What will you learn?
Start with the room
Before the first patient, make sure the room is clean, stocked, and ready.



- Air powers many handpieces.
- Water rinses and cools.
- Suction removes saliva, water, and debris.
- Power turns the unit on.
At the start of the day, make sure your X-ray area is ready. Check that the sensor or plates, barriers, and holders are available and clean according to office protocol.
Know the dental chair

Main parts to know
- Chair controls β move the patient up, down, back, and upright.
- Overhead light β helps the dentist see clearly.
- Instrument tray β holds instruments during treatment.
- Cuspidor β spit bowl, if the chair has one.
- Main power switch β turns the unit on and off.
- Foot pedal β activates the handpiece.
Class practice: Find each part on the real chair.
When taking an intraoral image, help position the patient comfortably. Good patient position makes the image easier to take.
Learn the main handpieces

High-speed handpiece
Used to cut tooth structure and remove old fillings.
Bur used: friction-grip bur.

Low-speed handpiece
Used for polishing, finishing, and some caries removal.
Bur used: latch-type bur.


Before some procedures, the dentist may order an X-ray to check the tooth. After treatment, another image may be needed to check the result.
Set up a clean tray

Basic exam tray
- Mouth mirror
- Explorer
- Periodontal probe
- 2x2 gauze
- Cotton rolls
- Patient bib and bib clip
- Saliva ejector or HVE as needed
Every office is a little different. Follow your instructor and office setup.



Add X-ray supplies when needed: sensor or plate, barrier, XCP holder, and the correct exposure requested by the dentist.
Keep the mouth clean and dry

Suction tips
HVE is strong suction.
Saliva ejector is gentle suction.
Surgical suction is narrow and precise.
Air-water syringe
The air-water syringe has two buttons.
- Air button β dries the tooth.
- Water button β rinses the tooth.
- Both buttons β makes spray.
Learn how your chair is set up. Some chairs look different.
Drying the teeth and controlling saliva can help before some images, especially when placing a sensor or positioning device.
Use X-rays every day
This module does not teach radiation law. It teaches the everyday dental-assisting side of X-rays.




- Bitewings are common for checking the crowns of back teeth and bone level between them.
- Periapicals (PAs) show the whole tooth and root area.
- Pre-op images may be needed before root canals, extractions, crowns, or other treatment.
- Post-op images may be needed to check the final result.
See what common images look like

Bitewing example 1
Shows upper and lower back teeth together.

Bitewing example 2
Another bitewing example. Good for class discussion.

Periapical (PA) example
Shows the full tooth, root, and bone around it.

Panoramic example
Shows a wide view of the teeth and jaws.


Know the syringe parts

Parts to name
- Barrel β holds the anesthetic carpule.
- Thumb ring β where the thumb goes.
- Plunger / harpoon β engages the carpule.
- Needle β attaches to the syringe.
Practice only with instructor supervision. Use safe training steps. Handle sharps very carefully.
Before an extraction or endodontic procedure, the dentist may review a PA or panoramic image to plan treatment.
Group quiz
Answer these with the whole class. Then click Submit Answers to show the answer key.