Nosht AI
AI dental notes from your typed shorthand — no recording, suggestions for you to check
Nosht is a UK dental notes app built on structured templates; Nosht AI is its optional, Pro-plan shorthand fill (also available during the free trial) on the filling, crown, inlay/onlay and simple-extraction templates.
Nosht AI turns the shorthand you type into structured dental note fields, as suggestions for you to check before saving. It is optional and works on four treatment templates today (filling, simple extraction, crown and inlay/onlay), within your registered scope of practice. It is included in the free trial and on the Pro plan. The model is Anthropic Claude Haiku 4.5 (claude-haiku-4-5-20251001), which also runs an advisory note-completeness check and a typed-shorthand-to-note generator in the mobile app. There is no voice recording, and — under our arrangement with Anthropic — your inputs are not used to train its models. The content is designed to exclude patient identifiers: an automated check blocks common identifier formats, but it cannot catch everything, so don't type patient names or other identifiers.
Does Nosht use AI? Yes.
Yes. Nosht uses artificial intelligence in specific, optional, clinician-controlled ways. The model is Anthropic's Claude Haiku 4.5 (claude-haiku-4-5-20251001), called per request through Anthropic's official API. It is not a Nosht-built model and it is not trained on your notes. Three features use it: (1) AI shorthand fill — turn your typed shorthand into structured template fields; (2) an advisory note-completeness check inside Bulletproof Mode; and (3) a typed-shorthand-to-note generator in the Nosht mobile app. Everything the AI produces is a suggestion you review and can edit before saving. Nosht does not record or transcribe voice. The shorthand is designed to exclude patient identifiers: an automated check blocks common identifier formats, but it cannot catch everything, so don't type patient names or other identifiers.
How Nosht AI fills a note (three layers)
When you type shorthand such as 'UR6 DO comp A2 lido 1 cart RD', Nosht resolves it in three layers.
Layer 1 is a deterministic extractor (regex and lookup tables — no AI) that instantly recognises tooth numbers, surfaces, restorative material, local anaesthetic, carpule count and rubber dam.
Layer 2 fills remaining fields from your own previous choices on that template (adaptive frequency defaults — not machine learning).
Layer 3 sends only the still-unresolved clauses to Claude Haiku 4.5, constrained to the active template's fields, and streams the suggested values back so chips populate progressively.
Every value the AI returns is re-validated server-side against the template — anything outside the allowed options is dropped. Suggested values are highlighted for you to check and edit. AI only pre-fills empty fields and never overwrites what you entered.
What is genuinely AI, and what is just 'smart'
We are deliberately precise about this, because accuracy matters in a healthcare product.
Genuinely AI (Anthropic Claude Haiku 4.5)
the shorthand-to-fields step, the advisory note-completeness audit, and the mobile typed-shorthand-to-note generator.
Smart but NOT AI (deterministic rules, no learning model)
the shorthand recogniser, your personalised 'Learned' defaults, the extra weight applied when you correct a suggestion, your custom abbreviation shortcuts, and the 30-day recency weighting that keeps suggestions current.
We describe the personalisation as 'adaptive' because it counts your own habits — it is not machine learning, it trains no model, and it never leaves your account.
Where Nosht uses AI — and where it doesn't
AI shorthand fill is optional. It is included in your free trial and on the Pro plan, not on Solo after the trial. On Pro your first 10 notes get it on every eligible template; after that it unlocks per template once you have saved 5 notes on that template, so suggestions reflect your own style. It works only within your registered scope of practice, on four templates today (filling, simple extraction, crown, inlay/onlay): dentists can use all four, therapists the filling template, and it is not yet available to hygienists. There is no voice recording, no ambient listening and no speech-to-text anywhere in the Nosht web app. The mobile app's shorthand-to-note generator works from typed shorthand — not audio. Suggested values, from the model or from your past notes, are highlighted for you to check: the AI assists, you decide.
Speed: why typed shorthand is quick
With AI shorthand fill you type the shorthand you already use and review the structured fields, so a routine filling or crown note is quick to finish. Nosht structures your shorthand into the relevant template's fields, and you check each suggestion before saving. There is no recording and no transcript to correct. Times vary with case complexity and how much you review. It applies to AI shorthand fill on the supported treatment templates (fillings, crowns, inlays/onlays and simple extractions), within your registered scope of practice. It is included in your free trial and on the Pro plan, not on Solo after the trial; on Pro your first 10 notes get it on every eligible template, and after that it unlocks per template once you have saved 5 notes on that template. Nosht AI is advisory — check each suggested value before you save.
Guardrails on the AI
Nosht wraps the AI in deterministic, medico-legal safeguards.
- Nosht blocks AI fill on core diagnostic findings (caries, BPE, periodontal status, vitality, radiograph findings) and on consent fields (the 'NAD guard').
- Some treatment fields can still be suggested from your shorthand or from your past choices; every suggestion must be checked before you save.
- The feature is fail-closed — an unset scope, the wrong plan or hitting the rate limit disables AI rather than guessing.
- The Bulletproof Mode AI audit is advisory: it flags possible gaps for your review and never rewrites a note.
- By default it does not block either: in Bulletproof Mode a high-confidence, high-severity AI flag asks for a one-tap acknowledgement before you complete or copy the note, and it blocks until you type an override reason only if you switch on the optional 'AI substance findings also block' setting.
- Only a high-confidence, high-severity gap affects the note's defensibility verdict, and if the AI is unavailable a clean note still passes.
Privacy: what the AI does and does not see
| What is sent | Each AI feature sends only the text it needs, per request: the shorthand fill and the mobile shorthand-to-note generator send the shorthand you type, and the advisory Bulletproof completeness check sends the composed clinical note text you have written. |
|---|---|
| Patient identifiers | The content is designed to exclude patient identifiers: an automated check blocks text that appears to contain patient identifiers (such as NHS numbers, dates of birth, email addresses or phone numbers), but it cannot catch everything, so don't type patient names or other identifiers. |
| Audio | There is no audio. |
| Training | Under our data-processing arrangement with Anthropic, inputs and outputs are not used to train Anthropic's models. |
| Retention | Under Anthropic's standard commercial API terms, inputs and outputs may be retained for a limited period (up to 30 days) for trust, safety and abuse-monitoring purposes and are then deleted, except where Anthropic is required to retain them for longer to meet legal or safety obligations; they are not used for any other purpose. |
| Nosht usage log | Nosht's usage log stores counts only — not your input text. |
| The model | The AI is Anthropic's model accessed via API; it is not 'Nosht's own model' and it is not fine-tuned on your data. |
See our Data Processing Agreement and Security pages for the full detail.
Frequently asked questions
Does Nosht use AI?
Yes. Nosht uses optional, clinician-reviewed AI powered by Anthropic's Claude Haiku 4.5. Its main use is AI shorthand fill: you type shorthand and the AI fills the structured fields of your dental note, which you review and can edit before saving. Nosht also runs an advisory AI note-completeness check in Bulletproof Mode. There is no voice recording or transcription, and the model is not trained on your notes. The shorthand is designed to exclude patient identifiers: an automated check blocks common identifier formats, but it cannot catch everything, so don't type patient names or other identifiers.
Which AI model does Nosht use?
Nosht uses Anthropic's Claude Haiku 4.5 (model claude-haiku-4-5-20251001), called per request through Anthropic's official API. It is not a Nosht-built or fine-tuned model, and it is not trained on your data.
Does Nosht record or transcribe my voice?
No. There is no audio recording, no ambient listening and no speech-to-text anywhere in the Nosht web app. Nosht’s AI works from typed shorthand, not from voice. This is the main difference between Nosht and AI voice scribes such as Kiroku or Heidi.
Does the AI write or finalise my notes for me?
No. The AI only suggests values for empty fields and marks them as AI-filled; values carried over from your past notes are marked too. You should review each one before copying or completing the note — the clinician stays in control and remains responsible for every entry in the record.
Is Nosht's AI trained on my patient notes?
No. The AI features send only the text they need — the shorthand you type, or (for the advisory completeness check) the note text you have written — to Anthropic’s API. Under our data-processing arrangement with Anthropic, inputs and outputs are not used to train Anthropic’s models; under Anthropic’s standard commercial API terms they may be retained for a limited period (up to 30 days) for trust, safety and abuse-monitoring purposes and are then deleted, except where Anthropic is required to retain them for longer to meet legal or safety obligations. Nosht’s usage log stores counts only, not your input text. The content is designed to exclude patient identifiers: an automated check blocks common identifier formats, but it cannot catch everything, so don’t type patient names or other identifiers.
Do I have to use the AI?
No, it is optional. AI shorthand fill is included in your free trial and on the Pro plan, not on Solo after the trial. On Pro your first 10 notes get it on every eligible template; after that it unlocks per template once you have saved 5 notes on it. It works within your registered scope of practice, on four templates today (filling, simple extraction, crown and inlay/onlay): all four for dentists, the filling template for therapists, and none yet for hygienists. You can use Nosht’s structured templates entirely without AI.
How is Nosht’s AI different from an AI dental scribe like Kiroku or Heidi?
AI scribes transcribe a voice recording of the appointment into a note. Nosht has no audio at all — you type shorthand and the AI fills structured, GDC/FGDP(UK)-aligned template fields that you review. The deterministic template core means the same selections always produce the same note, no patient audio is sent to the AI, and the shorthand is designed to exclude patient identifiers (an automated check blocks common identifier formats but cannot catch everything, so don’t type patient names).
What parts of Nosht are AI, and what parts just look smart?
Genuinely AI (Claude Haiku 4.5): the shorthand-to-fields fill, the advisory note-completeness audit, and the mobile typed-shorthand-to-note generator. Deterministic and not AI: the instant shorthand recogniser, your personalised 'Learned' defaults, correction weighting, custom abbreviations and recency weighting. The personalisation is adaptive frequency counting — not machine learning, and it trains no model.
How fast can you write a dental note with Nosht?
With Nosht's AI shorthand fill, a routine treatment note — such as a filling or crown — is quick to write. We have not timed notes, so we do not quote a figure. You type the shorthand you already think in, Nosht structures it into the relevant fields, and you check each suggestion before saving. Times vary with case complexity and how much you review. AI shorthand fill is available on supported treatment templates (fillings, crowns, inlays/onlays and simple extractions) on the Pro plan, within your registered scope of practice.
AI you stay in control of
Type shorthand, Nosht fills the structured fields, you review every one. Optional, on the Pro plan — and the structured templates work entirely without AI.