Digital radiographic systems for use in dental practice have been available for almost two decades, but internationally most dentists still use analog silver halide Xray film. This article is a review of the presumed advantages digital radiographic systems have over conventional X-ray film with special emphasis on the costs and benefits of current intraoral and panoramic systems. It is concluded that more evaluations of time and motion for digital imaging in dental practice are needed. Moreover, evidence-based logic should be applied to the determination of the physical properties required by image detectors for the performance of the different diagnostic tasks that are needed when practicing dentistry.Some 90 years after the discovery of the X-ray and the first film-based dental radiographs, Mouyen conceived the possibility of using a charge-coupled device (CCD) combined with a scintillator to produce an instant image. 1 This approach is known as radiovisiography (RVG). Over the past two decades, five additional versions of RVG systems have appeared, the most recent (Kodak RVG 6000 (RVG Ultimate) and Kodak RVG 5000 (RVG Access) being based on complementary metal oxide semiconductor (CMOS) technology. More than a dozen competitors have entered the market in vending solid-state intraoral X-ray detectors (Fig.