Direct hard sensor receptor holders are similar to film holders, but require the dental practice to purchase special digital sensor receptor holding devices. With PSP sensors, film holders and bite-wing receptors can be used for periapical and bite-wing images. There are many different types of receptor holders available (Figure 10). It is recommended when the dental practice decides to purchase a digital imaging system they consult with their colleagues as to what they use in their dental practices. The dental practice can then try other types of receptor holders in the future when they attend exhibits at state and national meetings (Figures 11-13). It is also recommended the dental practice schedule in-office trainings with the dental team beyond what is provided by the manufacturer, to ensure clinical providers are competent in trouble-shooting digital imaging issues. The dental practice may wish to purchase a radiology tooth model from a national dental educational sales manufacturer to allow clinical providers to practice.