Records & diagnosis

Digital Scans and Dental X-Rays Before and During Braces

Orthodontic treatment planning is based on records — not guesswork.

Updated 11 September 2026Source-based editorial content
Medical note: General education only. Decisions about gum health, enamel reduction, extractions, appliances or emergencies need an examination by your own dental team.
Orthodontic clinician using an intraoral scanner while dental images show on screen
Records may include an intraoral scan, photographs and X-rays. Together they help the orthodontist plan and monitor treatment.

What records are usually taken?

Common orthodontic records include photographs, an intraoral scan or impressions, and X-rays. Depending on the case, the orthodontist may also need measurements, bite registration or other imaging.

What is an intraoral scan used for?

An intraoral scan creates a digital 3D model of the teeth. It helps the orthodontist assess crowding, spacing, arch form, tooth shape and bite relationships. It can also be used for retainers, aligners and progress comparisons.

Why are X-rays important?

X-rays show things you cannot see on the surface, such as roots, impacted teeth, missing teeth, restorations, jaw structures and bone support. A panoramic X-ray gives a broad overview; additional imaging may be needed in selected cases.

Why would records be repeated later?

Progress records may be repeated if treatment changes, if retainers are being made, or if the clinician needs to compare positions over time. Adults with complex restorative or periodontal considerations may need especially careful documentation.

What about radiation and safety?

If X-rays are recommended, you can ask why they are needed and how the team uses them in planning. Digital systems generally aim to gather useful information efficiently. Your clinician should decide which records are justified for your case.

Good questions to ask

Ask what records are being taken, what they show, whether any findings may affect treatment timing and whether the same records are likely to be needed again at the end.

Sources & further reading

  1. NIDCR — Orthodontics — Overview of orthodontic planning and treatment.
  2. AAO FAQs — Public information on orthodontic treatment and consultations.

These references support general information. Your own dentist or orthodontist should make recommendations for your specific teeth, gums, appliance and treatment plan.