Category rankings

Best dental imaging tools

Pearl (Second Opinion) and Overjet are tied as the top-rated dental imaging tools in our rankings (8.8/10). We rank 13 imaging tools, each reviewed by a person before it goes live.

AI that reads dental radiographs and helps explain findings to patients. In imaging, FDA clearance is part of the evidence we look for.

#1Pearl (Second Opinion)

FDA-cleared AI radiograph detection for chairside case acceptance, plus Pearl Voice ambient notes and voice perio charting (launched April 2026).

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence FDA-cleared Second Opinion (K210365, 2022) plus a pediatric clearance (K243893, 2025).	30%	9.5
Detection scope Cleared to flag caries, calculus, margin discrepancies, periapical radiolucency and restorations; vendor also offers CBCT review.	20%	9.0
Imaging & PMS integrations Vendor lists 40+ integrations with imaging and practice management systems.	20%	9.0
Chairside patient communication Built around chairside color overlays and patient reports; 30% acceptance lift is vendor-reported.	15%	9.0
Scale & support Vendor reports 29,000+ practices and DSO customers; we haven't verified support quality independently.	15%	7.5

Weighted result 8.9. Last reviewed Oct 17, 2026. How we score · Request a score review

#1Overjet

FDA-cleared AI for x-ray detection and quantification, popular with DSOs.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence Multiple FDA clearances: bone-level measurement (K210187), caries (K222746) and a 2026 multi-image caries/charting device (K261059).	30%	9.5
Detection scope Detects and outlines caries and anatomy and measures bone levels on bitewings and periapicals; no CBCT claim in our sources.	20%	8.5
Imaging & PMS integrations Sells its own IRIS imaging software; a full third-party integration list wasn't published in our sources.	20%	8.0
Chairside patient communication AI visualizations aimed at patient understanding and case acceptance.	15%	8.5
Scale & support Strong DSO footprint per vendor testimonials, plus insurance verification across 1,000+ payers.	15%	9.0

Weighted result 8.8. Last reviewed Oct 17, 2026. How we score · Request a score review

#3Videa

FDA-cleared AI caries and pathology detection on radiographs.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence FDA-cleared Videa Caries Assist (K213795, 2022) and Videa Dental Assist (K232384).	30%	9.0
Detection scope Caries Assist is cleared for bitewings in adults 22+; Dental Assist broadens findings.	20%	8.0
Imaging & PMS integrations Integration specifics weren't published in the sources we reviewed; confirm your imaging system.	20%	7.5
Chairside patient communication Positioned on patients seeing what the clinician sees; 20% acceptance lift is vendor-reported.	15%	8.0
Scale & support Vendor reports 90,000+ clinicians and named DSO customers (Heartland Dental, Gen4).	15%	9.0

Weighted result 8.3. Last reviewed Oct 17, 2026. How we score · Request a score review

#4DEXIS (DTX Studio Clinic)

Imaging hardware and DTX Studio software with FDA-cleared AI findings on 2D x-rays.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence DTX Studio Clinic FDA 510(k) clearance (2023) for six pathological findings on bitewing and periapical images, plus earlier AI clearances.	30%	8.5
Detection scope Caries, margin discrepancy, root canal defects, periapical radiolucency, bone loss and calculus; CBCT nerve tracing.	20%	8.0
Imaging & PMS integrations Built into the imaging software itself; integrates with DEXIS sensors, scanners and partners such as CephX.	20%	8.0
Chairside patient communication Comprehensive diagnosis and treatment-plan views for patients.	15%	7.5
Scale & support DTX Studio used by 10,000+ offices; 70-year imaging company (Envista).	15%	8.5

Weighted result 8.2. Last reviewed Oct 17, 2026. How we score · Request a score review

#5DentalMonitoring

FDA De Novo-authorized AI remote monitoring for orthodontic treatment from smartphone scans.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence FDA De Novo authorization (May 2024) and EU MDR certification; describes itself as ortho's first AI software as a medical device.	30%	9.0
Detection scope Tracks orthodontic progress and issues from patient smartphone scans; 21 indications cleared under FDA/MDR.	20%	8.0
Imaging & PMS integrations Integration and SmartSTL tools; confirm links with your ortho PMS and aligner workflow.	20%	7.0
Chairside patient communication Patients scan at home and get feedback between visits.	15%	7.5
Scale & support $150M growth financing at a $1B valuation; used internationally.	15%	8.0

Weighted result 8.0. Last reviewed Oct 17, 2026. How we score · Request a score review

#6uLab Systems

AI-assisted aligner treatment planning (uDesign) for in-office or lab-printed aligners.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Planning & design quality uDesign AI-assisted planning for comprehensive, hybrid and combo cases, plus indirect bonding trays; uAssist concierge setups.	30%	8.5
Regulatory & clinical evidence uDesign received FDA 510(k) clearance (K200772, 2020).	20%	7.5
Scanner, printer & PMS integrations Cloud platform with direct-print or in-office manufacturing options.	20%	7.5
Patient presentation Smile treatment design; practice-branded aligner packaging.	15%	7.0
Cost & support A la carte ordering and training; 94% of surveyed customers would recommend (vendor survey).	15%	7.5

Weighted result 7.7. Last reviewed Oct 17, 2026. How we score · Request a score review

#7Denti.AI

FDA-cleared radiograph detection and auto-charting, plus an AI scribe, voice perio charting and an AI receptionist.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence Denti.AI Detect is FDA-cleared (K230144) for caries, periapical radiolucency and bone levels.	30%	8.0
Detection scope 2D only (bitewing, periapical, panoramic) in adults 22+; no CBCT.	20%	7.0
Imaging & PMS integrations Vendor says it works with cloud and desktop PMS and imaging; specific list not published.	20%	7.0
Chairside patient communication Auto-generated patient reports for education.	15%	7.0
Scale & support Vendor reports 10,000+ professionals; support claims are testimonials, not verified.	15%	6.5

Weighted result 7.2. Last reviewed Oct 17, 2026. How we score · Request a score review

#7CephX

FDA-cleared AI cephalometric and 3D CBCT analysis for orthodontics (Orca Dental AI).

Pricing: Free trial; 2D Basic from $79/mo

How we scored it

Criterion	Weight	Score
Regulatory evidence FDA 510(k) clearances for CEPHX 2D cephalometric analysis (K231396, 2024) and CEPHX3D (K252538, 2026).	30%	7.5
Detection scope Cephalometric tracing and analysis, CBCT segmentation of teeth, bone, airway and nerves; ortho-focused.	20%	7.5
Imaging & PMS integrations Integrated into DEXIS DTX Studio Clinic and Greyfinch; 100+ lab, DSO, PMS and imaging partners.	20%	8.0
Chairside patient communication Diagnostic reports and predictive analyses; less chairside-education focus.	15%	7.0
Scale & support 18.5K registered clinicians and practices; 1.4M images processed in 80+ countries.	15%	8.0

Weighted result 7.6. Last reviewed Oct 17, 2026. How we score · Request a score review

#9Diagnocat

AI analysis of 2D and CBCT scans with automated reports.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence US FDA clearance is recent and narrow: K252934 (Jan 2026) covers periapical radiolucency on CBCT.	30%	6.5
Detection scope Vendor reports 40+ conditions on 2D and 60+ on 3D scans, plus auto charting.	20%	9.0
Imaging & PMS integrations Connects to PMS, x-ray and intraoral scanners per the vendor; US PMS list not published.	20%	7.5
Chairside patient communication Patient-friendly, print-ready visual reports.	15%	8.5
Scale & support Large international base, but the US launch only came in late 2025; vendor quotes a 2-week onboarding.	15%	6.5

Weighted result 7.5. Last reviewed Oct 17, 2026. How we score · Request a score review

#10VELMENI

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.

Pricing: Contact vendor

7.4

#11ArchForm

In-office clear aligner design software for orthodontists.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Planning & design quality In-office aligner design software used to make 7M+ aligners.	30%	8.0
Regulatory & clinical evidence We didn't confirm an FDA clearance in our sources.	20%	6.5
Scanner, printer & PMS integrations Designed around in-office scanning and 3D printing.	20%	7.0
Patient presentation Focused on the clinician's design workflow.	15%	6.5
Cost & support Vendor says customers saved $300M+ versus a leading aligner company (average per-case comparison).	15%	8.0

Weighted result 7.3. Last reviewed Oct 17, 2026. How we score · Request a score review

#12Grin

Virtual orthodontic care platform with the Grin Scope for at-home intraoral scans.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence The Grin Scope is an FDA-registered medical device; we didn't find an FDA clearance for AI analysis.	30%	6.5
Detection scope Remote monitoring of orthodontic progress from patient-captured scans.	20%	7.0
Imaging & PMS integrations Integration details not published in our sources.	20%	6.5
Chairside patient communication Patients scan at home and stay connected to the practice between visits.	15%	8.0
Scale & support Used by orthodontic practices; fewer published figures.	15%	7.0

Weighted result 6.9. Last reviewed Oct 17, 2026. How we score · Request a score review

#12SmileFy

AI smile simulation from patient photos, plus 3D print-ready treatment plans.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Planning & design quality Turns patient photos into smile designs and 3D print-ready plans for mockups.	30%	7.0
Regulatory & clinical evidence Cosmetic visualization tool; no FDA clearance claimed in our sources.	20%	6.0
Scanner, printer & PMS integrations Exports 3D print-ready files.	20%	7.0
Patient presentation AI smile simulations built for chairside case acceptance.	15%	8.5
Cost & support Used by dentists in 60+ countries (vendor).	15%	6.5

Weighted result 7.0. Last reviewed Oct 17, 2026. How we score · Request a score review

Best dental imaging tools

Head-to-head comparisons