# topsEcho vs Orthotown

The clearest difference is review sentiment: Orthotown at 100% against topsEcho's 0%. Orthotown also leads on update cadence (every 2 months vs every 4 months). topsEcho's advantage is in-app purchases (none vs 10) and iOS requirement (11.4 vs 15.1). On price, ads, monetization model and device support there is nothing between them.

Both are free to download. Orthotown sells 10 one-off in-app purchases. topsEcho asks for nothing beyond the download.

topsEcho ships an update every 4 months, Orthotown every 2 months. Both last shipped on November 1, 2026.

## The numbers

| Metric | topsEcho | Orthotown |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.2 (10 ratings)](https://appshunter.io/ios/app/orthotown/id666587350/reviews)** |
| Number of ratings | — | **10** |
| Positive reviews | 0.0% of reviews | **100.0% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 4 months | **Every 2 months** |
| Monetization | Free | Free |
| Size | 7 MB | 48 MB |
| Requires iOS | **11.4** | 15.1 |
| Devices | iPhone, iPod | **iPhone, iPad, iPod** |
| Age rating | 4+ | 17+ |
| Developer | [Cogent Design, Inc.](https://appshunter.io/developer/370754365) | [Dentaltown.com LLC](https://appshunter.io/developer/607125647) |

## What reviewers say

### topsEcho

[App page](https://appshunter.io/ios/app/topsecho/id370754362)

Access your orthodontic practice information in real-time from your iPhone or iPod touch. View patient details, images, X-rays, appointments, and schedules securely and instantly, without syncing.

**Highlights:** Real-time practice data access, View patient information, Access high-resolution images and X-rays, Manage appointments and schedules, Secure and fast connection, Direct integration with topsOrtho

**In-app purchases:** none


### Orthotown

[App page](https://appshunter.io/ios/app/orthotown/id666587350)

Connect with a global community of orthodontists to discuss treatment mechanics, aligner protocols, and practice growth. Share insights, learn from peers, and collaborate on the latest innovations in orthodontics. This platform ensures no orthodontist has to practice alone.

**Highlights:** Peer-to-peer discussion, Treatment mechanics exchange, Aligner protocol sharing, Practice growth strategies, Latest innovation updates, Collaborative learning

**Features:** macOS Compatibility

**In-app purchases (10)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Orthotown CE Course CEUs  331 | $18.99 | one-time |
| Orthotown CE Course Video  331 | $18.99 | one-time |
| Orthotown CE Course CEUs  387 | $18.99 | one-time |
| Orthotown CE Course Video  387 | $18.99 | one-time |
| Orthotown CE Course Video including CEUs  605 | $36.99 | one-time |
| Orthotown CE Course Video including CEUs  331 | $36.99 | one-time |
| Orthotown CE Course Video including CEUs  387 | $36.99 | one-time |
| Orthotown CE Course Video including CEUs  323 | $36.99 | one-time |
| Orthotown CE Course Video including CEUs  326 | $36.99 | one-time |
| Orthotown CE Course Video including CEUs  722 | $36.99 | one-time |


## Frequently asked questions

### Is topsEcho free?

topsEcho is free to download, with no in-app purchases.

### Is Orthotown free?

Orthotown is free to download, with in-app purchases available.

### Do topsEcho or Orthotown have ads?

Neither topsEcho nor Orthotown shows ads.

### Which is updated more often, topsEcho or Orthotown?

topsEcho ships an update every 4 months, and Orthotown every 2 months. Most recently, topsEcho was updated on November 1, 2026 and Orthotown on November 1, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*