Imaging & Scanning

Vatech CBCT & Imaging Review for Dental Practices

Vatech makes CBCT, panoramic, and intraoral X-ray systems used in 100+ countries. Here's what dental practices need to know before buying.

By Digital Dentistry Editorial Team · Newsroom & Analysis4 min read

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Vatech Green CT 2 CBCT system installed in a dental practice operatory

Produced with AI assistance under human editorial governance and fact-checked against the cited sources. How we work.

Vatech Green CT 2
Vatech
Price
Contact Henry Schein for North American pricing; list prices are not publicly published
Pros
  • Four-in-one system (PANO, CEPH, CBCT, 3D model scan) in a single footprint
  • Five selectable FOV sizes from 5×5 mm to 18×10 mm
  • 4.9-second CBCT scan time
  • AI software integration via Pearl and SICAT partnerships
  • Full EU MDR certification across entire portfolio
Cons
  • No in-house intraoral scanner — requires third-party pairing
  • Brand recognition lower than Planmeca or Carestream among North American clinicians
  • Vendor-reported adoption figures are not independently verified
Best for
Multi-specialty or surgical practices that want FOV flexibility and a unified imaging station without multiple hardware vendors
Vatech Green 16/18 (PHT-65LHS)
Vatech
Price
Premium-tier pricing; contact Vatech or Henry Schein for a quote
Pros
  • Five-in-one system adds 3D facial photography to the full imaging suite
  • FDA 510(k) cleared
  • Strong fit for ortho or oral surgery practices wanting comprehensive facial imaging
  • Full EU MDR certified
Cons
  • Larger footprint and higher cost than entry CBCT options
  • 3D photo capability may be surplus for general practices
  • Still requires a separate intraoral scanner
Best for
Orthodontic or oral surgery practices that need facial imaging alongside CBCT and model scan in one system
Vatech PaX-i3D Green
Vatech
Price
Entry-level relative to other Vatech CBCT systems; contact Henry Schein for pricing
Pros
  • FDA cleared including specific pediatric clearance
  • 5.8-second scan time
  • Eco-manufacturing approach (no lead or mercury in device)
  • 3-in-1 sensor capability: ceph, panoramic, and CT on dedicated sensors
  • Lower entry point into Vatech's CBCT ecosystem
Cons
  • Fewer FOV options than Green CT 2
  • Less feature-rich than the four- and five-in-one models
  • May be outgrown quickly by high-volume or specialist practices
Best for
General practices adding CBCT for the first time, especially those treating pediatric patients or prioritizing low-dose imaging

Verdict: For most practices weighing a Vatech CBCT purchase, the Green CT 2 hits the best balance of FOV flexibility, scan speed, and software integration; the PaX-i3D Green suits first-time CBCT buyers or pediatric-heavy practices, while the Green 16/18 is a specialist-tier system for ortho or surgical environments that need facial imaging built in.

Vatech is one of the more consequential names in dental imaging that many North American clinicians still underestimate. The Korean manufacturer — listed on KOSDAQ and headquartered in Hwaseong — sells CBCT systems, panoramic platforms, intraoral X-ray units, and diagnostic software to practices in more than 100 countries. For any practice evaluating cone-beam CT or a broader Scanners & Imaging upgrade, understanding what Vatech actually offers (and where it fits versus where it doesn’t) is worth the time.

What Vatech Makes

The product lineup spans the full diagnostic imaging chain. Vatech develops and manufactures its own CMOS flat-panel sensors — the core component inside most of its CBCT and panoramic systems — rather than sourcing them externally. That vertical integration matters for consistency and, the company argues, for image quality control.

CBCT Systems

The PaX-i3D Green is Vatech’s entry point into 3D imaging. It uses full-digital CMOS flat-panel sensors, completes a scan in 5.8 seconds, and carries FDA clearance for pediatric use. The eco-manufacturing angle is real: Vatech eliminated lead and mercury from device production and uses renewable energy sources in its manufacturing process, per company disclosures.

The Green CT 2 is where most general practices and specialists will land. It’s a four-in-one system — PANO, CEPH, CBCT, and 3D model scan in a single footprint. Five FOV sizes run from 5×5 mm (tight enough for single implants or endo cases) up to 18×10 mm for sinus or TMJ imaging. Scan times are 4.9 seconds for CBCT and 1.9 seconds for CEPH. That range of FOV options inside one machine is a genuine clinical advantage over systems locked to one or two volumes.

The Green 16/18 (model PHT-65LHS) goes further still — a five-in-one that adds 3D facial photography to the PANO/CEPH/CBCT/model scan suite. It holds FDA 510(k) clearance. For oral surgery or orthodontic-heavy practices that want a single imaging station, this is the unit to evaluate.

Intraoral X-Ray

The EzRay Air series is Vatech’s intraoral X-ray line, and it has a legitimate technical distinction: it was the first intraoral system in dentistry to use CNT (Carbon Nanotube) X-ray technology, which enables microsecond-level control of X-ray output via a cold cathode method. Vatech reports the series has been adopted by 50,000 dentists worldwide (vendor-reported figure). Whether CNT translates to meaningfully better clinical outcomes versus conventional systems is a reasonable question — the dose reduction argument is the most cited benefit, and it’s worth asking your rep for comparative exposure data specific to your patient volume.

Software and AI

This is where Vatech has moved most aggressively in the past two years. The Clever One platform — now available in the U.S. following FDA clearance of its AI lesion detection feature — consolidates panoramic, CBCT, intraoral, facial, and STL scan data into one viewer, according to Vatech’s own announcement. That kind of unified data environment can cut the friction of juggling multiple software windows mid-consultation.

The AI backbone comes partly from a partnership with Pearl, whose Second Opinion detection service integrates directly into Vatech’s EzDent-i software. The result: automated flagging of caries, inflammation, and other conditions within the clinician’s existing workflow, rather than as a separate review step. Pearl is an established name in dental AI, so this isn’t a proprietary black box — practices already familiar with Pearl’s detection logic will recognize how it behaves here.

Vatech also works with SICAT, integrating the SICAT Suite (implant planning, endodontics, airway analysis) with Ez3D-i, its native 3D imaging platform. For practices that already use SICAT for implant workflows, this is a practical bridge. For those that don’t, it adds optional depth without forcing a switch.

Understanding digital radiography in dentistry is useful context before committing to any of these platforms — the imaging chain from sensor to software affects every downstream diagnostic decision.

Regulatory Standing

Vatech completed EU Medical Device Regulation (MDR; Regulation (EU) 2017/745) certification across its full commercial portfolio in 2025, with DNV Product Assurance AS as the certifying Notified Body — covering every existing model and all newly launched 2026 units. That’s notable because, according to a study by EY commissioned by the European Commission, more than half of medical device companies in the EU reduced their product portfolios under MDR compliance pressure. Vatech didn’t cut anything. CE certification also functions as a market-access credential in Southeast Asia, the Middle East, and Latin America, which matters for procurement decisions in those markets.

All devices conform to DICOM (NEMA PS 3.1-3.18) standards per FDA 510(k) submissions.

Distribution and Buying

In North America, Vatech distributes through Henry Schein, which covers the Green CT line and the EzRay Air. That’s a practical advantage: Henry Schein’s service network means practices aren’t dependent on a single manufacturer’s field technicians for installation and support.

If you’re cross-shopping CBCT units, digital dentistry gives useful grounding on how CBCT fits into a broader digital workflow before you finalize specs.

The Honest Trade-Offs

Vatech’s hardware specs are competitive, and the software integration story has improved substantially. The weaker area, historically, has been brand recognition among North American clinicians who default to Carestream, Planmeca, or Dentsply Sirona without seriously evaluating alternatives. That’s a due-diligence gap, not a product flaw.

Where Vatech may not be the right call: practices that want a single vendor for intraoral scanning plus CBCT under one service contract. Vatech doesn’t manufacture intraoral scanners — if that’s part of your workflow, you’ll be pairing it with a third-party scanner (see our guide to the best intraoral scanner options). Mixing vendors isn’t necessarily a problem, but it’s a variable worth pricing out before you sign anything.

For practices focused primarily on CBCT and panoramic imaging — particularly multi-specialty or surgical environments — Vatech’s FOV flexibility, sensor manufacturing depth, and AI software integrations make it a legitimate first-round contender.

Frequently asked questions

Is Vatech FDA cleared for CBCT imaging in the United States?

Yes. Multiple Vatech CBCT systems carry FDA 510(k) clearance, including the Green 16/18 (model PHT-65LHS) and the PaX-i3D Green, which also has specific FDA clearance for pediatric use. All Vatech devices conform to DICOM standards per their FDA submissions. Confirm the clearance status of the specific model you're evaluating with the manufacturer or your Henry Schein rep, as specifications can change with new model launches.

How does Vatech's AI diagnostic software work in practice?

Vatech's EzDent-i software integrates Pearl's Second Opinion AI detection service, which automatically flags dental conditions — including caries, inflammation, and other pathologies — within the clinician's existing image review workflow. The Clever One platform goes further, consolidating panoramic, CBCT, intraoral, facial, and STL data into a single viewer with AI-assisted lesion detection. Clever One received FDA clearance for its AI feature, according to Vatech's announcement. Clinicians don't need to launch a separate application; the detection layer sits inside the diagnostic workflow.

Where can North American practices buy Vatech equipment?

Vatech distributes its imaging line in North America through Henry Schein, including the Green CT CBCT system and the EzRay Air intraoral X-ray series. Henry Schein's distribution network means installation, financing, and service support go through an established dental supply channel rather than directly through the manufacturer's own field team.

Does Vatech make intraoral scanners?

No. Vatech's portfolio covers intraoral X-ray sensors, panoramic systems, CBCT units, and diagnostic software — it does not manufacture intraoral scanners. Practices that want both CBCT and intraoral scanning will need to pair Vatech's imaging equipment with a third-party scanner from vendors such as 3Shape, Align Technology, or Dentsply Sirona.

Sources

  1. 1.Vatech Achieves Full EU MDR Certification — Dentistry Today — Dentistry Today
  2. 2.Vatech Introduces Clever One — Dentistry Today — Dentistry Today
  3. 3.Vatech Integrates Pearl's AI Detection System — Dentistry Today — Dentistry Today
  4. 4.Vatech Announces Distribution Through Henry Schein — Dentistry Today — Dentistry Today
Digital Dentistry Editorial Team
Newsroom & Analysis

The Digital Dentistry editorial team covers dental technology for practice owners, clinicians and dental labs. Our articles are produced with AI assistance under human editorial governance, fact-checked against cited primary sources, and updated as products and evidence change. See our editorial policy for how we work and how to flag a correction.