Diagnocat vs Pearl
Pearl is the safer pick for 2D x-rays: its clearances cover caries, calculus, periapical findings and bone level on bitewings and periapicals, panoramic films from age 16 (K250525) and pediatric caries from age 4 (K243893). Both have a CBCT clearance, but Pearl's (K243989) marks anatomy, while Diagnocat's (K252934) flags periapical radiolucency. Diagnocat also publishes self-serve prices; Pearl quotes through sales.
Diagnocat or Pearl: which should you choose?
- Most of the scans you want read are CBCT, for implants, endodontics or surgery
- You would rather sign up online at a listed price (plans with CBCT reports start at €590 for six months) than wait for a sales quote
- You want CBCT segmentation and STL export (the STL output is cleared for educational use only)
- Multi-condition screening on bitewings and periapicals
- Case acceptance conversations with AI-annotated x-rays
- Practice-wide quality metrics via the analytics dashboard
Diagnocat vs Pearl: FDA clearances, price and integrations side by side
| Diagnocat | Pearl | |
|---|---|---|
| Vendor | DGNCT LLC (Diagnocat) · Miami, FL | Pearl Inc. · Los Angeles, CA |
| Category | Imaging & diagnostics | Imaging & diagnostics |
| FDA 510(k) | K252934 (Jan 15, 2026); K251072 (Sep 9, 2025) | K250525 (Nov 14, 2025); K243234 (Jun 12, 2025); K243989 (May 23, 2025); K243230 (May 9, 2025); K243893 (May 5, 2025); K242600 (Apr 11, 2025); K242522 (Jan 16, 2025); K210365 (Mar 4, 2022) |
| Cleared for | Concurrent-read detection of periapical radiolucency on permanent teeth in CBCT scans, for patients 22 and older. / Segmentron Viewer: processing and 3D visualization of maxillofacial radiographic images; STL generation for educational purposes only. | Marks suspected caries, periapical radiolucency and impacted third molars on panoramic radiographs, patients 16 and older. / Second Opinion CS: detection and segmentation of caries on periapical radiographs, permanent teeth, patients 12 and older (second reader). / Second Opinion 3D: marks anatomy on CBCT (dentition, maxilla, mandible, inferior alveolar canal, sinus, airway). / Second Opinion BLE: bone-level measurements on bitewing and periapical radiographs, patients 12 and older. / Second Opinion Pediatric: caries detection on bitewing and periapical radiographs, patients 4 and older (primary or mixed dentition). / Periapical radiolucency detection with outlined regions on periapical radiographs, permanent teeth, patients 12 and older (second reader). / Second Opinion CC: caries detection with outlined regions on bitewing and periapical radiographs, patients 19 and older (second reader). / Second Opinion: detection of caries, calculus, periapical radiolucency and other findings on bitewing and periapical radiographs. |
| Imaging modalities | CBCT, panoramic, intraoral | bitewing, periapical, CBCT |
| Pricing | From €499/year (Self-serve subscription, 6 or 12 months) | Not published (Contact sales) |
| Integrations | Dentsply Sirona, Vatech, Planmeca, Carestream | Eaglesoft, Dentrix, Open Dental, Curve Dental, Carestack |
| Best fit | specialist, ortho, oral-surgery | group, dso |
| Last verified | Oct 25, 2026 | Oct 22, 2026 |
From each vendor's site and the FDA 510(k) database. Diagnocat price: diagnocat.com.
Strengths and limits
- FDA-cleared AI second read on CBCT scans for periapical radiolucency (K252934)
- Lists self-serve plan prices on its website; most dental imaging AI vendors quote only after a demo
- Covers intraoral, panoramic, and CBCT imaging in one platform, with 3D models and STL export (STL cleared for educational use only)
- Newer to the US market than established competitors, with limited domestic clinical validation data
- No US clearance covers its 2D (bitewing, periapical, panoramic) findings
- Self-serve plans are priced in euros, do not connect to the x-ray machine, and unused reports expire at the end of each term
- CBCT integration workflow may require verification with your specific scanner manufacturer
- Detects more pathology types than most competitors in a single analysis
- Widest PMS integration coverage, working with 5+ major systems
- Practice Intelligence adds business analytics on top of clinical detection
- Enterprise pricing model; cost unclear until sales conversation
- Detection accuracy is condition-dependent, strongest on caries, weaker on marginal bone loss
Next steps
Common questions
What is the difference between Diagnocat and Pearl?
Pearl is the safer pick for 2D x-rays: its clearances cover caries, calculus, periapical findings and bone level on bitewings and periapicals, panoramic films from age 16 (K250525) and pediatric caries from age 4 (K243893). Both have a CBCT clearance, but Pearl's (K243989) marks anatomy, while Diagnocat's (K252934) flags periapical radiolucency. Diagnocat also publishes self-serve prices; Pearl quotes through sales.
Which is FDA cleared, Diagnocat or Pearl?
Diagnocat: K252934, K251072. Pearl: K250525, K243234, K243989, K243230, K243893, K242600, K242522, K210365. Check the scope of each clearance; features outside it are not cleared.