To PRINT images, click on Print the button inside the exam that has the images you want to print, and these options will appear…
Choosing Custom Portrait allows you to add individual images to the Print window in a portrait orientation.
Choosing Custom Landscape allows you to add individual images to the Print window in a landscape format.
Choosing Exam Landscape will print the entire exam.
Choosing Fast Portrait will add the highlighted image and a text box to the Print window in a portrait format.
Choosing Fast Landscape will add the highlighted image and a text box to the Print window in a landscape format.
NOTE1: If you would like the images to be sharpened on the print page, check the Sharpen All option at the top of the print page BEFORE adding the images to the print page.
For our example below, we will print an entire bitewing exam at once. To do this, open the bitewing exam you would like to print, click on the PRINT button and choose the Exam Landscape option. All the images in the exam will appear in the Print window, as seen below.
Use the Bigger or Smaller buttons to resize the image(s).
Type your office information into the letterhead box at the top of the print page. Your letterhead information will remain in place once you type it in. 
Use the Add Text button to add a text box with the patient’s name, exam date, and any other notes you wish to add.
You can resize an individual image and the text boxes by holding down the left mouse button and dragging the lower right corner of the text box or image.
NOTE2: Use the “page up” and “page down” keyboard keys to adjust the font size of the text.
You can reposition the image(s) or text boxes by holding down the left mouse button on the image or text box and dragging them…
Click on the Print Page button when you’re ready to print.
Select the printer and go into Preferences
Make certain the appropriate orientation is selected, and click OK...
Then select Print.