Kiroku Alternative: Structured Dental Notes, No Audio

Yes. Nosht and Kiroku both target UK dental compliance, but they take different approaches. Kiroku is multi-modal: clinicians can click through structured templates without a microphone, or use optional ambient AI audio (Co-Pilot) and voice dictation (per trykiroku.com, checked June 2026). Nosht uses structured click-through templates with no voice recording and no patient identifiers in your clinical notes (referral letters and leaflet sending excepted); its note text is deterministic, and its AI is optional and clinician-reviewed: an advisory completeness check on the note you have written, plus a step that reads your typed shorthand (you confirm every field) — not an AI voice scribe. Nosht starts at £9.99/month. Kiroku is priced at Essential £29.99 + VAT/month (£26.99 + VAT/month billed annually) and Pro £99.99 + VAT/month (£89.99 + VAT/month billed annually) per clinician (per trykiroku.com/pricing, checked 1 October 2026).

Yes. Nosht is a standalone web app — there is nothing to integrate, migrate, or configure. Sign up, pick a template, and start writing notes. Your existing notes in your PMS are completely unaffected.

Partly. Kiroku offers a no-microphone, click-through template workflow as well as optional ambient AI audio (Co-Pilot) and voice dictation (per trykiroku.com, checked June 2026). Nosht uses structured templates only, where you select clinical findings from treatment-specific options. There is no voice recognition and no audio processing anywhere in Nosht — it is not an AI voice scribe like Kiroku’s Co-Pilot. Nosht’s note text is deterministic, and its AI is optional and clinician-reviewed: an advisory completeness check on the note you have written, plus a step that fills fields from your typed shorthand, where you confirm every field. The output is consistent, complete notes every time.

Nosht does not record or process audio, and its structured templates produce deterministic notes with only an optional, lightweight AI shorthand fill — which helps keep running costs low. Nosht Solo starts at £9.99/month. Kiroku lists Essential at £29.99 + VAT/month (£26.99 + VAT/month billed annually) and Pro at £99.99 + VAT/month (£89.99 + VAT/month billed annually) per clinician (per trykiroku.com/pricing, checked 1 October 2026).

Nosht uses a one-click copy-paste approach that works with every PMS — Dentally, SOE Exact, R4 (Carestream) or any other system. Kiroku offers direct one-click integration with Dentally, Dental4Web and Aerona, and copy-paste for everything else (per trykiroku.com, checked June 2026). If you need direct integration with one of those systems, Kiroku may be better suited. If you want universal compatibility with zero setup, Nosht works immediately.

Nosht saves the notes and drafts you write to your account so you can find them again in your notes history. Your clinical notes contain no patient identifiers — only clinical descriptors. You select clinical options from templates, copy the note, and paste it into your PMS, so Nosht is not a patient-record system. There are two exceptions, both optional: the Referral Letter template, where you choose to enter patient details (name and date of birth, with NHS number, address and contact optional); and Send Leaflet, which processes a patient's email address or mobile number solely to deliver a patient information leaflet. Nosht also stores your account details and template preferences. Kiroku states that consultation audio is transcribed and then deleted (not stored), with only the written notes retained, under end-to-end encryption (per trykiroku.com, checked June 2026). For full details, see Kiroku's published privacy policy.