FDA-cleared profile

Overjet Caries Assist

Overjet, Inc.

Concurrent-read CADe to aid professionally trained and licensed dentists in detecting and segmenting caries on bitewing and periapical radiographs; the output is additional information and does not replace dentist review or clinical judgment.

Evidence status: each field shows source quality, applicability, and review date. Research pending, information not established in reviewed sources, and vendor documentation pending are distinct outcomes.

Clinical fit

What this tool is for

Start with the authorized purpose, then verify how it fits your service line and reading workflow.

Exact purpose
Concurrent-read CADe to aid professionally trained and licensed dentists in detecting and segmenting caries on bitewing and periapical radiographs; the output is additional information and does not replace dentist review or clinical judgment.
FDA source Exact FDA submission Checked 2026-09-08
Intended users
Professionally trained and licensed dentists
FDA source Exact FDA submission Checked 2026-09-08
Care setting and population
Dental practice or clinic imaging workflow through a practice PACS or EMR; the FDA packet does not identify a more specific facility type.
FDA source Exact FDA submission Checked 2026-09-08
Workflow role
Concurrent-read dental CADe for caries detection and segmentation during dentist review; the presentation layer provides a non-diagnostic viewer in which annotations can be filtered, displayed, hidden, created, or edited.
FDA source Exact FDA submission Checked 2026-09-08
Required input
Digital bitewing and periapical radiographs of permanent dentition in patients at least 12 years old; images smaller than 500 x 500 resolution are not intended. The packet describes testing with Carestream, Dexis, e2v, Gendex, Hamamatsu, Jazz Imaging, ScanX, Schick, and Soredex Digora sensors and image formats including JPG, PNG, EOP, TIFF, and DICOM.
FDA source Exact FDA submission Checked 2026-09-08
Output and human action
Caries detection and segmentation on the radiograph, resulting in an outline or fill of suspected caries with predictions assigned to a specific tooth; the packet distinguishes primary, secondary, enamel, and dentin caries outputs.
FDA source Exact FDA submission Checked 2026-09-08
Limitations
Safety and effectiveness were not established on primary or mixed dentition, and use is limited to licensed dentists. The device is not a sole decision-making tool and may produce false-positive or false-negative outputs. Accuracy is not guaranteed for unlisted sensors or images below 500 x 500 resolution; incorrect image rotation can make tooth numbering and caries predictions inaccurate. Significant tooth overlap may suppress predictions unless a radiolucency remains distinctly visible.
FDA source Exact FDA submission Checked 2026-09-08

Regulatory identity

FDA record and catalog context

The FDA listing establishes the regulatory identity. It does not by itself establish local workflow fit, pricing, security, or performance in your environment.

FDA submission
K222746
FDA source Exact FDA submission Checked 2026-08-31
Modality
X-ray/Radiography
FDA source Exact FDA submission Checked 2026-09-08
Anatomy
Permanent dentition and tooth surfaces in dental/maxillofacial anatomy
FDA source Exact FDA submission Checked 2026-09-08
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2023-03-27
FDA source Exact FDA submission Checked 2026-08-31
FDA status
FDA-cleared
FDA source Exact FDA submission Checked 2026-08-31

Implementation

Questions for IT, informatics, and operations

Use these fields to structure a vendor demo, security review, and implementation estimate.

Integration
The network layer works with a practice PACS or EMR to transmit image and metadata to Overjet, and the web presentation layer displays annotations in a non-diagnostic viewer. The reviewed FDA packet does not establish a specific interface version, local compatibility, or current commercial deployment topology.
FDA source Exact FDA submission Checked 2026-09-08
Deployment and data flow
On-premise
Public source Exact FDA submission Checked 2026-08-13

Deployment category preserved from the prior exact-submission review; hosting region, data flow, and current commercial configuration still require vendor confirmation.

Security and privacy
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-08

Exact-release security controls, data retention, hosting boundaries, and scoped assurance documentation require vendor confirmation.

Training and support
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-08

Current training prerequisites, competency checks, and support commitments for the exact configuration require vendor confirmation.

Monitoring and change control
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-08

Current drift, quality, uptime, alert, escalation, and incident-response commitments for the exact configuration require vendor confirmation.

Input or output interoperability

DICOM is explicitly referenced in the described input, output, or workflow.

exact submission · checked 2026-09-01

The model card does not establish every supported DICOM object, transfer method, or local interface.

ACR exact-submission catalog context

ACR AI Central provides an exact-submission model card for Overjet Caries Assist; FDA labeling remains controlling for clinical use, limitations, and performance.

exact submission · checked 2026-09-08

Evidence

Performance evidence

Metrics are shown only when they are tied to a source, endpoint, population, and tested product version.

Evidence summary
FDA standalone testing evaluated 1,293 bitewing images and 1,314 periapical images, including 27,920 bitewing surfaces and 16,254 periapical surfaces, against consensus labels from three US licensed dentists with oral-radiologist adjudication of non-consensus labels. Overall standalone sensitivity was 76.6% for bitewing images (95% CI 73.8%-79.4%) and 79.4% for periapical images (76.1%-82.8%); specificity was 99.1% for bitewing images (98.9%-99.2%) and 99.4% for periapical images (99.2%-99.5%). A 28-dentist reader study used 330 bitewing and 330 periapical images; assisted reader sensitivity was 78.5% and 79.0%, versus 64.6% and 65.6% unassisted, while assisted specificity was 98.6% and 97.6%, versus 99.0% and 98.0% unassisted.
FDA source Exact FDA submission Checked 2026-09-08
Reported sensitivity
Bitewing: 76.6%, Periapical: 79.4%
Public source Exact FDA submission Checked 2026-09-01

Model sensitivity reported by ACR AI Central. Review endpoint, threshold, study population, and tested version before comparison.

Reported specificity
Bitewing: 99.1%, Periapical: 99.4%
Public source Exact FDA submission Checked 2026-09-01

Model specificity reported by ACR AI Central. Review endpoint, threshold, study population, and tested version before comparison.

No contextualized exact-version metric has completed evidence review. Regulatory-document values, when available, are shown above with their limitations.

Overjet Caries Assist regulatory performance study summary

Stand-alone performance and reader study (ACR AI Central category) · Adult and Pediatric

exact submission · Tested version: Exact product version not reported; regulatory study summarized for FDA submission K222746 · n=2607 · Independence not established

K222746

ACR AI Central summarizes the regulatory study; consult the exact FDA materials before comparative use.

Economics and lifecycle

Budget and ongoing governance

These are common procurement questions; unknown values remain visible until a source supports them.

Pricing and total cost
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-08

No public price or quote for the exact K222746 configuration was established in this review.

Reimbursement and coding
Not established in reviewed sources
Reviewed sources checked Exact FDA submission Checked 2026-09-08

No exact-product payer policy, coding instruction, or payment determination was established; eligibility must be evaluated by payer, site of service, and use case.

Safety and lifecycle

Postmarket record

Recall and adverse-event records are shown only after product matching. Adverse-event reports do not establish incidence or causality.

Postmarket safety review
The exact-identifier FDA recall query returned no native recall record for K222746. This limited result does not establish absence of recalls or other safety information and does not cover later versions, family records, MAUDE reports, corrections, or field notices.
Public source Exact FDA submission Checked 2026-09-08

Buyer worksheet

Open questions to take to the vendor

Open evaluation checklist

Research record

What has been checked

This audit distinguishes completed source review from fields that have not yet been researched.

Exact FDA record reviewedStatus
2026-09-08Last searched
24Fields reviewed
9Source classes checked
0Unreviewed PubMed leads
0Unreviewed trial leads
0Unreviewed FDA recall leads

Exact-submission ACR model-card fields were normalized under the current provenance rules; vendor and independent-study confirmation remain distinct. Exact FDA scope controls clinical claims. ACR provides bounded exact-submission catalog context. Candidate literature metadata remains a discovery queue until full-text identity, endpoint, population, and version review is completed. Automated exact-name discovery found 0 PubMed and 0 ClinicalTrials.gov candidate records. Candidates require human product and version matching; zero candidates is not evidence that no studies exist. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads remain unpublished until a human confirms the exact product and tested version.

Source classes: fda ai list, fda decision summary, acr ai central product, fda device recall, literature index, trial registry, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-08.

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