What is the initial step to be taken before ordering radiographs for a patient?

The initial step before ordering radiographs for a patient is to conduct a clinical examination. This step is critical as it allows the healthcare provider to assess the patient's current health status, identify any specific dental or medical issues, and determine whether radiographic imaging is necessary based on clinical findings.

A thorough clinical exam can reveal signs of dental disease, abnormalities, or areas of concern that may require further investigation through radiographs. By understanding the clinical context, the clinician can make informed decisions about which specific radiographs to order and how they will aid in diagnosis and treatment planning.

Other steps, such as reviewing the patient's history, assessing radiation exposure, and obtaining informed consent, are indeed important but typically follow the initial clinical examination. The clinical exam serves as the foundation for making informed decisions about further diagnostic interventions like radiographs.