Routine dental X-rays are not backed by evidence

This sounds like very much a typical American thing, arse-covering because of the sue-me culture. Hence "I'll put in in writing I recommended an annual X-Ray to the patient".

Europe takes a clinical risk (e.g. caries risk) based approach combined with a patient age factor. To have annual X-Rays in Europe you would have to have some sort of dental issue that puts you in that high-risk category, and even then, the clinic would keep you under review and lengthen the periods as soon as it was clinically possible to do so.

This has always been the case, even before the latest scientific evidence on the potential harms of X-Rays.

Yep. Not that it’s necessarily happening here, but I always…sigh deeply, let’s say, when something that’s described by Americans as “an $x industry problem” is actually ‘an America problem, manifesting in the $x industry’.