Pearl's Practice Intelligence and Second Opinion will be integrated into the DSOs' clinics. Practice Intelligence is an AI software solution that applies x-ray machine learning algorithms to uncover actionable clinical insights. Second Opinion is an AI software program that detects common dental conditions, including caries, faulty restorations, and implants in patient x-rays in real time and helps dentists ensure the accuracy of their evaluations.

In 2018, Straine launched as a consulting partner to 60 practices. In 2022, it expanded with the acquisition of 33 practices.