
GITNUXSOFTWARE ADVICE
Healthcare MedicineTop 10 Best Cloud Based Dental Management Software of 2026
Top 10 cloud based dental management software tools ranked for practices, comparing Dentrix Ascend, Curve Dental, and iDentalSoft by key features.
How we ranked these tools
Vendors set the topic, but our editors set the inclusion criteria and the evaluation framework before research starts.
Agents extract product evidence with provenance, then collect written reviews and transcribe video reviews and podcasts.
Framework: Features 40% · Ease 30% · Value 30%
Gitnux may earn a commission through links on this page — this does not influence rankings. Editorial policy
Dentrix Ascend is the best cloud option for multi-location groups that need tight coordination between chairside documentation, scheduling, and claims, whereas Curve Dental is a strong browser-based choice for mid-size practices that want controlled staff permissions without overcomplicating daily workflows.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
Dentrix Ascend
Visit-focused treatment planning that carries forward from charting into billing-ready workflows.
Best for: Fits when multi-provider clinics want tight coordination between chairside documentation, scheduling, and claims.
Curve Dental
Editor pickClinic template configuration that standardizes recurring documentation and reduces staff-to-staff variation.
Best for: Fits when mid-size practices need browser-based charting and scheduling with controlled staff permissions.
iDentalSoft
Editor pickClinic automation that carries structured clinical documentation into treatment and downstream billing steps.
Best for: Fits when mid-size clinics want integrated charting and claims workflow with controlled external integrations.
Comparison Table
Dentrix Ascend
enterpriseCloud-native practice management system from Henry Schein One designed for multi-location dental groups.
Visit-focused treatment planning that carries forward from charting into billing-ready workflows.
Dentrix Ascend is built for clinics that want charting and scheduling tied to a consistent patient record, including chairside documentation and visit-based treatment updates. The system supports digital imaging and review workflows inside the chart, and it maintains operational continuity from appointment to clinical note to billing steps. Automation centers on repeatable charting and treatment behaviors rather than rule-builder complexity.
A key tradeoff is that deeper integrations and custom automation typically require configuration work around existing clinic workflows and data mappings. Dentrix Ascend works best for single-location and multi-provider practices that need strong day-to-day throughput and want fewer context switches across scheduling, charting, and billing.
- +Charting and scheduling stay in the same operational flow
- +Digital imaging review is available within the patient chart
- +Visit-based treatment planning reduces re-entry between steps
- +Billing workflows cover common claim and posting tasks
- –Automation depth is limited for highly custom referral workflows
- –Complex integrations depend on external interface setup
- –Advanced reporting requires tighter process consistency
- –Some workflow changes need administrator-led configuration
Dental office managers
Reduce handoffs across front desk and clinical
Fewer missed follow-ups
Dentists and hygienists
Standardize charting and treatment documentation
More uniform documentation
Show 2 more scenarios
Billing coordinators
Process claims and reconcile payments faster
Lower daily posting effort
Claim and payment workflows run from within the practice record to support daily throughput.
IT and practice admins
Connect imaging and external systems
Fewer data silos
Imaging and integration points support internal chart workflows while interfacing with external tools.
Best for: Fits when multi-provider clinics want tight coordination between chairside documentation, scheduling, and claims.
Curve Dental
SMBWeb-based dental practice management platform offering charting, billing, and patient engagement.
Clinic template configuration that standardizes recurring documentation and reduces staff-to-staff variation.
Curve Dental supports patient charting and day-to-day operations inside a browser-first workflow, with tools for treatment documentation and appointment management. The product’s administration model is built for clinic control, with role-based access patterns that map to common staff responsibilities. Integration coverage matters for cloud dental rollouts, and Curve Dental typically fits teams that want a manageable API surface for connecting EHR and imaging systems rather than building custom workflows end-to-end.
A key tradeoff is that clinics with deep custom billing rules or highly specialized reporting often need more configuration work than they expect. Curve Dental fits best when a multi-staff practice wants consistent charting behavior and scheduling patterns with minimal local infrastructure.
- +Browser-first workflow that keeps chairside documentation in one place
- +Role-based access patterns for separating admin and clinical permissions
- +Consistent scheduling and charting behaviors across multiple staff roles
- +Configurable clinic templates that reduce repeated manual steps
- –Advanced custom reporting can require more configuration than standard workflows
- –Deep clearinghouse and remittance handling may depend on external integration paths
Dental practice managers
Standardize charting and scheduling workflows
Fewer documentation deviations
Dentists and hygienists
Capture chairside notes during visits
Less chart rework
Show 2 more scenarios
IT and integrations staff
Connect external imaging and records systems
Reduced manual file handling
Teams use the available integration and API surface to wire imaging and records into the workflow.
Dental office admins
Control access across front desk and clinical
Lower access-risk exposure
Admins manage permissions so front desk actions stay separated from clinical chart updates.
Best for: Fits when mid-size practices need browser-based charting and scheduling with controlled staff permissions.
iDentalSoft
vertical specialistWeb-based dental practice management software covering charting, scheduling, billing, and patient communication.
Clinic automation that carries structured clinical documentation into treatment and downstream billing steps.
iDentalSoft targets practices that want one operational record for patient charting, treatment planning, and appointment scheduling rules without jumping between separate tools. The product’s automation is most visible in how charting and clinical documentation feed into subsequent billing steps rather than living as standalone notes. Clinics that handle structured clinical documentation such as periodontal charting and tooth chart notation tend to see smoother record consistency during visits.
A key tradeoff is that deeper integrations depend on the clinic’s chosen ecosystem, since iDentalSoft’s outward connectivity is constrained by the availability of specific interface options. iDentalSoft fits best when a clinic needs faster internal throughput across scheduling, charting, and claims workflows, then limits external system scope to what can be integrated cleanly.
- +End-to-end clinic workflow ties charting to subsequent billing steps
- +Structured clinical documentation supports visit-to-visit record consistency
- +Appointment scheduling rules reduce manual exception handling
- +Patient-facing communication options support ongoing care follow-up
- –External integration options can limit connectivity to specific ecosystems
- –Advanced automation depends on disciplined configuration and workflow setup
- –Some imaging workflows may require additional setup to match local hardware
- –Claim edge cases can require manual review of mapped fields
Operations managers
Reduce handoffs between teams
Fewer workflow gaps
Dentists and hygienists
Standardize clinical documentation
Cleaner chart continuity
Show 1 more scenario
Billing teams
Improve claims throughput
Faster claim cycles
Claim workflow support reduces time spent reconstructing visit details from separate records.
Best for: Fits when mid-size clinics want integrated charting and claims workflow with controlled external integrations.
Denticon
enterpriseCloud-native dental practice management software from Planet DDS built for groups and DSOs.
Integrated periodontal charting and tooth chart notation within the same patient record workflow.
Denticon is a cloud-based dental practice management system that centers on patient charting, appointments, and front-office workflows in one workspace. It supports clinical documentation for both periodontal and tooth chart notation so records stay consistent across visits.
- +Charting supports periodontal and tooth notation in the same record
- +Appointment workflows reflect common chairside and front-desk ordering needs
- +Claim and payment workflows reduce handoffs between clinical and finance teams
- +Configuration and user access controls fit multi-provider clinic operations
- –EHR and integration depth beyond the core practice modules can be limited
- –Automation options depend on manual workflow steps for complex edge cases
- –Imaging support needs validation for advanced viewer requirements
- –Multi-location governance features are less granular than enterprise multi-site tools
Best for: Fits when a multi-provider clinic wants integrated charting, scheduling, and billing workflows without custom builds.
Open Dental
SMBOpen-source practice management system with cloud hosting capabilities and flexible module add-ons.
Tooth and periodontal charting is tightly connected to appointments and clinical documentation inside the same patient workflow.
Open Dental runs in a cloud-based deployment shape for practice management, charting, and operational scheduling from a web interface. It handles core clinical workflows like patient charting, treatment planning, tooth chart notation, and periodontal charting while keeping the scheduling and messaging stack tied to the same patient record.
- +Tooth and periodontal charting supports fast chairside documentation
- +Patient record ties appointments, messaging, and clinical notes together
- +Open Dental API supports custom integration for external workflows
- +Claim workflow and remittance tracking are built into the same operations flow
- –Advanced automation needs setup work across appointment and billing rules
- –Some imaging workflows rely on specific external viewer integrations
- –Reporting depth can require manual report building for custom views
- –Multi-site governance can require disciplined user role management
Best for: Fits when clinics need a mature charting-to-billing workflow plus an integration surface for custom systems.
CareCloud Dental
SMBCloud-based practice management and revenue cycle platform extending CareCloud's medical offering to dental.
Clinical documentation tools with standardized periodontal and tooth chart workflows tied into the scheduling-to-treatment process.
CareCloud Dental is a cloud dental practice management and clinical workflow suite built around CareCloud’s broader healthcare data model. It combines patient charting, appointment scheduling rules, and treatment planning workflows with practice operations like billing support and referral-style coordination between clinical and front-office steps. For multi-location organizations, it emphasizes standardized processes and consistent patient record handling across users and sites.
- +Consistent clinical-to-operations workflow across scheduling, charting, and treatment stages
- +Administrative controls for user access tied to daily roles
- +Charting tools that support tooth and periodontal notation workflows
- +Integration options for external EHR and imaging systems via defined interfaces
- –Reporting breadth can lag purpose-built dental analytics in day-to-day production review
- –Some automation depends on configuration by an admin who understands office workflows
- –Per-tool learning curve for charting and treatment plan interactions
- –Clearinghouse and claims workflows can require specialist review for edge cases
Best for: Fits when multi-site teams need shared workflows and controlled access for charting and operations.
Dental Intelligence
API-firstCloud-based dental analytics platform integrating with existing practice management systems.
Its dental intelligence layer ties clinical documentation to administrative outputs for reporting and revenue cycle execution.
Dental Intelligence focuses on dental-specific data workflows, using its clinical and administrative intelligence to support practice management and reporting. It provides patient-facing and practice-facing execution paths for charting data, treatment documentation, and revenue cycle tasks such as eligibility and claims handling.
- +Dental-specific intelligence improves consistency between charting and billing artifacts
- +Automation around eligibility and claims supports repeatable revenue cycle throughput
- +Reporting organizes clinical and administrative outcomes from the same workflow inputs
- +Cloud deployment reduces local maintenance for ongoing system operations
- –Integration depth can depend on the connected practice management and clearinghouse setup
- –Certain clinical workflow details require disciplined configuration and documentation habits
- –Some charting granularity still hinges on how local records and imports are mapped
- –Advanced reporting often takes training to map outcomes to operational decisions
Best for: Fits when dental groups need consistent clinical documentation tied to repeatable eligibility and claims workflows.
DentalWriter
SMBCloud-accessible dental practice management and billing software.
Tooth and periodontal chart notation is built into the visit workflow so clinicians capture structured clinical detail during documentation.
DentalWriter is a cloud-based dental management system focused on clinician workflow, especially charting, treatment planning, and documentation. The product supports electronic documentation with tooth and periodontal chart notation and ties those clinical notes to visit activity.
- +Charting workflows support tooth and periodontal notation in visit context
- +Treatment planning captures structured clinical documentation for follow-up visits
- +Scheduling and appointment-linked patient communications support day-to-day throughput
- +Cloud deployment reduces local IT dependency for clinics with limited admin staff
- –Integration depth needs validation against specific EHR and billing interface requirements
- –Automation scope depends heavily on how clinical templates map to real workflows
Best for: Fits when a clinic needs structured charting and treatment documentation in a cloud workflow.
ClearDent
vertical specialistCanadian dental practice management software available in cloud and on-premise deployments.
In-chart periodontal documentation tied to encounters keeps clinical detail connected to downstream billing work.
ClearDent runs as cloud-based practice management software focused on patient charting, appointments, and billing workflows. It includes structured clinical documentation such as tooth charting and periodontal notes, then routes that data into treatment planning and claim-ready encounters.
- +Tooth chart and periodontal chart capture stay in the same patient record
- +Workflow coverage spans scheduling, clinical notes, and billing through encounters
- +Task and recall lists help coordinate follow-ups across visits
- +Reports target common practice operations like production and aging activity
- –Automation depth for claim workflows depends on configuration and add-ons
- –Integration options appear narrower than systems designed around broad clearinghouse and EHR bridging
Best for: Fits when a single-location clinic wants integrated charting, scheduling, and billing with consistent daily workflows.
DentiMax
vertical specialistDental practice management and imaging software with cloud hosting for scheduling, charting, and claims.
Tooth and periodontal charting design keeps clinical notation and visit notes on the same appointment flow.
DentiMax is a cloud-based dental management system built around clinic operations like patient charting, scheduling, and billing workflows. Charting supports detailed tooth and periodontal notation along with treatment planning artifacts for day-to-day chairside documentation.
- +Structured charting for tooth and periodontal notation in one workflow
- +Visit-driven treatment planning notes reduce handoffs during appointments
- +Operational scheduling rules support consistent chairside throughput
- +Eligibility and claim workflows cover key steps without extra tooling
- –Integration depth varies by destination since API surface is limited
- –Automation coverage is narrower than some competitors for exception handling
- –Governance controls like fine-grained RBAC can require process discipline
- –Advanced imaging viewers depend on external imaging integration paths
Best for: Fits when a single specialty clinic needs charting and billing workflows in one cloud system.
Conclusion
After evaluating 10 cloud based dental management software, Dentrix Ascend stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
How to Choose the Right Cloud Based Dental Management Software
Cloud based dental management software connects patient charting, chairside documentation, appointment operations, and billing-ready workflows inside a browser-first environment. This buyer’s guide covers Dentrix Ascend, Curve Dental, iDentalSoft, Denticon, Open Dental, CareCloud Dental, Dental Intelligence, DentalWriter, ClearDent, and DentiMax based on how their workflows carry clinical documentation into downstream outputs.
The differences show up in integration depth, automation coverage across chart-to-billing steps, and the control surfaces used by admins and owners. Dentrix Ascend is emphasized for visit-focused treatment planning that carries forward from charting into billing-ready workflows, while Curve Dental and iDentalSoft are evaluated for browser-first charting and clinic automation that ties structured documentation to subsequent billing steps.
Cloud Based Dental Management Software for chart-to-billing workflows
Cloud based dental management software runs core practice management workflows in a cloud-native deployment so clinics can document dental charting, manage appointments, and produce billing-ready outputs from the same patient record. In practice, Dentrix Ascend centers visit-focused treatment planning that carries forward from charting into workflows used for billing, and CareCloud Dental ties standardized periodontal and tooth chart workflows into the scheduling-to-treatment process.
This category is defined less by “charting in the cloud” and more by how clinical documentation maps into operational steps like eligibility and claims tasks, which affects denial management throughput and consistency of visit-to-visit records. The buyer’s checklist also tracks how each platform handles clinic configuration, external integration dependencies, and administrative controls for separating clinical documentation access from scheduling and reporting tasks.
Cloud workflow features that determine chart-to-billing throughput
Cloud based dental management software succeeds when structured clinical documentation flows into scheduling operations and billing-ready steps with fewer manual handoffs. These features show up as workflow continuity, automation that carries data forward, and integration surfaces that do not break when clinic rules differ by provider or location.
The tools below are evaluated on how they connect chairside documentation to downstream outputs like claims execution, eligibility tasks, imaging review, and follow-up visit consistency. Dentrix Ascend is highlighted for visit-focused treatment planning that carries forward from charting into billing-ready workflows, while Curve Dental and iDentalSoft are emphasized for browser-first charting and clinic automation that ties structured documentation to later billing steps.
Visit-focused treatment planning that carries into billing workflows
Dentrix Ascend emphasizes visit-focused treatment planning that carries forward from charting into workflows used for billing. This same charting-to-billing continuity is implemented differently in iDentalSoft with clinic automation that ties structured clinical documentation into treatment and downstream billing steps.
Charting plus scheduling continuity inside one operational flow
Dentrix Ascend keeps charting and scheduling in the same operational flow and also makes digital imaging review available within the patient chart. Open Dental similarly ties appointment operations to the patient record by connecting tooth and periodontal charting with appointments and clinical documentation.
Clinic automation and configuration patterns that standardize documentation
iDentalSoft focuses on structured clinical documentation that supports visit-to-visit record consistency and carries into downstream billing steps. Curve Dental uses clinic template configuration to standardize recurring documentation and reduce staff-to-staff variation.
Integrated periodontal and tooth notation within the patient record workflow
Denticon integrates periodontal charting and tooth chart notation inside the same patient record workflow so clinicians document both notations without switching contexts. CareCloud Dental ties standardized periodontal and tooth chart workflows into the scheduling-to-treatment process with admin-controlled access tied to daily roles.
Administrative access controls for clinical and operational separation
Curve Dental provides role-based access patterns that separate admin and clinical permissions for browser-first charting and scheduling. CareCloud Dental adds administrative controls for user access tied to daily roles to keep charting and operational functions governed across multi-site teams.
Automation depth across referral workflows, exceptions, and claim steps
Dentrix Ascend offers limited automation depth for highly custom referral workflows and can require external interface setup for complex integrations. Dental Intelligence adds repeatable automation around eligibility and claims, but integration depth can depend on the connected practice management and clearinghouse setup.
How to choose Cloud Based Dental Management Software by workflow mechanics
A correct match depends less on whether charting exists and more on how the system moves structured documentation into operational tasks that drive throughput. The differentiators are integration dependencies, workflow continuity across charting and appointment steps, and how automation behaves when clinic rules change by provider or location.
The decision steps below branch based on clinic operating model and workflow risk. They also point out when external interface setup becomes the gating factor for automation and integration performance.
Map chairside documentation to billing-ready steps without manual handoffs
If treatment planning must start at the visit and carry into billing-ready workflows, Dentrix Ascend is the strongest fit based on its visit-focused treatment planning that carries forward from charting into billing workflows. If the clinic wants structured clinical documentation that stays consistent visit to visit and then drives treatment and downstream billing steps, iDentalSoft matches that chart-to-billing automation pattern.
Choose a browser-first clinic workflow model with controlled staff permissions
If staff needs browser-based charting and scheduling with separated admin and clinical permissions, Curve Dental is designed around browser-first workflow and role-based access patterns. If multi-site teams require consistent clinical-to-operations workflow across scheduling, charting, and treatment stages with access controls tied to daily roles, CareCloud Dental aligns with shared workflows and governed permissions.
Require tight charting plus appointment operations inside the same patient workflow
If the clinic wants tooth and periodontal charting connected directly to appointments and clinical documentation in one patient record workflow, Open Dental aligns with that charting-to-appointment tie-in. If the priority is integrated periodontal charting and tooth notation in the same patient record workflow while appointment workflows reflect common ordering needs, Denticon fits that combined charting and appointment ordering pattern.
Assess how integration complexity affects revenue cycle execution
If external integration paths and interface setup are likely to become a bottleneck for day-to-day throughput, evaluate Dental Intelligence against its dependency on connected practice management and clearinghouse setup for integration depth. If claims execution depends on setup across appointment and billing rules, Open Dental can require setup work across appointment and billing rules for advanced automation.
Verify how automation handles referral edge cases and exception workflows
If referral workflows are highly customized and exceptions are frequent, Dentrix Ascend has limited automation depth for highly custom referral workflows and may push workflow burden to external interface setup. If clinic automation must support downstream consistency through structured documentation but depends on disciplined configuration and workflow setup, iDentalSoft requires configuration discipline to sustain advanced automation.
Who should buy which Cloud Based Dental Management Software
Clinic fit depends on whether the operation is driven by tight chairside-to-billing continuity, standardized documentation, or governed multi-site workflows. The right choice also depends on whether integrations are stable or frequently customized across clinics and providers.
The segments below reflect how specific tools behave in day-to-day workflows like imaging review inside the chart, template-driven documentation, and eligibility and claims automation. The recommendations focus on operational mechanics rather than generic cloud characteristics.
Multi-provider clinics that need chart-to-scheduling coordination
Dentrix Ascend is positioned for multi-provider clinics that want tight coordination between chairside documentation, scheduling, and claims with charting and scheduling in the same operational flow.
Mid-size practices standardizing recurring documentation and controlling staff roles
Curve Dental fits mid-size practices that need browser-based charting and scheduling with clinic template configuration to reduce staff-to-staff variation and role-based access patterns to separate admin and clinical permissions.
Dental groups that want consistent clinical documentation mapped into eligibility and claims tasks
Dental Intelligence supports groups that need a dental intelligence layer to tie clinical documentation to administrative outputs and run automation around eligibility and claims for repeatable revenue cycle throughput.
Clinics that require integrated periodontal and tooth notation in the same record workflow
Denticon suits clinics that need integrated periodontal charting and tooth chart notation within the same patient record workflow while also reflecting common chairside and front-desk ordering needs in appointment workflows.
Single-location clinics that prioritize encounter-connected periodontal documentation
ClearDent fits single-location clinics that want in-chart periodontal documentation tied to encounters while keeping tooth chart and periodontal chart capture in the same patient record across scheduling, clinical notes, and billing.
Common pitfalls when buying Cloud Based Dental Management Software
Mistakes usually come from treating charting as the main requirement instead of evaluating how clinical structure maps into operational steps like eligibility verification, claims execution, and follow-up visit documentation. Another recurring issue is underestimating configuration discipline and external interface dependencies for advanced automation.
The pitfalls below focus on the workflow failure modes visible in these tools, including automation limits for custom referral cases, reporting gaps in production review, and integration depth requirements that shift work onto external setup.
Selecting a system based on charting features without checking chart-to-billing carryover
Dentrix Ascend is built around visit-focused treatment planning that carries forward from charting into billing-ready workflows, so a clinic should test whether its intended treatment planning output actually reaches billing steps without extra work. iDentalSoft also ties structured clinical documentation into treatment and downstream billing steps, so workflow mapping should be validated from documentation templates through billing artifacts.
Assuming automation covers referral exceptions and custom referral workflows
Dentrix Ascend has limited automation depth for highly custom referral workflows, so referral edge cases should be run through the planned process before committing. iDentalSoft can also require disciplined configuration and workflow setup for advanced automation, so exception handling should be evaluated as part of templates and workflow rules.
Overlooking integration dependencies that gate eligibility and claims throughput
Dental Intelligence automation around eligibility and claims can depend on connected practice management and clearinghouse setup for integration depth, so integration paths must be validated as part of the buying process. Curve Dental can depend on external integration paths for deep clearinghouse and remittance handling, so the clearinghouse and remittance route should be treated as a decision-critical workflow.
Ignoring reporting and production-review gaps that affect daily operational control
CareCloud Dental can lag purpose-built dental analytics in day-to-day production review, so clinics that rely on heavy daily reporting should validate reporting breadth with real schedules and production metrics. Dental Intelligence also ties clinical documentation to administrative outputs, so reporting expectations should be verified against revenue cycle execution workflows.
How We Selected and Ranked These Tools
We evaluated the tools by mapping charting and visit workflows to downstream billing-ready steps, then scored features on continuity from documentation into scheduling and claims execution. Features accounted for 40% of the rating, and ease and value each accounted for 30% by emphasizing the effort needed to configure workflows and maintain day-to-day throughput.
Dentrix Ascend set the ranking because its visit-focused treatment planning carries forward from charting into billing-ready workflows while also keeping charting and scheduling in the same operational flow and offering digital imaging review within the patient chart. The other tools ranked lower when automation depth depended more on configuration discipline or when integration complexity required external interface setup to sustain advanced revenue cycle workflows.
Frequently Asked Questions About Cloud Based Dental Management Software
How do Dentrix Ascend and iDentalSoft handle visit-level charting moving into billing-ready workflows?
Which tool offers clinic template configuration to standardize recurring documentation across roles in the browser?
What breaks if the practice needs an API-driven integration surface with external EHR or custom systems?
When does admin control scope matter most for multi-provider clinics versus single-location practices?
How do periodontal charting workflows differ between Denticon and ClearDent in the same patient record?
Which systems support appointment scheduling rules tied to clinical workflow rather than only front-desk booking?
What data migration concerns usually surface when moving from an on-premise practice management system to cloud charting?
How do claims workflow and payment posting processes connect to charting in Dental Intel versus Dentrix Ascend?
Where does extensibility fall short if the clinic also needs imaging integration inside the charting workflow?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
Funding and competing interests
This study was co-funded by several of the vendors assessed in it. No single vendor funded it. Funders could propose the market studied.
They had no role in selecting vendors, setting or weighting criteria, analysing data or drawing conclusions, and they received the same factual-accuracy check as every other vendor assessed.
Market definition, inclusion rules and criteria weights were fixed by an editor before research began and did not change afterwards. Editorial process →
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