Second Opinion 3D®

Expedite CBCT Review

FDA-cleared AI for CBCT that transforms complex scans into clear, actionable 3D insights so every clinician can review, refer, and plan with confidence.

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3D illustration of a lower jawbone with teeth, highlighting a molar and canine tooth in light blue and pink shades.
See Clearly
Turn complex CBCT imagery into intuitive 3D visualizations that make critical findings clear.
Work Faster
Review scans in minutes with automatic segmentation, color-coded anatomy and highlighted findings.
Decide with Confidence
Quickly determine which cases require expert review and which can move forward in-practice.
Plan with Precision
Use annotated visuals for implant planning, surgical prep, or presentation—including 3D printed models.

First-Ever FDA-cleared AI for 3D Radiology

Transforming hundreds of slices into intuitive, color-coded 3D structures, Second Opinion 3D gives clinicians deeper insight into 3D data in minutes — not hours.

3D Clarity for Every Clinician

Pearl color-codes and segments key oral and maxillofacial anatomy, while AI findings surface clinically significant pathology that demands attention.

  • Clean, annotated visualizations make complex 3D data digestible and actionable
  • FDA-cleared anatomical segmentation color codes key oral-maxillofacial anatomy

Never Miss a Referral

Surface findings that demand a closer look and ensure the right patients get expert care—no second-guessing or delays.

  • Spot asymmetries, lesions, and anomalies that warrant referral
  • Support referrals with labeled, color-coded 3D visuals
  • Clearly communicate clinical rationale to specialists and patients

Fast Results

Submit CBCT scans through Pearl’s cloud-based portal and get AI-analysis in minutes.
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Customizable Visualizations

Review AI highlights with user-defined color-coded segmentations and labels.
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Image Control

Toggle, isolate, and zoom into structures for in-depth review and planning.
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Fast, Intuitive Workflow

Second Opinion 3D

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Pearl’s newest FDA-cleared innovation brings real-time AI to CBCT imaging, adding a new dimension of radiologic clarity to dental imaging.

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Second Opinion 3D

FAQ

What is Pearl Second Opinion 3D® and what does it analyze?

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 — inferior alveolar canal, mental foramen, maxillary sinus, nasal space, airway, dentition, maxilla, mandible, and pulp system — and detects pathology in 3D, supporting diagnosis and treatment planning across implantology, endodontics, oral surgery, orthodontics, and airway assessment.

What does Second Opinion 3D® detect on CBCT scans?

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.

How fast is Pearl Second Opinion 3D®?

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.

How does Second Opinion 3D® support dental implant planning?

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.

What CBCT systems and dental imaging platforms does Second Opinion 3D® work with?

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.

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