We know R4, CS Imaging and EXACT inside out. We work quietly around your patients and your appointments — because your day can't stop for IT.
Why dental practices choose us
Most IT companies treat a dental practice like any other office. We don't. We understand that your appointment book is full from 8am, that patients are in the chair, and that the last thing you need is an IT engineer who doesn't know which systems to touch — or when.
We've supported dental practices for years, which means we know how R4, Carestream CS Imaging and EXACT work together, what breaks, how to fix it quickly, and how to plan maintenance so it never disrupts a patient visit.
R4 is the backbone of thousands of UK dental practices — managing patient records, appointments, NHS claims and treatment planning. We support R4 at the infrastructure level: the servers it runs on, the network it relies on, the backups that protect it, and the connectivity that keeps it available to every surgery. We know how to upgrade, migrate and maintain R4 environments without putting your patient data or your NHS contract at risk.
Digital imaging systems are among the most sensitive and business-critical systems in a dental practice. CS Imaging stores your X-rays, CBCT scans and intraoral images — and it needs the right storage, the right network performance and the right backup strategy to work reliably. We manage the full IT infrastructure that CS Imaging depends on, including PACS-compatible storage, archiving and disaster recovery.
EXACT handles your practice management, recalls, patient communications and reporting. We support the Windows infrastructure, SQL databases and network environment that EXACT requires — whether you're running a single surgery or a multi-site group. We understand how EXACT interacts with your other clinical systems and how to keep everything working together smoothly.
We plan all maintenance and on-site visits around your appointment book. We arrive when your waiting room is quietest, we work without disrupting clinical areas, and we leave without your patients ever knowing we were there. When things go wrong unexpectedly, we resolve them remotely wherever possible — keeping downtime to minutes, not hours.
What you get with High Tide
The full picture
We look after the whole technology environment — not just the practice management software.
Surgery PCs, imaging workstations and reception desktops — set up, secured and maintained to keep clinical software running reliably.
Patient data is among the most sensitive data there is. We secure your network, devices and remote access to meet GDPR and NHS data security requirements.
Modern VoIP systems that integrate with your practice software — caller ID matched to patient records, call recording where needed, hunt groups for busy reception teams.
Fast, reliable internet is critical for cloud-based imaging, NHS BSA connections and online booking. We provide and manage business-grade broadband and leased lines.
Your patient records, imaging data and practice software databases are backed up securely and tested regularly. If the worst happens, we get you back online fast.
IT problems don't wait for Monday morning. We provide support when you need it — including urgent assistance before your first patient of the day.
How we work with dental practices
Your software setup, your surgery layout, your busiest times, your compliance requirements. We understand the environment before we touch anything.
Maintenance, upgrades and on-site visits are planned with your reception team — always scheduled when patient impact is lowest.
On-site, we work quietly in the background. Patients don't see us and they don't feel us. Your clinical team stays focused on care.
Once everything is running smoothly, you shouldn't hear from us often — just regular check-ins, monitoring that catches problems before they affect you and a fast, direct response when something needs attention — from someone who already knows your setup.
Standalone services
You don't need to switch your whole IT setup to work with us. Many of our dental customers came to us for one specific thing — and stayed because it worked.
Most dental practices are still running old phone lines that don't connect to their patient software. We replace them with modern VoIP systems that show patient details the moment they call — reducing admin time, cutting missed calls and giving your reception team the information they need instantly.
Patient records, X-rays, CBCT scans and practice management data are irreplaceable — and in many cases you're legally required to retain them for years. We provide dental-specific backup solutions that protect everything, test automatically, and can restore your full system quickly if something goes wrong.
Many practices come to us after discovering their existing backup hasn't been working — or has never been tested. We make sure yours actually works.
Hosted across 3 SOC 2 Equinix data centres
Manchester, Leeds and London — replicated in real time. Enterprise-grade infrastructure, available to practices of any size.
Full details on our backup solution →Tell us what software you run, how your phones work, and when you last tested your backups. We'll give you an honest assessment — no sales pitch, no obligation. If you just need phones, we'll sort your phones. If you just need backups, we'll sort your backups. It's as simple as that.
Whether you need full IT support or just better phones and backups, call us on 01429 818332 — no jargon, no pressure, no obligation.