Best Dental AI X-Ray Software (2026): Pearl vs Overjet vs VideaHealth vs Denti.AI vs Diagnocat
Every product on this page holds real FDA 510(k) clearances — we verified them against the FDA’s database, including reading the accessdata PDFs where available, because “FDA cleared” is the most abused phrase in dental software marketing. All five are legitimate. They are not interchangeable.
One framing note before the list: every one of these is cleared as a second reader. The AI flags; you diagnose. False positives are documented for all of them, and the chairside failure mode isn’t a missed lesion — it’s the AI lighting up cervical burnout in front of a patient and you spending two minutes un-diagnosing it. Weight the “false positive” lines in our reviews accordingly.
The market at a glance
| Vendor | Signature strength | FDA footprint | Reported price | Best for |
|---|---|---|---|---|
| Pearl | breadth + patient-facing annotations | 8 clearances; pediatric 4+, pano, CBCT | ~$299/mo + setup | general practices, case acceptance |
| Overjet | quantified bone levels (unique) | 7 clearances | $250–$500/mo typical | perio-heavy, DSOs, claims |
| VideaHealth | Dentrix-native; pediatric 3+ (unique) | 4+ clearances, verifiable K-numbers | $79–$199/chair/mo | Dentrix shops, pediatric, DSO fleets |
| Denti.AI | price; pano+intraoral detection | 2+ clearances in openFDA | $49/mo | budget-conscious independents |
| Diagnocat | CBCT/3D + STL segmentation (unique) | 2 US clearances (2025–26) | quote-only (EUR tiers reported) | implant/surgery/CBCT-heavy |
How to choose in four questions
1. What images do you actually read? Mostly bitewings/PAs → Pearl, Overjet, Denti.AI, or VideaHealth. Serious CBCT volume → Diagnocat is the only real 3D answer, fresh off its January 2026 US clearance.
2. Who are your patients? Kids under 4: VideaHealth only (cleared ages 3+). Kids 4–15: VideaHealth or Pearl. Adults only: everyone qualifies.
3. What’s the AI for? Patient communication and case acceptance → Pearl’s annotations are the best artifact in the category. Perio staging and insurance substantiation → Overjet’s millimeter bone measurements are the only cleared quantification. Filling the schedule finding missed pathology cheaply → Denti.AI’s $49/month makes the experiment nearly free.
4. What’s your software home? Dentrix/Ascend practices already have VideaHealth white-labeled as Detect AI — try it before buying anything. Open Dental, Eaglesoft, Curve, and CareStack practices have full menus from Pearl, Overjet, and Denti.AI.
The pricing reality
Only Denti.AI competes on published-ish numbers. Pearl, Overjet, and VideaHealth are quote-only, and reported quotes vary by 2–4× for the same product. Two practical consequences: always get at least two quotes (mentioning the competitor by name changes the number), and use Denti.AI’s $49/month as your anchor — if a competitor’s quote is 8× that, make them articulate what the 8× buys for your practice.
Head-to-heads
- Pearl vs Overjet — the main event
- Overjet vs VideaHealth — rigor vs reach
Disclosure, as everywhere on this site: we build dental software (Intake.Dental — AI front office, not imaging AI). We don’t compete in this category, don’t resell any of these products, and earn nothing from any link on this page.