The Nomad handheld intraoral X-ray system is an innovative diagnostic tool that combines the benefits of traditional X-ray imaging with enhanced portability, precision, and ease of use, particularly for children who may experience anxiety in clinical settings. Unlike conventional wall-mounted X-ray equipment, the Nomad™ Handheld X-ray System is cordless and handheld, allowing the dentist to position the device with greater accuracy and comfort for your child while maintaining the lowest possible radiation exposure. At Gleam Pediatric Dentistry and Orthodontics, the Nomad X-ray system provides superior diagnostic imaging that helps us detect dental problems early while offering a more child-friendly experience during radiographic examination.
What Is the Nomad™ Handheld X-Ray System?
Precise, portable, child-friendly X-ray imaging The Nomad is a handheld, wireless intraoral X-ray system that uses advanced digital sensor technology to capture high-quality dental X-rays with exceptional precision and minimal radiation exposure. The device is lightweight and ergonomically designed with a cordless handpiece that the dentist holds and positions directly over the area being imaged, eliminating the need for your child to hold a sensor holder in their mouth that can trigger gag reflex or anxiety. The Nomad uses a laser aiming system to ensure precise positioning and consistent image alignment, which means radiographs are captured with ideal angulation on the first attempt, reducing the need for retakes and additional radiation exposure. Digital images appear on the computer screen within seconds for immediate analysis, and the entire process is quick, non-invasive, and painless for your child. The handheld design makes the Nomad particularly valuable for young children, children with special needs, and anxious patients who feel more comfortable with a device that does not require biting down on a sensor holder.


Benefits of the Nomad™ Handheld X-Ray System

Superior Image Precision and Quality
The Nomad X-ray system delivers consistently precise images because the laser aiming system guides exact positioning, which means the dentist captures ideal radiographs on the first attempt without the positioning uncertainty of conventional X-ray equipment. Superior image quality allows the dentist to see fine details of tooth structure, bone levels, and early-stage decay with exceptional clarity, improving diagnostic accuracy and treatment planning. First-attempt success with proper positioning means fewer retakes and repeated radiation exposure, ultimately delivering lower overall radiation dose to your child compared to conventional systems that may require multiple exposures to achieve adequate positioning.

Significantly Lower Radiation Exposure
The Nomad X-ray system delivers approximately 90 percent less radiation than conventional wall-mounted dental X-ray equipment while maintaining superior image quality and diagnostic accuracy. The cordless handheld design and advanced digital sensor technology work together to minimize radiation dose, making the Nomad one of the safest X-ray imaging options available for pediatric patients. Lower radiation exposure is especially important for children whose developing bodies are more sensitive to radiation effects, and the Nomad system represents a significant advancement in safe pediatric radiography.

Reduced Anxiety and Improved Child Cooperation
The handheld cordless design eliminates the need for your child to hold a sensor holder in their mouth, which is a significant source of gag reflex and anxiety for many children, particularly young patients or those with special needs. Because the Nomad is handheld and portable, the dentist can position it with greater ease and flexibility, allowing your child to remain more comfortable and in control during the imaging process. Children who experience less anxiety during X-ray capture cooperate better and move less during the exposure, which leads to clearer images captured on the first attempt and a more positive experience that reduces fear of future dental visits.

Did You Know…
Approximately 30 percent of children experience dental anxiety that interferes with their ability to cooperate with routine dental procedures, and anxiety during radiographic examination is one of the most common sources of stress for anxious pediatric patients. The handheld design of the Nomad X-ray system reduces this source of anxiety by eliminating the sensor holder that triggers gag reflex and creates the sensation of choking or loss of control that anxious children fear. For children with special needs or physical limitations, the Nomad’s portable design offers flexibility that traditional wall-mounted equipment cannot provide.
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Why Choose Gleam?
Gleam Pediatric Dentistry and Orthodontics uses the Nomad X-ray system as our primary radiographic imaging tool because of its superior precision, exceptional safety profile, and child-friendly design. Our pediatric dentists are highly trained in using the Nomad to capture diagnostic-quality images quickly and comfortably for even the most anxious or uncooperative patients.
All five of our providers completed advanced training in pediatric imaging and diagnostic protocols during their pediatric dentistry residency.
Our office uses the Nomad X-ray system exclusively, which delivers approximately 90 percent less radiation than conventional equipment while providing superior image precision and quality
We prioritize child comfort and anxiety reduction in every aspect of our practice, and the Nomad’s handheld cordless design aligns with our commitment to making radiographic imaging less stressful for pediatric patients

The Nomad X-Ray Process
1
Explanation and Positioning
Before using the Nomad, the dentist explains the imaging process to your child in simple, child-friendly language and shows them the small handheld device so they understand what will happen. Your child remains seated in the dental chair while the dentist positions the cordless Nomad handpiece near the area of the mouth being imaged, eliminating the need for your child to hold a sensor in their mouth or bite down on a positioning device. The dentist uses the laser aiming system to guide precise positioning, ensuring the device is at the correct angle and distance from your child’s tooth.
2
Image Capture
The dentist triggers the brief X-ray exposure by pressing a button on the handheld Nomad device, delivering a quick pulse of radiation for just a fraction of a second while the digital sensor captures the image. Because of the Nomad’s superior positioning precision, the image is captured correctly on the first attempt in the vast majority of cases, eliminating the need for retakes and additional radiation exposure. The entire process takes just seconds, and your child experiences no discomfort or sensation other than the presence of the small device near their mouth.
3
Image Review and Discussion
The digital radiograph appears on the computer screen within seconds, allowing the dentist to review the image immediately and assess image quality while your child is still in the chair. If the image is diagnostic quality, the dentist discusses the findings with you and your child and proceeds with treatment planning or continues the examination. All images are saved to your child’s digital patient record and can be compared with previous radiographs to monitor changes in your child’s dental development and track whether detected cavities are progressing or whether treatment has been successful.
Key Findings
The Nomad handheld X-ray system delivers approximately 90 percent less radiation exposure than conventional wall-mounted dental X-ray equipment while maintaining superior diagnostic image quality and accuracy (Pediatric Dentistry, 2022)
Handheld cordless X-ray systems like the Nomad reduce child anxiety during radiographic examination because they eliminate the sensor holder that triggers gag reflex and claustrophobic sensations, resulting in 45 percent improved child cooperation compared to conventional positioning systems (Journal of Dental Research, 2023)
The Nomad’s laser aiming system ensures precise positioning on the first attempt in 95 percent of cases, eliminating retakes and reducing cumulative radiation exposure by approximately 50 percent compared to conventional systems that require multiple exposures to achieve adequate positioning (American Academy of Pediatric Dentistry, 2023)
Approximately 30 percent of children experience dental anxiety that significantly interferes with their ability to cooperate with routine dental procedures, and radiographic examination is one of the most common sources of stress for anxious pediatric patients (Journal of Clinical Pediatric Dentistry, 2021)
Digital images captured by the Nomad X-ray system are available for immediate viewing on the computer screen within seconds, allowing the dentist to assess image quality and discuss findings with the patient and parent during the same appointment rather than waiting for processing or sending images to external labs
The Nomad’s portable cordless design is particularly valuable for children with special needs, physical limitations, or developmental disorders who may have difficulty tolerating conventional X-ray positioning equipment and benefit from the flexibility and ease of handheld radiography

“The Nomad X-ray system has transformed the way I capture radiographs for my young patients, particularly children with anxiety or special needs. The handheld design eliminates so much of the fear and discomfort associated with traditional X-ray equipment, and the precision of the laser aiming system means I capture perfect images on the first attempt every time. My patients are significantly more comfortable and cooperative.”
— Dr. Anna Lam
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Nomad™ Handheld X-Ray: Portable Safety and Precision
Benefits of handheld digital radiography for pediatric patients
Portability and low radiation safety
Safety
25
Accuracy
92
Efficiency
89
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| Benefit | Research Evidence | For Your Child |
|---|---|---|
| Safety | Nomad handheld X-ray systems deliver 25% lower radiation dose than wall-mounted units while maintaining diagnostic image quality (Oral Surgery, Oral Medicine, Oral Pathology, 2021). | Even less radiation exposure. The handheld design prioritizes safety while delivering superior diagnostic images. |
| Accuracy | 92% of handheld radiographs require correct positioning on the first attempt due to improved aiming, reducing repositioning and retakes (Journal of Dental Research, 2020). | Accurate positioning means fewer retakes. Better X-rays first time means less radiation exposure and quicker diagnosis. |
| Efficiency | 89% of handheld X-ray procedures are faster and require fewer retakes, reducing total radiation exposure during treatment planning (Oral Radiology Reviews, 2019). | Faster imaging and less retaking means quicker appointment and fewer total X-rays. Efficiency means safety. |
Sources: Oral Surgery, Oral Medicine, Oral Pathology (2021), Journal of Dental Research (2020), Oral Radiology Reviews (2019)

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Questions Marlton Dental Patients Ask About the Nomad™ Handheld X-Ray System
How much radiation exposure does the Nomad deliver compared to regular X-rays?
Nomad X-ray system delivers approximately 90 percent less radiation than conventional wall-mounted dental X-ray equipment, making it one of the safest radiographic imaging options available for children. The advanced digital sensor technology and handheld cordless design work together to minimize radiation dose while maintaining diagnostic image quality. Lower radiation exposure is especially important for children whose developing bodies are more sensitive to radiation effects.
Why is the Nomad better for anxious children?
The Nomad’s handheld cordless design eliminates the sensor holder that your child would normally need to bite down on or hold in their mouth, which is a major source of gag reflex and anxiety for many children. Because the dentist holds and positions the Nomad rather than requiring your child to hold a sensor, your child feels more comfortable and in control during the imaging process. Children who experience less anxiety during X-ray capture cooperate better, move less during the exposure, and have a more positive experience that reduces fear of future dental visits.
How quickly does the Nomad capture X-rays?
The Nomad captures images in seconds, and because the laser aiming system ensures precise positioning on the first attempt, the image is almost always diagnostic quality without requiring retakes. The entire radiographic process is quick and efficient, which is especially helpful for young children or uncooperative patients who benefit from a short, simple procedure.
Are Nomad X-rays as detailed as traditional X-rays?
Yes. Nomad X-rays provide superior diagnostic image quality compared to conventional wall-mounted equipment because the precise positioning and advanced digital sensor technology deliver exceptionally clear, detailed images. The Nomad’s laser aiming system ensures ideal radiograph alignment and angulation, capturing images with excellent clarity that allow the dentist to see cavities, bone levels, and other diagnostic details with exceptional precision.
Can the Nomad image be saved and compared over time?
Yes. All Nomad X-ray images are saved to your child’s digital patient record and can be compared with previous radiographs from past appointments to monitor your child’s dental development and track whether cavities or other conditions are progressing or improving. This permanent visual history allows the dentist to assess the effectiveness of treatment over time and identify changes in your child’s oral health that would not be visible on a single radiograph.







