Software Comparison

The Free WebCeph Alternative

BCeph and WebCeph both trace lateral cephalograms and compute the same established analyses — but they make opposite tradeoffs. WebCeph is fast, AI-driven, cloud-based, and paid; BCeph is free, private, and manual by design. This is an honest look at which one fits you.

By Bayan Healthcare Analytics · · 9 min read

The short version

Choose BCeph if you want a free cephalometric tool that runs in your browser, keeps patient X-rays on your own device, and gives you 14 analyses from a single manual tracing — no account, no per-image cost, no software to install. It's a strong fit for students, residents, and clinicians who want control over every landmark.

Stay on WebCeph if you need AI automatic tracing for high-volume work, visual treatment simulation and superimposition, a registered FDA-cleared medical device, or an interface in a language other than English.

Both trace the same cephalograms and compute the same established analyses. The real question isn't which is "better" — it's whether you value speed and automation (WebCeph) or cost, privacy, and manual control (BCeph).

BCeph vs WebCeph at a glance

The table below summarises the differences that actually change your workflow. WebCeph facts are drawn from WebCeph's public pricing and product pages; where a figure is not published, the cell is left qualitative rather than guessed.

  BCeph WebCeph
Price Free (currently free during beta) Free tier, plus paid plans from $9.99 to $19.99 per month
Tracing method Manual — you place every landmark AI automatic tracing (clinician can adjust)
Analyses 14 Multiple established analyses (exact count not published)
Landmarks 33 Auto-detected landmark set
Data model Local-first — X-rays in your browser (IndexedDB); analysis data optionally syncs to your private Google Firebase; no BAA Cloud — images uploaded to WebCeph servers for processing
Account required No (optional sign-in for backup) Yes
Platform Any modern browser Browser, plus native iOS and Android apps and a desktop app on the top tier
Superimposition / VTO Not offered Yes — VTO/STO simulation and automatic superimposition
Regulatory status Not a registered medical device FDA 510(k) cleared (K220903)
Languages English 21 interface languages

WebCeph pricing and feature details verified from webceph.com at the time of writing. Verify current details with the vendor before purchasing.

Where BCeph is the stronger choice

BCeph is not trying to out-feature WebCeph. It is built to do the core diagnostic workflow — trace a lateral cephalogram and read the numbers — for free and in private. Five things make it the better tool for a large group of clinicians.

It is genuinely free

There is no per-image charge, no paywalled analysis, and no subscription. Every one of the 14 analyses is available to every user, which matters most for residents tracing dozens of practice cases and for teaching programmes that cannot license software for every student.

It is private by default

BCeph is local-first. With no account, your X-ray stays in your browser's local storage (IndexedDB) and nothing is uploaded. If you choose to sign in for cloud backup, your analysis data syncs to your own private Google Firebase account — BCeph holds no Business Associate Agreement, so you should use anonymised case IDs rather than patient names. The full data architecture is set out on the privacy page. A cloud-only tool like WebCeph, by contrast, uploads every image to its servers to work at all.

Manual tracing is clinician-verified

Because you place each landmark yourself, the tracing that produces your numbers is one you have personally checked. There is no automated placement to second-guess and no soft-tissue point quietly misread by a model on a low-contrast film.

There is no account to start

Open the tool, load a cephalogram, and trace. No sign-up, no email, no trial clock — sign-in exists only if you want cross-device backup.

Fourteen analyses from one tracing

A single set of 33 landmarks drives Steiner, Ricketts, McNamara, Downs, Tweed, Björk-Jarabak, Wits, Eastman, Holdaway, E-Line, Kim, ABO, Nagasaki, and Radney, against 5 normative profiles — with a print-ready PDF report at the end. See the full breakdown in the cephalometric software comparison and the guide to free cephalometric software.

Where WebCeph is the stronger choice

WebCeph is a mature, capable platform, and for several use cases it is the better fit. Being straight about that is the point of this page.

AI automatic tracing. WebCeph's core draw is speed: its AI places landmarks automatically in seconds, where BCeph asks you to place all 33 by hand. For a high-volume practice tracing many cephalograms a week, that time saving is real and BCeph does not attempt to match it.

Regulatory clearance. WebCeph is registered as a medical device and is FDA 510(k) cleared. If your workflow, institution, or jurisdiction requires a cleared medical device, that is a distinction BCeph does not currently hold.

Treatment simulation and superimposition. WebCeph includes visual treatment simulation (VTO) and automatic superimposition of serial records. BCeph focuses on analysis and reporting and does not offer surgical/orthodontic prediction imaging.

Language and mobile reach. WebCeph supports a large number of interface languages and ships native iOS and Android apps. BCeph is English-only and browser-based (it runs in a mobile browser, but there is no dedicated app).

Track record. WebCeph has been in clinical use for years and has been examined in numerous peer-reviewed accuracy studies. BCeph is newer and does not yet have that published body of validation.

If any of those are decisive for you, WebCeph is the right tool, and BCeph is unlikely to change that.

Manual vs. AI tracing: the real tradeoff

The clearest difference between the two tools is who places the landmarks, and it is worth understanding rather than glossing over.

WebCeph's AI traces automatically; BCeph is manual by design. Faster is not automatically better here, for two reasons.

First, AI landmark detection is not infallible. The peer-reviewed literature on automated cephalometric tracing, including studies of WebCeph itself, consistently finds that fully automatic output benefits from clinician review and manual adjustment before the numbers are trusted, particularly on soft-tissue points and non-ideal films. In practice, careful users of any AI ceph tool verify the landmarks anyway. BCeph simply makes that verification the default rather than a second step.

Second, for residents and students, placing landmarks by hand is how the skill is learned. Reading a cephalogram, finding sella, nasion, or A-point on a real film, and understanding why a landmark sits where it does is core orthodontic training that automatic tracing quietly removes. This is why BCeph keeps tracing manual, and why it is a genuinely good fit for teaching programs, not a limitation to apologize for.

The honest summary: if you want maximum speed on a trusted, high-volume workflow, AI tracing wins. If you want a free tool that keeps you (or your residents) in control of every point, manual tracing is a feature, not a shortcoming.

Pricing compared

BCeph is free to use — there is no subscription and no per-case charge, and it is currently free during beta. WebCeph offers a free tier and three paid subscription tiers.

BCeph

Free
  • All 14 analyses, no feature gating
  • 33 landmarks, 5 normative profiles
  • Print-ready PDF reports, CSV and JSON export
  • No account required; optional private cloud backup

WebCeph

Free + $9.99–19.99/mo
  • Free tier with AI tracing and core analyses
  • Plus — $9.99/month
  • Premium — $14.99/month
  • Elite — $19.99/month (adds 3D and a desktop app)

WebCeph prices exclude VAT and are per the vendor's published pricing at the time of writing.

Switching from WebCeph

There is nothing to migrate. BCeph traces from the original cephalogram, not from another tool's export, so you do not need to move landmark files, analysis records, or account data. Open BCeph, upload the same lateral X-ray you would use in WebCeph, place the landmarks, and your analyses compute immediately. No account setup, no import step, no data to reconcile — you are tracing within a minute of loading the page.

Frequently Asked Questions

Is there a free alternative to WebCeph?
Yes. BCeph is a free, browser-based cephalometric analysis tool that runs 14 analyses from a single manual tracing of 33 landmarks. It needs no account to use and is currently free during beta. Unlike WebCeph, it does not use AI automatic tracing — you place every landmark yourself — and it keeps your work in your browser by default.
Does BCeph use AI auto-tracing like WebCeph?
No. BCeph is manual by design — you place all 33 landmarks by hand, where WebCeph's AI places them automatically. Manual tracing is slower, but the peer-reviewed literature on automated cephalometric tracing consistently finds that AI output benefits from clinician review before the numbers are trusted, so careful users verify landmarks anyway. BCeph makes that verification the default.
Is BCeph as accurate as WebCeph?
Cephalometric accuracy depends primarily on landmark placement, not on the software. BCeph and WebCeph compute the same established analyses with the same angular and linear formulas, so for identical landmark positions they produce the same measurements. WebCeph adds AI landmark detection for speed; BCeph gives you direct manual control over every point.
Does BCeph store my data in the cloud like WebCeph?
Not by default. BCeph is local-first: with no account, your X-rays stay in your browser's IndexedDB and nothing is uploaded. If you sign in for optional cloud backup, your analysis data syncs to your private Google Firebase account. BCeph holds no HIPAA Business Associate Agreement, so use anonymised case IDs rather than patient names — see the privacy policy. WebCeph always uploads images to its cloud servers for processing.
When is WebCeph the better choice over BCeph?
Choose WebCeph if you need AI automatic tracing for high-volume work, visual treatment simulation (VTO) and automatic superimposition, a registered FDA 510(k)-cleared medical device, native iOS and Android apps, or an interface in a language other than English. WebCeph is a mature platform and the better fit for those requirements.

Try the free WebCeph alternative

Load a lateral cephalogram, place your landmarks, and run 14 analyses in your browser. No account required to start.

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