Free OpenClaw Skill for Pediatric Dental Practices: Recall and Parent Comms Agent (Download)

What this skill does for your pediatric dental practices

• Compiles the weekly 6-month recall list from Curve Dental, Open Dental, or Dentrix Ascend, keyed to last hygiene visit and age-appropriate AAPD recall interval.
• Schedules sealants for the 6 to 12 year-old molar windows and fluoride applications on AAPD-aligned timing.
• Drafts age-appropriate anticipatory guidance text for parents at each well-child dental visit (teething, weaning, oral hygiene, thumb sucking, mouthguards, orthodontic referral).
• Manages parent texting for confirmations, behavior management updates, and post-visit recovery for nitrous, sedation, and stainless steel crown appointments.
• Refers age 7 patients to orthodontic evaluation per AAPD guidelines with the warm handoff message and a list of referral practices.

What's inside this OpenClaw skill

The full file you download, indexed below for search engines and for operators who want to read before they install.

---
name: pediatric-dental-recall
description: AAPD-aligned 6-month recall, sealant and fluoride scheduling, age-appropriate anticipatory guidance, parent texting, behavior management continuity, and age 7 orthodontic referral for pediatric dental practices. Integrates with Curve Dental, Open Dental, Dentrix Ascend.
version: 1.0.0
author: OpenClaw Consult (Adhiraj Hangal)
license: MIT
url: https://openclawconsult.com/skills/pediatric-dental-practices
---

# OpenClaw Skill: Pediatric Dental Recall and Parent Communication

## Overview

This skill turns the OpenClaw agent into a recall coordinator, anticipatory
guidance prompter, and parent communications specialist for a pediatric dental
practice. It owns the AAPD-aligned 6-month recall, the sealant and fluoride
scheduling, the parent-friendly appointment messaging, the behavior management
continuity, and the age 7 orthodontic referral.

It is designed for 1 to 5 doctor pediatric dental practices running Curve
Dental, Open Dental, Dentrix Ascend, Eaglesoft, or Practice-Web. Single-location
and multi-location practices both work. The skill handles the unique pediatric
dental pattern: parent-mediated communication, age-specific clinical milestones,
caries-risk-stratified recall, and behavior management continuity.

## What this skill does

1. AAPD-aligned 6-month recall keyed to caries risk (3mo high-risk, 4mo moderate, 6mo standard)
2. Sealant scheduling for permanent first and second molars on age-appropriate windows
3. Fluoride scheduling with insurance benefit cap awareness
4. Age-specific anticipatory guidance (teething, weaning, oral hygiene, thumb-sucking, mouthguards, ortho referral)
5. Parent texting with age-appropriate tone (toddler / preschool / elementary / teen)
6. Behavior management continuity from visit to visit
7. Age 7 orthodontic referral with warm handoff to preferred ortho practice

## Triggers

```yaml
triggers:
  - type: heartbeat
    schedule: "0 7 * * 1"            # Mondays 7am
    action: compile_6month_recall_roster

  - type: heartbeat
    schedule: "0 8 * * 1-5"          # Weekdays 8am
    action: confirmations_for_tomorrow

  - type: heartbeat
    schedule: "0 9 * * 3"            # Wednesdays 9am
    action: compile_ortho_referral_roster

  - type: heartbeat
    schedule: "0 9 * * 4"            # Thursdays 9am
    action: anticipatory_guidance_roster

  - type: on_event
    event: pms.appointment_completed
    action: enter_post_visit_followup

  - type: on_event
    event: pms.patient_turned_7
    action: enter_ortho_referral_queue
```

## Workflow: 6-month recall

Every Monday at 7am the agent:

1. Pulls the active patient panel filtered by AAPD-aligned recall interval (3mo high-risk, 4mo moderate, 6mo standard) and the time since last hygiene visit
2. Drafts parent texts with age-appropriate tone:
   - Toddler / preschool (1-4y): "Time for {child}'s next dental visit. We will keep it short and fun. {parent} can come back with them."
   - Elementary (5-11y): "Time for {child}'s next cleaning with Dr. {dentist}. They are doing great with the brushing routine."
   - Teen (12-17y): "Hey {parent}, it is time for {teen}'s next cleaning. Reply with a slot or {teen} can text us directly."
3. Includes 3 open slots in the next 3 weeks
4. Notes any pending treatment plan items from prior visits (sealants, fluoride, restorations)
5. Routes to the front desk for approval

A 2-doctor pediatric practice with 3,000 active patients has 250 to 500 patients in any recall window. The skill picks the right ones.

## Workflow: sealant and fluoride scheduling

The skill maintains the AAPD-aligned schedule:

- Sealants on permanent first molars: typically age 6 to 7
- Sealants on permanent second molars: typically age 11 to 13
- Fluoride applications: typically 4 times per year for high-risk patients, 2 times per year for standard-risk
- Insurance benefit cap check: most pediatric plans cover 2 to 5 fluoride applications per year, 1 sealant per tooth per lifetime

When a patient is due for sealants or fluoride at the next recall, the skill:

1. Checks insurance benefit cap remaining
2. Drafts the recall message highlighting the preventive service
3. Sets the front desk expectation for that appointment
4. If benefit cap is exhausted, holds the upsell and notes self-pay option for the front desk to discuss

## Workflow: anticipatory guidance

For each well-child dental visit, the skill drafts age-appropriate guidance for the parent texts:

- 6 months to 1 year: teething, first dental visit, no bottle in bed
- 1 to 2 years: weaning from bottle, supervised brushing, fluoride introduction
- 2 to 3 years: brushing twice daily, parent finishes the brushing, snack frequency
- 3 to 5 years: thumb-sucking by age 4-5 if persistent, flossing introduction
- 5 to 7 years: sealants on permanent first molars, mouthguards for sports
- 7 years: orthodontic evaluation referral
- 8 to 12 years: ongoing prevention, sports mouthguards, ortho follow-up
- 12 to 17 years: independence in oral hygiene, wisdom teeth conversation begins age 16

The skill is calibrated to the AAPD's guidance schedule. The doctor or hygienist can override or customize via the config.

## Workflow: parent texting and behavior management continuity

When a patient has documented behavior management at a prior visit, the skill captures:

- Strategies used (Tell-Show-Do, parent presence, nitrous oxide, comfort item, etc.)
- Outcome (cooperative, partially cooperative, required referral to oral surgery, etc.)
- Parent preferences (always present, never present, only during preventive)

Before the next visit, the skill drafts a parent reminder that references the strategies used and the team's plan for this visit. This makes anxious patients and patients on the autism spectrum feel known, and meaningfully improves cooperation rates.

For sedation appointments and stainless steel crown appointments, the skill drafts pre-visit instructions (fasting, ride home, recovery expectations) and post-visit follow-up.

## Workflow: age 7 orthodontic referral

When a patient turns 7, the skill enters them into the orthodontic referral queue:

1. Pulls the parent's preferred orthodontic referral practice from the config (matched by insurance)
2. Drafts a warm-handoff parent message: "{Child} is at the AAPD-recommended age for an orthodontic evaluation. We refer most of our patients to {Dr. X} who knows our practice well. Reply if you want me to make the intro call."
3. If parent agrees, drafts the intro message to the ortho practice with the patient's age, last x-ray date, any noted orthodontic concerns
4. Tracks the referral outcome (consult booked, consult completed, treatment started)

The age 7 referral is a small but high-leverage clinical and operational moment. Most pediatric practices forget to do it routinely. The skill makes it routine.

## Memory keys

```yaml
memory:
  - key: peds.recall_status[{patient_id}]
    description: Current recall interval and last visit
    schema: { recall_interval_mo: 3|4|6, last_visit: date, caries_risk: high|moderate|standard, next_recall_due: date }

  - key: peds.benefit_status[{patient_id}]
    description: Active insurance benefit utilization
    schema: { fluoride_used_ytd: int, fluoride_cap: int, sealants_used: array, last_verified: datetime }

  - key: peds.behavior_management[{patient_id}]
    description: Behavior management history
    schema: { last_visit_strategies: array, last_visit_outcome: string, parent_preference: string, autism_spectrum: bool, anxiety_flag: bool }

  - key: peds.ortho_referral_status[{patient_id}]
    description: Age 7 orthodontic referral state
    values: [pending, parent_notified, parent_accepted, referral_made, consult_booked, consult_completed, treatment_started, declined]

  - key: peds.parent_contact_preferences[{patient_id}]
    description: Parent communication preferences
    schema: { preferred_channel: sms|email, preferred_name: string, language: string, copy_other_parent: bool }
```

## Message templates

```yaml
templates:
  recall_elementary_age_friendly:
    body: |
      Hi {parent_first_name},

      Time for {child_first_name}'s next dental visit with Dr. {dentist_last_name}.
      They are doing great with the brushing and we are looking forward to seeing
      them.

      Open slots:
      {open_slots}

      Reply with the one that works. We have a sealant due on a permanent
      molar this visit (covered by your insurance).

      {practice_name}

  recall_toddler_reassuring:
    body: |
      Hi {parent_first_name},

      Time for {child_first_name}'s next check-up. We will keep it short and
      fun, and you are welcome to come back with them like last time.

      Open slots:
      {open_slots}

      Reply when you can.

      {practice_name}

  ortho_referral_age_7_warm_handoff:
    body: |
      Hi {parent_first_name},

      {child_first_name} is now 7, which is the age the AAPD recommends a first
      orthodontic evaluation. We are not seeing anything urgent, but a baseline
      look helps Dr. {ortho_last_name} catch anything that might need a head
      start.

      We refer most patients to {ortho_practice_name}, who knows our practice
      well and takes your insurance. Reply YES and I will make the intro call.

      {practice_name}

  behavior_management_continuity:
    body: |
      Hi {parent_first_name},

      Quick note ahead of {child_first_name}'s visit on {appointment_date}.

      Last time {child_first_name} was here, the team used {prior_strategies}
      and it went {prior_outcome}. We will use the same approach this time, and
      you are welcome to be present.

      Anything we should know about how {child_first_name} has been feeling
      about dental visits?

      {practice_name}

  sedation_pre_visit:
    body: |
      Hi {parent_first_name},

      Tomorrow {child_first_name} is scheduled for {procedure} with nitrous
      sedation. A few things to know:

      - No food or drink for 6 hours before
      - Please plan for {child_first_name} to be tired for the rest of the day
      - Bring a comfort item if it helps
      - We will call you back into the room as soon as the procedure starts

      Reply if you have any questions.

      {practice_name}
```

## Required integrations

| Integration             | Purpose                                              | Read | Write |
|-------------------------|------------------------------------------------------|------|-------|
| Curve Dental            | PMS, scheduling, hygiene, charting                   | yes  | optional |
| Open Dental             | PMS, scheduling, hygiene, charting                   | yes  | optional |
| Dentrix Ascend          | PMS, scheduling, hygiene, charting                   | yes  | optional |
| Eaglesoft               | PMS export                                           | yes  | no    |
| Practice-Web            | PMS export                                           | yes  | no    |
| Dental insurance eligibility feeds | Benefit cap and sealant history check    | yes  | no    |
| Twilio (or similar)     | Outbound SMS to parents                              | no   | yes   |
| Email provider          | Outbound email                                       | no   | yes   |
| OpenClaw Memory         | Cross-run state                                      | yes  | yes   |
| OpenClaw Heartbeat      | Scheduled cadence triggers                           | yes  | yes   |

Write-back to the PMS is optional. Most practices start read-only and have the
front desk commit any PMS changes. After two weeks, flip write access on for
recall date stamps and note appends.

## HIPAA notes

By default this skill operates on patient identifiers (parent and child names),
appointment metadata, and recall reason category. We deliberately avoid putting
specific clinical findings, treatment plan detail, or sensitive social history
into outbound SMS. For stricter PHI handling, set `phi_mode: identifier_only`.

For practices that correspond with schools (school release forms, school-based
sealant programs), FERPA boundaries apply in addition to HIPAA. The skill ships
a school_communications guardrail that requires parent consent on file before
any school-directed outbound.

Confirm your BAA covers the cloud AI provider you point OpenClaw at. The skill
itself is local; the model inference is not.

## Configuration

```yaml
config:
  practice_name: "Your Pediatric Dental"
  dentists:
    - last_name: "Aleman"
      first_name: "Marcela"
      voice: warm-playful
    - last_name: "Tan"
      first_name: "Sarah"
      voice: warm-clinical
  approval_mode: front_desk_approves_all  # or "autonomous_after_2_weeks"
  phi_mode: standard                      # or "identifier_only"
  recall_intervals:
    high_caries_risk: 3_months
    moderate_caries_risk: 4_months
    standard_risk: 6_months
  fluoride_benefit_cap_default: 4
  ortho_referral_practices:
    - name: "Smiles Orthodontics"
      accepts: [Delta, BCBS, Aetna, MetLife]
      doctor_last: "Patel"
    - name: "Davidson Ortho"
      accepts: [Delta, Cigna, BCBS, Guardian]
      doctor_last: "Davidson"
  anticipatory_guidance_topics_by_age:
    1: [teething, no_bottle_in_bed, first_visit]
    2: [weaning, supervised_brushing, fluoride_intro]
    3: [brushing_twice, snack_frequency]
    5: [thumb_sucking, flossing_intro]
    6: [sealants_permanent_first_molars, mouthguards]
    7: [orthodontic_evaluation_referral]
    12: [sealants_permanent_second_molars, independence]
    16: [wisdom_teeth_conversation_start]
```

## Quick install

```bash
mkdir -p ~/.claude/skills
mv pediatric-dental-practices.md ~/.claude/skills/pediatric-dental-recall.md
# Edit the config block to match your practice
```

Launch OpenClaw and the skill is live. Run `compile 6 month recall roster` or
`compile ortho referral roster` on demand, or wait for Heartbeat to fire.

## Want it wired to your stack?

This SKILL.md is the starting point. If you want it plugged into your specific
PMS, your specific ortho referral network, your specific behavior management
documentation, and your specific brand voice, on a fixed-price two-week clock,
with the founder writing every line of the build, the door is at
https://www.adhirajhangal.com/work

Install in 60 seconds

1. 1

   Drop the file into your OpenClaw skills directory

   Save the downloaded pediatric-dental-practices.md as ~/.claude/skills/pediatric-dental-recall.md. OpenClaw picks up new skill files on next agent launch.

2. 2

   Wire in your Curve Dental, Open Dental, or Dentrix Ascend feed

   Edit the integrations block to point at your practice management system export. Read access to the patient panel and the daily schedule is enough to start.

3. 3

   Start in front-desk approval mode, validate, then move to autonomous

   Run for two weeks with the front desk approving every outbound parent message. The skill defaults route any sedation question, any behavior management concern, and any clinical question to the doctor. After two weeks, flip routine recall and confirmation messages to autonomous.

Example conversation

Common questions

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