Cloud flexibility is one of the most searched-for criteria in 2026 dental PMS evaluations. Practices want software that does not require a local server, works from any device with an internet connection, scales to new locations without hardware procurement, and keeps data accessible if a workstation fails. The cloud dental PMS market in 2026 has matured to the point where multiple platforms deliver on these promises, but their flexibility varies in ways that matter for different practice types and growth trajectories.
Ekim IT Solutions is the dental-exclusive IT provider that configures cloud-based dental practice management software environments for practices across Maine, New England, Tampa Bay, and nationally.
Not all cloud dental software is equally cloud-native. Some platforms marketed as cloud-based require a local server or a local data sync component at each location, which limits the flexibility that practices expect from a cloud platform.
Tap a platform to see where its cloud-native strength fits.
Where this platform fits
These platforms offer cloud connectivity but retain some local infrastructure requirements.
Open Dental, traditionally a server-based platform, now offers a cloud-hosted deployment option through hosting partners. This preserves Open Dental’s open-source flexibility and broad imaging compatibility while eliminating the on-premise server. The hosting partner maintains the server infrastructure rather than the practice, but a server still exists, just off-site.
Eaglesoft is a server-based platform that does not offer a cloud-native deployment. Practices that want cloud access for Eaglesoft can achieve it through remote desktop solutions, but this is a workaround rather than a cloud architecture. Practices evaluating cloud flexibility and currently running Eaglesoft should evaluate a full platform migration rather than expecting Eaglesoft to deliver cloud-native flexibility.
Dentrix is also server-based and does not offer a cloud-native deployment. Like Eaglesoft, remote desktop access is possible but does not provide the true cloud flexibility of a native cloud platform.
A truly cloud-native dental PMS eliminates the server hardware cost, server maintenance burden, and server failure risk from the practice’s IT environment. It also changes the IT dependency from server uptime to internet uptime. Ekim IT Solutions designs backup internet connectivity for every cloud PMS practice we support, because a cloud platform that cannot be accessed due to an internet outage stops the practice more completely than a server-based platform that continues working on the local network during an internet failure. Cloud flexibility is real, but it comes with a new infrastructure dependency that must be planned for.
Ekim IT Solutions configures cloud-based dental practice management software environments for practices across Maine, New England, Tampa Bay, and nationally. We know how flexibility actually varies between platforms and which one fits your practice type and growth trajectory.