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PANORAMIC

RADIOGRAPH
ANALYSIS

Panoramic Radiograph offers a view of all

the dentoalveolar region of both maxillary
and mandibular bones in one film

USES:
To see broad areas.
To diagnose pathology.
To treatment plan.
To evaluate anomalies.
To follow up surgical and

traumatic cases.

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ADVANTAGES:
SHOWS A GLOBAL VISION OF

THE DENTOALVEOLAR REGION.

RADIATION DOSAGE IS LOW

IN GENERAL.

DISADVANTAGES:
NORMALIZATION
LACK OF DETAIL AND

DEFINITION

DISTORTION

CLINICAL INDICATIONS
IN CHILDREN
After doing a very good anamnesis and

intraoral exam.

What kind of information I am looking for.

It is necessary.
At 8-9 years old (End of 1st Transitional

phase)

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Contraindications:
* Young children (early stage).
* In difficult patients when you
cannot take PAs or BWSs.

ANALYSIS OF PANORAMIC X-RAY

1. 5 Regions: Nasomaxillary, Mandibular,
Temporomandibular joint, Maxillary
dentition and Mandibular dentition.

ANALYSIS OF PANORAMIC X-RAY

1. 5 Regions: Nasomaxillary, Mandibular,
Temporomandibular joint, Maxillary
dentition and Mandibular dentition.

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2. MAXILLARY AND MANDIBULAR

DENTITION:
* UR, UL, LL, LR
* Number, identity, position, formation
stage of the teeth.
* Alveolar structures, dental crypts, root
resorption of teeth.

3. SEQUENCE OF ERUPTION:
* Maxilla: 6-1-2-4-5-3-7
1st molars, CIs, LIs, 1st premolars, 2nd
premolars, Canines, 2nd molars.
* Mandible: 6-1-2-3-4-5-7
1st molars, CIs, LIs, Canines, 1st
premolars, 2nd premolars, 2nd molars.

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4. CHRONOLOGY OF ERUPTION:
* Maxilla:
6 y.o 1st molars, 7 y.o CIs, 8 y.o LIs, 9
y.o 1st premolars, 10 y.o 2nd premolars,
11 y.o Canines, 12 y.o 2nd molars.
* Mandible:
6 y.o 1st molars, 7 y.o CIs, 8 y.o LIs, 9
y.o Canines, 10 y.o 1st premolars, 11 y.o
2nd premolars, 12 y.o 2nd molars.

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5. PATTERN OF ERUPTION:
* Maxilla: CI & LI: labially & distally
Canines: mesially & labially, 1st Pm:
mesially, 2nd Pm: distally, Molars:
mesially
* Mandible: CI: lingually, LI: lingually &

distally, 1st Pm: mesially, 2nd Pm:

distally, Molars: mesially

CLINICAL
CASES

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(1) 5.08

(2) 8.09

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(1) 7-06

(2) 6-08

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(3) 6-09

(1) 7-07

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(2) 6-09

BIBLIOGRAPHY:
1. Duterloo, H.S. Atlas of Dentition in
Childhood Orthodontic Diagnosis &
Panoramic Radiology.
2. Moyers, Robert. Handbook of Orthodontics.
3. Stewart, Ray. Pediatric Dentistry scientific
foundations and Clinical Practice.
4. The AAPD Annual Sessions, 2009 Hula Land,
USA, hangout: Controlling The Crowd.

THANK YOU FOR

YOUR
ATTENTION

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