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Demystifying Dental X-Rays

Demystifying Dental X-Rays expert interview with Dr. Paul Rubin

Have you ever gone to a dental checkup and wondered, “Why are they asking me to take X-rays today when I don’t have any tooth pain?“

Have you ever wished that you knew how to read dental X-rays so you could remove that little doubt in your mind?

If so, you’re not alone.

In fact, most of us feel left in the dark about all kinds of dental X-ray topics, like how often they should be taken and how much radiation exposure we’re getting from them.

Although X-rays are designed to reveal what’s going on beneath the surface, there sure is a lot about them that isn’t clear!

Well, get ready to have the curtain pulled back on dental X-rays and increase your dental self-empowerment!

In this expert interview, OraWellness dives deep with a longtime friend who shares the fundamentals of reading dental X-rays and even walks us through how to read some X-ray examples.

Dr. Paul Rubin is a retired dentist, and if you’ve been with us for a while, you may remember him from our HealThy Mouth World Summit. He has recently added a new title to his resume: author of the eBook, Secrets Your Dentist Never Told You.

Today, Dr. Rubin shares empowering information about:

  • when and why dental X-rays are necessary (and when they may not be necessary),
  • the differences between various types of X-rays,
  • an overview of basic things patients can spot on their dental X-rays,
  • the answers to some X-ray FAQs,
  • some info about what’s going on behind the scenes at dental offices,
  • and more!

This video is packed with TONS of good info, and it’s a little longer than our typical interviews. So, we’ve provided detailed timestamps in the “Show Notes” section below and easy-to-navigate chapters in the video. That way, you can fast-forward to the topics that interest you or watch the whole interview in chunks and pick up where you left off each time.

Let’s dive in!

Show Notes:

X-Ray Basics & Dental Office Insider Info:
  • 4:00 – What does “demystifying dental X-rays” mean?
  • 8:43 – Why do dentists take X-rays?
  • 13:11 – Do dentists prefer to withhold some info from their patients?
  • 14:50 – What are the different types of dental X-rays?
  • 18:04 – How often are different types of dental X-rays necessary?
  • 19:52 – How does dental insurance sometimes impact how often dental X-rays are taken?
  • 24:45 – Why would one dentist think something is diagnostically appropriate while another dentist doesn’t?
  • 27:31 – What does “standard of care” mean in the dental community?
  • 33:09 – How else do dental insurance policies influence dentist and patient decisions?
  • 42:48 – Radiation exposure from different types of dental X-rays
  • 50:16 – The pressure that dental teams are under to maximize their per-hour revenues
  • 57:15 – Overview of what the different types of dental X-rays look like
FAQs:
  • 1:03:39 – How much training does a dental X-ray technician need?
  • 1:06:39 – Is it normal for dental X-ray technicians to have to do retakes?
  • 1:07:31 – Are digital X-rays better than film X-rays?
  • 1:09:19 – Do my dental X-ray records belong to me or the office that took them?
  • 1:12:33 – My new dentist recommended dental work that my previous dentist didn’t mention at last year’s checkup. Who can I trust?
  • 1:16:30 – When is it really important to get X-rays?
  • 1:20:09 – Can you spot active and inactive decay with the naked eye?
Walking through Some X-Ray Examples:
  • 1:24:54 – What an X-ray shows
  • 1:26:41 – Decay on Bitewing X-rays
  • 1:30:06 – Remineralization caveats
  • 1:31:34 – Decay under an existing filling on Bitewing X-rays
  • 1:35:38 – Decay between teeth
  • 1:36:24 – Large cavity & abscess on an X-ray
  • 1:36:57 – Root canal & abscess on a Periapical X-ray
  • 1:41:09 – Spotting bone loss on a Periapical X-ray
  • 1:42:48 – Panoramic X-ray example
  • 1:45:15 – Cone Beam X-ray tour & examples
  • 1:55:09 – Cavitations on a Cone Beam X-ray
  • 1:57:22 – Dental implants
  • 2:00:09 – Dental implant error
  • 2:01:03 – Examples of X-ray errors
  • 2:06:48 – What should I do if the dental team wants to take a second digital dental X-ray because the first one was blank?
  • 2:08:11 – More X-ray error examples
Closing Thoughts:
  • 2:10:25 – The reason why Dr. Rubin wrote his eBook, Secrets Your Dentist Never Told You
  • 2:13:31 – Some of the gems from Dr. Rubin’s eBook that caught Will’s attention
  • 2:15:10 – What’s the whole-body impact of the metals in amalgam fillings?
  • 2:17:29 – More gems that Will appreciated from Dr. Rubin’s eBook
  • 2:20:53 – Where to buy Dr. Rubin’s eBook (on OraWellness.com 🙂 )

Dr. Rubin’s eBook, Secrets Your Dentist Never Told You:

Dr. Rubin’s eBook, Secrets Your Dentist Never Told You, shares 40 years of dental wisdom!

It’s available in the OraWellness online store for just $19.95 USD.

“I just finished Dr. Rubin’s eBook on Secrets Your Dentist Never Told You. I found it very informative … this information is desperately needed by all dental patients so they do realize that there is a choice, not just in dental products and procedures, but in dentists that are more interested in your health than their profitability.

It is important to understand each dentist’s motivation for your recommended treatment so you can make informed decisions like the book says. Asking questions should be encouraged, not discouraged or taken as an insult, as I have experienced …

Thank you, Dr. Rubin, for writing this book, and I do hope it gets into as many hands as possible so we can focus on being proactive about dental health instead of being reactive once issues have started.”

Lorri A. from Canada

OraWellness Customer Since 2021
Get ‘Secrets Your Dentist Never Told You’ Today

Wrapping Up…

Wow, Dr. Rubin shared a lot of solid and fascinating information!

We hope that you now feel empowered to ask your dental team questions, have meaningful dialogue with them, and feel comfortable saying, “Yes”, “No thanks”, or “Let me look into that more and I’ll get back to you.”

What about you? Did you learn anything new from the interview? Have you ever asked your dental team questions about X-rays, other diagnostic tools, or procedures? Were they open to your questions, and did they provide answers that helped you make decisions about what was best for you? Please share your experiences in the comments below so we can all learn from each other.

PS. Please let us know in the comments below if you like this level of educational material from us. Our team worked really hard to produce this excellent educational resource for our growing community. So, hearing that you appreciate this level of deep dive will inspire us to produce more empowering resources like this.

Helpful, Related Resources:

  • Secrets Your Dentist Never Told You [Dr. Rubin’s eBook]
  • Are dental X-rays safe? [article]
  • How to nutritionally protect yourself from X-ray damage [article]
  • Helpful resources to find a qualified dentist to assist you [article]
  • 7 Key Components of a ‘Dream Dentist’ [article]
  • What’s the difference between biological, functional and holistic dentistry? [article]
  • Guide to Safe Dentistry [OraWellness eBook]
  • How to safely remove ‘silver’ mercury fillings (without damaging your brain) [article]
  • Another Expert Interview with Dr. Paul Rubin: Is Your Dentist Mercury Safe? [video]
  • Expert Interview with Dr. Hal Huggins: What Dentistry Can Look Like in the Future [video]
  • How to Stop Tooth Decay and Remineralize Your Teeth [OraWellness eBook]
  • Step One of Upgrading Your Oral Health: (Re)Defining Roles [article]
  • Understanding the issues with root canals [article]
  • Options If You Have Missing Teeth [article]
  • Debunking the 3 most common oral health myths (that undermine our oral health) [article]
  • The Common, Unknown Risk of Having Wisdom Teeth Removed: Cavitations [article]

Other Resources:

  • IAOMT: The International Academy of Oral Medicine and Toxicology

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Comments

  1. AG says

    May 7, 2023

    I have a copy of my conebeam xray on a flash drive, but I can’t really access it on my laptop, I don’t have the programs needed. I still have a tremendous amount of pain that comes and goes in the upper left quadrant radiating into my ear and this has been going on for a few years now. The dentist that did the xray said there’s no cavitation in the wisdom tooth area where I had the tooth removed and now I’m thinking if there is referred pain coming from a crown on a lower tooth that had a pretty major cavity in it. I’m assuming that this is something he would have immediately noticed on the conebeam, but now I’m wondering if it would be wise to have someone else examine the xray more thoroughly that’s not specifically looking for cavitation, which is the main reason I went to see this dentist, thinking that was the culprit for the pain. Is that a common thing to have a dentist or orthodontist do a consultation and go over the conebeam results with me? Are they allowed to do that or would they want to take their own xrays? I don’t want to expose myself to anymore radiation, no matter how safe it is, I’ve had enough xrays. I know that there is something dental going on here, I have done the chiropractor, TMJ, massage angle and if it was something more sinister I assume it would have come to a head by now. Maybe a fresh set of eyes on the xray results would be produce and “Ah-ha!” moment and I can get this resolved.

    Reply
    • Wren At OraWellness says

      May 26, 2023

      Aloha AG,

      Thank you for your comment and questions!

      We’re sorry that you have a tremendous amount of pain that has been going on for years now!

      We here at OraWellness aren’t medical or dental professionals, so we can’t treat, diagnose, advise, etc. Instead, what we can do is share information with you to help you become self-empowered on your journey.

      In your situation, we would probably get a second opinion. Whether or not a dentist will look at your existing cone beam image (or they would need to take their own) varies from practice to practice, but there are many practices out there that would be willing to take a look at your current image. Finding out if they will or not can be as simple as calling them, explaining your situation, and asking how they can help.

      Here’s an article that explains how to find a dentist: Helpful Resources to Find a Qualified Dentist to Assist You

      I hope that helps!

      Aloha! 🙂

      Reply
  2. Jeri Webster says

    December 5, 2022

    Very informative and appreciated. A few years back I was looking for a new dentist and decided to interview them first. I had a cleaning and exam at 4 different dentists. One told me I had 4 cavities, one said 6, one said 2 to watch and one said 0. ??? Very disheartening and left me frustrated. I did finally find a dentist and have had no cavities that needed filling. She was willing to hear my questions and give explanations etc. I have a healthy mouth thanks to OraWellness and my commitment to care of my own oral health. Thank you, Jeri

    Reply
  3. Mindy-Gail says

    December 4, 2022

    Thanks, Will. Love it! This interview is awesome, as all your interviews have been and cover so much great information that would want to know.
    Please do continue to have these in-depth interviews, as want to learn more & more about how to be proactive about my oral health and continue to improve on it, as there is always room for growth and change.
    Look forward to hearing more in the future!
    Best regards!
    Mindy-Gail ☺️🦋

    Reply

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