A survey was performed among Belgian dentists to evaluate the use and management of digital radiographic equipment. The majority of respondents work as general dental practitioners. One out of eight sets of equipment for extraoral exposures is digital. For intraoral radiography, 30% of the equipment is digital. While exposure time is reduced by about 50% for digital intraoral radiography compared with conventional radiography, no differences can be found between different conventional film speed classes. Appropriate collimation of the radiation beam is only sparingly used. Beam aiming devices to hold the film and position the radiation beam are not used by the majority of dentists. While 25% of the respondents stand behind a protective wall during exposure, 8% of dentists remain next to the patient during exposure while assisting in holding the film inside the mouth. A minority of the latter practitioners wear lead aprons.