DICOM Viewer

Free Online Dental X-ray Viewer

A DICOM file is the format every dental X-ray device writes: intraoral sensors, panoramic units, cephalometric arms and CBCT scanners. Each .dcm file holds one radiograph plus a header naming the device, the exposure settings, the pixel spacing, and the patient. A browser can open one without installing any software.

Drop a .dcm file hereor click to choose one — it is read in your browser and never uploaded

Keep every radiograph on the patient record

DodoDentist stores X-rays, CBCT exports and intraoral scans against the patient and the tooth, alongside charting, treatment planning, reminders and billing.

Try DodoDentist free

What a DICOM file holds, and why it is more than a picture

A radiograph exported as a JPEG is only the picture. The same radiograph as DICOM carries the acquisition alongside it: which device produced it, the exposure settings, the physical size of a pixel — which is what makes a measurement in millimetres possible — and the window presets the manufacturer thought best suited the image. That is why practices are told to archive the DICOM and treat the JPEG as a copy for sending.

The header also holds the patient name, identifier and date of birth. It is easy to forget, because none of it appears in the image: a file that looks anonymous on screen can still name the patient to anyone who opens it. Anonymise before a radiograph leaves the practice for a laboratory, a study, or a second opinion.

The four kinds of file a dental practice receives as "the scan": what writes each one, what it contains, whether it names the patient, and whether this page opens it.
FormatWhat writes itWhat it holdsIdentifies the patientOpens on this page
DICOM (.dcm)Intraoral sensors, phosphor plate scanners, panoramic and cephalometric units, CBCT scannersOne radiograph plus a header describing the acquisitionNormally yes — the header carries the patient name, identifier and date of birthYes, when the file is single-frame and its pixel data is uncompressed or lossless JPEG
JPEG or PNGAn export or a screenshot taken from imaging softwareThe picture only, with no acquisition data attachedNot unless the details were burned into the image itselfNo — any photo viewer already opens it
STL, PLY or OBJIntraoral scanners, dental laboratories, 3D printing softwareA 3D surface mesh; PLY stores a colour per vertex, STL stores none, OBJ keeps colour in separate filesNo — a mesh has no patient header of any kindNo — the STL, PLY and OBJ viewers do
CBCT export (folder or .zip)Cone beam unitsHundreds of single-frame DICOM slices that together form one volumeYes — every slice carries the same DICOM headerOne slice at a time; the CBCT viewer takes the whole folder

The dental radiographs you will meet

Periapicals and bitewings come from an intraoral sensor or a phosphor plate scanner and show one or two teeth at a time — caries between teeth, root canal length, apical lesions, bone level. A panoramic covers both arches, the jaw joints and the sinuses in one wide image. A lateral cephalogram is the side-of-skull view orthodontics is planned from. All three are single-frame images that a viewer like this one opens directly.

CBCT is the exception. A cone beam scan is a three-dimensional volume delivered as a folder of hundreds or thousands of DICOM slices, often zipped, sometimes with a bundled Windows viewer. Opening a single slice from it shows one thin cross-section rather than the volume, so a CBCT needs dedicated software that reconstructs the stack. Open a whole CBCT folder instead to scroll the slices in order rather than opening them one at a time.

DICOM is not STL, and the difference matters

An intraoral scanner does not produce radiographs. It captures the surface of the arches and writes a 3D mesh, usually STL — the same format 3D printers consume. Because both files arrive from "the scanner", they get conflated constantly. The rule is simple: anything involving radiation produces DICOM, and anything optical produces a mesh. One more trap sits on top of it — 3Shape names its own mesh case files .dcm, so the extension alone cannot be trusted, and this page identifies files by their contents instead.

Worth knowing if you export from an intraoral scanner: STL stores geometry only and cannot carry colour. The colour model you see on the scanner survives export only as PLY, which stores colour per vertex, or as OBJ with a separate material and texture file. Export as STL alone and every model arrives grey. Open an .stl file, a .ply file or a .obj file to see the same arch as a mesh rather than as a radiograph.

When you do not know what the file is

Dental units and laboratories send files under names nobody recognises. A Carestream export is a .tw, an exocad project is documented as a .dentalproject, Medit writes a .meditMesh, and a CBCT slice frequently has no extension at all. None of them is broken, and none of them says what it is on the outside. Identify any dental file by its contents, or unpack a vendor export bundle to reach the radiographs and scans stored inside it.

How to open a .dcm file in a browser

  1. Drop the radiograph onto the page — Drag the .dcm file onto the drop zone, or click it and choose the file. It is read by your browser and never uploaded.
  2. Check what the file actually is — The page identifies the file by its contents rather than its extension. If it is a mesh, an archive or an ordinary image, the page names the format and links to the tool that opens it.
  3. Adjust the window and the level — Move the Level slider to shift the range of greys the screen shows, and the Window slider to narrow or widen it. Invert flips a radiograph that is displayed as a negative.
  4. Read the identifying fields — The page lists the patient details stored inside the header — name, identifier, date of birth — so you know what travels with the file before sending it outside the practice.

Frequently asked questions

What is a DICOM file?

DICOM (Digital Imaging and Communications in Medicine) is the standard format every X-ray device writes, including dental intraoral sensors, panoramic units, cephalometric arms and CBCT scanners. A .dcm file holds the image itself plus a header describing how it was acquired — the device, the exposure settings, the pixel spacing, and identifying details about the patient.

How do I open a .dcm file?

Drop it onto this page. It is read by your browser and drawn on screen, with no upload and no signup. For everyday clinical work a practice normally uses its imaging software or its practice-management system instead.

Is this DICOM viewer free?

Yes, and there is no signup. It exists so dental professionals can open a radiograph a colleague or a laboratory sent them without hunting for software first.

Are my patient files uploaded anywhere?

No. The file never leaves your computer. That matters more here than for most tools, because a DICOM header normally carries the patient name, ID and date of birth alongside the image.

Which dental X-rays can I open?

Single-frame radiographs, which is what intraoral sensors, phosphor plate scanners, panoramic units and cephalometric arms produce: periapicals, bitewings, panoramics (OPG) and lateral cephs. Uncompressed and lossless-JPEG pixel data are both decoded, which covers CBCT slices too; JPEG 2000 and JPEG-LS files are identified by name but not decoded.

Why does my X-ray look like a negative?

DICOM records whether low pixel values mean white or black. Viewers that ignore that tag show the radiograph inverted. This one reads it, and the Invert control lets you flip it either way.

What are window and level?

A radiograph holds more shades of grey than a screen can show at once. The window is how wide a range is mapped onto the visible greys; the level is the centre of that range. Narrowing the window raises contrast over a smaller range, which is how a bone level or an apical lesion is brought out.

Can I open a CBCT scan here?

Not as a volume. A CBCT export is a folder of hundreds of slices, and opening one here shows a single cross-section. The CBCT viewer on this site takes the whole folder, sorts the slices into order and lets you scroll through them; reconstructing them into a true three-dimensional volume still needs dedicated software.

Can I open an STL file from my intraoral scanner?

Not in this viewer — an STL is a 3D surface mesh rather than a radiograph, so it needs a different renderer. Drop one here anyway: the page identifies it by its contents and links straight to the STL viewer, which draws the mesh in the same browser and with the same no-upload promise.

CBCT ViewerScroll a cone beam volume slice by slice in the browserDental STL ViewerOpen intraoral scanner STL files in your browserPLY ViewerOpen colour intraoral scans in your browserOdontogramFree Interactive Dental Charting Tool