Meta description: A dentist shares honest, hands-on reviews of dental AI tools in 2025—Overjet, Pearl, VideaHealth, Denti.AI, Adit, Lighthouse. Which ones actually save time and money? Read before you buy.
The AI Tools Worth Paying For in 2025 (From a Dentist Who Lost Money on Overjet)
Last October, Overjet pulled $1,847 from my checking account. By week three, my lead hygienist—who’s been with me eight years—asked if we could please go back to reading our own X-rays. The radiographic overlays added four minutes per patient, and my front desk had manually corrected so many auto-generated insurance codes that she started a spreadsheet called Overjet Lies. We kept it for eleven weeks. I ate the setup fee.
That stung. But it taught me what dental AI really is: a very expensive magnifying glass, not a magic wand.
I’m a general dentist in Cincinnati. Fourteen years, three chairs. I’ve paid for two of these platforms, demoed two more, and heard honest complaints from friends who’ve made bigger mistakes than me. I have no financial ties to any of them. This is what I’d tell you over coffee.
What It Can Actually Do
It can catch the distal caries you missed at 7 PM because you’re rushing between a root canal and your kid’s soccer game. (I missed one on #19 last year. It happens.) It can write your clinical notes while you wash your hands. It can show Mrs. Henderson exactly where the decay lives so she stops looking at you like you’re selling her a timeshare.
What it cannot do: fix your front desk’s attitude, lower your rent, or make your hygienist stop gossiping. If your team is broken, software won’t glue them together.
Overjet
If you run a DSO with six locations and a dedicated IT guy, Overjet might be worth the $1,200 to $2,400 a month per location. For everyone else, it’s a mortgage payment disguised as software.
The bone detection is impressive. During my demo, it flagged a furcation on #3 that I’d missed. The insurance automation is theoretically beautiful. But the Dentrix integration took three support calls and a week of back-and-forth. My front desk said the auto-populated codes were wrong one in five times. She spent more time correcting the AI than she would’ve spent doing it herself.
If you’re losing $5,000 a month to denials, do the math. Otherwise, don’t buy a Ferrari to deliver pizza.
Pearl
This is the one I actually kept. At $299 to $499 a month, it’s priced like dental software, not a luxury car.
The chairside visual second opinion is the real deal. I pulled up Pearl on the monitor last March. Mrs. Henderson finally saw the interproximal on #14 when the colored overlay lit it up. She scheduled the filling before she stood up. My case acceptance jumped about 20% in two months. Pearl paid for itself by February.
But it’s narrow. No insurance automation. No endo. No implant bone levels. It’s a patient education tool that happens to read X-rays. If your patients already trust you, you might not need the visual crutch. Mine didn’t. They do now.
VideaHealth
At $199 to $399 a month, this is the budget entry that doesn’t feel cheap. Videa Assist starts at $199 for one provider and 100 scans. It’s fast, it’s light, and it integrates with Dentrix and Eaglesoft without an IT meltdown.
For bread-and-butter restorative—caries, calculus, existing restorations—it covers your bases. But don’t ask it to do perio charting. It won’t. No bone loss detection. If you do a lot of perio, this tool leaves you hanging. It’s like hiring a great assistant who can’t take impressions.
Denti.AI
The voice scribe is the only product on this list I’d keep if I had to cancel everything else. Denti.AI Voice is $99 a month. Detect is $299. Bundle them for $349.
You clip the mic to your loupes. You do the prophy. By the time you’re washing your hands, the note is 90% finished. I get home an hour earlier most days. Given that I used to spend a third of my day writing notes, that matters.
The downside is real. My associate, who’s from Mumbai, has to repeat himself when the room is loud. My front desk has a thick Kentucky drawl; the transcript turns “occlusal” into “a clue sal.” You’ll edit. But even with the edits, you’re still saving two hours a day.
Adit
I didn’t switch my PMS to Adit. Moving practice management software is like swapping engines mid-flight. But my buddy across town did. He pays roughly $300 to $500 a month for Adit Complete with the AI add-ons.
His no-shows dropped from 18% to about 8%. His AR days fell from 45 to 20. The reminders sound like a human wrote them, not a robot screaming “CONFIRM YOUR APPOINTMENT” in all caps.
If your current PMS is from 2012 and your schedule looks like Swiss cheese, Adit might be worth the move. If you’re happy with your software, don’t burn the house down to change the thermostat. Adit won’t read your X-rays. It’s business-side only.
Lighthouse
I sat through a demo but didn’t pay the $500 to $1,000 monthly fee. Lighthouse listens to every inbound call and tells you exactly how many new patient appointments you’re losing.
It’s brutal. You’ll learn that your front desk misses 40% of opportunities because they forget to ask for the appointment. That’s useful. It’s also a very expensive spanking.
For that money, hire a phone trainer for a day. Record the calls yourself. If you’re a high-volume implant center doing $80,000 cases, maybe the math works. For a general practice, it’s steep.
What I’d Actually Buy
If you’re a solo or small group practice and you’re not made of money, start here.
Get Denti.AI Voice for $99. That’s the one non-negotiable. It saves you actual evenings.
Add Pearl at $299 if your patients hesitate on treatment. Or grab VideaHealth at $199 if you just need someone reliable to double-check your bitewings and you’re watching overhead like a hawk.
That’s under $400 a month total. Run it for 60 days. If you’re not going home earlier or scheduling more production, cancel. Most of these are month-to-month now. Use that.
If you’re a multi-location practice fighting insurance companies daily, Overjet is the only clinical tool built for that war. But demand a 90-day trial before you sign. They’ll give it to you if you push.
Don’t buy six tools at once. You’ll spend all your time managing software instead of seeing patients.
The Only Thing That Matters
AI in dentistry is math and pattern recognition wrapped in expensive subscriptions. It amplifies what already works. If your foundation is cracked—bad team, broken processes, a PMS from the Stone Age—software will just help you fail faster.
Pick one tool from this list. Try it for thirty days. Set a reminder in your phone to cancel it on day 31 if it hasn’t saved you two hours a week or put an extra couple thousand in your pocket.
The best AI tool is the one you actually use. Everything else is just a tax deduction and a headache.
Ready to try these tools for yourself? Start your free trial here and see what works for your business.
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