What Are Dental X-rays and Why Are They Used?
Dental X-rays are images created using low levels of radiation to capture detailed pictures of teeth, bones, and surrounding tissues. These images help dentists identify problems not visible during a routine visual exam. For families in Baltimore, dental X-rays are a tool for early detection of cavities, infections, bone loss, and abnormalities that cannot always be found with the naked eye.
Dentists rely on dental X-rays to:
- Find cavities between teeth or beneath fillings
- Check the health of the tooth root and jawbone
- Monitor growth and development in children and teens
- Plan complex dental procedures
Most residents only need dental X-rays once every year or two, unless there are symptoms or ongoing issues. Children or those with higher risk for dental conditions may need them more often.
Are Dental X-rays Safe for Baltimore Residents?
Yes, dental X-rays use minimal radiation and are considered safe for children and adults in Baltimore. Modern dental offices use digital X-ray systems, which further reduce radiation exposure. The amount of radiation from a routine set of X-rays is similar to the amount people are exposed to naturally from the environment over a few days.
Some key points about their safety:
- A typical bitewing X-ray exposes a patient to about 0.005 mSv of radiation—less than a cross-country flight.
- Protective lead aprons and collars are used to shield the body and thyroid.
- Digital X-rays require even less radiation than past film technologies.
Occasional X-rays, as part of a preventive dental care plan, pose a low health risk. For comparison, daily environmental exposures—such as background radiation from soil or building materials—add up to more than a year's worth of dental X-rays for most people.
Why Might Some People Need More or Fewer Dental X-rays?
The frequency of dental X-rays depends on age, oral health, and individual risk factors. Dentists in the community will make personalized recommendations based on:
- Age and dental development
- History of cavities or gum disease
- Signs of dental pain, trauma, or infection
- Recent dental treatments, like fillings or root canals
For example, children often need more frequent X-rays since their teeth and jaw are changing rapidly and new cavities can develop quickly. Adults with a history of dental issues might also require X-rays more often than those with consistently healthy teeth and gums. Residents who have not had dental problems in years and maintain good oral hygiene can usually go longer between X-rays.
What Are Common Concerns and Misconceptions About Dental X-rays?
Many Baltimore residents have questions about both the necessity and safety of X-rays. Some common concerns include:
*Is repeat exposure over many years risky?* Occasional X-rays—spaced as recommended by a dentist—do not cause health problems for the average patient. Over many years, the cumulative radiation dose from dental X-rays is extremely small compared to common sources like radon in older city homes or background cosmic rays.
*Are children more sensitive to X-rays?* Children are more sensitive to radiation, which is why their exposure is minimized with shielding and by taking X-rays only when necessary. Pediatric dental care in Baltimore prioritizes the "as low as reasonably achievable" (ALARA) principle, balancing diagnostic needs with safety.
*Can I decline dental X-rays?* Patients may choose to decline X-rays after discussing risks and benefits with their dentist. However, skipping recommended X-rays can result in missed problems, such as hidden tooth decay or bone changes.
How Are Baltimore Dentists Minimizing Unnecessary Radiation?
Modern dental practices in the city are highly regulated regarding radiation exposure. Maryland’s radiation protection guidelines require:
- Regular equipment inspections for accurate, low-dose imaging
- Appropriate use of lead aprons and collars
- Documentation of every X-ray, so unnecessary repeats are avoided
Dentists follow evidence-based guidelines created by organizations like the American Dental Association and Maryland licensing boards to ensure X-rays are only taken when needed.
What Can Local Residents Do to Reduce the Need for Dental X-rays?

Preventing dental problems reduces the frequency with which X-rays are needed. Area households can help by:
- Practicing daily brushing and flossing
- Choosing tooth-friendly snacks and drinks
- Using fluoride toothpaste
- Scheduling routine dental exams
- Reporting any dental pain or changes promptly for early assessment
Households in Baltimore sometimes face challenges related to older home plumbing or limited access to fluoridated water. Talking with a dental provider about your home’s water and individual health history supports personalized prevention planning.
What Should You Expect During a Dental X-ray?
The process is straightforward and comfortable for most people. During the appointment:
- You will be asked to wear a lead apron and possibly a thyroid collar
- The dental assistant will place a small sensor or film inside your mouth
- You’ll bite down gently while the X-ray machine is aimed at your teeth
- The process may be repeated for different views
Most visits take less than 10 minutes, and you can resume normal activities immediately after.
Are There Groups Who Should Take Extra Precautions?
Certain individuals may need to delay or limit dental X-rays:
- Pregnant patients (especially in the first trimester) should discuss necessity, as dental pain or infection may outweigh the small risk
- Those undergoing cancer treatment or with medical implants should inform their dentist to ensure proper precautions
The city's dentistry community is accustomed to working with a wide range of health backgrounds and can offer tailored advice.
Final Thoughts on Dental X-ray Safety
For Baltimore families, routine dental X-rays are a valuable tool that help catch problems early while exposing people to only minimal, regulated amounts of radiation. Staying informed, asking questions, and maintaining healthy habits support both oral health and peace of mind.
About the Author
Dr. Benjamin Shelton & Dr. Cohloe-Shai Shelton
Dr. Benjamin Shelton is a general and family dentist who has served the Baltimore community since 1976. Dr. Cohloe-Shai Shelton, a graduate of Hampton University and Meharry Medical College with residency training at Lincoln Hospital in the Bronx, practices alongside him. Together they focus on preventive care, long-term relationships, and enjoy fishing, travel, and golf.






