Panoramic radiography

Development of Panoramic radiogaphy

1952, Paatero 1960 2002

Tomographic layer
OP layer
Projection of OP
Anatomical landmarks
 Hard Tissue Inf. Orbital canal and foramen Ant. wall of Maxillary sinus Articular eminence

Hard palate Ptregomaxillary Fissure Ext.

Floor of Maxillary sinus Auditory
Nasal fossa Inf. orbital rim
meatus
Panoramic Innominate line
(Infra temporal surface of
Zyg. bone
Man. fossa
Mandibular
condyle
Lat.
ptreg.
plate
Zygomatic
Zyg. bone
process
of Coronoid
Maxilla process

C- Spine

Mental foramen
Ext. oblique ridge Hyoid bone
Inf. Alveolar canal
Inf. border of Mandible

All this diagnostic information is missed in intraoral X-rays

Soft tissues on OP
Soft tissue (edentulous)
Middle meatus

Inf. nasal meatus

Soft palate

Inf. nasal concha (turbinate)

Dorsal surface of the tongue
Post. Wall of the pharynx

Upper
lip Ghost image of opposite Man.
Lower lip

All this diagnostic information is missed in intraoral X-rays

Ghost image
Ghost image
Ghost image
Elnki tumor
Presidental tumor
Presidental tumor
Presidental tumor
Carotis plaque
Carotis plaque
Resorption on the cortical bone

Specificity: 40%
Senzitivity: 77%
(comparing with BMD)

Nakamoto et al. Osteoporos Int (2003) 14: 659664

Osteoporotic patient
Normal panoramic