DentalXR.AI Pro vs Pearl
Side-by-side comparison of DentalXR.AI Pro and Pearl. See how they stack up in pricing, features, and real-world use cases.
DentalXR.AI Pro
by Align Technology · Tempe, AZ
Clinical AI: Diagnostic Imaging
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- Automated reporting reduces documentation burden compared to detection-only tools
- Research-grade training data from Charité – Universitätsmedizin Berlin
- Align Technology ownership provides long-term platform stability
- No US FDA clearance; currently limited to European and select international markets
- Fewer confirmed PMS integrations than Pearl or Overjet
- 01 Automated caries and periapical pathology detection on bitewings and periapicals
- 02 Periodontal bone loss assessment via Perio Pro Mode
- 03 AI-generated written reports for faster clinical documentation
DentalXR.AI Pro (now Align X-ray Insights) is strongest for European practices looking for AI radiograph analysis with built-in automated reporting. The Charité-developed detection models and Align Technology backing are real strengths. However, the lack of FDA clearance limits its relevance for US-based practices, where Pearl, Overjet, and VideaHealth are the established options. If you practice in the EU or UK, evaluate it alongside those competitors. The automated report generation is a differentiator worth testing.
Pearl
by Pearl · Los Angeles, CA
Clinical AI: Diagnostic Imaging
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- 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
- 01 Multi-condition screening on bitewings and periapicals
- 02 Case acceptance conversations with AI-annotated x-rays
- 03 Practice-wide quality metrics via the analytics dashboard
Pearl covers the widest range of dental pathologies in a single FDA-cleared product. If your practice wants one AI tool that screens for caries, lesions, calculus, and bone loss simultaneously, Pearl is the leading option. The Practice Intelligence dashboard adds value for multi-location practices tracking clinical consistency. Confirm pricing against your patient volume before committing.