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Setup guide

Facebook Messenger setup

Optional: connect your practice Facebook Page so Toothy can read and reply to patient messages automatically — with handoff to your team when someone asks for a person.

Last updated: July 2026

This is separate from Meta Ads billing — Messenger uses your Page's inbox. Toothy's assistant replies in the same thread patients use when they message your practice on Facebook.

  1. 1

    Confirm Page messaging is on

    Open your Facebook Page as an admin. Under Settings → General, ensure Messages are allowed and the Messaging tab is visible to visitors.

    ScreenshotFacebook Page settings — Messages turned on and Response Assistant options visible.
    Facebook Page settings — Messages turned on and Response Assistant options visible.
  2. 2

    Use the right Facebook login

    The person connecting Messenger in Toothy should log in with a Facebook account that has Full control on the Page (see Meta ads setup, step 6).

  3. 3

    Connect Messenger in Toothy

    1. Sign in to Toothy → Settings → Practice.
    2. Scroll to Facebook Messages.
    3. Click Connect Page.
    4. Approve the Facebook dialog (Pages and messaging permissions).
    5. Select the correct Page if you manage more than one.
    ScreenshotToothy — Messenger connect button and Facebook Page picker after OAuth.
    Toothy — Messenger connect button and Facebook Page picker after OAuth.
  4. 4

    Test from a patient perspective

    From a Facebook account that is not a Page admin:

    1. Open your practice Page → Message.
    2. Send a simple question (e.g. “What are your hours?”).
    3. You should receive an automated reply within a few seconds.
    ScreenshotFacebook Page — Message button and sample patient conversation with practice.
    Facebook Page — Message button and sample patient conversation with practice.
  5. 5

    Know how human handoff works

    When a patient asks to speak with a person, Toothy stops auto-replying and the conversation moves to your Page Inbox (Meta Business Suite or the Facebook Pages app). Staff reply there as usual.

    View and manage conversations from Toothy's Messages section when your plan includes inbox access.

    ScreenshotMeta Business Suite Inbox — staff view of a handed-off conversation.
    Meta Business Suite Inbox — staff view of a handed-off conversation.

Troubleshooting

No Pages listed after OAuth

Confirm Page access in Business Manager and that you approved all requested permissions in the Facebook dialog.

Bot doesn't reply to patients

Check that the Page is still connected in Toothy settings. During testing, Meta may restrict replies to app testers until the app is in Live mode.

Wrong Page connected

Disconnect in Practice settings and reconnect, selecting the correct Page.