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.
From within your Pearl platform, go to Members in the settings.
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Complete all required fields to set up the new user account.
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Choose one:
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Finalize the setup by clicking the Save button.
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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.

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. Â

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.

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.
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.
Second Opinion® detects and displays the following:
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If you notice your images are no longer syncing in Second Opinion® please notify our support team immediately by submitting a support ticket here.
Please see our list of currently supported territories to find out whether Second Opinion is available where you practice.
The average office takes 10-14 days to install and train on the Second Opinion® software.
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
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.
Once the Second Opinion® agent is installed and configured all compatible images taken in your imaging software will automatically upload into Second Opinion®.
Second Opinion® conforms with all patient information and data privacy regulatory requirements in territories where Second Opinion® is supported.
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.
To submit feature requests for the Second Opinion® software click here.
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.
Currently panoramic images in Second Opinion® are only supported outside of the US. We are currently working on panoramic image support in the US.
No, Second Opinion® does not currently support CBCT images.
No, Second Opinion® does not currently support detections for cracks or fractures.
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.
No, Second Opinion® does not currently do auto-charting.
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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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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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.
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.
Second Opinion® offers multiple tools to adjust your images. Learn more about using the toolbar here.
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.
Yes! Second Opinion® is FDA-cleared to assist with radiographic evaluations of baby teeth.
Bone heights cannot be manually edited in the Second Opinion® software. Certain bone height settings can be customized in settings.
No, Second Opinion® currently allows you to choose either one single image or all images in a series for the PDF printout.
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.
The PHI toggle in the top-right hand corner of the Second Opinion® software allows you to hide protected health information on the screen.