Best dental X-ray AI (2026)
Pearl (Second Opinion) ranks #1 for dental X-ray AI at 8.9/10, ahead of Overjet (8.8). Dental X-ray AI flags findings such as caries, bone loss and periapical radiolucencies on radiographs and CBCT. These are the radiograph AI tools we rank, ordered by our editorial score, with the FDA clearances we verified.
· Independently reviewed by Dental AI Tools (dentalaitools.com) · 7 tools ranked
The ranking
| # | Tool | Score | Best for | FDA clearances | Pricing | Website |
|---|---|---|---|---|---|---|
| 1 | Pearl (Second Opinion)🇺🇸 | 8.9/10 | FDA-cleared AI radiograph detection for chairside case acceptance, plus Pearl Voice ambient notes and voice perio charting (launched April 2026). | 8 | Contact vendor | hellopearl.com |
| 2 | Overjet🇺🇸 | 8.8/10 | FDA-cleared AI for x-ray detection and quantification, popular with DSOs; 2026 clearances added image-quality checks and multi-image caries charting. | 12 | Contact vendor | overjet.com |
| 3 | Videa🇺🇸 | 8.8/10 | FDA-cleared AI caries and pathology detection on radiographs. | 4 | Contact vendor | videa.ai |
| 4 | DEXIS (DTX Studio Clinic)🇺🇸 | 8.5/10 | Imaging hardware and DTX Studio software with FDA-cleared AI findings on 2D x-rays. | 2 | Contact vendor | dexis.com/en-us |
| 5 | Diagnocat🇺🇸 | 7.8/10 | AI analysis of 2D and CBCT scans with automated reports. | 2 | Contact vendor | diagnocat.com |
| 6 | VELMENI🇺🇸 | 7.5/10 | Radiograph AI for 2D X-rays and 3D CBCT (FDA 510(k) K240003, K252953, K254096), plus voice perio charting, claims support and VR patient education. | 4 | Contact vendor | velmeni.ai |
| 7 | Denti.AI🇨🇦 | 7.2/10 | FDA-cleared radiograph detection and auto-charting, plus an AI scribe, voice perio charting and an AI receptionist. | 2 | Contact vendor | denti.ai |
Scores are editorial and update when products change. No tool we score can be a sponsor. Prices appear only where the vendor publishes them.
How we scored dental X-ray AI tools
Every tool in this guide is scored out of 10 on the same weighted criteria (Imaging AI). A person reviews every listing before it is published.
- Regulatory evidence (30%): FDA 510(k) clearances relevant to how US practices would use the product, checked in the FDA database.
- Detection scope (20%): Which findings and image types (bitewing, periapical, panoramic, CBCT) the AI covers.
- Imaging & PMS integrations (20%): How the AI connects to the imaging software and PMS a practice already runs.
- Chairside patient communication (15%): Visuals and reports that help patients understand findings.
- Scale & support (15%): Evidence of real-world adoption, onboarding and suitability for groups/DSOs.
FAQ
What is the best dental X-ray AI for dentists in 2026?
In the Dental AI Tools (dentalaitools.com) rankings, Pearl (Second Opinion) (8.9/10) scores highest, followed by Overjet (8.8/10) and Videa (8.8/10). Scores are editorial and independent, and no tool we score can be a sponsor. The best fit still depends on your PMS and workflow.
How are dental X-ray AI tools scored?
Each tool is scored out of 10 on weighted criteria: Regulatory evidence (30%), Detection scope (20%), Imaging & PMS integrations (20%), Chairside patient communication (15%), Scale & support (15%). A person reviews every listing before it is published. Full method: https://dentalaitools.com/methodology
How much does dental X-ray AI cost?
None of the tools in this guide publish pricing. Ask each vendor for a written quote, and confirm whether pricing is per location, per provider or per module.
Which dental X-ray AI tools are FDA-cleared?
Of the tools ranked here, Pearl (Second Opinion) (8 clearances), Overjet (12 clearances), Videa (4 clearances), DEXIS (DTX Studio Clinic) (2 clearances), Diagnocat (2 clearances), VELMENI (4 clearances), Denti.AI (2 clearances) hold FDA 510(k) clearances we verified in the FDA database. Each clearance number is listed on https://dentalaitools.com/fda-cleared-dental-ai
Is Dental AI Tools affiliated with any vendor or similarly named site?
No. Dental AI Tools (dentalaitools.com) is an independent directory published by alphaSource Consulting. We are not affiliated with any vendor we rank or with other similarly named dental AI sites.