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Smile Dx®

Cube Click, Inc. • Radiology • 05/14/2025

510(k)IEC 62304 Class B§524B Cyber Device
FDA Summary PDF

Device Purpose

Smile Dx® is a computer-assisted detection software designed to enhance the diagnostic capabilities of dentists by analyzing digital bitewing and periapical radiographs. It leverages machine learning algorithms to detect and segment dental findings and measure bone levels, with clinical studies demonstrating improved sensitivity for caries and periapical radiolucencies without compromising specificity, thereby aiding in comprehensive dental radiographic assessment.

Summary

Cube Click, Inc. has developed Smile Dx®, a computer-assisted detection software designed to assist licensed dentists in analyzing digital bitewing and periapical radiographs of permanent teeth. This software has undergone a thorough review and has been determined to be substantially equivalent to other commercially available devices with similar functions, enabling its marketing and distribution. It is important to note that Smile Dx® is intended as an aid to a dentist's review, not as a replacement for their comprehensive clinical judgment.Smile Dx® utilizes machine learning algorithms to aid in the detection and segmentation of various suspected dental findings, including caries, periapical radiolucencies, restorations, and normal dental anatomy. The software also assists dentists in precisely measuring mesial and distal bone levels. Performance testing, including standalone evaluations and a multi-reader, multi-case clinical study, demonstrated that the device significantly improved reader sensitivity for detecting both caries and periapical radiolucencies, without compromising specificity, thereby supporting its effectiveness in enhancing dental radiographic assessment.

AI Regulatory Concerns

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Jev reads the full FDA letter and returns calibrated concern probabilities per regulatory category. These are AI estimates, not regulatory advice.

Keywords

Smile DxComputer-assisted detectionDigital radiographsMachine learningCaries detectionPeriapical radiolucenciesBone level measurementSensitivitySpecificityDental imaging

Device Metadata

Submission Number
K242437
Company
Cube Click, Inc.
Panel
Radiology
Product Code
N/A
Data Type
N/A
Clinical Function
N/A
AI Function
N/A
AI Subclass
N/A

Relevant Clinical Questions

  • Q1. How does Smile Dx® compare in performance to other commercially available CAD software in a real-world clinical setting beyond the controlled study?; What is the specific training data used for the machine learning algorithms, and how does its diversity impact the software's performance across different patient demographics or image qualities?; Are there any specific types of dental findings or radiographic artifacts where Smile Dx®'s performance is less robust, and how are these limitations communicated to clinicians?; What is the long-term impact of using Smile Dx® on dentist workflow efficiency and diagnostic accuracy, particularly regarding false positives or negatives?; Has the software been evaluated for its ability to track the progression or regression of dental conditions over time, leveraging its detection and measurement capabilities?

Risk Classification

ESL Analysis
FDA Device ClassII

FDA Class II via 510(k) pathway; IEC 62304 Class B (software safety classification); Qualifies as a cyber device under §524B (post-Dec 2023, networked)

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Cybersecurity Evidence

Powered by SBOMator™

Based on AI-generated device summaries, not the full FDA submission. Items not detected here may still be present in the complete submission package.

Cyber Score20/100
SBOM Evidence⚠ Not in summary - likely in full submission per §524B
Cyber Risk Assessment⚠ Not in summary - likely in full submission per §524B
Postmarket Plan✓ Detected in Summary
§524B ApplicableYes

Supply Chain BOM Evidence

Based on the CycloneDX / OWASP ECMA-424 xBOM ecosystem. Detection is from the AI-generated summary.

SBOMSoftware Bill of Materials
- Not detected
ML-BOMMachine Learning Bill of Materials(training data, machine learning, algorithm)
✓ Detected
SaaSBOMSoftware-as-a-Service Bill of Materials
- Not detected
HBOMHardware Bill of Materials
- Not detected
CBOMCryptography Bill of Materials
- Not detected
VDR/VEXVulnerability Disclosure Report / Vulnerability Exploitability eXchange
- Not detected
OBOMOperations Bill of Materials
- Not detected

Analysis:

• Analysis is based on the AI-generated device summary, not the full FDA submission package. Click "Analyze Full FDA PDF" below to scan the actual submission document.

• Evidence of ML-BOM detected in AI-generated device summary.

• SBOM not mentioned in AI-generated device summary. Under §524B (effective Oct 2023), cyber devices must provide a SBOM.

• Cybersecurity risk assessment not referenced in AI-generated device summary. FDA cybersecurity guidance (2023) expects this for cyber devices.

• Not detected in AI-generated device summary: SBOM, SaaSBOM, HBOM, CBOM, VDR/VEX, OBOM. These may be present in the full FDA submission.

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Smile Dx® - Cube Click, Inc. | ESL FDA AI Device Intelligence