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"Legally" there is no limit to the number of bitewing x-rays that can be taken. That is strictly a matter between the patient and the dentist. Whatever they agree to is right. On the other hand, it may be that the patient's insurance will not pay for more than a pre-determined number of bitewings each year. This is an issue of insurance coverage, not a matter of law.

Bitewing xrays are an important tool in dentistry. They help answer the questions "is there unseen tooth decay or other pathology? Does the restoration conform to the prep?" For most people four bitewings (two on each side) annually is sufficient to answer those questions. Some people, due to their high rate of decay, may need bitwings more frequently. Again, this is a decision for the patient and their dentist.

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