Across the published 2026 dental-AI case corpus (Pearl with FDA-cleared 2D and 3D radiography AI plus 23,000 published practices; Overjet with 21+ named small-and-family-practice customers including Promenade Center, Quest Dental, Midtown Dental Studio), AI now ships at 1-to-3-dentist practice scale for FDA-cleared radiography assist, insurance verification automation, and patient-education visualisation; ambient voice AI for clinical notes is the next surface to ship widely.

Path B operator case-study piece, real-case-heavy because Pearl and Overjet publish substantial small-practice rosters with named outcomes. Defensible 2-dentist family practice stack: one FDA-cleared radiography AI (Pearl Second Opinion or Overjet Vision AI) + one revenue-cycle AI feature + Enterprise-tier general AI for non-PHI work. Consumer-tier AI explicitly out of scope for clinical workflows. Vendor-published outcomes (Promenade 20 hrs/wk, Quest +19% Crown production, Midtown 566% case acceptance) treated as evidence-of-existence not as benchmarks.