Pearl Reviews, Pricing, Features & Alternatives in 2026
Pearl is an AI-powered dental software platform that provides real-time radiologic clinical decision support and practice intelligence to help dentists improve diagnostic accuracy and patient care.
Pearl provides you with a comprehensive AI toolset designed specifically for the dental industry. By integrating directly with your existing imaging software, it acts as a second set of eyes, automatically flagging potential issues like decay, bone loss, and existing restorations on X-rays in real-time. This helps you ensure no pathology goes unnoticed while providing clear visual evidence to help your patients understand their treatment needs.
Beyond the chairside assistance, you can use the platform to analyze your entire practice's clinical data. It identifies missed treatment opportunities and helps you track provider consistency across multiple locations. Whether you are running a solo practice or a large dental service organization, the software streamlines your clinical workflow and helps you maintain a higher standard of care through objective, data-driven insights.
Screenshots & Interface
Key Features
Stop second-guessing your X-ray evaluations and start diagnosing with total confidence. Pearl gives you a suite of AI-driven tools that highlight clinical findings instantly, making your workflow faster and your patient conversations much more effective.
Second Opinion AI
Get real-time AI detections on your X-rays to help you spot pathologies and existing dental work with higher accuracy.
Practice Intelligence
Analyze your clinical data to find unscheduled treatment opportunities and improve your practice's overall production and efficiency.
Patient Education Tools
Show your patients clear, color-coded AI overlays on their X-rays to build trust and increase treatment acceptance rates.
Automated Perio Charting
Streamline your periodontal exams with AI that automatically measures bone levels to help you track and treat gum disease.
Multi-Site Analytics
Monitor clinical performance across all your office locations from a single dashboard to ensure consistent care standards.
Seamless Imaging Sync
Connect the AI directly to your current imaging hardware and practice management systems for a frictionless daily workflow.
Integrations
Dentrix
EagleSoft
Open Dental
Carestream
Planmeca
VixWin
Apteryx
Sidexis
Pricing Plans
Pearl typically uses a custom pricing model tailored to the size of your practice and the number of providers. While they do not list fixed monthly rates publicly, you can request a personalized demo to see the software in action and receive a quote. They often provide flexible options depending on whether you need chairside AI, back-office analytics, or both.
Pros & Cons
Based on feedback from dental professionals using AI in their daily workflows, here is what you can expect when implementing Pearl in your practice:
Pros
Significantly increases patient trust through clear visual AI confirmations
Reduces diagnostic fatigue during busy clinical days
Identifies missed revenue from unscheduled treatment in your database
Integrates smoothly with most major dental imaging software
Cons
Requires a stable internet connection for cloud-based AI processing
Initial learning curve for staff to trust AI detections
Pricing is not transparent without a sales consultation
Who Should Use Pearl?
Ideal for dental practitioners and DSO clinical directors who want to standardize diagnostic quality and uncover hidden treatment opportunities using AI.
Best for Company Sizes
small-business
mid-market
enterprise
Popular Industries
healthcare
Our Verdict
Pearl is a top-tier choice if you want to modernize your dental practice with artificial intelligence. It excels at chairside patient education, making it much easier for you to explain complex diagnoses and get patients to say yes to necessary treatments.
While the lack of public pricing means you'll have to jump on a sales call, the potential ROI from caught diagnoses and improved efficiency is substantial. Highly recommended for growth-oriented practices and DSOs looking for clinical consistency across multiple providers.
Ready to Try Pearl?
Start your 0-day free trial today—no credit card required. See why over 0 teams trust Pearl