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Second Opinion, segmentation detection in practice

Second Opinion®

FDA Cleared
The first real-time dental AI platform that automatically detects numerous conditions in dental x-rays to give dentists a second set of eyes for superior radiologic accuracy.
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*Image above depicts features that are not available in all territories.
Contact us to learn more.
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Features
Second Opinion detection capabilities
*Image above depicts some features that are not available in all territories. Contact us to learn more.

Broad detection capabilities

Dentists using Second Opinion gain a second set of eyes to help ensure that they've considered many common conditions that appear in their patients' radiographs.

That assurance comes from the system's ability to detect signs of various dental pathologies and other treatable conditions found in dental radiographs–including hard-to-spot issues like incipient caries or the early signs of a periapical radiolucency.

Consistent, real-time results

Machines are able to perform the same task over and over, without getting bored, tired, or distracted. That means that Second Opinion will deliver the same high-quality analysis every time.

And because it analyzes and instantly delivers results whenever a new radiograph is captured, dentists can count on reliable support in real-time. This instant analysis capability allows dentists to integrate Second Opinion seamlessly into their clinical workflow and benefit from dental AI support when it matters most––while patients are still in the chair.

Second Opinion Real Time
*Image above depicts some features that are not available in all territories. Contact us to learn more.

Elegant, easy-to-use interface

Second Opinion was engineered to make it easier for dentists to read radiographs and communicate findings to patients.

Between its crystal clear, high-contrast user interface designed to deliver optimal X-ray viewability and its intuitive image adjustment and AI sensitivity and detection controls*, Second Opinion lets dentists to see exactly what they want, how they want––and effortlessly share their findings in a way that patients can easily understand.

*Feature not available to users in the United States. Contact us to learn more.
Ready to see our AI in action?
Request a free live demo
Where is your dental practice?

See Supported Territories to find out if Second Opinion is available in your area.

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Contact us to bring the power of AI to your care.
Choose your plan⁺
Single-Location Practices⁺
Standard
Starting at
$299
/month
+
One-time $500 historical AI analysis
Prepay and save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Collaborative calibration
1200 radiographs/month*
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Single-Location Practices⁺
Standard
€250
/month
Starting at
(+1 time €213 AI Historical Analysis)
€2820 billed annually - Save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Faster processing
2500 radiographs/month
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Single-Location Practices⁺
Standard
€230
/month
Starting at
+
(+1 time €213 AI Historical Analysis)
Prepay and save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Collaborative calibration
1200 radiographs/month*
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Small Offices*
Standard
£175
/month
Starting at
(+1 time $250 AI Historical Analysis)
£1,890 billed annually - Save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Faster processing
2500 radiographs/month
Request a demo
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Single-Location Practices⁺
Standard
Starting at
₣235
/month
+
One-time 223 historical AI analysis
Prepay and save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Collaborative calibration
1200 radiographs/month*
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Single-Location Practices⁺
Standard
Starting at
A$340
/month
+
One-time A$318 historical AI analysis
Prepay and save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Collaborative calibration
1200 radiographs/month*
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Single-Location Practices⁺
Standard
Starting at
NZ$370
/month
+
One-time $351 historical AI analysis
Prepay and save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Collaborative calibration
1200 radiographs/month*
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Single-Location Practices⁺
Standard
Starting at
CA$315
/month
+
One-time CA$290 historical AI analysis
Prepay and save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Collaborative calibration
1200 radiographs/month*
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Single-Location Practices⁺
Standard
Starting at
kr2205
/month
+
One-time kr2129 historical AI analysis
Prepay and save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Collaborative calibration
1200 radiographs/month*
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Single-Location Practices⁺
Standard
Starting at
kr2390
/month
+
One-time kr2249 historical AI analysis
Prepay and save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Collaborative calibration
1200 radiographs/month*
Multi-Location & Retail Practices
Enterprise
Custom Pricing
+
One-time $250 historical AI analysis
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Single-Location Practices⁺
Standard
Starting at
kr1720
/month
+
One-time kr1587 historical AI analysis
Prepay and save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Collaborative calibration
1200 radiographs/month*
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.
Choose your plan⁺
Single-Location Practices⁺
Standard
Starting at
€230
/month
+
One-time $225 historical AI analysis
Prepay and save
10%
Real-Time Detections
+
Historical Detections
Real-time detections
Historical detections
Collaborative calibration
1200 radiographs/month*
Multi-Location & Retail Practices
Enterprise
Custom Pricing
Real-time detections
Historical detections
Collaborative calibration
Unlimited radiographs/month
Dedicated support
Inquire
⁺Second Opinion is only available in select locations. For more information, see Supported Territories. Second Opinion is compatible with most imaging systems and image file formats, but compatibility is not guaranteed. Subscribers must perform device setup to confirm compatibly. Subscriptions and historical AI analysis charges will refunded if Second Opinion is determined to be incompatible with subscribers imaging system.
*On average, small practices capture fewer than 1200 radiographs/month. Second Opinion® Standard subscription and one-time historical analysis pricing is tiered in 1200 radiograph/month increments.

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Benefits

Standard of care

Establish a higher practice-wide standard of care with smart technology

Clinical consistency

Improve consistency in clinical performance with AI clinical support

Conversion & retention

Boost conversion & patient retention through better patient communication

Oral health outcomes

Elevate oral health outcomes by catching disease earlier and more accurately

Cutting edge care

Foster a reputation as a tech-forward practice applying AI in clinical care

What makes Pearl's FDA clearance special
FDA Cleared Icon

The FDA exists to keep patients safe by ensuring – through rigorous regulatory oversight – the safety and efficacy of medical devices sold in the United States. Second Opinion is the most powerful clinical AI software that the FDA has deemed safe and effective as a chairside disease detection aid for dentists. 

FDA Cleared Icon
FDA
Clearance
Competitors
Disease Detection
Capability
Multiple diseases in permanent teeth
Single disease in permanent teeth
Patient Age
Minimum
12 years
18-22 years
X-rays
Supported
Bitewing & Periapical
Bitewing only
Caries
detection
Calculus
detection
––
Margin discrepancy detection
––
Periapical radiolucency detection
––
Root canal
detection
––
Filling
detection
––
Crown
detection
––
Bridge
detection
––
Implant
detection
––
FAQs
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Can Second Opinion be used to evaluate baby teeth?

No. Second Opinion is cleared to assist with radiologic evaluations of permanent teeth only.

Does Second Opinion make diagnoses?

No. Second Opinion is an assistive radiologic tool. It is not intended for use as a diagnostic device. All diagnostic decisions must be made by an appropriately trained and licensed dental healthcare professional.

Does Second Opinion do autocharting?

No. Auto-charting functionality is currently in development as an add-on premium feature. Second Opinion subscribers will be notified when this feature option becomes available.

How does Second Opinion keep my patient data safe?

Second Opinion conforms with all patient information and data privacy regulatory requirements in territories where Second Opinion is supported.

What do the different colored detection boxes indicate?

If your version of Second Opinion includes the detection sensitivity slider functionality, the colors of the detection bounding boxes indicate the level of specificity and sensitivity of the machine learning models applied in making the highlighted detection. The colors indicate the following sensitivity/specificity parameters:

Blue/Aqua: Indicates detections made with highest-specificity/lowest-sensitivity.

Blue bounding boxes indicate high-specificity detections.

Yellow/Orange: Indicates detections made with moderate-specificity/moderate-sensitivity.  

Yellow bounding boxes indicate moderate-specificity detections.

Red: Indicates detections made with lowest-specificity/highest-sensitivity.

Red bounding boxes indicate low-specificity detections.

For more information, see the "How does the slider work and what does it do?" FAQ or review our user manual.

What does Second Opinion detect?

Second Opinion detects and measures a wide array of dental features, some of which are displayed to users and some of which are withheld to make it easier see the detections that are most relevant to clinical care. Here are the  list of dental features that Second Opinion displays for users.

Pathologies and other conditions

  • Bone Loss*
  • Calculus
  • Caries
  • Impaction*
  • Margin Discrepancy
  • Periapical Radiolucency
  • Widened Periodontal Ligament*

Existing Restorations

  • Bridge
  • Crown (Metal, including zirconia) 
  • Crown (Non-metal)
  • Filling (Metal)
  • Filling (Non-metal)
  • Implant
  • Root Canal

*Not available to Second Opinion users in the United States.

Will Second Opinion show me results within my existing PMS or imaging system?

Second Opinion Desktop is a standalone application that displays AI detections on your radiographs. We are busily working on integrating Second Opinion into a multitude of popular PMS’s and imaging software platforms. Once the service is available for your platform you will have the opportunity to move your service over at no charge.

Is Second Opinion currently available where I live?

Please see our list of currently supported territories to find out whether Second Opinion is available where you practice.

Are Second Opinion's detections always accurate?

No. Research has shown that dentists often disagree with one another regarding diagnoses. Second Opinion’s machine learning models were trained using diagnostic data provided by human dentists and radiologists. As such, Second Opinion will sometimes make detections that you don’t agree with. While Second Opinion can provide great value by highlighting areas of interest that you may have missed, you should disregard any detections that you do not feel are accurate. The software is intended to support you, but all final diagnostic decisions are yours and yours alone.

How does the slider work and what does it do?

The slider (only available to users outside of the United States) enables you to adjust what detections are displayed based on how much confidence the AI has in the accuracy of its detections.

At 'High', the detections displayed are more likely to be accurate (true-positive detections), but you will see fewer detections and some conditions may not be displayed (false-negative detections). The High setting is a great way to gain maximal assurance of the validity of your findings.

Radiograph showing detections at "High" setting.

At 'Low', you'll see more detections, but some may be erroneous (false-positive detections). The Low setting is great for ensuring that you haven't missed something.  

Radiograph showing detections at "Med" setting.

The 'Med' slider setting splits the difference between 'High' and 'Low'. The Med setting is great for showing your patients the detected conditions in their X-rays.

Radiograph showing detections at "Low" setting.
More FAQs
Capabilities
tooth part
Tooth parts segmentation
Automatically distinguish tooth parts and supporting structures for more localized and qualitative radiologic insight.
tooth measurement
Size and scope assessment
Gauge the size of anatomical structures and scope of decay.
Detection editor
Approve/reject AI detections or add additional findings to ensure that what patients see reflects the clinician’s findings.
AI slider
AI sensitivity slider
Flexible AI configuration gives users control over specificity/sensitivity balance applied for AI detections.
Unavailable to US-based users. Contact us to learn more.
Image adjustment tools
Brightness, contrast, rotation, inversion and zoom tools help users achieve maximal radiograph viewability.

Request a Demo

Want to see Second Opinion in action? Submit the form below and we'll get you set up with a free live demo.

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