Expert Review in Progress
A state-specific execution manual for New York dental practices outside the
five boroughs that are purchasing, installing, or operating a cone beam CT
system. The guide follows the project in the order the practice actually
encounters it—from medical-physicist engagement and room planning through
installation, acceptance testing, registration, operator authorization,
first-patient readiness, recurring QA, and inspection control.
The New York State compliance model
Outside New York City, dental CBCT facilities are regulated through the
New York State Department of Health, Bureau of Environmental Radiation
Protection. Installation does not by itself authorize clinical use.
Before patient operation, the practice should have current registration,
completed commissioning and medical-physicist acceptance work, trained and
authorized operators, and an active written QA and radiation-safety program.
New equipment also creates a separate inspection workstream. The practice
must identify whether its dental facility is inspected by NYSDOH, a county,
or a CRESO and arrange the required new-equipment inspection. The medical
physicist’s acceptance-testing report and the state, county, or CRESO
inspection are related but distinct records.
What the New York State guide covers
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Nine-step purchase-to-operation compliance roadmap
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Statewide jurisdiction guidance for practices outside the five boroughs
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Project Paths A–C for pano replacement, unused rooms, and construction projects
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New York State-licensed medical physicist selection and scope guidance
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Pre-installation room, shielding, operator-position, scatter-data, and workload review
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Power, network, observation, delivery, furniture, and building-access readiness
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Installation-day commissioning, operator training, source documents, and FDA Form 2579 closeout
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Medical-physicist acceptance testing and room/radiation-protection conclusions
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Separate NYSDOH, county, or CRESO new-equipment inspection pathway
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Registration workflow for new and established radiation facilities
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DOH-2126 old-unit disposition workflow and closure records
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Dentist, hygienist, and dental-assistant operator requirements
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Qualifying CBCT training and direct-supervision requirements for dental assistants
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Facility-specific written QA manual and radiation-safety procedures
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First-patient readiness gate, pre-use QA, protocol control, and ALARA workflow
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Recommended CBCT patient logbook and inspection-ready recordkeeping
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Manufacturer QA procedures, physicist baselines, failures, corrections, and retesting
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Registration billing, recurring QA, training, service, and inspection-cycle controls
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Day 1 Radiation Master Binder and digital inspection-readiness system
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Done-for-you checklists, QA tools, operator records, notices, calendars, and provider-directory framework
Publication status
The New York State editorial draft is complete and undergoing independent
technical review. The final 2026 edition will be released after expert review
and final primary-source re-verification.
