Simpler, Faster CBCT Review for Everyday Care

Second Opinion 3D® is Pearl’s FDA-cleared AI for cone beam computed tomography (CBCT) analysis — making Pearl the first and only dental AI company with FDA clearance for both 2D and 3D imaging. It automatically segments key anatomy, including the inferior alveolar canal, maxillary sinus, nasal space, airway, mandible, and individual teeth, so dentists can review complex CBCT scans faster, interpret findings with more confidence, and explain them clearly to patients chairside.

Yes. Second Opinion 3D includes AI-powered pathology detection covering temporomandibular joint disorder (TMD), carotid artery calcifications, impactions, periapical radiolucency, and sinus radiopacities. This helps providers surface clinically significant findings more efficiently and reduces the risk that something important is overlooked. Pathology detection is currently available in Canada, with regulatory clearances for additional regions pending.

Traditional CBCT viewers are built for technical image review, not chairside conversations. Second Opinion 3D® turns complex 3D scans into clear, color-coded visuals patients can actually understand — making it easier to explain findings, strengthen case presentation, and build the trust that leads to case acceptance for more complex treatment plans. Chairside pathology detection is currently available in Canada only, with regulatory clearances for additional regions pending.

Yes. Second Opinion 3D® includes an embedded radiology-report workflow, so providers can request a review from a board-certified oral and maxillofacial radiologist without leaving the platform — no downloading files, uploading scans, or completing separate referral forms. It’s a faster, simpler, and more affordable way to add radiologist review to your practice.

Second Opinion 3D® fits into everyday practice as well as complex cases. It’s useful during new patient visits for a fuller first conversation, in implant, TMJ, and airway cases where 3D context changes the treatment plan, and for endodontic review. It also makes case presentation easier with visuals patients understand, and converts CBCT findings into 2D images for insurance documentation.

Second Opinion 3D® detects a broad range of CBCT findings, including broken teeth, large caries, periapical radiolucencies, nonodontogenic cysts, crown and root fractures, peri-implantitis, bone defects, radiopacities, missing teeth, impactions, TMJ anomalies, and carotid artery calcifications. It also delivers color-coded anatomical segmentation that makes complex CBCT volumes faster and clearer to review — turning scans that might take 20+ minutes to interpret into annotated studies clinicians can act on immediately.

Yes. Because payors don’t accept full CBCT scans for claim submission, Second Opinion 3D® helps practices convert relevant 3D findings into claim-ready 2D images and documentation. This reduces administrative friction for staff and helps support stronger, more consistent reimbursement outcomes.

Most CBCT scans are analyzed in under 40 seconds from upload to insight, and the system runs on a standard dental workstation through a cloud-based web portal — no specialty hardware required. Clinicians can toggle, isolate, and zoom into segmented structures for in-depth review, and customize color-coded labels for their preferred workflow. From CBCT capture to actionable AI insight typically takes under one minute, which is fast enough to support chairside consults and same-visit case acceptance.

Second Opinion 3D® quantifies bone density, measures proximity to vital structures like the inferior alveolar canal and maxillary sinus, identifies pathology that could compromise placement, and visualizes anatomy in color-coded 3D segmentation. That gives implant clinicians faster, more confident planning — without manually tracing anatomy slice by slice — and gives patients clearer case presentations. It also supports endodontic and oral-surgery workflows where 3D context fundamentally changes the treatment plan.

Second Opinion 3D® works with all DICOM-compliant CBCT and 3D dental imaging formats, including scans from the major cone beam systems used in general practice, OMFS, endodontics, and orthodontics. It runs through a cloud-based web interface, so any standard dental workstation with internet access can submit and review scans. Pearl provides onboarding, video tutorials, live support, and reference guides; no specialized AI training is required to get value from day one.