Is routine dental X-ray examination for all patients justified?

• A. Yes, for all patients
• B. No, it is not justified
• C. Only when clinically indicated
• D. Only for high-risk patients

Answer: (B)

Imaging should be justified for each patient, meaning the expected diagnostic benefit must outweigh the radiation risk and the dose should be kept as low as reasonably achievable. Taking dental X-rays for every patient does not meet this standard because many individuals have no signs, symptoms, or history that would change management based on radiographic findings. By reserving radiographs for when they will actually influence diagnosis or treatment planning, clinicians minimize unnecessary radiation exposure while still obtaining useful information when it’s most needed. This approach applies across ages and risk levels: only order radiographs when clinically indicated, and use the lowest effective dose and appropriate technique when they’re warranted.