Panoramic radiography Development of Panoramic radiogaphy 1952 Paatero

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 Ptregomaxillary Fissure Hard palate Floor of Maxillary sinus Nasal fossa Inf. orbital rim Panoramic Innominate line (Infra temporal surface of Zyg. bone Man. fossa Ext. Auditory meatus Mandibular condyle Lat. ptreg. plate Zygomatic bone Zyg. process of Maxilla Coronoid process C- Spine Ext. oblique ridge Mental foramen Hyoid bone Inf. border of Mandible All this diagnostic information is missed in intraoral X-rays Inf. Alveolar canal

Soft tissues on OP

Soft tissue (edentulous) Middle meatus Inf. nasal meatus Soft palate Inf. nasal concha (turbinate) Post. Wall of the pharynx Dorsal surface of the tongue Upper lip Lower lip Ghost image of opposite Man. All this diagnostic information is missed in intraoral X-rays

Ghost image

Ghost image

Ghost image

Elnöki 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: 659– 664

Osteoporotic patient

Normal panoramic