It's after closing and a patient calls because their lower retainer cracked — they bit down on something and now half of it is in their hand. They know the bottom teeth crowd quickly without it, and they want a replacement scheduled before things shift. But the office is closed, the call rolls to voicemail, and the patient is left to stew overnight, half-tempted to search for an orthodontist who picks up. Lost or broken lower retainer calls feel urgent to the patient and arrive at the worst hours for your front desk to catch them.
DentalReception AI answers every one of those calls in under two rings and books the replacement visit live, 24/7 — writing the appointment directly into your schedule in Dentrix, Open Dental, Eaglesoft, Curve Dental, or CareStack while the caller is still on the line.
Informational only — not clinical, coding, or billing advice; confirm CDT definitions and coverage independently. This page describes call handling only. The AI captures and routes; it does not diagnose, assign codes, or quote coverage.
What a D8704 call usually sounds like
D8704 is commonly published as the CDT code for replacement of a lost or broken retainer — mandibular (lower). We state it only at that conservative level; confirm the official CDT definition and any payer rules with your clinical and billing teams.
On the phone, callers never use a code. They say they "broke the bottom retainer," "lost the lower one," or "it cracked when I bit down." The AI receptionist recognizes a replacement request for the lower retainer and captures the booking — it does not interpret the situation or assess the teeth.
What the AI can safely capture and schedule
For a routine replacement booking, the agent handles the full request without a human:
- Confirms the patient is established and pulls their record so the visit lands on the right chart and provider column. See appointment scheduling.
- Offers and books the soonest appropriate slot for the replacement, live during the call — including after-hours, so the patient isn't waiting on a callback.
- Captures whether it's the lower, upper, or both so your team arrives prepared. See related retainer calls.
- Writes a clear summary so the front desk knows exactly what's needed.
What must be routed to clinical staff
The line is simple: the AI captures and schedules, it never advises. These go to your team, not the agent:
- Clinical questions — whether the lower teeth have shifted, how urgent it is, or whether a new scan is needed. These belong to the orthodontist.
- Coverage and cost specifics — whether a replacement is covered, replacement-fee questions, or out-of-pocket cost. The agent collects details and relays the question.
- Pain or visible movement — if a caller reports pain or that teeth look like they've moved, the call is routed with full context.
Anything outside a clean replacement booking becomes a task or transfer for the front desk.
Context passed into your PMS
Because the booking writes back in real time, your team opens each visit ready to go:
| Captured on the call | Written to the PMS |
|---|---|
| Patient identity / record match | Linked to existing chart |
| Lost/broken mandibular retainer intent | Replacement visit booked in correct column |
| Lower / upper / both noted | Captured in summary for prep |
| Coverage questions | Task flagged for front desk |
| Full call summary | Notes on the appointment |
Built for practices like yours — see our orthodontics solution and the confirmed integrations.
Frequently asked questions
Does the AI assign the D8704 code to the appointment?
No. The agent captures the caller's request to replace a lost or broken lower retainer and books the visit; it does not assign, confirm, or bill any CDT code. Code selection stays with your clinical and billing staff at the point of care. The reference to D8704 here is informational only — confirm the official CDT definition independently. The AI recognizes a mandibular retainer replacement request, books it in the right column, and writes a clear summary for your team.
Can it tell a patient whether their lower teeth have moved?
No. Whether teeth have shifted and how urgently a replacement is needed are clinical judgments for the orthodontist. The agent never assesses the teeth or guesses at urgency. It captures the details, books the soonest appropriate visit, and routes any clinical question to your team so a person can advise the caller correctly.
Will it book a replacement after hours?
Yes. The agent answers 24/7 and can book the soonest appropriate slot under your scheduling rules — so an after-closing broken-retainer call becomes a confirmed appointment instead of a voicemail. The patient gets resolution immediately, and the booking is waiting in your schedule when the office opens.
Does the booking actually land in our schedule?
Yes. For Dentrix, Open Dental, Eaglesoft, Curve Dental, and CareStack, the appointment writes back into your live schedule in real time while the caller is still on the line — no re-keying. For other systems, DentalReception AI connects via API or works alongside your existing tools. Every call still produces a summary and any needed task.