Open Dental stays your practice management system, and its Imaging module stays where your images live. We read what's already filed there and write new uploads back into the same folders. Nothing is installed on your server or your operatory computers, and we don't move, rename or delete any image already in Open Dental Imaging.
For each patient we read the document list Open Dental keeps for them, plus your image category (folder) definitions. That gives us the metadata: which images exist, their dates, and whether they sit in a radiograph folder or a photo folder. Open Dental has no practice-wide image list, so this runs patient by patient in the background, New images are picked up about every 20 minutes from roughly 7am to 7pm Eastern (4am to 4pm Pacific), Monday to Saturday. An image taken later in the day, or on a Sunday, shows up after the next morning's run. An overnight pass every night fetches the image files for older history.. Opening a patient's Imaging tab also fetches the files for any of that patient's images we've already listed but haven't downloaded yet.
Metadata isn't the picture. Open Dental's API has no call that simply returns image bytes, so we use its SFTP download feature: we ask your Open Dental to push the file to our secure relay with one-time credentials, then store it encrypted and mark it cached. Your Open Dental does the sending, through the same eConnector connection the API already uses. Older archives fill overnight in a separate backfill pass, so a large practice's history takes a while to come in.
Cached images show up in Patient 360 Imaging, where staff can view them from any browser and run the AI overlay. Dental Passport also shows patients their own x-rays from your office, and other offices the patient links to their passport can see them too. Only images we've actually cached are shown. This is on by default, and your office can turn it off in Settings under Patient-facing features.
When someone uploads a radiograph or photo in Patient 360, by default (there's a checkbox), a copy is filed into Open Dental Imaging, in a folder named Radiographs, X-Rays, Xrays or Images for radiographs, or Photos, Intraoral Photos or Pictures for photos. If you have no folder by any of those names, Open Dental files it in its first image folder, and staff would need to move it. AI overlay findings stay in our app today. They are not written into Open Dental.
Add: 'Fetching the image files needs Open Dental 21.2 or later, the version that added the API's SFTP download.': we issue the API key, you enable the API in Open Dental and add the key, and your Open Dental handles the rest through the eConnector connection the API already uses. There is no imaging bridge, no local agent, no VPN and no port forwarding. Image sync starts on its own after you connect. Recent images show up first, and the older archive fills in overnight.
Yes. Once an image is cached, staff can open it from any browser in Patient 360 Imaging. You don't need remote desktop into an operatory or a VPN to the server. The image comes from Open Dental, but you look at it in our app.
Through Open Dental's SFTP download feature. We ask your Open Dental to push the file to our secure relay with one-time credentials, and we store the result encrypted. Reading the image list (metadata) and fetching the image bytes are two separate steps. An image can be listed and still not be fetched yet.
No. Nothing is installed at the office. Your Open Dental sends the files through the same eConnector connection its API already uses. We also built an imaging bridge designed to run on an office's network, but it isn't needed for Open Dental and isn't part of this setup. and isn't part of this setup.
Almost all of them, not all. As of October 2026, more than 17,000 images are cached across connected Open Dental offices. A small share are known only by their metadata so far, usually because the backfill hasn't reached them yet, and a handful have failed to fetch. Images we haven't fetched yet aren't shown in the viewer, and opening a patient's Imaging tab asks Open Dental for them right away. If your sensor software keeps images in its own database and only links to them from Open Dental, they may not be in Open Dental's document list, and if they aren't, we can't fetch them.
Yes. It's on by default, and your office can turn it off in Settings under Patient-facing features. Dental Passport shows patients the x-rays your office holds for them in Open Dental. It only shows images we've cached, and it uses your Open Dental image folders to tell radiographs from photos.
Yes. A radiograph or photo uploaded in Patient 360 is copied into Open Dental Imaging, in your Radiographs (or X-Rays) folder or your Photos folder. The upload box is ticked by default, and you can untick it. AI overlay findings stay in our app and are not written into Open Dental.
We don't make that claim. This lets your team and your patients see images outside the workstation and puts an AI overlay alongside them. Diagnosis should still be done in the imaging software and on the monitors you use clinically today. The AI overlay is there to support the dentist's review, not to stand in for it.
New images are picked up about every 20 minutes through the US daytime, Monday to Saturday, and an overnight pass every night fills in older history. Opening a patient's Imaging tab also fetches the files for any of that patient's images we've already listed but haven't downloaded yet. Open Dental limits how fast its API can be called, so a large archive takes a while to cache the first time. After that, keeping up with new images is quick.
If you want your Open Dental x-rays available somewhere other than the workstation, you don't have to install anything or switch systems. Your Open Dental sends each image to our secure relay through its own SFTP download feature, and we cache it for Patient 360, the AI overlay and your patients' Dental Passport (on by default, and you can switch it off). Uploads are filed back into Open Dental Imaging. A small share of images haven't been fetched or failed to fetch, and this isn't presented as diagnostic-grade DICOM.
Open Dental is a trademark of Open Dental Software, Inc. Intake.Dental is an independent product and is not affiliated with, endorsed by, or sponsored by Open Dental Software, Inc.
You keep Open Dental Imaging. Open Dental's API doesn't offer a direct image download, so we ask your Open Dental to send each file to our secure relay using Open Dental's own SFTP download feature, and we cache it. That lets your team view radiographs and photos outside the workstation, run the AI overlay, and let patients see their own x-rays (on by default, and your office can turn it off). Staff uploads are filed back into Open Dental Imaging. As of October 2026, more than 17,000 files from Open Dental Imaging are cached across our two connected Open Dental offices. That includes roughly 1,500 radiographs, plus clinical photos and scanned documents. (Use the same wording in the 'Does every image come through?' FAQ: 'more than 17,000 files, about 1,500 of them radiographs, are cached across our two connected Open Dental offices.')
আপনার শিডিউল এবং আপনার প্রসিডিউর কোড ব্যবহার করে ২০ মিনিটের ওয়াকথ্রু। কোনো সুইচিং নেই, কোনো মাইগ্রেশন নেই, কোনো রিপ্লেসমেন্ট নেই।
