Overjet Review: Dental X-Ray AI With 12 FDA Clearances

Overjet’s Vision AI marks suspected caries, calculus and periapical radiolucencies on dental X-rays. Here is what its 12 FDA clearances cover, what four studies found and where the vendor’s claims go further than the records.

By 6thSolution TeamPublished 13 min read

Overjet review

Overjet is Overjet, Inc.’s dental AI platform that marks suspected caries, calculus, periapical radiolucencies and past restorations on X-rays for the dentist to review, and its other products cover imaging software, insurance verification and voice notes. The FDA’s 510(k) database lists 12 clearances for Overjet, Inc. between May 2021 and August 2026, though we couldn’t match the vendor’s bone level claim to an indication we could read.

Quick verdict

Overjet suits general practices and DSOs that want AI marks on every bitewing and periapical, plus visuals to show patients, and that may also want insurance verification from the same vendor. The FDA records back the core use: helping dentists spot suspected caries, calculus and periapical radiolucencies, with the dentist making the call. Two independent studies give a mixed picture. One found that the software sorted lesion depth less accurately than human readers on bitewings, and it missed more lesions that had reached dentin. Prices aren’t public, and Capterra has a single review. Ask for a demo on your own images, and ask the vendor which clearance covers bone level measurements.

Overjet at a glance

Vendor Overjet, Inc.
What it does Marks suspected findings and dental structures on 2D X-rays (Vision AI); also sells imaging software (IRIS), insurance verification and estimates (RCM) and voice documentation (Voice); holds an FDA clearance for CBCT analysis
Who it’s for Dentists, DSOs, insurers and dental schools (the vendor’s own groups)
Pricing Pricing on request (checked October 19, 2026)
FDA status FDA 510(k) cleared: 12 clearances, most recent K261059 (August 6, 2026)
HIPAA / BAA The vendor says it meets its obligations as a HIPAA business associate and holds HITRUST and SOC 2 certification. The pages we read don’t name a BAA document.
Integrations The vendor says its team connects Overjet to your PMS and imaging software, that IRIS works with any sensor, and that insurance verification connects to 1,000+ payers and PMS systems. No PMS or imaging product is named.
User rating 5 out of 5 from 1 review on Capterra (checked October 19, 2026)
Data checked October 19, 2026

What is Overjet?

Overjet is dental AI software from Overjet, Inc. that analyzes radiographs and marks suspected disease, tooth anatomy and past restorations so the dentist can review them and show them to patients. The vendor sells it to practices, DSOs, insurers and dental schools, along with imaging, insurance and documentation tools.

The X-ray product is called Vision AI. Overjet says it “identifies and outlines decay, calculus, PARL, prior restorations, and quantifies bone levels.” A Daily Patients page syncs with your PMS to flag care opportunities, and restorative and periodontal dashboards combine image analysis with PMS data. The vendor says practices surface $44K in additional treatment opportunities on average; that is its own figure, with no source given.

Around Vision AI, Overjet sells IRIS, which it calls AI-native imaging software for capturing and viewing images; Voice, an ambient documentation tool for notes, perio charting and referral letters; and RCM, which covers insurance verification, pre-treatment estimates and claim approval recommendations. Overjet also sells AI for utilization review to dental insurers, and the vendor says being used by both practices and payers leads to direct integrations and faster claim approvals.

The vendor says setup has three steps. Its implementation team connects Overjet to your PMS and imaging software, the AI analyzes 12 months of past images on the first day, and a Customer Success team trains your staff. For DSOs, that team includes an RDH trainer.

Key features

Overjet’s main features are AI marks on X-rays, imaging software with built-in AI, insurance tools and voice notes, as Overjet’s product pages describe them:

  • Vision AI annotations: outlines of suspected decay, calculus and periapical radiolucencies, plus prior restorations and bone level measurements, for chairside explanations
  • Pediatric caries detection: the vendor’s Vision AI comparison table lists decay detection for ages 4+
  • IRIS imaging software: the vendor says it works with any sensor, adjusts images automatically, works offline and has no cloud storage fees
  • Image quality checks in IRIS, cleared by the FDA to flag problems such as cone cuts, overlapping contacts, foreshortening and elongation
  • Daily Patients page and care opportunity dashboards built from images and PMS data; DSO Analytics for clinic and provider views
  • Insurance verification across 300+ payers (RCM page), pre-treatment estimates from your PMS treatment plans, and ReviewPASS claim auto-approval recommendations for eligible procedures with MetLife, Principal, Guardian and Ameritas
  • Voice: ambient notes, perio charting, treatment plans and referral letters from the visit conversation

One number differs across the vendor’s own pages. The home, dentists and DSO pages say insurance verification integrates with 1,000+ payers, while the RCM page says 300+ payers. Ask which figure is current.

The FDA also cleared Overjet CBCT Assist (K251514, December 5, 2025) for segmentation, measurements and 2D/3D views of CBCT images; the vendor pages we read don’t describe it.

Overjet vs. what an imaging AI tool should have

Overjet meets most of what we look for in imaging AI: FDA clearances for caries, calculus, periapical radiolucencies, charting and CBCT, dentist-confirmed findings, pediatric coverage and a published security program. The gaps are a bone level claim we couldn’t tie to a readable FDA indication, no named PMS or imaging integrations and no public pricing.

Must have

Feature Status Note
FDA clearance for each advertised finding Partial Caries, calculus, periapical radiolucency, charting, image enhancement and CBCT are in FDA indications; bone level quantification isn’t in any indication we could read
Works with your imaging software or sensors Listed The vendor says IRIS works with any sensor and its team connects Overjet to your imaging software; no product list
Works with your practice management system Partial The vendor says it connects to your PMS and syncs the Daily Patients page; no PMS named, and writing findings back to the chart isn’t described
Dentist reviews every finding FDA listing Concurrent-read aid; not a replacement for the dentist’s review, per the FDA summaries
Image types covered FDA listing Bitewing and periapical; panoramic for charting and enhancement; CBCT under a separate clearance
Data protection details Listed HIPAA policy and Trust Center pages; the vendor says it acts as a business associate and holds HITRUST certification

Should have

Feature Status Note
Published study that names the product Study Four studies name Overjet Caries Assist or the Overjet platform; one has Overjet authors
Patient-facing view for chairside explanations Listed AI annotations for patient understanding
Pediatric use covered FDA listing Caries Assist-Pediatric for ages 4 to 11; Multi-Image Caries and Charting Assist for ages 4 and older
Public pricing Not listed

Nice to have

Feature Status Note
CBCT analysis FDA listing Overjet CBCT Assist, K251514
Insurance and claims support Listed Verification, estimates and ReviewPASS; the one Capterra reviewer also says it helps with claims
Practice analytics Listed Care opportunity dashboards and DSO Analytics

What the research says

Four studies in PubMed test or use Overjet’s caries and bone loss tools, with mixed results. A 2025 study with Overjet co-authors reported 0.91 sensitivity for dentin lesions on 1,604 tooth surfaces, while an independent 2026 study of 27 extracted teeth found the AI sorted lesion depth less accurately than human readers on the same bitewings.

The studies are small and differ in design, so their numbers can’t be compared directly. Only one of the four has authors from Overjet.

Caries on bitewings, with a student module (Frontiers in Dental Medicine, 2025). Authors from George Washington University, the University of Florida, the University of Jordan and Overjet compared Overjet Caries Assist with two calibrated observers on 1,604 proximal surfaces on bitewings. The abstract reports average sensitivity of 0.69 for enamel lesions and 0.91 for dentinal lesions, with specificity of 0.99 and 0.98. In a second part, 82 first- and third-year dental students read 10 bitewings before and after Overjet’s training module, and their ability to detect caries rose 43% to 46%. The abstract doesn’t say where the radiographs came from.

Lesion depth against micro-CT (Journal of Dentistry, 2026). Researchers at the University of Florida and the University of Sao Paulo imaged 27 extracted teeth and compared visual exams, bitewings read by two calibrated raters and Overjet Caries Assist on the same bitewings, with micro-CT as the reference. Agreement with micro-CT was moderate for the AI (kappa 0.53) and substantial for human-read bitewings (0.70), and bitewings classified depth more accurately than the AI (p = 0.042). At the enamel threshold, both reached 100% sensitivity. At the dentin threshold, sensitivity was 75% for human-read bitewings and 56% for the AI, and all AI errors were under-classifications. The authors conclude that AI should be a screening adjunct, not a standalone diagnostic method.

Periodontal disease on full-mouth radiographs (BMC Oral Health, 2025). Researchers from King Abdulaziz University, Harvard and Tufts used radiographic records of 103 patients over 29 to test the Overjet AI platform against a periodontist’s combined clinical and radiographic assessment. Across severity levels, the abstract reports 82% to 100% sensitivity and 89% to 96% specificity for the software, similar to a general practitioner’s manual reading (83% to 100% and 90% to 94%). Agreement between the two ranged from kappa 0.49 to 0.85.

Student survey (Frontiers in Dental Medicine, 2025). In a survey of 66 third-year students at the University of Florida College of Dentistry who had used Overjet Caries Assist, 89.4% said AI improved their ability to detect caries. Only 16.7% felt the curriculum prepared them to use AI clinically, and students raised over-reliance on automation as a concern.

Two other PubMed records have Overjet-affiliated authors but don’t test detection accuracy. A 2025 Scientific Reports paper builds an oral health score from more than 340,000 patients across 2,558 US dental practices using Overjet’s platform. A 2024 GeroScience paper is a secondary analysis of survey data on oral health in adults taking rapamycin off-label, with case studies of periodontal bone loss measured by an AI platform; its abstract doesn’t name Overjet’s product, and the paper isn’t about it.

Separately, a 2025 BMC Oral Health review by authors from Aga Khan University Hospital in Pakistan and King Faisal University in Saudi Arabia searched the FDA’s 510(k) database in December 2024 and counted four Overjet devices; the FDA records we pulled list nine Overjet clearances dated before December 2024.

Overjet’s own site makes stronger claims. Its educators page says “100% of dentists more accurately detected caries with Overjet” and gives 0.35 mm precision for bone levels, and the dentists page cites a 25% lift in case acceptance and an 18x average ROI. None of those figures appears in the abstracts we found, so treat them as the vendor’s claims.

FDA status and privacy

The FDA’s 510(k) database lists 12 clearances for Overjet, Inc., each for one product and a defined use. All are radiology devices; Voice and the RCM tools aren’t among them. We found no PMA listing under Overjet’s name (searched October 19, 2026).

Device 510(k) Cleared What the FDA summary says it does
Overjet Dental Assist K210187 May 19, 2021 Medical image management and processing system (the indications page wasn’t readable in our saved copy)
Overjet Caries Assist K212519 May 10, 2022 Aids detection and segmentation of caries on bitewings
Overjet Calculus Assist K220928 December 16, 2022 Aids detection of interproximal calculus on bitewings and periapicals, with a bounding box
Overjet Caries Assist K222746 March 27, 2023 Aids detection and segmentation of caries on bitewings and periapicals
Overjet Periapical Radiolucency Assist K231678 September 21, 2023 Aids detection of periapical radiolucencies on permanent teeth on periapicals, age 12 and older
Overjet Charting Assist K233590 February 23, 2024 Detects tooth anatomy, tooth numbers and past restorations to help produce dental charts; bitewings and periapicals age 5 and older, panoramic for permanent teeth only
Overjet Caries Assist-Pediatric K233738 March 4, 2024 Aids detection and segmentation of caries on bitewings and periapicals, ages 4 to 11
Overjet Charting Assist K241684 August 27, 2024 Same charting use as K233590, with a Predetermined Change Control Plan
Overjet Image Enhancement Assist K241681 September 9, 2024 Optional noise reduction on bitewings and periapicals, and contrast and sharpness on those plus panoramics, viewed in the Overjet platform
Overjet CBCT Assist K251514 December 5, 2025 Segmentation, measurements and 2D/3D views of CBCT images to assist review and interpretation
Overjet Iris Intelligent Imaging System K253930 April 10, 2026 Web-based image management (PACS) with automated flags for image capture quality issues
Overjet Multi-Image Caries and Charting Assist K261059 August 6, 2026 Analyzes all of a patient’s radiographs together to aid caries detection (incipient, non-incipient and secondary) and charting on bitewings and periapicals, plus charting on panoramics, age 4 and older

The list and the marketing differ in two places. Overjet says it is FDA-cleared to quantify periodontal bone levels with 0.35 mm precision, but none of the indications we could read mentions bone levels; the one we couldn’t read is the 2021 Dental Assist clearance. Also, the detection clearances describe concurrent-read aids that give the dentist “additional information”, and each says the device is not intended as a replacement for a complete dentist’s or clinician’s review or clinical judgment. AI marks are suggestions. The dentist confirms or rejects each one.

On privacy, Overjet’s HIPAA policy (last updated April 15, 2022) says the company complies with the HIPAA Privacy and Security Rules and with its business associate obligations under HIPAA/HITECH. Its Trust Center says it has completed an independent HITRUST audit and obtained HITRUST certification, encrypts data at rest and in transit, and runs third-party penetration tests. Overjet’s dentists page goes further and says it is “HITRUST & SOC 2 certified”, though we didn’t find the certificates themselves. Subprocessors named in the Trust Center include Google Cloud Platform for infrastructure, Deepgram for transcribing voice recordings, and OpenAI and Anthropic for Voice templates and backend LLM processing. We didn’t see a BAA document named on any page we read, so ask for one in writing before you connect patient images.

Pricing

Pricing on request. Overjet doesn’t publish prices on the pages we checked, which offer “Book a demo” and “Try for free” buttons instead, and the free trial’s length and terms aren’t stated. Checked October 19, 2026.

Pros (from user reviews)

Overjet has only one review on Capterra, from March 2025, which is too few to show a pattern. Capterra lists the reviewer as a Director of Operations in Hospital & Health Care and labels the review as incentivized.

  • One reviewer likes the ease of use and says it is “never glitchy”.
  • They also praise the colors and graphics and say it helps with insurance claims.
  • The reviewer says they used Pearl’s Second Opinion before Overjet.

Cons (from user reviews)

  • No complaints about Overjet appear in the one review. With a single review, that says little about what other practices run into.

Who it’s for

Overjet fits practices and DSOs that want AI marks on every bitewing and periapical, visuals for case presentation and, possibly, insurance verification and estimates from the same vendor. It also covers children’s caries, CBCT review and image capture quality, each under its own clearance. If you’re replacing imaging software anyway, the vendor says IRIS puts capture and AI in one product.

It’s a weaker fit if you need a vendor to name your exact PMS and imaging software before a sales call, or if you want published prices. If bone level measurements are the reason you’re buying, ask Overjet which FDA clearance covers them. And keep the 2026 micro-CT study in mind: the AI under-classified lesions that had reached dentin, and its authors call AI a screening adjunct.

FAQ

Is Overjet FDA cleared?

Yes. The FDA’s 510(k) database lists 12 clearances for Overjet, Inc., from Overjet Dental Assist (K210187, May 19, 2021) to Overjet Multi-Image Caries and Charting Assist (K261059, August 6, 2026). They cover caries, calculus, periapical radiolucency, charting, image enhancement, CBCT and image management. We couldn’t find bone level measurement in the indications we could read.

How much does Overjet cost?

Pricing on request. Overjet’s pages offer a demo and a free trial but no prices (checked October 19, 2026).

How accurate is Overjet?

It depends on the study and the lesion. A 2025 study with Overjet co-authors reported 0.91 sensitivity and 0.98 specificity for dentinal lesions on 1,604 bitewing surfaces. An independent 2026 study of 27 extracted teeth found 56% sensitivity at the dentin threshold, against 75% for human-read bitewings. The vendor’s own accuracy claims don’t appear in the abstracts we found.

Does Overjet make the diagnosis instead of the dentist?

No. The FDA summaries for Overjet’s detection tools describe concurrent-read aids that give the dentist additional information, and each says the device is not intended as a replacement for a complete review or clinical judgment. The dentist decides on every finding.

Does Overjet work with my PMS and X-ray sensors?

Overjet says its implementation team connects it to your PMS and imaging software and that IRIS works with any sensor. Its pages don’t name specific PMS or imaging products, so confirm your exact systems with the vendor before you sign.

Does Overjet sign a BAA?

The vendor says it complies with its business associate obligations under HIPAA/HITECH and acts as a business associate for its platform. The pages we read don’t mention a BAA document by name, so ask for a signed one before sharing patient data.

How this review was put together

We didn’t use Overjet ourselves. This review is built from 10 Overjet web pages (home, dentists, DSOs, educators, insurers, Vision AI, RCM, Voice, HIPAA policy and Trust Center), the FDA’s 510(k) and PMA databases and the 12 Overjet decision documents, studies found in PubMed, and the single Overjet review on Capterra, dated March 28, 2025. All sources were checked on October 19, 2026.

Sources

  1. Overjet: home page, accessed October 19, 2026
  2. Overjet: solutions for dentists, accessed October 19, 2026
  3. Overjet: Vision AI, accessed October 19, 2026
  4. Overjet: solutions for DSOs, accessed October 19, 2026
  5. Overjet: solutions for educators, accessed October 19, 2026
  6. Overjet: solutions for insurers, accessed October 19, 2026
  7. Overjet: RCM, accessed October 19, 2026
  8. Overjet: Voice, accessed October 19, 2026
  9. Overjet: HIPAA policy, accessed October 19, 2026
  10. Overjet: Trust Center, accessed October 19, 2026
  11. FDA 510(k) K210187, Overjet Dental Assist, accessed October 19, 2026
  12. FDA 510(k) K212519, Overjet Caries Assist, accessed October 19, 2026
  13. FDA 510(k) K220928, Overjet Calculus Assist, accessed October 19, 2026
  14. FDA 510(k) K222746, Overjet Caries Assist, accessed October 19, 2026
  15. FDA 510(k) K231678, Overjet Periapical Radiolucency Assist, accessed October 19, 2026
  16. FDA 510(k) K233590, Overjet Charting Assist, accessed October 19, 2026
  17. FDA 510(k) K233738, Overjet Caries Assist-Pediatric, accessed October 19, 2026
  18. FDA 510(k) K241684, Overjet Charting Assist, accessed October 19, 2026
  19. FDA 510(k) K241681, Overjet Image Enhancement Assist, accessed October 19, 2026
  20. FDA 510(k) K251514, Overjet CBCT Assist, accessed October 19, 2026
  21. FDA 510(k) K253930, Overjet Iris Intelligent Imaging System, accessed October 19, 2026
  22. FDA 510(k) K261059, Overjet Multi-Image Caries and Charting Assist, accessed October 19, 2026
  23. openFDA device 510(k) and PMA databases (search for Overjet), accessed October 19, 2026
  24. Performance evaluation of AI-based caries detection technology and its educational training module, Frontiers in Dental Medicine (2025), accessed October 19, 2026
  25. Comparative evaluation of proximal caries detection methods using human, artificial intelligence, and micro-CT assessments, Journal of Dentistry (2026), accessed October 19, 2026
  26. Validate artificial intelligence for the diagnosis of periodontal disease, BMC Oral Health (2025), accessed October 19, 2026
  27. Perceptions of dental students on the integration of artificial intelligence in radiology clinical education, Frontiers in Dental Medicine (2025), accessed October 19, 2026
  28. Development and validation of an AI-enabled oral score using large-scale dental data, Scientific Reports (2025), accessed October 19, 2026
  29. Evaluation of off-label rapamycin use on oral health, GeroScience (2024), accessed October 19, 2026
  30. Development trend of Artificial Intelligence (AI) in dentistry: exploring FDA-cleared dental devices, BMC Oral Health (2025), accessed October 19, 2026
  31. Capterra: Overjet reviews, accessed October 19, 2026