The three FDA-cleared imaging AI tools at the top of our rankings

Imaging is the most mature corner of dental AI, so it's also where we hold tools to the highest bar. One of the four things every score reflects is evidence, and in Imaging that means FDA clearance. All three tools at the top of our Imaging rankings have it.

Here's how they compare, and why a tie doesn't mean they're interchangeable.

The top three at a glance

None of the three publishes pricing, so each card in the directory says "Contact vendor." We only list prices vendors publish.

Overjet: detection and quantification

Overjet's verdict highlights two things. It detects findings on x-rays, and it quantifies them, putting numbers to what it sees. That matters most when a practice wants consistent, measurable documentation across providers and locations. It's also why Overjet is popular with DSOs. If consistency from one location to the next is a priority, ask Overjet to show that workflow in the demo.

Pearl: built around the chairside conversation

Pearl ties Overjet at 8.8, but it's aimed at a different moment: the chairside conversation. Its verdict centers on case acceptance, helping patients see and understand what the clinician sees on the radiograph. If your biggest gap is patients nodding along and then not scheduling treatment, ask to see Pearl's patient-facing view in the demo.

Videa: focused caries and pathology detection

Videa (formerly VideaHealth, rebranded in April 2026) scores 8.3, with a tight focus: caries and pathology detection on radiographs. It's built for practices that want FDA-cleared detection support without every extra layer around it.

Why a tie isn't a coin flip

Overjet and Pearl score the same, and that's not a contradiction. A score tells you a tool is strong on dental fit, integrations, support and evidence. It doesn't tell you which strength your practice needs most. Think of the score as the shortlist, then compare each tool against your own workflow.

What each one emphasizes, in the vendors' own positioning:

• Overjet: detection plus quantification, with consistency across providers and locations
• Pearl: case acceptance and the patient-facing view
• Videa: focused caries and pathology detection

Questions to ask before you book a demo

Whichever you're considering, these questions separate a good fit from an expensive pilot:

1. Does it work with our imaging software and our PMS? Integration is one of our four criteria for a reason. If findings don't flow into your existing systems, adoption stalls.
2. Who on our team reviews the AI findings, and when? Decide whether it's the dentist, the hygienist, or both, before or during the appointment.
3. How will we show findings to patients? If case acceptance is the goal, see the patient-facing view, not just the clinician dashboard.
4. What does rollout and support look like? Ask about onboarding, training for new hires, and who you call when something looks off.
5. What exactly is the pricing? None of these three publishes pricing, so get it in writing. Ask whether it's per location, per provider or per image, and what's included.

How these rankings stay honest

A person reviews every listing in the directory before it's approved. Sponsored placements are labeled and sit beside the rankings, never inside them. You can read the full methodology in How we rank dental AI tools.

See the full Imaging rankings.

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