The decision desk
AI dental X-rays: Pearl vs Overjet vs Videa
Compare dental radiograph AI by clinical overlays, measurements, patient explanations, and surrounding practice workflows.
Our take
Pearl emphasizes radiograph review and presentation tools, Overjet connects measured findings with practice context, and Videa pairs Clinical Assist with patient-oriented workflows.
The quick difference
3 tools, at a glance
Start with the fit. Read the individual breakdowns below before choosing. Scroll the table on smaller screens.
| Tool | Best fit | Main strengths | What to check |
|---|---|---|---|
| Pearl Second Opinion | Practices connecting chairside radiograph review with patient education. | Color-coded pathology and bone-level findings · Imagecheck quality flags and comparison views · Patient reports and tooth-part visualization | Supported findings and patient ages differ by image type and market. |
| Overjet Vision AI | Dental practices and groups connecting image findings with patient and daily-workflow context. | Decay, calculus, PARL, and restoration annotations · Quantified bone levels · Daily Patients and PMS-linked care-opportunity views | Clinical scope varies by cleared module, indication, and age. |
| Videa Clinical Assist | Practices standardizing image review and patient communication across care teams. | Real-time X-ray analysis · Practice/imaging system connections · Patient-oriented visual findings and comparisons | Patient View is educational and explicitly not FDA-cleared. |
Compare pricing, features, and source dates
Prices describe the named plan, not total cost. Different billing units are not directly equivalent. Scroll the table horizontally on smaller screens.
| At a glance | Pearl Second OpinionVendor documentation | Overjet Vision AIVendor documentation | Videa Clinical AssistVendor documentation |
|---|---|---|---|
| Consider it for | Practices connecting chairside radiograph review with patient education. | Dental practices and groups connecting image findings with patient and daily-workflow context. | Practices standardizing image review and patient communication across care teams. |
| Named plan / entry point | Price unconfirmed; contact vendor project quotation; billing interval unconfirmed | Price unconfirmed; contact vendor project quotation; billing interval unconfirmed | Price unconfirmed; contact vendor project quotation; billing interval unconfirmed |
| Free option | Unconfirmed | Unconfirmed | Unconfirmed |
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| Integrations | Dental imaging and practice systems; verify specific integration | Practice management systems, Dental imaging systems | Existing dental imaging and practice systems |
| Billing details | Commercial access is demo-led; numeric fee, billing cadence, locations/users, historical-image allowance, add-ons, and minimum term remain unconfirmed. No ongoing free clinical production plan established. Imaging indications and regulatory scope require the correct market-specific module. | Official page offers demo/try-free entry but establishes no numeric rate or ongoing free clinical plan. Per-location or user terms, billing interval, trial limits, bundled analytics, image volumes, and other suite entitlements remain unconfirmed. | Demo-led offering with numeric rate, payment interval, location/user limits, clinical-image allowance, onboarding fees, and included modules unconfirmed. No ongoing free production plan established. Patient View is for education only and is not FDA-cleared; do not extend clinical clearances to all platform features. |
| Last checked | Oct 19, 2026 Official source | Oct 19, 2026 Official source | Oct 19, 2026 Official source |
Choose the clinical imaging workflow
Dental radiograph AI can make findings easier to review and explain, but the surrounding workflow differs between products. Pearl Second Opinion, Overjet Vision AI, and Videa Clinical Assist provide assistance for dental teams reviewing images and communicating with patients. This comparison concerns professional imaging software, rather than a tool for patients to diagnose themselves. Its focus is the visible finding, the clinician’s review, and the practice-system connection.
Pearl Second Opinion
Pearl Second Opinion brings color-coded findings, measurements, and patient-presentation tools into radiograph review. The current product description includes caries and bone-level findings, restorations, comparison views, and tooth-part visualization. Imagecheck adds quality flags for issues such as exposure and positioning, helping staff see a problem with the image as well as an area that needs clinical review. Patient reports provide a way to carry annotated visuals into explanation and documentation. Pearl is especially relevant to a team that wants to move between detailed radiograph review and a clearer patient conversation without constantly switching tools. The supported detection list is image-specific: bitewings/periapicals and panoramic images have different findings, age restrictions, and regional limits. The wider Pearl catalog includes separate 3D, voice, practice-intelligence, and revenue-cycle products, so their presence should not be treated as inclusion in the Second Opinion purchase.
Overjet Vision AI
Overjet Vision AI identifies and outlines findings such as decay, calculus, periapical radiolucencies, and prior restorations, and quantifies bone levels. This makes its visual output relevant both to the dentist reviewing an image and to a patient trying to understand the finding being discussed. Overjet also connects the imaging results with practice context. Its Daily Patients view syncs with practice-management data, while restorative and periodontal views combine image analysis with that wider record to surface care opportunities. It suits a practice or group that wants clinical image review connected to the day’s work, rather than an isolated annotation window. The company’s IRIS imaging software, voice suite, insurance products, and payer tools are distinct offerings. A Vision AI proposal therefore needs to identify exactly which views and integrations are included. The diagnosis and treatment decision remain the clinician’s, rather than a consequence of an overlay alone.
Videa Clinical Assist
Videa Clinical Assist analyzes dental X-rays and turns findings into visuals intended to support clinical review and patient understanding. The current workflow starts with connections to the practice’s existing management and imaging systems, then presents highlighted areas for the team to review. Videa emphasizes moving from the finding to a useful chairside conversation, with patient-oriented visual explanations rather than relying on an unexplained detection mark. Its learning resources include clinician workflows, comparisons, and patient sharing, which can help a group establish a common way to use the software across locations. One important boundary is explicit on the current product page: Patient View is educational only and is not FDA-cleared. That presentation layer must not be described as carrying every clearance of the clinical algorithms. Voice Notes, Voice Perio, Daily Dashboard, claims, and verification are also separate named products in the broader Videa platform.
Compare the evidence on the image
Pearl combines detection overlays with image-quality feedback, tooth-part views, and comparison tools. Overjet emphasizes outlining findings and quantitative bone-level context alongside annotations. Videa emphasizes clinical findings that can be translated into patient-oriented explanations. All three can make a radiograph easier to discuss, but detection lists are not universal across every patient, image, or market. Pearl’s current support page, for example, distinguishes intraoral from panoramic scope and places separate conditions on impaction detections. Compare the offered module’s supported images and indication rather than treating a general statement about dental AI as authorization for every use.
Compare the surrounding practice workflow
Pearl’s Second Opinion presentation centers on radiograph review, quality checks, and patient reports within familiar imaging environments. Overjet connects its imaging findings with Daily Patients and practice-management context. Videa presents Clinical Assist within a larger system spanning diagnostics, documentation, and daily operations. A practice primarily improving image explanation may value Pearl’s specific chairside presentation tools. A group connecting image evidence with daily patient planning may be drawn to Overjet’s linked views. A team adopting Videa across locations may value its Clinical Assist workflow and learning resources. These are editorial fits based on product scope, not a measured ranking of diagnostic accuracy or revenue impact.
Compare access, modules, and price
Numeric prices and billing intervals were not established for these three clinical configurations. The official commercial routes are demo-led, and a try-free invitation does not establish ongoing free production access. Compare the proposed number of locations, users, historical images, integrations, support, and included clinical modules. Pearl’s separate 3D or voice product, Overjet’s IRIS or insurance service, and Videa’s documentation or claims tools should not be silently bundled into an imaging comparison. Vendor outcome percentages also come from different studies and deployments; they do not provide a comparable AIPicksy test or a promised result for the next practice.
Which should you choose?
Consider Pearl for detailed radiograph review and patient presentation, Overjet for measured findings tied to practice context, and Videa for Clinical Assist within a coordinated care workflow. Select the exact imaging indication, integration, and module package that the dental team will use.
Sources & methodology
This article uses vendor documentation and our editorial analysis. We have not performed a controlled hands-on test. Product facts were checked on Oct 19, 2026; each profile records its own verification date.
- Pearl Second Opinion profile and source notes · Current Second Opinion features and integration route · Current supported images, detections, age and regional restrictions
- Overjet Vision AI profile and source notes · Current Vision AI findings, measurement, and patient views · Current product boundaries and demonstration route
- Videa Clinical Assist profile and source notes · Current Clinical Assist workflow and Patient View restriction · Current platform modules and commercial demonstration route · Clinician learning and adoption resources