Pearl

Revolutionize dentistry with real-time AI radiologic analysis and intelligence.. [Contact for Pricing]

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What is Pearl?

Pearl is the world's leading FDA-cleared dental AI platform that helps dentists, DSOs, and dental universities improve diagnosis, streamline operations, and increase revenue. The platform's flagship product, Second Opinion, uses AI to detect 37% more dental disease on X-rays with 94% accuracy, identifying up to 18 findings per image including caries, bone loss, calculus, periapical lesions, and defective margins. Pearl's AI works directly within existing dental software without requiring system overhauls.

Key features include real-time pathology detection with color-coded highlights, patient-friendly visual presentations that increase treatment acceptance by 30%, automated image quality control through Imagecheck, insurance verification through Precheck that saves 20+ hours weekly, and Practice Intelligence dashboards for real-time performance analytics. The platform also offers Second Opinion 3D for CBCT imaging, Pearl Voice for ambient clinical notes, and Calibrate for clinician training and assessment.

Pearl is designed for solo practitioners, multi-location DSOs, dental mobile clinics, and dental universities. Over 23,000 practices in 120+ countries use Pearl, with 50,000+ clinicians relying on its tools. The platform connects to 40+ imaging and practice management systems including Open Dental, Dentrix, Eaglesoft, Carestack, and Curve Dental.

Pearl pricing

Pricing model: Freemium

Flexible monthly subscriptions and volume-based pricing are available. No free tier or free trial is offered. Specific pricing amounts are not publicly disclosed - practices must book a demo with sales for custom pricing. Most practices save money through improved efficiency and increased case acceptance. DSOs and multi-location practices receive enterprise pricing with custom reporting and admin controls.

Pearl pros

  • FDA-cleared AI for both 2D X-rays and 3D CBCT imagery
  • Detects 37% more disease with 94% accuracy
  • Identifies up to 18 dental findings per image
  • Increases treatment acceptance by 30% with visual patient presentations
  • Analyzes radiographs in 30 seconds or less
  • Works directly within existing dental software without disruptions
  • 40+ integrations with major imaging and practice management systems
  • Imagecheck automatically flags underexposure, cone cuts, and positioning errors
  • Precheck saves 20+ hours per week on insurance verification
  • Sugar Bugs feature engages pediatric patients with playful overlays
  • Affected Tooth % shows exact percentage of tooth affected by caries
  • HIPAA, GDPR, and ISO 13485 certified with AES-256 encryption
  • 24/7 support via phone, email, and live chat with dedicated Customer Success Manager
  • Practice Intelligence provides real-time dashboards by provider and location
  • Calibrate enables timed assessments and targeted clinician coaching
  • Second Opinion 3D delivers AI analysis of CBCT scans in minutes
  • Over 100,000 verified cases back the AI's clinical validation
  • Third-party independently validated accuracy at 95%+
  • DSOs generated $260M in new revenue using Pearl

Pearl cons

  • No free tier available - paid subscription only
  • No free trial offered
  • Pricing is not publicly disclosed - requires booking a demo
  • Second Opinion 3D still on waitlist - not fully available yet
  • Pearl Voice product details are limited on website
  • Custom integrations require public API or accessible data layer
  • Volume-based pricing may be expensive for small solo practices
  • Cloud-based system requires reliable internet connection
  • DSO-specific features like enterprise reporting require enterprise plan

Frequently asked questions about Pearl

How accurate is Second Opinion in clinical use?

Second Opinion is FDA-cleared and achieves over 95% accuracy in identifying dental conditions. It's the only radiologic AI validated by an independent third party to be 94% accurate in detecting dental disease. The system is trained on the world's largest dental radiograph dataset and validated in live clinical environments with more than 100,000 verified cases.

What radiographic conditions can Second Opinion detect?

The system can detect up to 18 dental findings per image, including caries (early/progressed), bone loss, calculus, periapical lesions, defective margins, root canals, crowns, bridges, implants, and fractures. Color-coded detections highlight incipient and progressed decay, bone loss, and margins for clinical review and patient education.

How does Pearl protect patient privacy?

All data is encrypted at rest using AES-256 encryption and in transit using TLS 1.2/1.3. Pearl is HIPAA, GDPR, and ISO 13485 certified, with configurable US/EU data storage for regional compliance. The platform maintains comprehensive audit logs and region-specific data storage options.

What practice management systems are supported?

Pearl supports native integration with Open Dental, Dentrix, Eaglesoft, Carestack, Oryx, Curve, Denticon, Software of Excellence's EXACT (UK/APAC), PlanetDDS, Fuse, Patterson Dental, Romexis, Vatech, Medit, Dentally, Exact, and Sota Cloud. Custom integrations are available for additional systems if a public API or accessible data layer exists.

How much does Second Opinion cost?

Flexible monthly subscriptions and volume-based pricing are available. Specific pricing amounts are not publicly disclosed - practices must contact sales and book a demo for custom pricing. Most practices save money through improved efficiency, increased case acceptance, and higher monthly production (averaging $30K per practice boost).

What support is available for users?

Customers receive 24/7 support via phone, email, and live chat. Every account has a dedicated Customer Success Manager for onboarding and quarterly reviews. The Customer Success team is available 6:00 AM - 5:00 PM PST, Monday–Friday at (213) 320-4603. Training, onboarding, and product guidance are included.

What analytics does Practice Intelligence deliver?

Practice Intelligence analyzes clinical quality, financial performance, appointment metrics, case acceptance, production by provider, and more in real time. Features include funnel visualizations showing opportunities from treatment planning to completion, conversion metrics identifying where opportunities stall, and data filters for granular insights based on location, provider, treatment, and date range.

Can Pearl scale for multi-location DSOs?

Yes, Pearl was built for large DSOs and group practices with custom reporting, detection thresholds, admin controls, and enterprise security. Batch onboarding enables up to 50 locations per month, including remote install, historical data ingestion, and phased launches. DSOs receive AI-identified organization-wide opportunities and universal diagnostic criteria for clinical consistency.

Does Second Opinion 3D require hardware upgrades?

No, Second Opinion 3D runs on standard dental workstations and requires no special hardware. It features a web-based interface and integrates with existing imaging platforms, requiring only internet and a standard workstation. Updates are cloud-based and introduced regularly with no workflow interruption.

What is the Sugar Bugs feature?

Sugar Bugs automatically detects and highlights pediatric caries with playful overlays that engage kids while offering clinicians and parents the same diagnostic precision and clarity. This pediatric-specific feature makes dental disease visible to children in a friendly, non-threatening way while maintaining clinical accuracy for treatment planning.

Use cases

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