See how the systems stack up for all your practice needs
Dental AI now sits at the center of how you improve diagnostic consistency, streamline case presentation, and operate more efficiently. As you evaluate platforms, Pearl and Overjet will likely be on your shortlist. Both are active in chairside AI, and both discuss practice operations and planning in their materials.1-3
A key clinical distinction is regulatory scope. Pearl holds FDA clearance for 2D radiographic analysis and for 3D CBCT anatomical segmentation, whereas Overjet’s public clearances address 2D capabilities such as bone level measurement and caries detection. If you anticipate more CBCT-driven workflows in implant, ortho, or oral surgery, that 3D distinction may influence your choice.4-8
Pearl is positioned to support the full practice workflow. Second Opinion® provides FDA-cleared analysis for 2D radiographs and extends to 3D CBCT anatomical segmentation,1,4,5 bringing AI assistance to advanced imaging. Practice Intelligence® connects clinical insights with practice data to surface care opportunities.3
On the administrative side, Precheck™ automates eligibility and benefits verification, and Claimcheck™ supports claim submission optimization. For restorative and lab-adjacent workflows, Pearl has documented tools to improve scan quality and margin consistency. Integrations and case studies illustrate adoption in everyday software and multi-site settings.10-12,15
Examples of integrated software connections include Open Dental, Carestream Imaging, MiPACS, Dentrix (including Enterprise), Eaglesoft, Planmeca Romexis, Dentsply Sirona Sidexis 4.3, tab32, XDR, Curve, and Apteryx XVWeb.15
Overjet provides AI for 2D radiograph analysis with overlays and analytic dashboards that support clinical decision-making. Its FDA 510(k) clearances cover bone level measurement and caries detection. The platform also includes tools for treatment planning, disease detection, practice management, and insurance verification, positioning it as a solution centered on chairside diagnostics with extensions into operational efficiency.2,7,8,14
|
Feature |
Pearl |
Overjet |
What it means for you |
|
Core platform |
Ecosystem spanning clinical AI, analytics, eligibility, claims optimization, and lab-adjacent tools (Second Opinion®, Practice Intelligence®, Precheck™, Claimcheck™, scan-quality and margin support).3,9-12 |
Chairside 2D diagnostics with provider dashboards and education on clinical and operational topics.2,14 |
Pearl covers the full workflow: clinical, business, admin, and lab, so practices can reduce tool sprawl and handoffs. |
|
2D radiograph analysis |
FDA-cleared CADe for a broad range of findings on 2D radiographs via Second Opinion®.1,4 |
FDA 510(k) clearances for bone level measurement and for caries detection.7,8 |
Both are FDA-cleared for broad 2D detections; Pearl additionally supports margins and bridges. |
|
3D CBCT analysis |
Automated anatomical segmentation for CBCT under FDA clearance with Second Opinion® 3D.5 |
FDA 510(k) clearances address only 2D capabilities, including bone level measurement and caries detection; 3D CBCT analysis is not listed.7,8 |
If CBCT is central to your workflow, Pearl currently offers an FDA-cleared 3D option; Overjet does not. |
|
Detection breadth & support |
Assistance across multiple findings (e.g., caries, calculus, PARL, restorations).1,4 |
Focused detections (bone level, caries and PARL).7,8,13 |
Pearl detects a wider range of findings and uses contextual FMX learning, providing broader and more consistent input for decisions. |
|
Processing speed & deployment |
Rapid analysis designed for everyday chairside use; access within existing imaging/PMS environments via integrated software connections.1,15 |
Online analysis for 2D diagnostics; deployment varies by environment.2 |
Pearl processes most images in under 30 seconds and supports offline use, reducing waiting and workflow delays. |
|
Practice / business intelligence |
Practice Intelligence® surfaces specific, unscheduled-care opportunities by linking AI findings and practice data.3 |
Dashboards that track trends and clinical opportunities for providers.2 |
Pearl leans into predictive, revenue-oriented insights; Overjet presents trend and opportunity tracking. |
|
Insurance and claims |
Precheck™ for eligibility and benefits; Claimcheck™ for claims optimization, plus independent coverage in industry news.10,11 |
Overjet offers payer-facing review/approval tools; payer criteria remain proprietary and are not disclosed in provider resources.14,16 |
Pearl includes dedicated tools for eligibility and claims optimization, while Overjet supports documentation without direct claims automation. |
|
Dental lab solutions |
Smart Margin® and Prep Assess™ support restorative workflows; Scan Clarity Score helps reduce remakes caused by poor scan quality.9,12 |
No dedicated lab workflow tools.2 |
If you coordinate closely with labs, Pearl includes features to reduce remakes and improve consistency. |
|
Integrated software experience |
Integrated software connections across major imaging and PMS platforms (e.g., Open Dental, Carestream Imaging, MiPACS, Dentrix, Eaglesoft, Romexis, Sidexis 4.3, tab32, XDR, Curve, Apteryx XVWeb).15 |
Platform connections vary by environment.2 Overjet also offers its own imaging system, IRIS, if you're willing to switch up your tools and workflow. |
Pearl integrates with more imaging and PMS systems, helping practices adopt without major workflow changes. |
|
AI overlay control |
On-demand AI annotations available at the clinician’s discretion.1 |
Overlays display as part of the chairside analysis experience.2 |
Pearl lets clinicians decide when to display highlights, supporting intentional case presentation; Overjet’s highlights appear automatically. |
|
Image quality support |
Pre-submission scan-quality and margin checks help speed up workflow and improve clarity for diagnostics and restorative work.1,12 |
Image overlays and contrast adjustments for provider review.2 |
Pearl uses GAN-based preprocessing to improve clarity on poor-quality images, reducing retakes and rework. |
|
Patient communication |
Color-coded annotations and printable visuals that support chairside explanations.1 |
Provider-facing overlays and analytics to aid chairside discussion.2 |
Pearl provides color-coded visuals, rollovers, split-view, and branded printouts that make findings clearer for patients. |
|
Team use |
Workflow support across the clinical team within everyday software environments.1,4 |
Dentist-focused tooling and dashboards; FDA indication specifies use by dentists, which may limit delegation to hygienists/assistants.2 |
Pearl is cleared for use by the full care team, while Overjet is indicated for use by dentists. |
|
Schedule integration |
Eligibility checks embedded in the schedule (Precheck™) and claim optimization (Claimcheck™).10,11 |
Schedule-level eligibility integration not described.14 |
Pearl embeds insurance checks into the schedule with code-level detail; Overjet does not integrate at the schedule level. |
Radiographic analysis sits at the core of dental AI. You use it to surface pathology consistently, support case presentation, and plan treatment. Both platforms support 2D imaging under FDA clearance. Pearl additionally supports 3D CBCT anatomical segmentation, which can be relevant for implant planning, orthodontics, and oral surgery, and allows you to keep chairside conversations grounded in visual anatomy across modalities.1.4-6
Second Opinion® is cleared for assisting with a broad set of findings on 2D radiographs, giving you multi-finding support during routine exams and follow-ups.1,4 Overjet’s FDA clearances span most of the same detections as Pearl, covering caries, bone level, and other pathologies, though margins and bridges remain exclusive to Pearl.7,8
Pearl is cleared to perform automated anatomical segmentation on CBCT through Second Opinion® 3D, extending AI assistance to 3D imaging.5,6 Overjet lists 2D radiographic capabilities and FDA 2D clearances.7,8
|
Milestone/clearance |
Company |
Date |
Significance |
|
Initial bone level measurement (2D) |
Overjet |
May 2021 |
First FDA-cleared AI tool for bone level measurement in dental radiographs.7 |
|
Broad pathology detection (2D) |
Pearl |
March 2022 |
FDA clearance for AI that assists with multiple findings on 2D X-rays.4 |
|
Caries detection (2D) |
Overjet |
October 2022 |
Caries Assist clearance expands Overjet’s 2D diagnostic scope.8 |
|
EU-MDR certification (Class IIa) |
Pearl |
June 2023 |
Certified as a Class IIa medical device under the EU’s MDR framework.17 |
|
3D CBCT anatomical segmentation |
Pearl |
May 2024 |
FDA clearance for automated CBCT anatomy identification, establishing 2D + 3D coverage.5,6 |
Modern dental AI influences more than diagnosis. The biggest gains come when you connect chairside findings to scheduling, eligibility, claims, and follow-up.
Practice Intelligence® is built to surface specific, unscheduled treatment opportunities by unifying clinical insights with your practice data, which helps you prioritize outreach and fill the right time blocks.3 Overjet provides dashboards that track diagnostic trends and care opportunities to support chairside discussions and planning.2
Pearl offers products that automate key RCM steps you manage every day. Precheck™ verifies eligibility and benefits ahead of the visit, and Claimcheck™ supports claims submission optimization, with additional industry coverage describing the program’s launch and aims.10,11 Overjet publishes guidance and education on insurance verification, documentation, and note-taking that can improve accuracy and speed in existing workflows.2,14
Overjet’s biggest customers are insurers; however, it keeps their proprietary data, like diagnostic thresholds for approval, siloed. Providers should not expect Overjet’s partnership with insurers to expedite claim approval. Pearl has no direct relationship with payors and instead works only with providers to strengthen their claims based on objective, AI-evidence, coding checks, and more.10,11,16
If you want a single platform that advances clinical care and operations, Pearl combines FDA-cleared 2D assistance and 3D CBCT anatomical segmentation with practice-side analytics, eligibility and claims optimization, and lab-adjacent tools. That scope helps you translate chairside findings into scheduled care, clean claims, and consistent restorative outcomes, while staying aligned with evolving imaging workflows.
Overjet offers capable 2D chairside analysis and provider dashboards; Pearl’s broader ecosystem is designed to support the entire practice lifecycle.1-5,9-12