For dentists

Most dentists are familiar with the use of panoramic images, but to give you some ideas on how to use them, here are our wishes for using the device, including the situations we previously missed / thought it would be beneficial to be able to take panoramic X-rays:

Examination of a new patient with multiple root canal treatments and thus possible apical processes that have not been elucidated recently / within a reasonable time.
Focus sanitisation before implantology or as required by hospital before e.g. cancer treatment, heart surgery, other surgeries where infection control is required.
Pre-implant preparation, measuring distance to e.g. mandibular canal and maxillary sinus using reference metal ball (see option below in the form).
Major treatment planning for prosthetics and surgery, e.g. 4 wisdom teeth, one panoramic photo instead of 4 single tooth images.
Patients with extreme pharyngeal reflex that cannot tolerate standard enoral shots. Our first patient who requested this alternative had 3 undiagnosed caries attacks. and 2 apical processes. Bitewing X-ray is still the right choice and the most accurate photo to diagnose caries, but panorama can be better than nothing.
BW X-ray with the whole root complex both OK and UK
– The resolution of the latter is not as good as standard enoral BW photo, but better than full panoramic, and again an alternative, with much less discomfort for the patient with strong pharyngeal reflex.

We recommend that the referring dentist describes the radiograph and makes the relevant diagnoses, which also makes the most sense as the referring dentist knows the reason why the patient was referred. This only requires a written agreement between the referring and performing dentist.