Yeah, I still use REM, can't help it; it's what I was taught ages ago. I guess it shows my age.
Re: fluoro dose incidents; even modern units can cause these types of accidents because many modern units have an automatic power adjustment mechanism which measures the xray flux exiting the target and adjusts intensity automatically to maintain image brightness. It can reduce total dose delivered if it is set up properly, but for example if it is not set up properly and a higher density or thickness target is used than expected it will actually worsen the dose in an effort to maintain brightness. Such an incident is taught to Rad Techs; a patient placed their arm in the beam path underneath the sterile cover, totally unnoticed by the techs. The beam target was on their side abdomen and the beam window was only 2"^2 or so. The bicep intercepted the beam path and the fluoro unit increased dose about 4x to compensate for the reduced transmission level. It wasn't discovered until the day after the procedure when an ulceration was discovered on the arm. It took multiple surgeries, skin grafts, and many months to close the wound. Much of the muscle was lost and the patient is permanently damaged. Techs are actually supposed to weigh the patients and take diameter measurements to work out a necessary xray hardness and dose rate BEFORE the first exposure. However, in the interest of speed, most imaging locations have opted to forgo this precaution and instead take a blind exposure at an assumed safe level and then make adjustments from there.
Btw, regarding dental xray heads; One of the dangers is improper intrinsic shielding. There's a few news articles about inexpensive portable units being sold in the east which are largely made of plastic and have insufficient shielding. Dose rates delivered to the doctors holding the portable units exceeded dose rates delivered to the patient. I don't think this is applicable here, but it is something to note when not remotely operating the unit. The other major danger is when someone repurposes a head and does not use an OEM controller. It has been reported that users were unaware the unit was ON until much time passed, resulting in large accumulated doses. Most small heads can run unlimited duty cycle, and have no visible indication that they are running.