# Pearl Module vs SmileStream

The clearest difference is review sentiment: SmileStream at 100% against Pearl Module's 21%. SmileStream also leads on rating (4.2 vs 2.5). On price, ratings volume, update cadence and ads there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

SmileStream holds the better App Store score, 4.2 against 2.5. Both are backed by a comparable volume of ratings — 2 and 5 respectively. Written reviews point the same way: 21% of Pearl Module's written reviews are positive against 100% of SmileStream's.

Pearl Module ships an update every 4 months, SmileStream every 2 months. The most recent releases landed on November 6, 2026 and November 2, 2026 respectively.

## The numbers

| Metric | Pearl Module | SmileStream |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [2.5 (2 ratings)](https://appshunter.io/ios/app/pearl-module/id349561197/reviews) | **[4.2 (5 ratings)](https://appshunter.io/ios/app/smilestream-dentistry/id1236819709/reviews)** |
| Number of ratings | 2 | **5** |
| Positive reviews | 21.1% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 4 months | **Every 2 months** |
| Monetization | Free | Free |
| Size | 3 MB | 53 MB |
| Requires iOS | **16.0** | 16.6 |
| Devices | iPhone | **iPhone, iPad** |
| Age rating | 12+ | 17+ |
| Developer | [Carestream Dental LLC](https://appshunter.io/developer/349561200) | [Praxus](https://appshunter.io/developer/1190469943) |

## What reviewers say

### Pearl Module

[App page](https://appshunter.io/ios/app/pearl-module/id349561197)

Securely access patient medical histories, appointments, prescriptions, and clinical notes from your handheld device. Get a quick financial snapshot of daily activity with HIPAA-compliant security.

**Highlights:** Secure patient data access, View medical histories, Access appointments, Review prescriptions, Check clinical notes, Financial snapshot

**Features:** macOS Compatibility

**In-app purchases:** none


### SmileStream

[App page](https://appshunter.io/ios/app/smilestream-dentistry/id1236819709)

This app helps dentists create accurate diagnoses and treatment plans by providing advanced diagnostic tools and secure collaboration features. It streamlines case evaluation, reduces planning time, and enhances patient care through expert consultation and educational resources.

**Highlights:** Secure case access and organization, 24/7 collaboration with colleagues, Expert case consulting and mentoring, Advanced diagnostic tools (cephalometric tracing, VTOs), CE videos and interactive training, HIPAA-compliant case storage

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Pearl Module free?

Pearl Module is free to download, with no in-app purchases.

### Is SmileStream free?

SmileStream is free to download, with no in-app purchases.

### Which has better reviews, Pearl Module or SmileStream?

SmileStream is rated higher. Pearl Module averages 2.5 out of 5 from 2 ratings, while SmileStream averages 4.2 from 5 ratings.

### Do Pearl Module or SmileStream have ads?

Neither Pearl Module nor SmileStream shows ads.

### Which is updated more often, Pearl Module or SmileStream?

Pearl Module ships an update every 4 months, and SmileStream every 2 months. Most recently, Pearl Module was updated on November 6, 2026 and SmileStream on November 2, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*