Dental Hygienist how-to

How to Take Bitewing Radiographs

Bitewings help detect cavities between teeth and bone loss.

Updated By the Career Education Institute Curriculum Team
Quick answer

Bitewings help detect cavities between teeth and bone loss. In short: review; place; position, then complete the remaining steps below.

Step by step

  1. Review when the patient last had X-rays and confirm the dentist’s order.

  2. Place a lead apron with thyroid collar if your office policy requires it.

  3. Position the sensor in the holder behind the premolars or molars.

  4. Ask the patient to bite gently on the tab or holder.

  5. Align the cone with the sensor so the beam is perpendicular and passes between the contacts.

  6. Expose, check the image for overlap and cone cuts, and retake only if necessary.

Safety reminders for dental hygienists

  • Follow CDC infection control guidelines for dental settings
  • Handle sharps carefully and dispose of them in sharps containers
  • Use radiation safety practices and personal monitoring as required
  • Protect your body with ergonomic positioning and loupes

Prophylaxis · Calculus · Gingivitis · Periodontitis · Pocket depth · Bleeding on probing (BOP): see the full dental hygienist glossary.

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