Apteryx does not "push" our images to any 3rd party software. It is up to the 3rd party software to "pull" the images from Apteryx.
OpenDental has a guide available on their support site that details the steps to enable the viewing of image thumbnails in their chart module.
Notation from the OpenDental forums show that this integration requires the use of OpenDental v19.1+
Article Version 1.0 2020.08.18