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   PANORAMIC X-RAYS  

     A type of dental x-ray machine has been developed that simplifies the dental X-ray process as a diagnostic tool.  

Panorex x-ray gives you a full mouth view

     This X-ray along with bite-wing X-rays give Dr. Peterson and his staff much needed information about the health of your teeth and gums.  A Panoramic X-ray is very commonly taken on an “initial” visit.

     As the name suggests a Panoramic X-ray makes a complete half circle from ear to ear to produce a complete two dimensional representation of all your teeth to give an overall picture of your teeth and jaw bones.  

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     Where the bite-wing or periapical X-ray film allow us to see small areas of your mouth; the Panoramic X-ray film allows us to see a “panoramic” single picture view of your entire oral cavity, all at one time.

     This “panoramic” view of your oral cavity is accomplished by rotating the X-ray film around your head for about 12 seconds.  It is important that you remain as still as possible during these 12 seconds to obtain a total angle view for a high quality picture. 

     You will be positioned erect between the x-ray source and the film. Correct position of the head is very important for a good picture.

 Click here to see a full view of our panorex x-ray machine

Panoramic radiographs (PMX)s may provide information about systemic health conditions**

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This Panoramic X-ray is especially effective in the following areas:

1.  Fractures of the teeth and/or jaws can be seen when it is difficult to open your mouth

2.  Viewing development, position, and eruption of primary teeth so we can see all your child’s baby teeth and permanent teeth  at one time

3.  For individuals who have difficulty holding x-ray films in their mouth

4.  Diagnosing Temporomandibular Joint (Jaw hinge) dysfunction

5.  Viewing impacted wisdom teeth

6.  Detecting presence of bone or gum diseases

7.  Diagnosing early signs of oral cancer

8.  Discovering nonmalignant tumors

9.  Surveying the sinus region

10. Discovering stones in the salivary glands

11. Examining trauma patients

12.Screening for stroke, osteitis deformans, hyperparathyroidism and other systemic diseases.

13.Obtaining baseline data for long term dental health

14. Diagnostic data for referring dentist to use

15. Critical for setting broken facial bones

16. Identification in case of an accident

17. Provide valuable information about signs of carotid calcification. Alveolar bone loss as assessed from PMXs is associated with cardiovascular diseases.**

18. Evaluation for full or partial removable dentures, dental implants, or braces.

19. Alternative for those who can  not tolerate other types of films, gaggers.

20.  New patients to help screen for diseases beyond just the teeth.

21. Screening for osteoporosis postmenopausal women may lose as much as 20% of their bone mass within
5-7 years postmenopause.  1 in 4 men have osteoporosis after the age of 50.  55% of people over 50 have osteoporosis.

22. Metastases to jaws.  Carcinomas of the brest, lung, prostate, thyroid glad, kidney, and colon may produce cyst-like growth.

23.  Genetic abnormalities.

24.  Developmental abnormalities-cleft palate.

25 Asymmetry of the Oral and Maxillofacial area which could be caused by swelling on one side of the face such as seen in eating disorders.

26. Altered nerve sensation-paresthesia in lip,  or hypersensitivity which could be caused by infectious osteomyelitis or  a malignancy compressing a nerve.

27.  Pain-find cause and location of pain.

28.  Ill fitting dentures- due to alveolar bone loss. 

Updates

Radiographic Measures of Chronic Periodontitis and Carotid Artery Plaque

 Chronic periodontitis (CP) is associated with stroke and subclinical atherosclerosis, but clinical measurement of CP can be time consuming and invasive. The purpose of this study wasto determine whether radiographically assessed CP is associated with nonstenotic carotid artery plaque as an ultrasound measure of subclinical atherosclerosis. Panoramic oral radiographs were obtained from 203 stroke-
free subjects ages 54 to 94 during the baseline examination

Severe periodontal bone loss is associated independently with carotid atherosclerosis. Panoramic oral radiographs may thus provide an efficient means to assess CP in studies of atherosclerosis risk.


Steven P. Engebretson, et al.,Radiographic Measures of ChronicPeriodontitis and Carotid Artery Plaque Stroke. 2005;36:561.)
 

General Dentistry, July/August 2004, Volume 52, Number 4

Clinical Indications as a Basis for Ordering Extraoral Imaging Studies, Dr Carter Compendium Vol.25, No.5 pg 351-361 May 2004

**Journal Of Clinical Periodontology Volume 29 Issue 9 Page 803 - September 2002

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