Choose Pearl if you also want CBCT: Second Opinion 3D (K243989) marks anatomy such as the nerve canal and sinus, and VideaHealth has no CBCT clearance. Pearl also has a panoramic clearance that flags caries, periapical radiolucency and impacted third molars from age 16 (K250525). Choose VideaHealth if a single broad 2D read matters more: Videa Dental AI (K251002) covers caries, calculus, periapical radiolucency, furcation and past treatments on bitewing, periapical and panoramic x-rays starting at age 3, while Pearl's pediatric caries clearance starts at age 4 (K243893). Both measure bone level (Pearl K243230, Videa K223296). Neither publishes prices.
Pearl or VideaHealth: which should you choose?
- You want CBCT anatomy marking from the same vendor (Second Opinion 3D, K243989)
- You want impacted third molars flagged on panoramic films (K250525)
- You want periapical radiolucency outlined on the image, not only flagged (K242600)
- You want one clearance covering a long finding list on bitewings, periapicals and panoramics (K251002)
- You treat children from age 3 (K232384, K251002)
- CBCT AI is not on your list
Pearl vs VideaHealth: FDA clearances, price and integrations side by side
| Pearl | VideaHealth | |
|---|---|---|
| Vendor | Pearl Inc. · Los Angeles, CA | VideaHealth, Inc. · Boston, MA |
| Category | Imaging & diagnostics | Imaging & diagnostics |
| FDA 510(k) | 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) | K251002 (Sep 19, 2025); K232384 (Dec 15, 2023); K223296 (Feb 6, 2023); K213795 (Apr 21, 2022) |
| Cleared for | 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. | Videa Dental AI: computer-aided detection on bitewing, periapical and panoramic radiographs, patients 3 and older. Flags suspected caries, attrition, broken teeth, restorative imperfections, pulp stones, dens invaginatus, periapical radiolucency, widened periodontal ligament, furcation and calculus, plus past treatments (crowns, fillings, bridges, root canals, implants) and normal anatomy. / Videa Dental Assist: detects caries and other findings on bitewing, periapical and panoramic radiographs, patients 3 and older. / Videa Perio Assist: mesial and distal bone-level measurements on bitewing and periapical radiographs. / Videa Caries Assist: detection and segmentation of carious lesions on bitewing radiographs, adults 22 and older. |
| Imaging modalities | bitewing, periapical, CBCT | bitewing, periapical, panoramic |
| Pricing | Not published (Contact sales) | Not published (Contact sales) |
| Integrations | Eaglesoft, Dentrix, Open Dental, Curve Dental, Carestack | Dentrix, Eaglesoft, Open Dental |
| Best fit | group, dso | group, dso |
| Last verified | Oct 22, 2026 | Oct 26, 2026 |
From each vendor's site and the FDA 510(k) database.
Strengths and limits
- 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
- Training dataset scale gives broad coverage across patient demographics and image quality levels
- Integrates with the most common dental PMS platforms
- Backed by peer DSO partnerships validating real-world performance
- Enterprise pricing requires direct sales engagement
- Less public clinical validation data compared to Overjet
Next steps
Common questions
What is the difference between Pearl and VideaHealth?
Choose Pearl if you also want CBCT: Second Opinion 3D (K243989) marks anatomy such as the nerve canal and sinus, and VideaHealth has no CBCT clearance. Pearl also has a panoramic clearance that flags caries, periapical radiolucency and impacted third molars from age 16 (K250525). Choose VideaHealth if a single broad 2D read matters more: Videa Dental AI (K251002) covers caries, calculus, periapical radiolucency, furcation and past treatments on bitewing, periapical and panoramic x-rays starting at age 3, while Pearl's pediatric caries clearance starts at age 4 (K243893). Both measure bone level (Pearl K243230, Videa K223296). Neither publishes prices.
Which is FDA cleared, Pearl or VideaHealth?
Pearl: K250525, K243234, K243989, K243230, K243893, K242600, K242522, K210365. VideaHealth: K251002, K232384, K223296, K213795. Check the scope of each clearance; features outside it are not cleared.