Pearl vs Overjet: which dental imaging AI fits your practice?
Pearl and Overjet tie at 8.8 in our imaging rankings, and both hold multiple FDA clearances for x-ray AI. Pearl is built around the chairside conversation and case acceptance. Overjet positions its AI for consistent, quantified findings across providers and also sells imaging software and insurance verification.
At a glance
| Attribute | Overjet | Pearl (Second Opinion) |
|---|---|---|
| Score | 8.8/10 | 8.8/10 |
| Category rank | #1 (tied) of 13 in Imaging | #1 (tied) of 13 in Imaging |
| Verdict | FDA-cleared AI for x-ray detection and quantification, popular with DSOs. | FDA-cleared AI radiograph detection for chairside case acceptance, plus Pearl Voice ambient notes and voice perio charting (launched April 2026). |
| Pricing | Contact vendor | Contact vendor |
| Website | overjet.com | hellopearl.com |
Same score, different jobs
A tie means both tools are strong on evidence, detection scope, integrations and patient communication. It doesn't mean they solve the same problem, so compare them against your own workflow.
Pearl (Second Opinion)
Pearl is built around the moment you turn the screen toward the patient. Second Opinion analyzes bitewing and periapical x-rays and highlights findings such as caries, calculus, margin discrepancies and periapical radiolucencies. The clinician reviews the color overlays, then uses the patient view and take-home report to explain the diagnosis.
- FDA clearance: Second Opinion (K210365, 2022) and Second Opinion Pediatric (K243893, 2025).
- Integrations: Pearl lists 40+ integrations with imaging and practice systems.
- Pearl reports a 30% average lift in case acceptance. That's vendor-reported, and we haven't verified it.
Overjet
Overjet's Vision AI detects and outlines disease and anatomy on x-rays. Overjet positions it for the daily huddle and insurance submissions as well as the chairside conversation, with the goal of consistent diagnosis across providers.
- FDA clearances: bone-level measurement (K210187), caries detection (K222746) and multi-image caries and charting (K261059, 2026).
- Platform: Overjet also sells IRIS imaging software, insurance verification (1,000+ payers) and a voice documentation suite.
- DSO testimonials on its site are the vendor's, not ours.
Questions to ask before you decide
- Is case acceptance your biggest gap? Ask to see Pearl's patient view and take-home report.
- Do you need consistent, quantified findings across several locations, or imaging software and insurance verification from one vendor? Ask Overjet to show those workflows.
- Is your imaging system on each vendor's supported list, and who on your team will review the AI findings each day?
FAQ
Are Pearl and Overjet FDA-cleared?
Yes. Pearl's Second Opinion was cleared in 2022 (K210365), with a pediatric version cleared in 2025 (K243893). Overjet holds clearances for bone-level measurement (K210187), caries detection (K222746) and multi-image caries and charting (K261059).
Do Pearl and Overjet serve DSOs?
Yes, both serve DSOs. Overjet positions itself around consistency across providers and locations and also sells imaging software and insurance verification. Pearl says it serves single offices through DSOs that want consistent diagnostic criteria.
How much do Pearl and Overjet cost?
Neither publishes pricing. Ask whether the quote is per location, per provider or per module, and get any add-ons quoted separately.
Get our take in the newsletter
This page sticks to the facts and scores. Our verdict on Overjet vs Pearl (Second Opinion), and which kind of practice each one fits, goes out in the Tuesday email.
Get our take in the newsletter →Sources
- https://www.accessdata.fda.gov/cdrh_docs/pdf22/K222746.pdf
- https://www.accessdata.fda.gov/cdrh_docs/pdf24/K243893.pdf
- https://www.accessdata.fda.gov/cdrh_docs/pdf26/K261059.pdf
- https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMN/pmn.cfm?ID=K210187
- https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMN/pmn.cfm?ID=K210365
- https://www.hellopearl.com
- https://www.overjet.com
- newsletter:issue-1 (The 8.8 tie: Pearl vs Overjet, 2026-10-20)
Related comparisons
Other tools to consider
- Videa 8.3/10 · Imaging
- DEXIS (DTX Studio Clinic) 8.2/10 · Imaging
- DentalMonitoring 8.0/10 · Imaging
- uLab Systems 7.7/10 · Imaging
- Denti.AI 7.6/10 · Imaging
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Scores are editorial, and sponsors never affect them. How we score