing guidelines. This UK focus is a genuine strength compared with US-developed dental software that requires significant localisation.

Key features

80+ Pre-made clinical templates

Kiroku's most substantial feature is its template library: 80+ pre-made templates, with 70+ more instantly available (per trykiroku.com, checked 1 October 2026). These cover every common dental procedure category:

• Examinations and assessments (basic exam, new patient, recall, emergency, specialist)
• Restorative (fillings, crowns, bridges, veneers, indirect restorations)
• Endodontics (root canal treatment across first visit, second visit, and single visit)
• Oral surgery (extractions, surgical extractions, wisdom tooth removal)
• Periodontics (BPE, full perio assessment, debridement, GBT, hygienist workflows)
• Orthodontics (NHS ortho with IOTN, Invisalign assessment, fixed appliance reviews)
• Paediatric dentistry (Hall crowns, fissure sealants, fluoride varnish)
• Trauma (IADT-aligned templates for primary and permanent dentition)
• Prosthodontics (denture stages, implant consultation, implant placement)
• Prescriptions (SDCEP drug prescribing with age-specific dosing)
• TMJ assessment, facial aesthetics, sedation, CBCT reporting

Several specialist templates — implant consultation (19 sections, including SAC complexity grading), endodontic consultation and restorative assessment — go well beyond a basic checklist, which gives specialists a reason to trust the template structure.

Template quality is generally high. The basic examination template, for instance, is well constructed — it covers presenting complaint, medical and social history, extra-oral and intra-oral findings, dental charting with BPE, radiograph documentation, diagnosis, treatment options, treatment planning, and a risk-stratified recall. That is a clinically complete examination note.

LINK conditional logic system

Kiroku's LINK system is a conditional logic engine built into templates. Lines marked with a green indicator are "linked" — they only appear when a specific option is selected elsewhere in the template. This keeps templates clean by hiding irrelevant fields until they are needed.

A simple example: selecting "Pain" as the presenting complaint reveals a "Site of pain" field. A more complex example: the prescription template uses three levels of nested links — selecting "Bacterial infection" reveals sub-conditions, selecting "Dental abscess" reveals justification fields and an age dropdown with 14 age brackets, and selecting an age bracket reveals the SDCEP-recommended first and second line antibiotics with specific doses.

This conditional logic is genuinely useful for keeping complex templates manageable. The prescription template would be unusable without it. However, as discussed below, it also adds significant complexity when creating or editing custom templates.

AI voice note generation

On both plans, including Essential, Kiroku includes optional AI voice note generation (Co-Pilot; per trykiroku.com/pricing, checked September 2026). Audio is core-but-optional — many clinicians click through templates without a microphone at all. When used, clinicians record audio during or after an appointment, and the AI transcribes and formats the speech into structured clinical notes. The interface shows a microphone button, a recording timer, and a waveform display. There is also a post-appointment dictation mode for summarising a session from memory.

The AI voice note feature is genuinely useful for clinicians who prefer speaking to clicking. For high-volume, straightforward appointments, recording a brief verbal summary is often faster than clicking through template fields. The output, however, requires review before saving — AI interpretation of clinical terminology is not error-free, and a note that contains an AI misinterpretation is potentially worse than a brief but accurate manual note.

AI Editor

Kiroku includes an AI editor accessible from the note editor interface. It offers quick commands such as "Add more detail to discussion", "Summarise notes", "List points of concern", "Write a referral letter to the referring clinician", and "Write a letter to the patient summarising treatment". There is also a free-text prompt for custom instructions.

For letter writing and referral generation, this is useful — taking a completed note and generating a patient letter or referral is genuinely time-saving. The quality of the output depends on the completeness of the underlying note.

Document generation

From Kiroku's public materials (we have not used Pro): the Pro plan adds Kiroku Docs, which generates patient-facing documents from completed notes and sends digital consents with e-signatures. This includes consent forms (periodontal, restorative, extractions, orthodontics, whitening, replacement of missing teeth), patient letters (general exam summary, treatment plan, treatment options, implant exam, Invisalign assessment), and referral letters to specialists.

Document generation is a genuine time-saver for referral-heavy practices or those with high implant and orthodontic caseloads. It is also one area where Kiroku's higher price point is partially justified — generating structured referral letters from clinical note data is a meaningful workflow improvement.

PMS integration

Kiroku offers a Chrome extension that injects completed notes directly into cloud-based practice management systems — one-click with Dentally and Dental4Web; Aerona is also listed. For other systems (SOE Exact and R4, which is Carestream’s system), the workflow is copy-paste: click "Copy Notes" in Kiroku, switch to the PMS, paste into the clinical notes field.

The copy-paste workflow is universal — it works with any PMS — but the Chrome extension for Dentally users is a genuine convenience feature that saves a few seconds per note.

Pricing

Kiroku pricing in 2026 operates on two per-clinician plan tiers (prices per trykiroku.com/pricing, checked 1 October 2026; plan features re-checked September 2026 — verify with the provider for current pricing):

Kiroku offers a 14-day free trial (a card is required, and it can be extended to 30 days via a referral code per trykiroku.com); there is no permanent free tier.

The Essential plan price point is the most significant commercial consideration for many UK dental professionals. At £29.99 + VAT/month per clinician (£26.99 + VAT/month billed annually) it is the entry tier, and it already includes voice notes, while the Pro plan at £99.99 + VAT/month per clinician (£89.99 + VAT/month billed annually) — which adds Kiroku Docs, AI-powered letters and e-consent — is a more meaningful expense. For a practice owner on a full-time NHS or mixed list, the value proposition is more defensible. For a foundation dentist or part-time associate weighing the Pro tier, the maths is harder to justify.

Kiroku's genuine strengths

Kiroku has earned its market position for legitimate reasons. These are the areas where it is genuinely strong:

• The template library is comprehensive. 80+ pre-made treatment-specific templates covering the full breadth of UK dental practice is a substantial asset. Building this library from scratch takes years, and Kiroku has clearly invested in clinical editorial quality. The specialist templates in particular — implant consultation, endodontic consultation, restorative assessment — are detailed and clinically credible.
• UK clinical standards are properly reflected. BPE scoring, SDCEP prescribing, BSP periodontal classification, IADT trauma protocols, IOTN orthodontic assessment — these are not afterthoughts. They are built into the relevant templates, which is what separates a UK-specific tool from a localised American one.
• The note editor UX is well designed. Kiroku's progressive disclosure pattern — where selected pill buttons collapse to plain text, leaving a clean note as you complete fields — is a genuinely good UX decision. The bottom section navigation bar, the "Skip remaining lines" feature, and the per-section copy function are all thoughtful design choices. The interface is fast and visually clean.
• Established user base and community. Kiroku has been in the market since 2017 (per trykiroku.com). It has an established user community, active social media presence, and a track record of product updates. For clinicians who value software longevity and peer recommendation, this matters.
• Voice notes for high-volume clinicians. For experienced clinicians who can dictate accurate clinical summaries quickly, the AI voice note feature is a legitimate time-saver. If you can record a 60-second verbal summary of a filling appointment and have it formatted into a structured note, that is a faster workflow than clicking through templates — provided you review the output carefully.

Limitations worth knowing about

No software is without trade-offs. These are the areas where Kiroku has real limitations that should factor into your decision:

Kiroku Docs is on the Pro tier

Kiroku's Essential plan (£29.99 + VAT/month, or £26.99 + VAT/month billed annually) is the entry tier and includes voice notes, AI audits and the AI Editor. Document generation (Kiroku Docs), AI-powered letters and e-consent sit on the Pro plan at £99.99 + VAT/month per clinician (£89.99 + VAT/month billed annually) (trykiroku.com/pricing; plan features checked September 2026, prices 1 October 2026). For a practice owner with a full list, the cost per note is trivial. For a foundation dentist earning a Band 1 salary, or an associate working two or three clinical days per week, the Pro tier is a meaningful subscription cost.

This is not a criticism of Kiroku's value — the product is substantive enough to justify its price for the right user. But it does mean that associates, part-time clinicians, and newly qualified dentists should carefully assess whether the feature set they actually use matches what they are paying for.

AI-generated notes require careful review

Kiroku's AI voice note feature produces draft notes from spoken audio. The output is useful, but it is not production-ready without review. Clinical note errors — wrong tooth, wrong material, wrong dose — carry medico-legal consequences, and AI models do not reliably distinguish between similar-sounding dental terms under background noise conditions.

This is not a Kiroku-specific problem — it applies to all AI voice note tools. But it is worth understanding that the workflow for AI notes includes a mandatory review step that is easy to skip when you are running behind. For a fuller discussion of AI dental notes, including the specific accuracy and GDPR considerations for UK practices, see our dedicated guide.

Template customisation has a learning curve

Kiroku's template editor is powerful — you can create custom sections, add new lines, configure dropdown options, and build conditional logic using the LINK system. The template editor is a genuinely capable tool. However, configuring LINK conditionals (especially multi-level nesting) is not intuitive for clinicians who are not technically inclined. The template editor opens in a separate browser tab, uses drag-and-drop content blocks, and requires understanding of the conditional logic system before custom templates become viable.

For most users, the pre-built templates will be sufficient. But practices that need to significantly customise templates — to reflect their specific workflows, referral networks, or specialist mix — should budget time to learn the editor before expecting productivity.

Compliance checking: compare both on a real note

Kiroku advertises AI-led guidance and automated audits, and its pricing page lists AI audits on the Essential plan (trykiroku.com, checked September 2026). Nosht's Bulletproof audit takes a rule-based approach: it checks each completed note against documentation rules and shows which elements are missing. The two work differently, so the fairest comparison is to run the same real appointment through both during a free trial.

Patient information leaflet library

Based on Kiroku's publicly documented feature set (checked September 2026), we did not find a built-in patient information leaflet library. The Docs feature generates clinical correspondence — consent forms, patient letters, referral letters — which is a different category from post-operative instruction leaflets, condition-specific patient education materials, or the kind of information leaflets that support informed consent discussions.

For practices that want to provide patients with written information about their diagnosis or treatment (which is good clinical practice and supports the informed consent process), a built-in leaflet library is worth checking for when comparing tools.

Conditional logic adds complexity

The LINK system that makes complex templates functional also makes the template editor harder to use. Building a template with multi-level conditional logic requires understanding which lines are "linked", what triggers them, and how to configure the dependency correctly. For clinicians building templates from scratch, this is a non-trivial skill. Kiroku provides documentation and support, but the learning curve is real.

Who Kiroku is best for

Based on the feature set and pricing, Kiroku is best suited to:

• Practice owners and principals who want a comprehensive documentation tool for their full clinical list and can absorb the subscription cost across a full-time workload.
• Specialists and specialist practices who benefit from the specialist templates (implant consultation, endodontic consultation, periodontal consultation, orthodontic assessment) and the AI-powered referral letter generation.
• High-volume NHS dentists who perform repetitive procedures at pace and want the AI voice note feature to reduce per-note documentation time.
• Clinicians already using Dentally, Dental4Web or Aerona who can benefit from the Chrome extension for direct note injection.
• Practices looking for a team-wide documentation standard where per-clinician licensing and shared custom templates provide a consistent record-keeping framework across all clinicians.

Kiroku is less well suited to associates or foundation dentists on tight budgets, clinicians who want a simple click-through tool without the complexity of AI features and template conditional logic, or practices that want patient information leaflets built into the same platform.

Alternatives to consider

If Kiroku's price point, AI dependency, or feature complexity does not fit your needs, there are alternatives worth evaluating. For a full comparison of the UK market, see our best dental notes app UK guide. Below we cover the main considerations for clinicians comparing Kiroku with alternatives.

Nosht

Nosht is a structured template-based dental notes app built for UK dental professionals. It takes a deliberately different approach to Kiroku in three key areas:

• Template-first, not a voice scribe. Nosht does not record or transcribe voice. Every note is completed by clicking through structured options — dropdown pill buttons that collapse to plain text as you select them — and the template output is deterministic: the same selections always produce the same note. On the trial or Pro plan, Nosht also offers optional, clinician-reviewed AI shorthand fill (Anthropic Claude Haiku 4.5) for filling, extraction, crown and inlay/onlay templates that fills the structured fields from your typed shorthand for you to review before saving — assistive, never a voice scribe. Nosht AI blocks shorthand that looks like it contains patient identifiers; don't type them. See how Nosht AI works. This suits clinicians who prefer clicking (or typing shorthand) to dictating.
• Compliance auditing via Bulletproof Mode. Nosht includes a Bulletproof Mode that checks completed notes for missing elements referenced to GDC and CGDent guidance. After finishing a note, Bulletproof Mode checks it for missing compliance elements — consent documentation, treatment alternatives, post-operative instructions, recall arrangements — and scores it. Kiroku also advertises AI audits on its Essential plan (trykiroku.com, checked September 2026); Nosht's Bulletproof audit is a rule-based completeness check, so compare both on a real note.
• 68 built-in patient information leaflets. Nosht includes patient-facing information leaflets that can be sent or printed from within the app. These cover common conditions and procedures — supporting the informed consent process with written patient information. Based on Kiroku's publicly documented feature set (checked September 2026), we did not find a comparable built-in patient information leaflet library.
• Transparent pricing. Two transparent tiers: Solo £9.99/month and Pro £19.99/month, no audio tier. For associates, foundation dentists, and part-time clinicians comparing options, the cost is worth weighing alongside the feature set. For a full Kiroku vs Nosht comparison, including a feature-by-feature breakdown, see our dedicated page.

To be clear: Nosht does not have Kiroku's AI voice note feature or its volume of named specialist templates. If voice dictation is a priority for your workflow, or if you need the specific specialist template configurations Kiroku offers (SAC complexity grading, IADT trauma protocols, SDCEP prescribing with three-level conditional logic), Kiroku may still be the better choice for you.

Other alternatives

TapNote (by Aura) is another UK dental notes platform worth evaluating. It uses a tap/type structured "smart records" workflow with AI predictive autocomplete rather than ambient audio recording — there is no microphone, dictation, or full-appointment recording feature. TapNote has a free Lite tier, with Plus at £22.80/month and a Practice Plan at £49.80/month; it offers a two-week free trial, 50% off for foundation dentists, and is free for students (per aura.dental/pricing, checked 1 October 2026). Aura states it uses end-to-end encryption and consent features; it does not publish NHS DSPT, Cyber Essentials, or ISO/SOC certifications on its site, so UK practices should verify compliance details directly with the provider.

For a comparison of all alternatives available to UK dental professionals, see our full alternatives guide.

Verdict

Kiroku is a well-built dental documentation platform with a strong template library, thoughtful UX design, and genuine AI capabilities. For the right user — a full-time clinician who values voice note generation and specialist template depth (voice notes are on the Essential plan, £29.99 + VAT/month or £26.99 + VAT/month billed annually; the Pro tier, £99.99 + VAT/month or £89.99 + VAT/month billed annually, adds document generation and e-consent) — it is a credible choice that has earned its market position.

Its trade-offs are real: the subscription cost is a meaningful consideration for associates, AI notes require review, template customisation has a learning curve, and we did not find a built-in patient information leaflet library in its published feature set (checked September 2026). These are not fatal flaws, but they are relevant to the decision.

Before subscribing, take the 14-day free trial seriously — use it for real appointments, not just exploration. That is the only reliable way to know whether the template library covers your most common procedures and whether the workflow fits the way you actually document at the chairside. If you are also evaluating alternatives, the same advice applies: try Nosht for free and compare the workflows directly. The right tool is the one you will actually use consistently, because consistent use of any structured system beats occasional use of the best one.

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