Once it has been determined that radiographic images are necessary, it is the responsibility of the dentist to not only ensure that optimal images are obtained but also that they are acquired at the lowest possible dose of radiation. There are a variety of best practices that together can reduce exposure to the patient and the clinician alike. These practices are necessary components of the overall radiographic protocol for patient imaging. The use of digital receptors can present challenges for clinicians and patients. Anatomical variations and patient comfort must be considered when taking intraoral images. Endodontic and pediatric imaging are examples of situations which demand optimal technical and patient management skills. Finally, recognizing common errors is important to their correction and ultimately to prevent recurrence.