Reminders should recover the slot, not just send a text.
Independent practices already pay for reminders. The leak is the unconfirmed slot and the empty chair.
Sit on the reminder tool you bought
Weave-class software, the PMS, the calendar. Confirmations, day-before pings, and a path to a person if the patient replies with a real problem.
Not a dental chatbot
If they need to talk to the front desk, they get the front desk.