Orthopantomogram

Panoramic radiograph
Medical diagnostics
A dental panoramic radiograph, showing the maxilla and mandible, all the teeth including the "wisdom teeth," the frontal and maxillary sinuses, the nasal cavity and the temporomandibular joint and other near by head and neck anatomy.
MeSH	D011862
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A panoramic radiograph is a panoramic scanning dental X-ray of the upper and lower jaw. It shows a two-dimensional view of a half-circle from ear to ear. Panoramic radiography is a form of focal plane tomography; thus, images of multiple planes are taken to make up the composite panoramic image, where the maxilla and mandible are in the focal trough and the structures that are superficial and deep to the trough are blurred.

Other nonproprietary names for a panoramic radiograph are dental panoramic radiograph and pantomogram; Abbreviations include PAN, DPR, OPT, and OPG (the latter, based on genericizing a trade name, are often avoided in medical editing).

Dental panoramic radiography equipment consists of a horizontal rotating arm which holds an X-ray source and a moving film mechanism (carrying a film) arranged at opposed extremities. The patient's skull sits between the X-ray generator and the film. The X-ray source is collimated toward the film, to give a beam shaped as a vertical blade having a width of 4-7mm when arriving on the film, after crossing the patient's skull. Also the height of that beam covers the mandibles and the maxilla regions. The arm moves and its movement may be described as a rotation around an instant center which shifts on a dedicated trajectory.

The manufacturers propose different solutions for moving the arm, trying to maintain constant distance between the teeth to the film and generator. Also those moving solutions try to project the teeth arch as orthogonally as possible. It is impossible to select an ideal movement as the anatomy varies very much from person to person. Finally a compromise is selected by each manufacturer and results in magnification factors which vary strongly along the film (15%-30%). The patient positioning is very critical in regard to both sharpness and distortions.