Best AI Dental X-Ray Analysis Tools in 2026
Computer-vision detection of caries, calculus, bone loss and periapical lesions on 2D radiographs. Looking for the right ai dental imaging companies? We rank 14 products on verified data — not vendor payments.
Pearl Second Opinion leads on our Data Index (6.9), a clear 0.7-point margin over Overjet. For integrations specifically, Denti.AI scores highest. 8 of 14 products are quote-only; public entry prices range from free to $595/mo. What to check first: FDA 510(k) clearance per finding, not just a company-level claim.
The ranking
Ordered by Denture-ID Data Index. Products without enough verified data are listed after ranked ones, never hidden.
How the top 3 compare
Each axis is 0–10 and only drawn where we have evidence. Hover a point for the underlying facts.
Table view
| Axis | Pearl Second Opinion | Overjet | Denti.AI |
|---|---|---|---|
| Features | 8.5 | 9.2 | 4.6 |
| Integrations | 7.6 | 2.3 | 8.0 |
| Pricing clarity | 2.0 | 7.0 | 5.0 |
| Support | 4.0 | 4.0 | 2.8 |
| Vendor stability | 8.0 | 7.7 | 4.5 |
| User rating | 8.8 | no data | 9.6 |
Best axis: user rating 8.8 · ★ 4.4
Best axis: features 9.2 · from $595/mo
Best axis: user rating 9.6 · from $49/mo · ★ 4.8
AI trust matrix
Eight trust signals for 14 AI tools. Nobody else publishes this side by side — most review sites only repeat the vendor’s “HIPAA compliant” badge.
| Product | HIPAA claimed | BAA offered | SOC 2 Type II | Human in the loop | FDA-cleared AI | LLM provider disclosed | Public pricing | Public user rating | Signals |
|---|---|---|---|---|---|---|---|---|---|
| Pearl Second Opinion | ✓ | ? | ? | ? | ✓ | ? | ✕ | ✓ | 3/8 |
| Overjet | ✓ | ? | ? | ? | ✓ | ? | ✓ | ? | 3/8 |
| Denti.AI | ✓ | ? | ? | ? | ✓ | ? | ✓ | ✓ | 4/8 |
| CranioCatch | ✓ | ? | ? | ? | ? | ? | ✓ | ? | 2/8 |
| Diagnocat | ✓ | ? | ? | ? | ? | ? | ✓ | ? | 2/8 |
| Allisone | ? | ? | ? | ? | ? | ? | ✕ | ? | 0/8 |
| AssistDent | ? | ? | ? | ? | ? | ? | ✓ | ? | 1/8 |
| dentalXrai Pro | ? | ? | ? | ? | ? | ? | ✕ | ? | 0/8 |
| OraQ AI | ✓ | ? | ? | ? | ? | ? | ✓ | ? | 2/8 |
| VELMENI AI | ? | ? | ? | ? | ✓ | ? | ✕ | ? | 1/8 |
| Adravision | ✓ | ? | ? | ? | ? | ? | ✕ | ? | 1/8 |
| VideaAI | ? | ? | ? | ? | ✓ | ? | ✕ | ? | 1/8 |
| Orca Dental AI | ✓ | ? | ✓ | ? | ✓ | ? | ✕ | ? | 3/8 |
| OraLiva | ✓ | ? | ? | ? | ? | ? | ✕ | ? | 1/8 |
| Share “yes” | 64% | 0% | 7% | 0% | 43% | 0% | 43% | 14% |
Most commonly disclosed: hipaa claimed (9 of 14). Least: baa offered (0 of 14) — ask every vendor for it in writing before you sign.
Key terms compared
The numbers vendors rarely put side by side. Vendor claims are labelled as such; blank means not published.
| Product | Imaging integrations |
|---|---|
| Pearl Second Opinion | DEXIS IS 3800, Planmeca Romexis, Sidexis 4, SOTA Cloud, tab32, Open Dental, Eaglesoft, Curve Dental, Dentally |
| AssistDent | CS Imaging, VistaSoft |
| OraQ AI | Dentrix, Open Dental, ClearDent |
| VELMENI AI | Open Dental |
| Orca Dental AI | Greyfinch, DEXIS IS 3800, DTX Studio Clinic |
Feature matrix
AI imaging coverage across 14 products. Columns are sorted from most to least common. A question mark means we have not verified it — not that the feature is missing.
| Product | Caries | Panoramic | Bone loss | Restorations | Bitewing | Periapical | Periapical lesion | Segmentation | CBCT | Chairside patient view | Claim support | Calculus | Intraoral photo | Confirmed |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pearl Second Opinion | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✕ | ✓ | ✓ | ✓ | ✓ | ✕ | 11/13 |
| Overjet | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✕ | 12/13 |
| Denti.AI | ✓ | ✓ | ✓ | ✕ | ✓ | ✓ | ✓ | ✕ | ✕ | ? | ? | ✕ | ✕ | 6/13 |
| CranioCatch | ✓ | ✓ | ✓ | ✕ | ✕ | ✕ | ✕ | ✕ | ✓ | ? | ? | ✓ | ✕ | 5/13 |
| Diagnocat | ✕ | ✓ | ✕ | ✕ | ✕ | ✓ | ✓ | ✓ | ✓ | ? | ? | ✕ | ✓ | 6/13 |
| Allisone | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✕ | ✓ | ? | ✓ | ✕ | 10/13 |
| AssistDent | ✓ | ✕ | ✕ | ✓ | ✓ | ✕ | ✕ | ✕ | ✕ | ? | ? | ✕ | ✕ | 3/13 |
| dentalXrai Pro | ✓ | ✓ | ✓ | ✓ | ✓ | ✕ | ✓ | ✕ | ✕ | ? | ? | ✕ | ✕ | 6/13 |
| OraQ AI | ✓ | ? | ✓ | ✓ | ? | ? | ✕ | ✓ | ? | ? | ? | ✕ | ? | 4/13 |
| VELMENI AI | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✕ | ✓ | ✓ | ? | ✓ | ✕ | ✕ | 9/13 |
| Adravision | ✓ | ? | ✓ | ✓ | ? | ? | ✓ | ✕ | ? | ✓ | ✓ | ✕ | ? | 6/13 |
| VideaAI | ? | ✓ | ? | ? | ✓ | ✓ | ? | ? | ✕ | ✓ | ✓ | ? | ✕ | 5/13 |
| Orca Dental AI | ✕ | ✓ | ✕ | ✕ | ✓ | ✓ | ✕ | ✓ | ✓ | ? | ? | ✕ | ✓ | 6/13 |
| OraLiva | ✕ | ✕ | ✕ | ✓ | ✕ | ✕ | ✕ | ✕ | ✕ | ? | ? | ✕ | ✓ | 2/13 |
| Share confirmed | 71% | 71% | 64% | 64% | 64% | 57% | 50% | 43% | 43% | 36% | 36% | 29% | 21% |
Entry prices
5 of 14 products publish a monthly price. Log scale; bars show a published range, dots a single price.
Table view
| Product | Low | High | Note |
|---|---|---|---|
| AssistDent | $0 | $0 | |
| Denti.AI | $49 | $49 | per location |
| CranioCatch | $59 | $59 | |
| Diagnocat | $129 | $129 | |
| Overjet | $595 | $595 | per location |
Median entry price is $59/mo; the most expensive public price is 595.0× the cheapest. Model the 3-year cost for your practice →
How open is pricing?
Share of vendors by pricing transparency — this category versus the AI in dentistry hub and our full database.
Where they sell
Number of products in this category marketed in each region.
+ 2 products marketed globally.
Integration ecosystem
Which systems AI radiograph analysis products connect to, built from 21 verified integrations. Node size = how many products in this category support it. Hover a name to isolate its links.
User ratings
Average G2/Capterra score. Small samples (under 10 reviews) are marked.
Head-to-head comparisons
How we rank AI radiograph analysis
Scores come from 208 cited sources across these products — vendor documentation, pricing pages, regulatory databases and public review platforms. Affiliate relationships never change a score. For this category we pay particular attention to FDA 510(k) clearance per finding, not just a company-level claim.
Full methodology →Other AI in dentistry categories
Related buyer guides
Dental imaging platforms, CBCT viewers and AI radiograph tools compared on documented compatibility, FDA 510(k) numbers, published prices, with AI payback and image-storage calculators.
Planning Using AI agents safelyWhere dental AI pays off first, how to work out the return, the HIPAA questions for every vendor, rules for staff chatbot use and clinical AI, and a 30-day rollout plan.
Shortlisting AI receptionist competitorsEvery AI dental receptionist we track, compared on booking write-back to named practice systems, human handoff, BAA and pricing basis, plus what Voicify, Orbit and Denticon actually offer.
FAQ
What is the best AI radiograph analysis software in 2026?
On our data-driven index, Pearl Second Opinion ranks first (6.9/10), followed by Overjet (6.2) and Denti.AI (5.9). The index weighs verified features, integrations, pricing clarity, support, vendor stability and public user ratings.
How much does AI radiograph analysis cost?
Among 5 products with public pricing, entry prices range from $0 to $595 per month, with a median of $59. 8 of 14 vendors are quote-only.
Which AI radiograph analysis product has the best user reviews?
Denti.AI has the highest average rating (4.8/5 from 9 G2/Capterra reviews), ahead of Pearl Second Opinion (4.4).