Overjet Periapical Radiolucency Assist

by Overjet  · Based in United States → — The #1 Dental AI Platform for Providers & Payers
Dentistry
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Subscription-based
Regulatory Status Disclosed

Overview

Overjet Periapical Radiolucency Assist is a cutting-edge AI tool designed to revolutionize dental care by enhancing diagnostic accuracy and streamlining treatment planning. The platform leverages advanced artificial intelligence to analyze dental radiographs, specifically aiding dentists in detecting and segmenting instances of periapical radiolucency (PARL) on periapical X-rays for patients aged 12 and above. It provides objective analysis alongside clinical expertise, helping dentists diagnose issues more quickly and accurately. Beyond PARL, Overjet’s broader AI platform also identifies cavities, periodontal diseases, and bone loss with precision. The software generates clear, easy-to-understand reports and visual overlays that help dentists explain diagnoses and treatment options to patients, significantly improving patient communication and case acceptance. Overjet aims to automate administrative work, enhance clinical decisions, and ensure every patient receives exceptional care.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-powered periapical radiolucency (PARL) detection and segmentation
  • Automated detection of caries and bone loss on radiographs
  • Enhanced diagnostic accuracy and consistency
  • Patient education tools with visual overlays on X-rays
  • Integration with major practice management and imaging systems
  • Automated dental insurance verification and claims processing support
  • Streamlined clinical workflows and reduced administrative burden
  • Clinical decision support for treatment planning
  • Provider performance dashboards and quality assurance tools
  • Voice AI Suite for automated charting and visit summaries

Use Cases

  • Enhancing diagnostic accuracy for dentists and hygienists
  • Improving patient communication and increasing case acceptance
  • Streamlining administrative tasks and optimizing practice operations
  • Supporting dental insurance companies for claims review and adjudication
  • Facilitating dental education and training for students and professionals
  • Identifying treatment opportunities and boosting practice production

What Physicians Need to Know

Dental X-Ray Analysis
Overjet's Periapical Radiolucency (PARL) Assist is specifically designed to detect and outline periapical radiolucencies on periapical radiographs for patients aged 12 and older. It provides real-time, AI-powered visual overlays on 2D radiographs, enhancing diagnostic precision for conditions like abscesses or granulomas and root resorption patterns. The broader Overjet platform also analyzes for caries, calculus, and bone levels, and can compare current and past radiographs for disease progression.
Caries Detection Accuracy
While focused on PARLs, the Overjet AI platform is FDA-cleared for caries detection and bone level measurement. It identifies early decay, including interproximal, recurrent, occlusal, and root surface caries, with high accuracy, often detecting subtle lesions missed by manual interpretation.
Periodontal Assessment
The AI platform automatically measures bone levels around each tooth with millimeter accuracy and calculates percentages of attachment loss, tracking disease progression over time. It is FDA-cleared for bone level measurement and provides objective, consistent data with visual representations of bone levels. Overjet's CBCT Assist also provides periodontal bone levels.
Treatment Planning AI
Overjet empowers dental professionals with real-time diagnostic insights into caries and bone loss, facilitating same-day treatment planning. It provides visual overlays and standardized insights to reduce diagnostic variability and ensure adherence to clinical guidelines, helping identify care opportunities.
Dental Imaging Integration (CBCT/Panoramic)
The PARL Assist primarily works with periapical radiographs. The Overjet platform integrates with standard 2D modalities like bitewings, periapicals, and panoramic radiographs. Additionally, Overjet's FDA-cleared CBCT Assist tool extends AI support to 3D CBCT imaging, aiding in anatomical assessment, surgical planning (e.g., third molar surgery, implant site evaluation), and airway assessment.
Practice Management Integration
Overjet integrates directly with major imaging systems and practice management software (PMS), including Carestack, Denticon, Dentrix, Eaglesoft, Open Dental, and Practice-Web. This streamlines administrative tasks, improves workflow efficiency, and provides performance dashboards for monitoring clinical metrics and treatment trends.
Patient Communication Tools
The tool utilizes real-time, AI-powered visual overlays and annotations on radiographs, making complex findings like periapical radiolucencies instantly visible and understandable to patients. This transparency fosters trust, improves patient understanding of their condition, and significantly increases case acceptance rates (reported 10-20% increase).
Insurance Pre-Authorization
Overjet assists in streamlining insurance workflows by providing AI-analyzed clinical findings and clear, consistent documentation to support pre-authorization requests. This helps reduce delays and denials, improves coding accuracy, and can predict approval likelihood, leading to faster approvals and healthier cash flow.
Physician Tip

Leverage Overjet's Periapical Radiolucency Assist as a decision-support tool, not a replacement for clinical judgment. Always correlate AI findings with clinical examination, patient symptoms, and history. Utilize the visual overlays during patient consultations to enhance understanding and foster trust, which can significantly improve case acceptance for recommended treatments. Integrate the AI insights into your existing workflow to streamline diagnostics and treatment planning, focusing on early detection of periapical pathologies to enable timely intervention. Remember that the AI is FDA-cleared for detection and segmentation of PARLs on periapical radiographs for patients aged 12 and older.

Overjet's platform, including PARL Assist, is designed for seamless integration with major digital imaging systems and popular practice management software (PMS) such as Carestack, Denticon, Dentrix, Eaglesoft, Open Dental, and Practice-Web. This allows for direct overlay of AI findings on radiographs within your existing workflow, minimizing disruption and training requirements. The system also supports integration with various imaging modalities, including bitewings, periapicals, panoramic, and with its CBCT Assist, 3D CBCT scans.

Details

Category Dental AI
Pricing Subscription-based
  • Subscription-based; $1,000-$3,000/month for smaller practices; custom quotes for larger practices and additional features
DeploymentCloud-based (SaaS)
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status 1 AI-estimated

Overjet Periapical Radiolucency Assist received FDA 510(k) clearance (K231678) on September 21, 2023. This marks Overjet's 5th FDA clearance, making it the first and only dental AI provider capable of detecting and outlining instances of PARL on periapical radiographs for patients aged 12 and above. Overjet also holds FDA clearances for AI-powered bone level measurements and caries segmentation.
Integrations
EHR Not specified
Specialties Dentistry

What the Web Says

Overjet Periapical Radiolucency Assist is an FDA-cleared AI tool designed to help dental professionals detect and outline periapical radiolucencies (PARLs) on X-rays, which can indicate infection or inflammation at the tooth root. It aims to improve diagnostic accuracy, enhance patient education through visual aids, and streamline workflows. While some dentists find it a valuable second opinion and a good patient communication tool, others report issues with false positives and negatives, as well as concerns about customer service and data security.

Overall: Mixed

Strengths

  • Enhanced diagnostic accuracy and early detection of pathologies, including PARLs.
  • Improved patient education and trust through visual aids that highlight areas of concern on X-rays.
  • Increased efficiency in dental practices by automating routine tasks and accelerating diagnostic workflow.
  • FDA clearance for detecting and outlining PARLs, bone loss, and caries.
  • Integration with existing dental practice management software.
  • Potential for faster insurance claim processing and higher approval rates due to objective evidence.

Limitations

  • Reports of false positives and false negatives, leading to potential misdiagnosis or undermining dentist's credibility.
  • Can be glitchy and inconsistent in performance.
  • Initial setup and training are required for integration into existing systems.
  • Accuracy is highly dependent on the quality of the dental radiographs.
  • Concerns about customer service and inconsistent billing.
  • Some dentists prefer alternative AI solutions like Pearl, citing better UI or overall experience.

Based on reviews from: Reddit, Futurepedia, PMC, Overjet.ai, The Molar Report, Becker's Dental Review, Capterra, G2, AI Dental Tools

Last updated: 2026-07-20

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Press & Coverage

FDA
Overjet Periapical Radiolucency Assist - 510(k) Premarket Notification
This FDA 510(k) premarket notification details the clearance of Overjet Periapical Radiolucency Assist, a radiological, automated, concurrent read computer-assisted detection software intended to aid in the detection of periapical radiolucencies on permanent teeth captured on periapical radiographs. The document specifies the applicant, contact information, regulation number, and product code.
2023-09
Becker's Dental Review
16 dental tech innovations in 2023
This article highlights 16 dental technology innovations from 2023, including Overjet's FDA 501(k) clearance for its Periapical Radiolucency Assist device. It positions Overjet's achievement alongside other advancements in dental AI and digital dentistry.
2023-12
Becker's Dental Review
How Overjet plans to double down on dental AI innovation in 2024
Overjet's plans for dental AI innovation in 2024 are discussed, with a mention of their recent FDA 501(k) clearance for the Periapical Radiolucency Assist device. This article suggests a continued focus on expanding their AI offerings in the dental field.
2023-12
PMC (Medical Journal)
FDA-Approved AI Solutions in Dental Imaging: A Narrative Review of Applications, Evidence, and Outlook
This narrative review provides an overview of FDA-cleared AI products for dental imaging, including Overjet Periapical Radiolucency Assist. It details the approved populations (u226512 years) and imaging modalities (periapical radiographs) for the device, and discusses its strong standalone performance in periapical lesion detection.
2025-12
United States District Court
UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS OVERJET, INC., Plaintiff, v. VIDEAHEALTH, INC., Defendant.
This legal document mentions the FDA approval of Overjet's Periapical Radiolucency Assist software on September 21, 2023, describing it as a radiological, automated, concurrent read computer-assisted detection software for periapical radiolucencies on permanent teeth. It is part of a larger legal filing between Overjet and VideaHealth.
2024-07
Innolitics
Definitive Guide to AI/ML SaMD Ground Truthing
This guide on AI/ML SaMD ground truthing references Overjet Periapical Radiolucency Assist, noting that its consensus reference standard was established by three endodontists. It highlights the importance of robust ground truth methodologies in FDA submissions for AI/ML medical devices.
2025-09
Innolitics
How to Plan MRMC and Standalone Studies for a 3-Month 510(k)
This article discusses strategies for planning MRMC and standalone studies for expedited FDA 510(k) submissions, citing Overjet Periapical Radiolucency Assist as an example with 379 images and 1,147 images in its studies. It provides insights into the types of data and study designs used for FDA-cleared AI/ML SaMDs.
2025-09
Aidoc Marketplace
Overjet Periapical Radiolucency Assist | Overjet, Inc radiology AI
This listing on the Aidoc Marketplace identifies Overjet Periapical Radiolucency Assist as an FDA-cleared radiology AI solution for X-ray/Radiography. It provides a brief overview of the product's function and regulatory status.
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Videos

Product demos, reviews, and walkthroughs for Overjet Periapical Radiolucency Assist.

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Frequently Asked Questions

Overjet Periapical Radiolucency Assist seamlessly integrates with most major dental imaging and practice management systems, enhancing your existing digital workflow. It is designed to detect and outline instances of periapical radiolucencies (PARL) on periapical radiographs for patients aged 12 years and older, which are indicative of infection or inflammation at the root tip.
Yes, Overjet Periapical Radiolucency Assist is FDA 510(k) cleared (K231678), making it a regulated medical image analyzer. This clearance ensures the technology meets rigorous standards for safety and efficacy, which can enhance diagnostic consistency and documentation, thereby supporting your practice's compliance with professional guidelines.
Overjet's AI provides precise, quantitative analysis and segmentation of periapical radiolucencies, offering an objective second opinion that can complement traditional visual inspection. Unlike purely manual review, the AI offers consistent and data-driven insights, with studies showing it can help clinicians detect more pathology.
Overjet offers its services on a subscription-based pricing model, which can vary depending on the size of your practice and the specific features required. Smaller practices might expect a starting price in the range of $1,000 to $2,000 per month, with costs potentially increasing for larger practices or additional features like advanced analytics.
While highly accurate, the AI's performance can be influenced by factors such as image quality, artifacts, and unusual anatomical variations, which could potentially lead to false positives or negatives. It is crucial to remember that the AI serves as an assistive tool and does not replace the clinician's final diagnosis, which requires comprehensive patient evaluation.
The AI typically overlays its findings directly onto the radiograph, highlighting areas of concern with visual indicators and sometimes providing quantitative measurements. Physicians should integrate this information as an additional data point with clinical symptoms, patient history, and other diagnostic tests to form a comprehensive diagnosis, as the AI is not intended as a replacement for clinical judgment.

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Suggest an Edit → | Last Verified: 2026-04-20 | First Added: 2026-04-20
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