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CBCT Compliance

Texas CBCT Compliance Guide (2026 Edition)

Texas CBCT Compliance Guide (2026 Edition)

Expert Review in Progress

A state-specific execution manual for Texas dental practices purchasing, installing, or operating a cone beam CT system. The guide follows the project in the order the practice actually encounters it—from installer verification and room preparation through installation, first-patient readiness, equipment amendment, Equipment Performance Evaluation, recurring QA, and DSHS inspection-ready recordkeeping.

The Texas compliance model

Texas does not create a separate certificate-or-EPE waiting gate for an established fixed dental office. Clinical use can begin once the complete system is commissioned, operators are properly credentialed and model-trained, the CBCT-specific operating and safety procedures are active, the manufacturer QA process has been completed as required, postings and technique information are in place, and the operator position is compliant.

Two separate 30-day clocks then remain in force: the equipment change must be reported within 30 days after beginning use, and the initial Equipment Performance Evaluation must be completed within 30 days after installation. Texas still requires initial and recurring EPEs; the dental exemption changes who may perform them, not whether they are required.

What the Texas guide covers

  • Eight-step purchase-to-operation compliance roadmap
  • Project Paths A–C for pano replacement, unused rooms, and construction projects
  • DSHS-registered assembler and installer verification before purchase
  • FDA Form 2579 reporting chain to federal and Texas authorities
  • Room, power, data, freight, furniture, and IT readiness
  • Manufacturer scatter-data and room-review guidance
  • RC 226-2 equipment-add amendment preparation and submission workflow
  • Correct use of the Dental Machine line and CBCT count on the current RC 226-2
  • Existing owner-dentist / Radiation Safety Officer record controls
  • Installation-day commissioning, workflow checks, QA demonstration, and training closeout
  • Manufacturer-supplied QA phantom, instructions, testing schedule, and data-storage requirements
  • First-patient readiness gate and post-installation deadline sequence
  • Dentist, hygienist, and Dental Assistant Radiology Certificate operator requirements
  • CBCT-specific Operating and Safety Procedures addendum
  • Initial EPE within 30 days after installation
  • Qualified DSHS-registered dental EPE provider selection and scheduling
  • EPE deficiencies, manufacturer support, service correction, and retesting workflow
  • Annual CBCT EPE cycle with a 14-month maximum interval
  • Repair- and reinstallation-triggered EPE requirements
  • Manufacturer-prescribed QA rhythm and electronic QA recordkeeping
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2026 State Guide

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How these guides are developed

CBCT Compliance was developed from more than a decade of experience within the dental imaging industry and direct exposure to the practical gaps that arise between equipment purchase, installation, registration, training, quality assurance, and inspection readiness.

Each state guide is built from primary-source regulations, agency forms, official guidance, published fee schedules, and documented compliance procedures. The material is organized into the chronological sequence a dental practice is likely to encounter when acquiring and operating a CBCT system.

Editorial conclusions are not sponsored or controlled by any equipment manufacturer, distributor, lender, or listed professional-service provider. Draft editions undergo independent technical review and primary-source re-verification before final publication.

For informational and educational purposes only. The guide does not constitute legal, regulatory, medical-physics, or other professional advice. Practices should verify current requirements with the applicable regulatory agency and appropriately qualified professionals.