Second Opinion FAQs

Clinicians and Dentists Want to Know…

Everything you need to know to start using AI in your practice is here––from setting up Second Opinion for the first time to adjusting the AI settings to suit your needs.

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Second Opinion FAQs

How To Create A New Pearl User

1. Navigate to Member Settings

From within your Pearl platform, go to Members in the settings.

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2. Click Create User

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3. Fill Out the Form

Complete all required fields to set up the new user account.

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4. Select the User Type

Choose one:

  • Org Admin – Access to all offices in your organization

  • Office Admin – Access limited to specified office(s)

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5. Assign Permissions (Office Admin Only)

  • Click Add Permission

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  • Select which office(s) the user should be able to manage

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6. Click Save

Finalize the setup by clicking the Save button.

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7. Your newly created user can now be used to login to Pearl

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How does the slider work and what does it do?

The slider (only available to users outside of the United States) enables you to adjust what detections are displayed based on how much confidence the AI has in the accuracy of its detections.

At 'High', the detections displayed are more likely to be accurate (true-positive detections), but you will see fewer detections and some conditions may not be displayed (false-negative detections). The High setting is a great way to gain maximal assurance of the validity of your findings.

Radiograph showing detections at "High" setting.

At 'Low', you'll see more detections, but some may be erroneous (false-positive detections). The Low setting is great for ensuring that you haven't missed something.  

Radiograph showing detections at "Med" setting.

The 'Med' slider setting splits the difference between 'High' and 'Low'. The Med setting is great for showing your patients the detected conditions in their X-rays.

Radiograph showing detections at "Low" setting.

Will Second Opinion® show me results within my existing imaging system?

Second Opinion® is a standalone application that displays AI detections on your radiographs, and we currently have native integration into several imaging systems. We are busily working on integrating Second Opinion® into a multitude of imaging software platforms.

Why do my bone level measurements look different from previous radiographs in Second Opinion®?

The bone level measurements in Second Opinion® are dependent on certain conditions under which the image was taken. Things like angulation of the radiograph, tubehead placement, and sensor placement can affect these measurements.

What does Second Opinion® detect?

Second Opinion® detects and displays the following:
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Pathologies and other conditions

  • Bone Levels
  • Calculus
  • Caries
  • Impaction
  • Margin Discrepancy
  • Periapical Radiolucency
  • Widened Periodontal Ligament

Existing restorations‍

  • Bridge
  • Crown (Metal, including zirconia) 
  • Crown (Non-metal)
  • Filling (Metal)
  • Filling (Non-metal)
  • Implant
  • Root Canal

What do I do if my images stop syncing in Second Opinion®?

If you notice your images are no longer syncing in Second Opinion® please notify our support team immediately by submitting a support ticket here.

Is Second Opinion® currently available where I live?

Please see our list of currently supported territories to find out whether Second Opinion is available where you practice.

How long does it take to implement Second Opinion® into the practice?

The average office takes 10-14 days to install and train on the Second Opinion® software.

How long does it take for my images to appear in Second Opinion®?

90% of images taken load into the Second Opinion® software in under two minutes*.

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*load time may vary based on office bandwidth

How far back does Second Opinion® sync historical images?

Our Second Opinion® platform includes up to 12 months of historical images in your current imaging software*.

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*if you have changed imaging softwares in the last 12 months Second Opinion® will only sync as far back as when you began taking images in your current software.

How do I upload my images into Second Opinion®?

Once the Second Opinion® agent is installed and configured all compatible images taken in your imaging software will automatically upload into Second Opinion®.

How does Second Opinion® keep my patient data safe?

Second Opinion® conforms with all patient information and data privacy regulatory requirements in territories where Second Opinion® is supported.

How does Second Opinion® handle overlap in radiographs?

Similar to the human eye, open contacts will always be the most accurate within Second Opinion®. The software will still look for interproximal caries when there is more overlap present but the accuracy may be affected.

How do I submit new feature or feature improvement requests for Second Opinion®?

To submit feature requests for the Second Opinion® software click here.

How do I search for historic images in Second Opinion®?

The search bar at the top of the Second Opinion® home page can be used to search for images by specific date ranges. Learn more about searching for patient charts here.

Does Second Opinion® support panoramic images?

Currently panoramic images in Second Opinion® are only supported outside of the US. We are currently working on panoramic image support in the US.

Does Second Opinion support CBCT images?

No, Second Opinion® does not currently support CBCT images.

Does Second Opinion® detect cracks?

No, Second Opinion® does not currently support detections for cracks or fractures.

Does Second Opinion® make diagnoses?

No. Second Opinion® is an assistive radiologic tool. It is not intended for use as a diagnostic device. All diagnostic decisions must be made by an appropriately trained and licensed dental healthcare professional.

Does Second Opinion® do auto-charting?

No, Second Opinion® does not currently do auto-charting.

Does Second Opinion® detect the attrition of the tooth surface due to bruxism?

No, Second Opinion® does not currently support detections for attrition or bruxism, but occasionally the software will detect and label occlusal wear as caries.

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Does Second Opinion® detect resorption?

No, Second Opinion® does not currently support detections for resorption, but occasionally the software will detect and label these as caries.

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Does Second Opinion® detect caries on the occlusal surface?

The Second Opinion® software may occasionally detect caries on the occlusal surface. Similar to the human eye, the detection will depend on the size of the radiolucency.

Does my practice still need to do perio probing when using Second Opinion®?

Yes, while Second Opinion® is displaying bone levels the software does not read probing depths. It is still very important to perform periodontal charting and use these findings in conjunction with the bone level measurements.

Can we adjust the appearance of our images in Second Opinion®?

Second Opinion® offers multiple tools to adjust your images. Learn more about using the toolbar here.

Can I type on the bottom of the printout in Second Opinion®?

No, the printout button in Second Opinion® generates and downloads a PDF copy of the radiographs to your computer. You can use a PDF editing program to add text to the printouts, or print them out and write on them.

Can Second Opinion® be used to evaluate baby teeth?

Yes! Second Opinion® is FDA-cleared to assist with radiographic evaluations of baby teeth.

Can I manually edit bone heights in Second Opinion®?

Bone heights cannot be manually edited in the Second Opinion® software. Certain bone height settings can be customized in settings.

Can I choose which images to attach to the printout in Second Opinion®?

No, Second Opinion® currently allows you to choose either one single image or all images in a series for the PDF printout.

Are Second Opinion's® detections always accurate?

No. Research has shown that dentists often disagree with one another regarding diagnoses. Second Opinion’s® machine learning models were trained using diagnostic data provided by human dentists and radiologists. As such, Second Opinion® will sometimes make detections that you don’t agree with. While Second Opinion® can provide great value by highlighting areas of interest that you may have missed, you should disregard any detections that you do not feel are accurate. The software is intended to support you, but all final diagnostic decisions are yours and yours alone.

Can I hide patient data in Second Opinion®?

The PHI toggle in the top-right hand corner of the Second Opinion® software allows you to hide protected health information on the screen.

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