FDA clears new wave of dental AI as Pearl and rivals race to transform CBCT imaging

· · 4 mins read
FDA clears new wave of dental AI as Pearl and rivals race to transform CBCT imaging The Young Dentist © theyoungdentist.com
FDA clears new wave of dental AI as Pearl and rivals race to transform CBCT imaging © theyoungdentist.com
A burst of FDA clearances is shaking up dental imaging. AI tools from Pearl, Overjet, Dentsply Sirona, Diagnocat, and VELMENI are now in the CBCT spotlight.

VELMENI's V4D 3D software just landed FDA clearance, joining a small group of AI dental imaging tools now approved in the US. This July 23 decision makes it the fifth 3D dental AI to get the green light. Software makers are moving fast, each trying to push CBCT scans beyond the hands of specialist radiologists and into daily dental practice.

The stakes are high. Pearl's Second Opinion 3D, cleared by the FDA in May 2025, set the pace. It brought AI-powered anatomy identification and visualization to general dentists. When Pearl launched the product commercially in September 2026, it promised dentists a way to order specialist radiology reports and create insurance documentation straight from CBCT findings. CEO Ophir Tanz said the goal was to make CBCT scans more useful in everyday dentistry. The software flags findings like carotid artery calcifications and sinus radiopacities, though some features are still only available in Canada while US regulators review them.

Overjet's funding reached $133 million by March 2024, following a $53.2 million Series C round led by March Capital, with a post-money valuation of $550 million.

Overjet came next, rolling out CBCT Assist in December 2025. Its tool goes beyond anatomy-it also measures restorative structures. Dentsply Sirona and Diagnocat both got FDA clearance in January 2026 for their own AI tools. These focus on flagging possible periapical radiolucencies. Dentsply Sirona's Smart View - Detect and Diagnocat's CBCT review software are built to help clinicians spot specific findings in scans, not to make a diagnosis. Both are meant as second-read aids. The final call always stays with the dentist.

VELMENI's V4D 3D platform, now FDA-cleared, takes things further. It segments and labels a wide range of anatomical structures-teeth, mandible, mandibular canal, maxillary sinuses, temporomandibular joints, and airway. It can also create reconstructed panoramic views from CBCT data. The FDA cleared it for patients 15 and older with permanent teeth. VELMENI's submission included performance tests on 127 de-identified images from four US dental offices. The company named Pearl's Second Opinion 3D as its predicate device, showing how quickly this field is evolving and how companies are benchmarking against each other.

For dentists, the flood of AI-assisted CBCT review tools marks a shift in how imaging data gets used for diagnosis, documentation, and workflow. Each product has its own focus. Pearl and VELMENI cover broad anatomical segmentation and visualization. Overjet adds restorative measurement. Dentsply Sirona and Diagnocat target periapical radiolucencies. But all share one regulatory line: AI is there to help, not to replace clinical judgment.

Dentsply Sirona's Smart View-Detect, which received FDA clearance, is publicly positioned as an AI diagnostic aid for CBCT scans that supports second reads and clinical decision-making, but does not make diagnoses independently.

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This wave of regulatory approvals fits a bigger trend in dental tech. As reported earlier, AI-driven dental software is gaining ground across North America. The FDA's recent run of clearances for CBCT review tools shows both the hunger for new technology and the agency's insistence on keeping clinical responsibility clear.

With five FDA-cleared AI tools now on the market for CBCT imaging, US dentistry is at a turning point. The real test is whether these tools can boost diagnostic accuracy and fit smoothly into daily work-without sidelining the dentist's expertise. For now, the rules are clear: AI can help, but the dentist has the final say. The companies that manage to deliver useful insights while respecting clinical judgment will shape the next chapter in dental imaging.

Topics: Diagnostics and Imaging CBCT Market Updates Product Updates #Overjet #Pearl AI #Dentsply Sirona #Food and Drug Administration
Nora Mercer Digital dentistry and technology editor The Young Dentist
Author

Nora Mercer

Nora Mercer is Digital Dentistry & Dental Technology Editor at The Young Dentist, covering dental AI, imaging, intraoral scanning, CAD/CAM, 3D printing and connected clinical workflows. She focuses on what technologies actually change in practice and separates independent evidence from technical specifications, clinician experience and manufacturer claims.