PANORAMIC IMAGING Flashcards
Tomography -
imaging by sectioning, through a body, by moving an x-ray
source and the film in opposite directions during the exposure.
Panorama
An unobstructed and wide view of an
extensive area in all directions
2 methods used to obtain a panoramic radiograpph
status x and opg
principle of panoramic imaging
It is a curvilinear variant of conventional tomography and
is based on the principal of the reciprocal movement of an x-ray
source and an image receptor around a central point or plane
called the image layer in which the object of interest is located
Mostly used diagnostic problems including broad coverage
trauma including jaw fractures, location of 3rd molars, extensive dental or osseous disease, known or susoected large lesions, tooth development or and eruption, retained teeth or root tips, tmj pain, developmental anomalies.
center of rotation
- Single –center rotation
- Double-center rotation
- Triple-center rotation
- Sliding center rotation
single center of rotation
This technique used the stationary rotation center of the beam,
placed at one side of the jaws. The rotation center is then shifted
symmetrically by moving the patient. This projection technique
produced the split image.
double center of rotation
The center of rotation was positioned anteriorly to the
location of the third molar opposite the side being examined
3 centers of rotation
arc of jaws divided into?
A condyle to first premolar posterior segment
A canine to canine anterior segment
A contralateral opposite segment
triple centers of rotation
two are bilaterally
situated slightly postero lateral to the third molars, and the third one is situated
in the midline posterior to the incisor
sliding or moving center of rotation.
The center of rotation changes as the film and tube head rotate
around the patient. the rotational change allows the image layer to
conform to the elliptical shape of the dental arches.
what is a focal trough
It is a three dimensional curved zone in which structures are
clearly demonstrated on a panoramic radiograph.
Image layer thickness depends on:
the effective
projection radius and the width of the beam
what happens to Objects in front of or behind the focal trough
blurred, magnified or reduced in size
Machines available in market
The orthopantomograph 100 (Instrumentarium)
The Orthophos Plus (sirona)
The Orthoralix S (Gendex division Dentsply International)
ProMax (PLANMECA)
Positions of tube head and film
The Tube head always rotates behind the patient’s head as the
film rotates in the front of the patient
Head positioner:
consists of chin rest, notched Bite-block,
forehead rest and lateral head supports
what determines exposure factors
Exposure factors are determined by the manufacturer who suggests the (Kvp and Milliamperage).
The Kvp and milliamperage settings are adjustable and can be varied to accommodate patients of different sizes
what factor is fixed in Panoramic xray and not in a intaroral xray
The Exposure time is fixed and can‟t be changed
Examples of modifications in Panoramic xray
- a Cephalometric attachment to allow exposure for frontal and lateral images of the TMJs and standard view of skull.
- The computer controlled multimodality machines in which the direction and speed of movement of the tube head and film are highly variable, allows to be programmed to make tomographic
views like maxillary sinuses and cross sectional views of maxilla and mandible.
Components of Panoramic Xray unit
xray tube head
head positioner
image receptor
exposure parameters
OPG films
Screen film –it is sensitive to light emitted from intensifying screens.
Screen films sensitive to green light-Kodak T-Mat G and Ortho G films.
Screen film sensitive to blue light- Kodak X-Omat RP and Ektamat G films
OPG film sizes
5x12 inch
6x12inch
purpose of intensifying screen
It increases the intensity of radiation on the film.