Link to all Pearl release notes here.
January 22 Release Notes
New Feature: Pediatric Tooth Numbering
Printouts now display primary teeth using standard pediatric lettering (A–T), making pediatric cases easier to review and share.
- Supports both primary-only and mixed dentition bitewing and periapical X-rays
- Allows both letters and numbers to appear on the same X-ray when applicable
- Adapts to your selected numbering system (Universal or FDI)
New Feature: Intra/Extraoral Images
Intraoral and extraoral photos are now visible in Second Opinion, bringing all patient images into one place for easier review and discussion.
- View and annotate photos directly in Second Opinion
- Add up to 10 annotations per photo, with the ability to edit or remove them
- This will introduce the ability to delete ANY image type (photo and x-ray)
New Feature: Color Updates
Three colors in the Second Opinion standalone color scheme have been updated. Caries – Progression and Notable Margin colors were adjusted, and one color was removed (blue/purple color).
Practice Intelligence
New Feature: Adjusted Drop Down Menus
Dropdown menus in Practice Intelligence now show only active offices, making it easier to find the right location.
February 10 Release Notes
New Feature: Unified Navigation
A new, streamlined navigation experience is rolling out to make it easier to move between Pearl products with a more consistent, connected feel.
- Five main sections now appear in the top navigation: Second Opinion, Practice Optimization, Practice Insights, Treatment Opportunities, and Insurance
- Navigation is consistent across Pearl, even if your organization doesn’t use every product
- Products you don’t have access to include a brief overview and an option to learn more
- Clicking a section takes you directly to the most commonly used page in that area
- Existing bookmarks and links continue to work as expected
New Feature: Insight Dashboard
The new Insight Dashboard gives practices a clear view of how AI-identified treatment opportunities progress from diagnosis to completion.
With the Insight Dashboard, teams can:
- See how opportunities move from diagnosis → planning → scheduling → completion
- Track opportunity volume and estimated value in real time
- Filter insights by date range, provider, and treatment type
- Click into metrics to review the underlying patient opportunities
- Export or share the dashboard for team discussions
Why it matters: Provides clear visibility into missed or delayed treatment.
New Feature: Treatment Opportunities
With AI Opportunities, teams can:
- Review all detected opportunities in one place
- Switch between Grid View for image review and List View for planning and follow-up
- Filter by patient, provider, treatment type, or stage
- Export opportunity lists for scheduling and outreach
Why it matters: Helps teams stay organized, prepare for appointments, and prioritize follow-up to reduce lost production.
Bug Fixes
Dashboard
- Adjusted the Dashboard funnel segments to be clickable
- Fixed an issue where separation lines were not showing on the dashboard table
- Fixed an issue with sorting table values
Treatment Opportunities
- Adjusted quick filters to make it more clear when one is selected
- Removed blank space on opportunity tiles when there is no tooth number.
- Fixed a text alignment issue with opportunity tiles
- Fixed instances where text said “Opportunities” when only one was present
- Patients without a next appointment now show “No Upcoming appointment”
- Removed the opportunity switcher & image selector when only one opportunity is present on the patient slide out
- Fixed an issue when hovering the opportunity switcher on the patient slide out
- Changed the grouped opportunity patient view to minimize the first opportunity on the list
- Fixed an issue where “No Data” was shown incorrectly on the patient tab
Schedule / Patient details
- Removed instances where tooth numbering would start with a comma
- Fixed an issue where a 0 would appear on the schedule hover
February 26 Release Notes
Navigation and UI Improvements
- Appointment Dropdown – Dates now show icons (X-ray, Photo) indicating which media types are available for each appointment
- Navigation Tabs – Tabs now display item counts (e.g., "X-rays (3), Photos (0)") that update when switching appointments
- Empty tabs show a tooltip explaining no files are available
- Disabled styling removed from empty tabs
- FMX Image Popup- The FMX popup now stays open while your mouse hovers over it, allowing you to click multiple images without it closing unexpectedly. Clicking an image still updates the main display.
- Updated the text in the Sugar Bugs sidebar to say “Grown-ups call them cavities.”
Practice Insights Dashboard Updates: Dashboard Grouping
- Replaced the previous pivot-style grouping with dedicated tabs: Offices, Providers, and Treatment Types
- Easily view associated patients and opportunities within each tab
- New toggle to switch between:
- Conversion View: Planned → Scheduled → Completed
- Drop-Off View: Unplanned → Not Scheduled → Not Completed
- Added a “Hide Outliers” option to remove extreme values for clearer performance comparisons
Practice Insights Dashboard Updates: View by Count or Value
- Added a “View By” toggle on the Dashboard
- Switch between:
- Count – See the number of opportunities at each stage
- Value – See the associated production value ($) at each stage
- Funnel metrics dynamically update based on selection
March 23 Release Notes
New Feature: Patient Printout
You can now generate a patient-friendly report directly from Second Opinion after each appointment. The report explains AI findings from the patient’s X-rays in clear, simple language—what was detected, what it means, and what to do next.
Within the Patient Printout tab (located in the existing print modal), you can:
- Select specific findings and teeth to include
- Add an overall assessment (Good / Fair / Needs Improvement)
- Include optional tooth anatomy overlays to help patients visualize conditions
This is designed to support clearer chairside conversations and help patients better understand recommended treatment.
Enhancements & Improvements: Image Enhance (formerly PEV)
- Image enhancement has been updated with a new icon and improved behavior.
- Default enhancement is now set to a clinically useful level for new offices (6)
- Reset view now returns to your default setting
- You can quickly toggle enhancement on/off directly from the icon
Bug Fixes
- Fixed display issue in the About modal on smaller screens
- Standardized date formatting across appointment views
- All search results (including patient name searches) are now sorted by most recent study date, making it easier to quickly access the latest images.
- For geometrically small caries, the application will no longer display the sugar bug. Incipient/progressed caries will still show, just that the caries will no longer cover the whole bug.
- Key controls (PHI toggle, help, profile menu) are now accessible in the header on lower-resolution displays.
Redesigned Patient Details Panel
The patient details experience has been redesigned into a right-side panel that opens when selecting a patient from the schedule. It includes:
- Schedule details
- Treatment opportunities
- Insurance information
This makes it easier to review patient context without navigating away from your workflow.
Bug Fixes
Removed incorrect tooth numbers displaying with Perio Maintenance.
