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Panoramic X-rays

Panoramic X-rays (also known as Panorex® or orthopantomograms) are wraparound photographs of the face and teeth.  They offer a view that would otherwise be invisible to the naked eye.  X-rays in general, expose hidden structures, such as wisdom teeth, reveal preliminary signs of cavities, and also show fractures and bone loss.

Panoramic X-rays are extraoral and simple to perform.  Usually, dental X-rays involve the film being placed inside the mouth, but panoramic film is hidden inside a mechanism that rotates around the outside of the head.

Unlike bitewing X-rays that need to be taken every few years, panoramic X-rays are generally only taken on an as-needed basis.  A panoramic x-ray is not conducted to give a detailed view of each tooth, but rather to provide a better view of the sinus areas, nasal areas and mandibular nerve.  Panoramic X-rays are preferable to bitewing X-rays when a patient is in extreme pain, and when a sinus problem is suspected to have caused dental problems.

Panoramic X-rays are extremely versatile in dentistry, and are used to:

  • Assess patients with an extreme gag reflex.
  • Evaluate the progression of TMJ.
  • Expose cysts and abnormalities.
  • Expose impacted teeth.
  • Expose jawbone fractures.
  • Plan treatment (full and partial dentures, braces and implants).
  • Reveal gum disease and cavities.

How are panoramic X-rays taken?

The panoramic X-ray provides the dentist with an ear-to-ear two-dimensional view of both the upper and lower jaw.  The most common uses for panoramic X-rays are to reveal the positioning of wisdom teeth and to check whether dental implants will affect the mandibular nerve (the nerve extending toward the lower lip).

The Panorex equipment consists of a rotating arm that holds the X-ray generator, and a moving film attachment that holds the pictures.  The head is positioned between these two devices.  The X-ray generator moves around the head taking pictures as orthogonally as possible.  The positioning of the head and body is what determines how sharp, clear and useful the X-rays will be to the dentist.  The pictures are magnified by as much as 30% to ensure that even the minutest detail will be noted.

Panoramic X-rays are an important diagnostic tool and are also valuable for planning future treatment.  They are safer than other types of X-ray because less radiation enters the body.

If you have questions or concerns about panoramic X-rays, please ask your dentist.

Testimonials.

Read what people are saying about us.

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Testimonials

I am 42 years old. All of my life I was self conscious about my smile
because of the dark tetracycline stain on my teeth. When I was 37 I
decided to do something about it. I had braces for four years to prepare
me for orthognathic surgery. My maxillofacial surgeon moved my jaw
forward so my overbite would be corrected. After that healed, the braces
came off and I went to see Dr. Stewart. She said I was a perfect
candidate for porcelain veneers. After talking with her and seeing her
portfolio, she installed them.

Almost over night I went from not smiling at all to grinning like a
fool. I can tell you the exact moment I knew I had made the right
decision to do what I had done. About a month after Dr. Stewart had
finished with me, a complete stranger said, "You have a nice smile." It
was the first time in my life I had ever heard those words...ever. My
limited vocabulary prevents me from describing what those words meant to
me but my whole world was changed.

I am 42 years old and I have a nice smile. Would I do it all again?
Absolutely! Do I have any regrets? Absolutely not!

Thanks Dr. Stewart!


Stephen...with a PH!

"Whenever people complain about their dentist or say they haven't been for a checkup in years, I tell them about Dr. Nancy Stewart and her great team. They're all friendly and professional, and the work they do is top-notch. For the past nine years, they have done both 'yearly maintenance' and cosmetic procedures on my teeth, and I get regular compliments on my smile! Leave your excuses at home and go see Dr. Nancy."

Kate Y. February 2007

"Dr. Stewart may be the only dentist I have never been afraid to go to.
Everyone on her staff is informative, friendly and professional, and so is
she. Check out the photo board on your way out, too - she's the only dentist
I've ever met who gets flossing photos from her patients' vacations!"

J. Handler

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