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Dentrix X-Rays Not Showing in Patient Chart: How to Fix It

Illustration showing the Dentrix logo with an X-ray icon connecting to wrench and screwdriver tools representing troubleshooting steps for missing X-rays in Dentrix patient charts.

When an X-ray was taken but is not appearing where the dental team expects it in Dentrix, the problem can be frustrating. The image may exist in the imaging system but fail to appear correctly inside the patient’s chart.

Where the Image Lives Comes First

When a Dentrix X-ray is missing, first determine whether the image exists in the imaging application.

First: Confirm the Image Was Actually Captured

Before troubleshooting the chart, determine whether the X-ray exists anywhere. Check the imaging software directly.

If the image exists in the imaging application but not in Dentrix, you may be dealing with an integration, association, configuration, or synchronization problem rather than a failed X-ray capture.

Confirm the Correct Patient Was Selected

Verify that the image was captured under the correct patient record. Dentrix’s imaging workflow is designed around selecting the patient chart and then launching image acquisition from that patient context.

If the image was captured through a separate imaging application, verify the correct patient there as well.

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Check the Imaging Device

Determine whether the problem happens with one sensor, one X-ray workstation, one operatory, or every imaging device.

If only one workstation has the problem, compare its configuration with a working computer. If every operatory has the same issue, investigate the shared imaging environment.

Check Dentrix Imaging Integration

Dentrix provides integrated imaging workflows and supports a broad range of imaging devices. A change to workstation software, device drivers, imaging applications, network paths, permissions, or integration settings can disrupt the workflow.

Check Whether the Image Is in the Imaging System

Use this troubleshooting fork. Tap the condition that matches what you’re seeing.

Image exists in imaging software +
Image does not exist in imaging software +
Image appears on one computer but not another +

Check the Network

Many dental practices rely on networked imaging infrastructure. Check Ethernet connections, switches, network latency, server connectivity, shared storage, firewall rules, and wireless connections where applicable.

Don’t Delete Anything While Troubleshooting

If images appear to be missing, do not start deleting databases, reinstalling imaging software, or changing storage locations without a backup and recovery plan.

Before significant changes, confirm current backups, where images are stored, which application owns the image repository, whether another workstation can access the images, and whether the image can be recovered.

Troubleshooting Sequence 0 of 6 done

Work through these six steps in order. Tap a step to mark it done.

1

Confirm the image exists.

2

Confirm the correct patient.

3

Check the imaging workstation.

4

Check Dentrix integration.

5

Check network and storage access.

6

Confirm backups before changing the image environment.

Frequently Asked Questions

The cause may involve patient association, imaging integration, workstation configuration, network connectivity, or the image acquisition process.
Yes. If the image is present in the imaging application but not appearing correctly in Dentrix, the image may still exist and the problem may be with integration or association.
Yes. Dentrix provides integrated imaging workflows and supports a wide range of imaging devices.
Not as the first step. Determine whether the image exists, whether the problem affects one or multiple computers, and whether the imaging software itself is functioning.
Missing X-rays in the Dentrix chart that you know were actually taken?

Ekim IT Solutions supports Dentrix practices across Maine, New England, Tampa Bay, and nationally. We track down where the imaging bridge is dropping the connection between your imaging system and the patient chart, and fix it.

Imaging bridge fixes to get X-rays showing correctly again.
Get a Dentrix imaging diagnostic →