Radiology & Imaging AI
P

Pearl

Dental AI for radiographic pathology detection. Not to be confused with Pearl Health, a separate company in value based care intelligence also indexed here. Second Opinion analyzes bitewing, periapical, and panoramic radiographs in real time at chairside, highlighting up to 18 findings per image including caries, bone loss, calculus, periapical radiolucencies, and defective restoration margins. Second Opinion 3D extends the platform to CBCT, making Pearl, per the company, the first dental AI company with FDA clearance for both 2D and 3D radiologic analysis. Additional clearances cover pediatric caries detection from age four and AI segmentation. The panoramic clearance was supported by a standalone performance study and a fully crossed multi reader multi case study. The company reports regulatory clearance in 120 countries and a published study in which operator diagnostic accuracy rose from 82 percent to 98 percent with the tool. Founded 2019 by Ophir Tanz.

Last VerifiedJuly 19, 2026
Founded
2019
Headquarters
West Hollywood, California
Categories
radiology-and-imaging-ai
Indexed Products
Second Opinion, Second Opinion 3D
Buyer Segments
Independent Practice, Medical Group
Assessment

Capability Axes

AI Capability
AI Centrality
A
Vendor Published

Computer vision pathology detection on radiographs is the product. The company was founded specifically to build it, and the detection model is what a practice buys.

Autonomy and Oversight Model
Not rated
Model and Technology Transparency
Not rated
Clinical and Operational Evidence
A
Regulatory Filing

The panoramic clearance was supported by a standalone performance study and a fully crossed multi reader, multi case study, with the vendor reporting stable performance across gender, geography, and imaging device subgroups. MRMC is the appropriate study design for reader assistance claims and its use here is the substantive point. A published study is cited in which operator diagnostic accuracy rose from 82 percent to 98 percent with the tool. Graded on evidence design and regulatory validation; this index does not re verify the underlying results, and the 95 percent accuracy and 37 percent more disease figures remain vendor stated.

AI Safety and PHI Stewardship
Not rated
Regulatory and Compliance
HIPAA and BAA Posture
Not rated
Security Certifications and Trust Center
Not rated
FDA and Regulatory Status
A
Regulatory Filing

Among the most disciplined regulatory records in the index, and stated per product and per modality rather than as a blanket claim. Clearances span 2D intraoral (bitewing, periapical), extraoral panoramic, 3D CBCT via Second Opinion 3D, a pediatric indication down to age four, and AI segmentation. The company describes itself as the first dental AI company cleared for both 2D and 3D radiologic analysis and reports regulatory clearance in 120 countries.

AI Governance and Bias Disclosure
B
Regulatory Filing

Subgroup performance was evaluated and reported across gender, geography, and imaging device type as part of the panoramic clearance, which is a genuine fairness disclosure and rare in this index. Held back from A because no standing governance framework, model update policy, or third party AI audit was retrieved beyond the clearance documentation.

Integration and Deployment
EHR and Interoperability Depth
Not rated
Deployment Model and Data Residency
Not rated
Commercial
Commercial Transparency
Not Rated
Vendor Published

No public pricing. Contact the vendor. Sold to dental practices and multi office networks through demo and sales engagement; no published rate card.

Setting and Specialty Coverage
A
Vendor Published

Tightly and clearly bounded: dental practices, across bitewing, periapical, panoramic, and CBCT imaging, with an explicit pediatric indication from age four. Narrow scope precisely stated is what this axis rewards.

Commercial

Pricing

Vendor-published figures are labeled as such. Figures labeled “Estimated” are derived from third-party sources and have not been confirmed by the vendor.

Entry Price Pricing Basis BAA Tier Implementation Source
Contact the vendor
Practice and multi office network subscriptions Vendor Published

Sold to dental practices and multi office networks through demo and sales engagement. No rate card published.

AI Health Index

An independent reference for evaluating AI vendors in healthcare. No vendor pays for inclusion, placement, or rating.

Index Status
Last index update
July 19, 2026
The AI Health Index is an editorial reference, not a regulatory body. Vendor data is verified against published sources and public regulatory filings. Figures labeled “Estimated” have not been confirmed by the vendor. See the Methodology page for evaluation standards and limitations.
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