Pearl Second Opinion vs Overjet

Pearl Second Opinion

Chairside X-ray AI with FDA clearances for caries and periapical findings and 40+ imaging integrations. The most accessible option for a single practice.

• FDA 510(k) clearances we verified for caries detection and periapical radiolucency
• Integrates with more than 40 imaging and practice management systems, by the vendor's count
• Detects up to 18 types of finding, including measured bone loss

• Reviewers report false positives, especially interproximal decay and cervical burnout
• Clearances are limited by image type and patient age
• Only a handful of public user reviews

Overjet

FDA-cleared dental X-ray AI that has grown into imaging, voice notes and insurance tools. Built with DSOs and payers in mind; list prices per location are published on a sales page, and public reviews are few.

• Multiple FDA 510(k) clearances, from caries detection in 2022 to CBCT analysis in 2025
• Measures and outlines findings on the image, which helps patient communication
• Broader platform: imaging software, ambient voice notes, verification and claims tools

• List price of $595 a month per location for Vision AI, plus a $1,500 implementation fee
• Almost no public user reviews
• Each clearance covers specific findings, image types and ages, not everything the product shows

Choose Pearl Second Opinion if…

• Independent practices that want radiograph AI working inside the imaging software they already use
• Offices that want a visual aid for explaining findings to patients
• Practices with associates, where a consistent second read is useful

Choose Overjet if…

• DSOs and multi-location groups that want consistent diagnosis and reporting across offices
• Practices that want AI findings tied to insurance claims and verification
• Offices open to replacing their imaging software with an AI-native one
• you need segmentation