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How Going Digital Will Affect the Dental Office

Background and Overview. The impact of digital imaging on dental practice depends upon the degree of planning conducted before implementation. Digital technologies have the potential to improve diagnosis; facilitate patient treatment procedures; and streamline storage, transfer and retrieval. These technologies also provide for secure backup of patients’ image data, critical to re-establishing the practice should fire, flood or earthquake occur.

Conclusions. The decision to invest in digital radiographic equipment should be a simple one for dental practitioners. Although digital x-ray sensors have long equaled analog film for diagnostic tasks, they have several advantages over film radiography, including immediate image production with solid-state devices; interactive display on a monitor with the ability to enhance image features and make direct measurements; integrated storage with access to images through practice management software systems; security of available backup and off-site archiving; perfect radiographic duplicates to accompany referrals; security mechanisms to identify original images and differentiate them from altered images; the ability to tag information such as a patient identifier, date of exposure and other relevant details; and interoperability of the Digital Imaging and Communications in Medicine file format.

Clinical Implications. Most clinicians should contemplate integrating, at a minimum, intraoral digital x-ray sensors and a digital panoramic system into their practices.

Key Words: Dental radiography; Digital Imaging and Communications in Medicine; digital imaging; interoperability

Abbreviations: CBCT: Cone beam computed tomography • CCD: Charge-coupled device • CMOS: Complementary metal-oxide semiconductor • CRT: Cathode ray tube • DICOM: Digital Imaging and Communications in Medicine • PSP: Photostimulable phosphor plate • RAM: Random access memory • RF: Radio frequency • TCP/IP: Transmission control protocol/Internet protocol • 2-D: Two-dimensional • USB: Universal serial bus