Is it acceptable to hold radiographic film in the patient’s mouth during exposure?

• A. Always
• B. Only for pediatric patients
• C. Sometimes with supervision
• D. Never

Answer: (D)

Holding radiographic film in the patient’s mouth during exposure is not acceptable because it exposes the person holding the film to unnecessary radiation and can compromise safety and image quality. When the X-ray beam is active, scatter radiation can reach the hand or fingers even if the operator is behind a barrier, increasing occupational dose. In addition, having someone hold the film or sensor introduces a risk of movement, which can blur the image and necessitate repeat exposures, further increasing the patient’s and staff’s radiation dose. To protect everyone and ensure consistent, accurate images, use a dedicated film holder, bite block, or other positioning device, and avoid hands-in-mouth techniques. If a patient has difficulty with standard holders, adjust technique or timing to minimize exposure rather than relying on someone to hold the film. This aligns with the safety principle of minimizing exposure and maintaining image quality.