Best Dental Imaging Software (2026): Top 9 Compared

DEXIS Imaging Suite is the 2D imaging platform from DEXIS, a dental imaging brand that also sells intraoral scanners and the ORTHOPANTOMOGRAPH and i-CAT X-ray units. DEXIS describes the suite as a platform for managing 2D X-rays, clinical photos and, through a link to DEXIS IS ScanFlow, intraoral scans, with clinical modules that can be added according to practice needs.

The suite is organised as named modules. DEXray handles X-ray capture, and DEXIS states that the most common procedures take two clicks or fewer. DEXcapture views and captures images from intraoral and extraoral cameras, photo cameras and microscopes, including video recording. DEXintegrator shows X-ray and photo thumbnails inside the practice management chart, and DEXIS recommends it for multi-site practices and those using PACS. DEXview 3D opens data from i-CAT FLX and DEXIS ORTHOPANTOMOGRAPH OP 3D units, and DEXwrite builds chairside reports and letters from images.

DEXIS positions the suite as open. DEXtwain accepts any intraoral sensor through TWAIN, and DEXsync synchronises databases across office locations. AI detection comes from the DTX Studio Clinic integration called DEXassist, which highlights up to six findings on 2D X-rays with a single click.

DTX Studio Clinic is the 2D and 3D imaging platform sold under the DEXIS brand. DEXIS describes it as one platform for diagnostics, treatment planning and patient communication, and states that it has 145,000 users worldwide, that 100 million images were captured with it in 2025 and that its AI processes 2 million images a month.

AI is central to the product. DEXIS states that full-mouth AI detection runs in about five seconds and identifies more than 14 dental findings, including crowns, bridges and implants, with a timeline view that aligns current and historical exams to show bone and caries changes. MagicAssist prepares a case in one click: it sorts and mounts 2D X-rays into FMX templates, reorients the 3D volume, fuses CBCT with an intraoral scan, maps the panoramic curve, traces the mandibular nerve canals, segments teeth and sets up TMJ views.

Treatment planning covers implant planning with a library of more than 29 implant brand families and automatic surgical template creation, which DEXIS says takes under three minutes. A newer Endo module maps root canal anatomy in 3D to support treat-or-refer decisions. Cases can be shared through the cloud with labs and referral partners, with prescriptions, notes and chat.

Sidexis 4 is the X-ray software from Dentsply Sirona, which also makes intraoral, panoramic and CBCT equipment and the CEREC chairside CAD/CAM system. Dentsply Sirona describes Sidexis 4 as connected X-ray software for evaluating the clinical situation, diagnosing and planning treatment.

The main workspace features are Lightbox, which brings X-rays, intraoral scans, photographs and PDFs together in one place, and centralised diagnosis of 2D and 3D X-rays within the same software. Compare mode shows several X-rays side by side to track patient progression, and personalised intraoral templates open with one click.

The connection to DS Core extends Sidexis 4 into the cloud. Dentsply Sirona states that DS Core automatically uploads 2D and 3D X-ray files from Sidexis 4 into a centralised cloud library that supports HIPAA and GDPR compliance, accessible from a browser. Files can be shared with colleagues and partners, and an embedded X-ray viewer lets recipients review cases without paying for an account. A Timeline view supports chronological navigation of patient files.

Treatment workflows connect to other Dentsply Sirona products: Simplant Planning Services for outsourced implant and guide planning, and a crown-down implant workflow with CEREC and SICAT Implant.

CS Imaging 8 is the core imaging software from Carestream Dental, which makes RVG intraoral sensors, intraoral cameras, imaging plate systems and panoramic, cephalometric and CBCT units. Carestream calls CS Imaging 8 the backbone of its imaging systems: it shows all of a patient's images on one screen and is intended for use with any CS imaging system. The wider imaging software range is described as compatible with all CS extraoral systems as well as other leading brands.

Carestream's store listing describes CS Imaging 8 as usable either standalone or integrated with practice management software.

Pricing is the clearest distinction on this page. The online store lists the CS Imaging 8 licence at $1,299, covering up to 99 computers at a time, and a support plan at $49 per month that includes phone support and software updates. The support purchase starts a 12-month contract that then continues month-to-month automatically.

Specialists have separate products. CS 3D Imaging Software covers implant planning and endodontics, CS 3D Imaging Premium adds AI-assisted implant planning and a case transfer service, OMS Imaging serves oral and maxillofacial surgeons, and Orthodontic Imaging serves orthodontists.

Apteryx is the dental imaging business of Planet DDS, which also makes the Denticon cloud practice management system. Its current product, Apteryx XVWeb, is browser-based cloud imaging software for capturing, viewing, editing, annotating and sending images. Planet DDS states that more than 13,000 dental practices use Apteryx. Planet DDS's support site still lists upgraders for the older XrayVision software, but XVWeb is the product its Apteryx page promotes.

Open architecture is the main pitch. Planet DDS describes Apteryx as device-agnostic and practice-management-agnostic, compatible with a wide range of sensors and practice management systems, and storing images in DICOM format. Images are kept in the cloud, so practices do not need larger servers as files grow, and an offline mode allows capture during internet outages with automatic sync afterwards.

Clinical tools cover custom filters, enhancement, templates, bitewings and measurement. A 3D module adds volume rendering, curved slice and panoramic reconstruction, implant planning and nerve canal tracing. Embedded FDA-cleared AI overlays analyse X-rays in real time, and a secure portal shares images with specialists.

On compliance, Planet DDS states Apteryx is ISO 13485:2016 and MDSAP certified and covered under its SOC 2 Type 2 certification.

Planmeca Romexis is the dental software platform of Planmeca, the maker of X-ray units, CBCT machines, intraoral scanners and treatment units. Planmeca describes Romexis as an all-in-one platform for capturing, viewing and processing 2D and 3D images and CAD/CAM cases, built for clinics from single-chair practices to hospitals and group practices.

Romexis is modular. The 2D imaging module is included in every bundle, and clinics can add 3D imaging, 3D implantology, cephalometric analysis, CMF surgery planning, CAD/CAM design, orthodontic simulation, smile design and a dental PACS module later. The software is Java-based and runs natively on macOS and Windows.

For 2D work, adaptive pre-processing filters are applied at capture, and built-in AI detects and numbers teeth in intraoral images, corrects orientation and arranges images into study templates. With the Planmeca ProX unit and ProSensor HD, exposure values are recorded automatically. Third-party sensors and PSP scanners connect through TWAIN, and DICOM support lets Romexis act as a device-independent image archive. Planmeca states Romexis integrates directly with more than 100 practice management systems and includes an integration with Second Opinion AI for X-ray findings.

Romexis Image Cloud, run by Planmeca Group company Entteri, hosts the Romexis database and images for a monthly fee in place of an on-site server.

SOTA Cloud is the cloud imaging platform from SOTA Imaging, which also sells its own smart sensor and smart camera. SOTA states that the platform has more than 30,000 users and powers more than 3,000 locations, and it markets to three segments: independent practices, emerging groups and enterprise DSOs with up to 1,000 or more locations.

SOTA frames the product as one connected workflow from capture to claim. At capture, it offers native sensor integrations, AI image enhancement and practice management connectivity, and it flags missed anatomy, poor exposure and technique factor issues. For analysis, SOTA Cloud embeds AI from Pearl, Overjet and VideaHealth so findings appear inside the imaging software, which lets a group keep its chosen AI vendor. For presentation, it includes patient education videos. Follow-up uses AI to automate patient and referral communication, including CBCT sharing, and a claims step checks that images meet payer documentation standards.

The platform runs in the browser, which SOTA presents as a way to provide anywhere access and reduce IT costs. For groups, SOTA emphasises standardised care across providers and locations, quick deployment at acquired practices regardless of their existing equipment, and fleet-wide visibility with security and compliance controls.

MiPACS, based in Charlotte, North Carolina, sells a dental picture archiving and communication system (PACS) with the MiPACS Dental Enterprise Viewer for capturing and viewing images. MiPACS describes it as the most compatible dental PACS in healthcare and states that it is used by more than 75 dental schools, more than 2,000 DSO clinics, more than 140 VA facilities and more than 75 health centres.

The product is fully DICOM-compliant and designed to centralise imaging across many sites. MiPACS states it connects more than 200 imaging devices and integrates with EHR and practice management systems including Epic, axiUm, Titanium Solutions and Dentrix Enterprise. For federally qualified health centres it lists Epic Community Connect integration and HIPAA and VNA requirements. For government and VA sites it lists MHS Genesis, VistA and DRM+ connections and CAC card authentication.

DSOs can standardise workflows from 10 to more than 2,000 locations and connect devices from acquired practices. FDA-cleared Second Opinion AI from Pearl runs inside the MiPACS workflow, detecting caries, calculus, periapical radiolucency and restorations as images are captured.

Implementation is presented as a managed service, with custom EHR integration, hands-on training and an average 30-day turnaround from contract to production.

XDR Radiology, the trading name of Cyber Medical Imaging, makes the XDR CLARITY intraoral sensor and XDR Imaging Software. XDR describes the software as built by dental experts, with one-click buttons for capturing, saving and managing images and a deliberately simple interface.

The diagnostic tools centre on image quality and exposure. The XDR Exposure Meter gives feedback on exposure for every radiograph, which XDR says helps assistants deliver diagnostic images and train themselves on technique. Patented unwarp technology corrects projective distortion so that distances and angles can be measured, and virtual implant overlays support treatment planning. Caries, endo and perio filters and customisable sharpening help clinicians focus on specific conditions.

XDR states the software integrates with practices' existing sensors, intraoral cameras, servers and networks, through direct integration, TWAIN and VirtuCap. Its published compatibility list covers practice management systems including AbelDent, Curve Hero, Dentrix G4 to G7, Eaglesoft, Easy Dental, iDentalSoft, Mogo, Open Dental, PracticeWorks and SoftDent, and XDR offers image conversion from legacy systems.

The software runs on Windows 10 and 11 Professional 64-bit, and XDR strongly recommends a Windows server for offices with several computers.