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 |
| VideaAI | ? | ? | ? | ? | ✓ | ? | ✕ | ? | 1/8 |
| Orca Dental AI | ✓ | ? | ✓ | ? | ✓ | ? | ✕ | ? | 3/8 |
| Adravision | ? | ? | ? | ? | ? | ? | ✕ | ? | 0/8 |
| OraLiva | ? | ? | ? | ? | ? | ? | ✕ | ? | 0/8 |
| Share “yes” | 50% | 0% | 7% | 0% | 43% | 0% | 43% | 14% |
Most commonly disclosed: hipaa claimed (7 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 |
| 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 | Calculus | Chairside patient view | Claim support | 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 |
| VideaAI | ? | ✓ | ? | ? | ✓ | ✓ | ? | ? | ✕ | ? | ✓ | ✓ | ✕ | 5/13 |
| Orca Dental AI | ✕ | ✓ | ✕ | ✕ | ✓ | ✓ | ✕ | ✓ | ✓ | ✕ | ? | ? | ✓ | 6/13 |
| Adravision | ✓ | ? | ✓ | ✓ | ? | ? | ✓ | ✕ | ? | ✕ | ? | ? | ? | 4/13 |
| OraLiva | ✕ | ✕ | ✕ | ✓ | ✕ | ✕ | ✕ | ✕ | ✕ | ✕ | ? | ? | ✓ | 2/13 |
| Share confirmed | 71% | 71% | 64% | 64% | 64% | 57% | 50% | 43% | 43% | 29% | 29% | 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 203 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
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).