Smile Safely: What Dental Practices Need to Know About Patient Photos
September 25, 2025 Smile! Members of your dental practice look at countless images of your patients’ pearly whites daily. However, it can be a major HIPAA violation if your practice doesn’t handle these images carefully. While X-rays of a patient seem anonymous, X-rays and patient medical imaging are considered Protected Health Information (PHI). PHI is health data that can easily be linked to an individual patient. In fact, X-rays also usually include further information, including a patient’s full name and birthday, to ensure they are appropriately assigned and shared with the right patient. The same goes for images of patients’ teeth taken with a traditional camera. HIPAA is about keeping patient information safe, protecting healthcare data, and holding everyone accountable. So, your practice’s job is to keep patient images from curious eyes peeking where they shouldn’t. No Peeking! When handling X-rays and other forms of dental photography, ensure that role-based permissions are correctly assigned. In other words, ensure that whoever has access to these images truly needs access. For example, your receptionist most likely doesn’t need access to a patient’s X-rays, but your head dentist would. Your practice must assign these roles to keep patient data safe and terminate any access once an employee leaves or roles change. A recent HIPAA fine highlights the importance of this, with an $800,000 fine after one patient became aware of improper staff access. Your practice should also routinely monitor access to PHI, ensuring that a) the viewer can view specific patient images and b) it makes sense when and how long they review PHI. For example, your practice’s billing staff doesn’t need to look at a patient’s health records at 3 a.m. Noticing odd access to PHI can let your practice catch issues quickly, like hackers. Smile for the Camera (and get an Autograph!) While it’s vital to keep patients’ medical images, such as X-rays and traditional photos, under lock and key, with the right documentation, you can share these images publicly. Let’s say your practice wants to share a patient’s orthodontic journey with braces on social media with a before-and-after post. Before posting anything, make sure your patient signs a media consent form. These forms should be thorough and documented by your practice. A patient must be able to revoke consent easily at any time. While you have this consent, keeping any images as anonymous as possible is still best practice. You shouldn’t be tagging your patients in social media posts! Smile with Compliance Confidence As they say, a picture is worth a thousand words, and in healthcare, those words are PHI that must stay protected. Dental images play a key role in diagnosing and treating patients, which is why your practice needs to keep this form of PHI secure. With the right compliance solution, your practice can simplify HIPAA by managing everything in one centralized hub. Important documents, like media consent forms, are always easy to access. Connect with a HIPAA expert today to learn how to streamline compliance.
