#2 – Mount x rays accurately

Digital X-rays Using Dexis

To scan a pano on the ScanX using Dexis:
1. Open tooth chart for your patient
2. Click on Image tab & double click on person icon – this opens Dexis program
3. Click radiation symbol – brings up new window that says Pan low and shows your patient name.
4. Click the play button (looks like a triangle) – this turns the patient name green & turns the ScanX buttons green so its ready to scan
5. Place the pano into the Scan X machine.
6. It saves automatically
7. Click close and you will see the pano

To scan a BWX or PA on the ScanX using Dexis:
1. Open tooth chart for your patient
2. Click on Image tab & double click on tooth icon – this opens Dexis program
3. Click radiation symbol – this brings up ScanX images – when green, go ahead & put xrays into the ScanX
4. Place the x-rays in the right part of the mouth & select a tooth number for each – then click “Auto number teeth”
5. These save automatically
Do Not Use PatientGallery to scan x-rays – only to look at past x-rays.

To copy an x-ray from PatientGallery to Dexis:
1. Open PatientGallery – checkmark your image and turn it gray.
2. Select Image (from taskbar) – Export Tagged Images – it should default to the desktop and click Save
3. Go to your desktop – you should see the image there
4. Open Tooth chart – double click the tooth icon – this opens Dexis
5. Click the Import icon (fourth from the X button, has an arrow pointing left) – this brings up a window asking where you want to get the image from
6. Click Browse and then choose desktop – select the image name and click Import Selected
7. Then click done and you should see the image.
8. Now go back to the desktop and delete the image.

Paper
Now that you can expose x rays safely and accurately, your next step is to learn to mount them.
A. Here is a sequence that will make this easy when mounting a complete series:
1. Handle x rays by the edges
2. Use a view box for improved vision
3. Mount all x rays with the small bump toward you
4. Mount the decay x rays first with the bicuspids toward the center of the mount
5. Mount the 4 bicuspid/molar films next. The decay x rays will show you which one goes where by matching fillings, missing teeth, etc.
6. Mount the four second molars next
7. Next mount to upper and lower centrals
8. Last, and most difficult, mount the four canines
9. Label the holder client’s name and date

The following pages will help you recognize various film landmarks.
B. Mounting decay x rays only
We use 4 across 5 down holders. In order to show as much historical information as possible, we use the left 2 columns down and then come back up to the top and start the 2 right columns down. Usually the date is placed above the film. If a single periapical film is taken, give it one column, so you can keep your decay x rays paired across from each other.