Category rankings · Updated November 2026

Best dental imaging tools (2026)

Pearl (Second Opinion) is the top-rated dental imaging tool in our rankings (8.9/10). We rank 18 imaging tools, each reviewed by a person before it goes live.

AI that reads dental radiographs and helps explain findings to patients. In imaging, FDA clearance is part of the evidence we look for.

#1Pearl (Second Opinion)🇺🇸

FDA-cleared AI radiograph detection for chairside case acceptance, plus Pearl Voice ambient notes and voice perio charting (launched April 2026).

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence FDA-cleared Second Opinion (K210365, 2022) plus a pediatric clearance (K243893, 2025).	30%	9.5
Detection scope Cleared to flag caries, calculus, margin discrepancies, periapical radiolucency and restorations; vendor also offers CBCT review.	20%	9.0
Imaging & PMS integrations Vendor lists 40+ integrations with imaging and practice management systems.	20%	9.0
Chairside patient communication Built around chairside color overlays and patient reports; 30% acceptance lift is vendor-reported.	15%	9.0
Scale & support Vendor reports 29,000+ practices and DSO customers; we haven't verified support quality independently.	15%	7.5

Weighted result 8.9. Last reviewed Oct 30, 2026. How we score · Request a score review

#2Videa🇺🇸

FDA-cleared AI caries and pathology detection on radiographs.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence FDA-cleared Videa Caries Assist (K213795, 2022) and Videa Dental Assist (K232384).	30%	9.0
Detection scope Caries Assist is cleared for bitewings in adults 22+; Dental Assist broadens findings. FDA 510(k) K251002 (Videa Dental AI) and K223296 (Videa Perio Assist) (verified Oct 31, 2026).	20%	9.0
Imaging & PMS integrations Integration specifics weren't published in the sources we reviewed; confirm your imaging system. Supported PMS: Open Dental, Dentrix Core/Ascend/Enterprise, Denticon, Eaglesoft (verified Oct 31, 2026).	20%	8.5
Chairside patient communication Positioned on patients seeing what the clinician sees; 20% acceptance lift is vendor-reported.	15%	8.0
Scale & support Vendor reports 90,000+ clinicians and named DSO customers (Heartland Dental, Gen4).	15%	9.0

Weighted result 8.8. Last reviewed Oct 31, 2026. How we score · Request a score review

#3Overjet🇺🇸

FDA-cleared AI for x-ray detection and quantification, popular with DSOs; 2026 clearances added image-quality checks and multi-image caries charting.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence Multiple FDA clearances: bone-level measurement (K210187), caries (K222746) and a 2026 multi-image caries/charting device (K261059).	30%	9.5
Detection scope Detects and outlines caries and anatomy and measures bone levels on bitewings and periapicals; no CBCT claim in our sources.	20%	8.5
Imaging & PMS integrations Sells its own IRIS imaging software; a full third-party integration list wasn't published in our sources.	20%	8.0
Chairside patient communication AI visualizations aimed at patient understanding and case acceptance; dentists report some false positives and negatives, so findings need clinician review before showing patients.	15%	8.0
Scale & support Strong DSO footprint per vendor testimonials, but repeated independent user complaints about software glitches, billing and support responsiveness.	15%	8.0

Weighted result 8.6. Last reviewed Oct 17, 2026. How we score · Request a score review

#4DEXIS (DTX Studio Clinic)🇺🇸

Imaging hardware and DTX Studio software with FDA-cleared AI findings on 2D x-rays.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence DTX Studio Clinic FDA 510(k) clearance (2023) for six pathological findings on bitewing and periapical images, plus earlier AI clearances. FDA 510(k) K221921 DTX Studio Clinic 3.0 (verified Oct 31, 2026).	30%	9.0
Detection scope Caries, margin discrepancy, root canal defects, periapical radiolucency, bone loss and calculus; CBCT nerve tracing. Up to 15 FDA-cleared diagnostic insights on 2D intraoral radiographs (v4.7) (verified Oct 31, 2026).	20%	8.5
Imaging & PMS integrations Built into the imaging software itself; integrates with DEXIS sensors, scanners and partners such as CephX.	20%	8.0
Chairside patient communication Comprehensive diagnosis and treatment-plan views for patients.	15%	7.5
Scale & support DTX Studio used by 10,000+ offices; 70-year imaging company (Envista).	15%	8.5

Weighted result 8.4. Last reviewed Oct 31, 2026. How we score · Request a score review

#5DentalMonitoring🇫🇷

FDA De Novo-authorized AI remote monitoring for orthodontic treatment from smartphone scans.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence FDA De Novo authorization (May 2024) and EU MDR certification; describes itself as ortho's first AI software as a medical device. Peer-reviewed accuracy study (Sci Rep 2026, PMID 41611791) and systematic review (J Orthod 2024, PMID 37278017) (verified Oct 31, 2026).	30%	9.5
Detection scope Tracks orthodontic progress and issues from patient smartphone scans; 21 indications cleared under FDA/MDR.	20%	8.0
Imaging & PMS integrations Integration and SmartSTL tools; confirm links with your ortho PMS and aligner workflow.	20%	7.0
Chairside patient communication Patients scan at home and get feedback between visits.	15%	7.5
Scale & support $150M growth financing at a $1B valuation; used internationally. Security page states ISO 27001 and HIPAA (verified Oct 31, 2026).	15%	8.5

Weighted result 8.3. Last reviewed Oct 31, 2026. How we score · Request a score review

#6Diagnocat🇺🇸

AI analysis of 2D and CBCT scans with automated reports.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence FDA 510(k) K252934 (Jan 2026, US applicant DGNCT LLC) for periapical radiolucency on CBCT. Real US clearance, but narrow: one finding on one image type.	30%	7.5
Detection scope Vendor reports 40+ conditions on 2D and 60+ on 3D scans, plus auto charting.	20%	9.0
Imaging & PMS integrations Connects to PMS, x-ray and intraoral scanners per the vendor; US PMS list not published.	20%	7.5
Chairside patient communication Patient-friendly, print-ready visual reports.	15%	8.5
Scale & support Large international base, but the US launch only came in late 2025; vendor quotes a 2-week onboarding.	15%	6.5

Weighted result 7.8. Last reviewed Oct 30, 2026. How we score · Request a score review

#6uLab Systems🇺🇸

AI-assisted aligner treatment planning (uDesign) for in-office or lab-printed aligners.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Planning & design quality uDesign AI-assisted planning for comprehensive, hybrid and combo cases, plus indirect bonding trays; uAssist concierge setups.	30%	8.5
Regulatory & clinical evidence uDesign FDA 510(k) K200772 (2020); 7 of 7 named dentist testimonials match the NPI registry.	20%	8.0
Scanner, printer & PMS integrations Cloud platform with direct-print or in-office manufacturing options.	20%	7.5
Patient presentation Smile treatment design; practice-branded aligner packaging.	15%	7.0
Cost & support A la carte ordering and training; 94% of surveyed customers would recommend (vendor survey).	15%	7.5

Weighted result 7.8. Last reviewed Oct 30, 2026. How we score · Request a score review

#8SoftSmile VISION🇺🇸

FDA-cleared (K212770), browser-based AI aligner planning with automated segmentation, setups and staging.

Pricing: $50/exported case; $120 full design with 3 revisions

How we scored it

Criterion	Weight	Score
Planning & design quality In-office aligner and ortho treatment design.	30%	8.0
Regulatory & clinical evidence FDA 510(k) K212770 (Dec 2021); 2026 PubMed segmentation study. Peer-reviewed study (Orthod Craniofac Res 2026) compares VISION segmentation accuracy (verified Oct 31, 2026).	20%	8.5
Scanner, printer & PMS integrations Exports for in-office printing and lab workflows.	20%	7.0
Patient presentation Clinician-facing; limited patient visualization. VISION Forecast patient-facing treatment preview launched (verified Oct 31, 2026).	15%	7.5
Cost & support 2 of 4 named dentist testimonials match NPI; no review-site ratings.	15%	7.0

Weighted result 7.7. Last reviewed Oct 31, 2026. How we score · Request a score review

#9CephX🇮🇱

FDA-cleared AI cephalometric and 3D CBCT analysis for orthodontics (Orca Dental AI).

Pricing: Free trial; 2D Basic from $79/mo

How we scored it

Criterion	Weight	Score
Regulatory evidence FDA 510(k) clearances for CEPHX 2D cephalometric analysis (K231396, 2024) and CEPHX3D (K252538, 2026).	30%	7.5
Detection scope Cephalometric tracing and analysis, CBCT segmentation of teeth, bone, airway and nerves; ortho-focused.	20%	7.5
Imaging & PMS integrations Integrated into DEXIS DTX Studio Clinic and Greyfinch; 100+ lab, DSO, PMS and imaging partners.	20%	8.0
Chairside patient communication Diagnostic reports and predictive analyses; less chairside-education focus.	15%	7.0
Scale & support 18.5K registered clinicians and practices; 1.4M images processed in 80+ countries.	15%	8.0

Weighted result 7.6. Last reviewed Oct 17, 2026. How we score · Request a score review

#9ArchForm🇺🇸

In-office clear aligner design software for orthodontists.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Planning & design quality In-office aligner design software used to make 7M+ aligners.	30%	8.0
Regulatory & clinical evidence FDA 510(k) K213916 (Dec 2021) for the ArchForm Orthodontic Software System.	20%	8.0
Scanner, printer & PMS integrations Designed around in-office scanning and 3D printing.	20%	7.0
Patient presentation Focused on the clinician's design workflow.	15%	6.5
Cost & support Vendor says customers saved $300M+ versus a leading aligner company (average per-case comparison).	15%	8.0

Weighted result 7.6. Last reviewed Oct 30, 2026. How we score · Request a score review

#11VELMENI🇺🇸

Radiograph AI for 2D X-rays and 3D CBCT (FDA 510(k) K240003, K252953, K254096), plus voice perio charting, claims support and VR patient education.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence Three FDA 510(k)s: K240003 (2D, Aug 2024), K250753 (Sep 2025, with PCCP), K254096 (3D CBCT, Jul 2026).	30%	8.5
Detection scope 2D caries and other findings plus 3D CBCT analysis.	20%	8.0
Imaging & PMS integrations Powers imaging inside Isaac PracticeOS; other PMS/imaging bridges not fully published.	20%	7.0
Chairside patient communication Annotated images for chairside explanation.	15%	7.0
Scale & support Smaller US footprint; 6 of 7 named dentist testimonials match NPI.	15%	6.0

Weighted result 7.5. Last reviewed Oct 30, 2026. How we score · Request a score review

#12Dandy🇺🇸

Digital dental lab with chairside AI Scan Review that flags crown-prep issues during scanning.

Pricing: Per-case lab pricing

How we scored it

Criterion	Weight	Score
Planning & design quality Digital lab design plus chairside AI Scan Review for crown preps.	30%	7.5
Regulatory & clinical evidence No FDA clearance or independent accuracy data for AI Scan Review; 22 of 25 named dentist testimonials match NPI; 89% fewer remakes is vendor-reported.	20%	6.5
Scanner, printer & PMS integrations Works with intraoral scanners and the Dandy lab portal.	20%	8.0
Patient presentation Fewer remakes and appointments (vendor).	15%	7.0
Cost & support Large US dental lab with dedicated support.	15%	8.0

Weighted result 7.4. Last reviewed Oct 30, 2026. How we score · Request a score review

#13Denti.AI🇨🇦

FDA-cleared radiograph detection and auto-charting, plus an AI scribe, voice perio charting and an AI receptionist.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence Denti.AI Detect is FDA-cleared (K230144) for caries, periapical radiolucency and bone levels.	30%	8.0
Detection scope 2D only (bitewing, periapical, panoramic) in adults 22+; no CBCT.	20%	7.0
Imaging & PMS integrations Vendor says it works with cloud and desktop PMS and imaging; specific list not published.	20%	7.0
Chairside patient communication Auto-generated patient reports for education.	15%	7.0
Scale & support Vendor reports 10,000+ professionals; support claims are testimonials, not verified.	15%	6.5

Weighted result 7.2. Last reviewed Oct 30, 2026. How we score · Request a score review

#14SmileFy🇺🇸

AI smile simulation from patient photos, plus 3D print-ready treatment plans.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Planning & design quality Turns patient photos into smile designs and 3D print-ready plans for mockups.	30%	7.0
Regulatory & clinical evidence Peer-reviewed accuracy study (J Esthet Restor Dent 2026): 0.29 mm mean error vs exoCAD, dentists and patients broadly satisfied. No FDA clearance claimed.	20%	7.0
Scanner, printer & PMS integrations Exports 3D print-ready files.	20%	7.0
Patient presentation AI smile simulations built for chairside case acceptance.	15%	8.5
Cost & support Used in 60+ countries (vendor); App Store 4.1 from 17 ratings with refund/auto-renew complaints.	15%	6.0

Weighted result 7.1. Last reviewed Oct 30, 2026. How we score · Request a score review

#14Better Diagnostics

FDA-cleared (K241725, K260851) radiograph AI for caries, bone levels, calculus and restorations; built into Open Dental imaging.

Pricing: $149/mo per location via Open Dental; otherwise contact vendor

7.1

#14SmileInspector

FDA-cleared (K252507), web-based AI aligner setup and staging, plus retainers and night guards.

Pricing: Credits: aligner case 30 credits ($1 each); plans $285-$765/mo

7.1

#173DDX AI Planning

AI-prepared implant plans validated by a dentist, delivered as STL files or printed surgical guides for simple 1-3 implant cases.

Pricing: Contact vendor

7.0

#18Grin🇺🇸

Virtual orthodontic care platform with the Grin Scope for at-home intraoral scans.

Pricing: Contact vendor

How we scored it

Criterion	Weight	Score
Regulatory evidence The Grin Scope is an FDA-registered medical device; we didn't find an FDA clearance for AI analysis.	30%	6.5
Detection scope Remote monitoring of orthodontic progress from patient-captured scans.	20%	7.0
Imaging & PMS integrations Integration details not published in our sources.	20%	6.5
Chairside patient communication Patients scan at home and stay connected to the practice between visits.	15%	8.0
Scale & support Used by orthodontic practices; fewer published figures.	15%	7.0

Weighted result 6.9. Last reviewed Oct 17, 2026. How we score · Request a score review

Quick answers

What is the best dental imaging software?

Pearl (Second Opinion) is the top-rated dental imaging tool in our rankings (8.9/10). We rank 18 imaging tools, each reviewed by a person before it goes live. Scores are independently reviewed against published criteria; see dentalaitools.com/methodology.

How many dental imaging tools does Dental AI Tools rank?

Dental AI Tools currently ranks 18 imaging tools for US dental practices and DSOs: Pearl (Second Opinion) (8.9/10), Videa (8.8/10), Overjet (8.6/10), DEXIS (DTX Studio Clinic) (8.5/10), DentalMonitoring (8.2/10), and more.

Can vendors pay to rank higher in imaging?

No. Any tool we score is not and can't be a sponsor, and sponsored placements are labeled. Every tool is independently reviewed by a person before it goes live.

Best dental imaging tools (2026)

Quick answers

Head-to-head comparisons