Clinical Imaging

Clinical Imaging is the gallery for everything visual — periapical X-rays, panoramic, bitewing, CBCT, cephalometric, intra- and extra-oral clinical photos, smile and before-after photos, progress photos, digital scans, and PDF documents. Each image has a type, an optional tooth reference, annotations, and optional before/after pairing.

1. 1Dashboard → Add-ons → Clinical Imaging → Activate.
2. 2In Settings configure storage (S3 or local path), image-type labels, thumbnail quality, and any watermark for portal-shared images.

1. 1Open the client's gallery from Clinical Imaging → search the client.
2. 2Click Upload. Pick the file(s), select the image type, optionally enter a tooth number.
3. 3Save. Thumbnails generate automatically; the full image loads on demand.

Click any image to open the viewer. The annotation toolbar includes arrows, circles, rectangles, text labels, measurement lines, and freehand drawings. Annotations save with the image — non-destructive, always re-editable, never burned into the original file.

Pair two images (pre- and post-treatment) for a side-by-side view on both the clinician's screen and, with the patient's consent, the client portal. Useful for orthodontics, whitening, cosmetic dentistry, aesthetic procedures.

1. 1Open an image, click Pair with, and pick the other image.
2. 2The two are now linked. Either opens the side-by-side comparison.

If AI Assistant is enabled with a vision model, images get an Analyze button. The AI returns observations — possible caries on a periapical, asymmetry on a clinical photo — as a draft. A clinician has to confirm or dismiss before the finding becomes part of the record.

Patients see their images on the client portal's Images section. Before/after pairs only appear if the patient has consented to share them. Portal-visible images can optionally be watermarked — useful when sharing cosmetic results.

• Pick S3 from day one if you can. Local storage is simple until the first gigabyte of scans shows up.
• Use image types consistently. "Panoramic" vs "Panoramic X-ray" fragments your gallery and breaks filters.
• Always tooth-number dental images. The dental chart and medical record pull these references for context.