A radiographic film reading device is used in clinic dental diagnosis and treatment. The radiographic film reading device includes a film holder, a main body, a substrate and a backlight module. The film holder supports a radiographic film thereon. The main body has a receptacle for accommodating the film holder therein. The substrate is disposed inside the main body and has an optical sensor. The backlight module is disposed inside the main body for emitting a light beam from bottom to top. The light beam penetrates through the radiographic film and is then imaged onto the optical sensor of the substrate, so that the image of the radiographic film is processed into a digital form.