Link to all Pearl release notes here.
April 7 Release Notes
Second Opinion
Multi-organization Access for Admins
Managing multiple locations or entities just got easier. Admins can now access all of their Pearl organizations using a single email and account — no more juggling separate logins for each location.
- Assigning a user to multiple organizations can now be done in a single step directly from the user management settings.
- The organization switcher across Second Opinion now automatically shows only the organizations tied to your account, making it faster to navigate and reducing the risk of making changes in the wrong location.
Dismiss Caries Detections
You can now dismiss individual caries detections directly from the hover overlay. The eye icon has been replaced with a trash icon, clicking it removes the detection from view and it won't reappear unless the image is reprocessed or manually added back. This gives clinicians a quick way to remove false positives without affecting the rest of the analysis.
Image Enhance - Icon Toggle Behavior
The AI Stars icon in the Image Enhance tool now follows a consistent toggle behavior. Clicking the icon (not the slider) will switch enhancement on or off based on your current setting:
- If enhancement is on, clicking the icon turns it off completely (value set to 0).
- If enhancement is off, clicking the icon restores it to your office's default enhancement level.
Note that the icon toggle always resets to the office default when turning enhancement back on as it does not remember any value you may have previously set manually with the slider. For example, if you slide the enhancement to a custom value and then toggle it off and back on using the icon, it will return to the office default rather than your custom value.
April 16 Release Notes
Second Opinion
Visit Snapshot: Walk-in Prepared
This is a visit snapshot that auto-generates a structured pre-visit summary using data already available in Second Opinion and the practice management system. The panel surfaces automatically in FMX, Sugar Bugs, Comparison, Tablet, and Photos modes.
- Patient Snapshot: Name, age, last imaging visit, and image count by modality (X-rays, photos). Pediatric age displays in years and months (e.g. "6 years, 6 months") for clinical clarity.
- Reason for Visit: Human-readable label pulled from the PMS appointment code, matched to the most recent study date. Hidden if no reason is recorded.
- Reason for Previous Visit: Shown for returning patients when a prior appointment reason exists in PMS. Hidden entirely otherwise.
- AI Findings: Pathologies and restorations from the most recent images, ordered by caries, bone loss, others, then restorations. Discarded detections are excluded, and deduplication is applied at the tooth level across images in the same study. Pediatric patients under 13 with panoramic imaging do not receive AI findings; all other context is still shown. Will not be able to distinguish between what is already in the PMS, will show all opportunities detected.
- Insurance Summary: Benefit status sourced from PMS and Precheck. Only displayed to practices with Precheck access. Reflects the most recent verification run.
- Fully localized across all supported languages.
Patient Report
Optional Intraoral Photos
- Providers can now include an intraoral photo on each condition page when generating a Patient Report PDF
- Photo selection is per-condition, and the image renders above the X-ray grid in the output
- If a photo link fails during generation, the report still completes; that condition page appears without the photo
QR Code Sharing
- Providers can generate a shareable link from the Treatment Report tab, displayed as a QR code the patient scans on their phone
- Patient verifies identity by entering their date of birth
- Links expire after 3 days
- Currently behind a feature flag; will be enabled alongside interactive report functionality in a future release
Bug Fixes
- PHI toggle crash resolved: Toggling PHI off no longer causes an error when the patient name is unavailable
- Filmstrip delete checkbox visibility improved: Checkbox styling in filmstrip mode now matches FMX view, making it clearly visible across all image types
Practice Intelligence
Today's Patients Filter
A new 'Today's Patients' filter is now available in Practice Intelligence, showing unplanned and unscheduled treatment opportunities for today's appointment schedule. This filter is now the default view when opening the patient list.
- Displays unplanned and unscheduled opportunities for today's patients only
- Set as the new default view — calendar defaults to 'Today' in the date picker
- Appears before 'This Week's Patients' in the filter list for quicker access
Configurable Daily Huddle Download
Users can now customize the content of their Daily Huddle PDF before downloading. A new configuration modal allows providers to tailor the huddle to their workflow, with preferences saved for future sessions.
- Download with full patient names or initials only, based on practice PHI settings
- Filter the PDF by specific providers or operatories
- Toggle options include: insurance information, action items, unscheduled treatments, and predicted treatments
- Saved preferences persist across future huddle downloads
Endo Retreat Opportunities - Now Separate From Endo
Practice Intelligence now distinguishes Endo Retreat opportunities from standard Endo opportunities. Retreat opportunities are specifically identified when a patient has an existing root canal that may need re-treatment, and are tracked and displayed independently throughout the platform.
- Endo Retreat opportunities are identified separately from standard Endo — tied specifically to teeth with existing root canals
- Retreat opportunities carry their own separate pricing
- Displayed independently in patient details, schedule view, and daily huddle
- Available as a dedicated filter option for targeted opportunity review
- Endo opportunity now also use BWX and PA images
Bug Fixes
Resolved a crash that occurred in the Treatment Opportunities patient list view when the list was grouped by patient. The view now loads reliably in all grouping configurations.
April 30 Release Notes
Second Opinion
Expanded Custom Overlay Color Palette
More color choices are now at your fingertips. Toggle "Show more colour options" to reveal an additional set of carefully curated swatches, organized by hue so you can quickly find the shade you want. Colors already in use by another pathology are clearly indicated, so you'll always know what's available.
Visit Snapshot: Smarter Detection Tracking
The Visit Snapshot now does a better job of identifying what's new since the patient's last visit. When a detection appears on a tooth surface that wasn't present in the prior study, it'll be flagged as "suspected new," giving you clearer insight into what has changed. This applies to caries, calculus, and bone level measurements detections, and progression of caries (from incipient to progressed) is tracked separately so you have a more accurate clinical picture.
- Insurance Information Toggle (US) – Prefer to keep insurance details out of view during the clinical encounter? You can now show or hide the insurance section of the patient panel with a single click, right from the panel itself. Available only in the US.
Bug Fixes
- Pressing Esc now exits full screen mode in the image viewer
- Measurements no longer display "NaN" for unsupported image types; the measurement tool is now disabled when pixel spacing data isn't available.
