Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

Common positioning errors in panoramic radiography: A review

  • Received : 2013.08.09
  • Accepted : 2013.09.25
  • Published : 2014.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Professionals performing radiographic examinations are responsible for maintaining optimal image quality for accurate diagnoses. These professionals must competently execute techniques such as film manipulation and processing to minimize patient exposure to radiation. Improper performance by the professional and/or patient may result in a radiographic image of unsatisfactory quality that can also lead to a misdiagnosis and the development of an inadequate treatment plan. Currently, the most commonly performed extraoral examination is panoramic radiography. The invention of panoramic radiography has resulted in improvements in image quality with decreased exposure to radiation and at a low cost. However, this technique requires careful, accurate positioning of the patient's teeth and surrounding maxillofacial bone structure within the focal trough. Therefore, we reviewed the literature for the most common types of positioning errors in panoramic radiography to suggest the correct techniques. We would also discuss how to determine if the most common positioning errors occurred in panoramic radiography, such as in the positioning of the patient's head, tongue, chin, or body.

Keywords

References

  1. Analoui M. Radiographic image enhancement. Part I: spatial domain techniques. Dentomaxillofac Radiol 2001; 30: 1-9. https://doi.org/10.1038/sj.dmfr.4600562
  2. Raitz R, Fenyo-Pereira M, Hayashi AS, Melani R. Dento-maxillo-facial radiology as an aid to human identification. J Forensic Odontostomatol 2005; 23: 55-9.
  3. Goren AD, Lundeen RC, Deahl ST 2nd, Hashimoto K, Kapa SF, Katz JO, et al. Updated quality assurance self-assessment exercise in intraoral and panoramic radiography. American Academy of Oral and Maxillofacial Radiology, Radiology Practice Committee. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 89: 369-74. https://doi.org/10.1016/S1079-2104(00)70104-1
  4. Choi BR, Choi DH, Huh KH, Yi WJ, Heo MS, Choi SC, et al. Clinical image quality evaluation for panoramic radiography in Korean dental clinics. Imaging Sci Dent 2012; 42: 183-90. https://doi.org/10.5624/isd.2012.42.3.183
  5. White SC, Pharaoh MJ. Oral radiology: principles and interpretation. 5th ed. St. Louis: Mosby; 2004.
  6. Dhillon M, Raju SM, Verma S, Tomar D, Mohan RS, Lakhanpal M, et al. Positioning errors and quality assessment in panoramic radiography. Imaging Sci Dent 2012; 42: 207-12. https://doi.org/10.5624/isd.2012.42.4.207
  7. Kaviani F, Johari M, Esmaeili F. Evaluation of common errors of panoramic radiographs in Tabriz Faculty of Dentistry. J Dent Res Dent Clin Dent Prospects 2008; 2: 99-101.
  8. Bissoon AK, Whaites E, Moze K, Naidu R. Evaluation of common operator errors in panoramic radiography in Trinidad and Tobago: a comparison of formally vs informally trained operators. West Indian Med J 2012; 61: 733-8.
  9. Granlund CM, Lith A, Molander B, Gröndahl K, Hansen K, Ekestubbe A. Frequency of errors and pathology in panoramic images of young orthodontic patients. Eur J Orthod 2012; 34: 452-7. https://doi.org/10.1093/ejo/cjr035
  10. Maloney PL, Lincoln RE, Coyne CP. A protocol for the management of compound mandibular fractures based on the time from injury to treatment. J Oral Maxillofac Surg 2001; 59: 87986.
  11. Horner K. Review article: radiation protection in dental radiology. Br J Radiol 1994; 67: 1041-9. https://doi.org/10.1259/0007-1285-67-803-1041
  12. Devlin H, Yuan J. Object position and image magnification in dental panoramic radiography: a theoretical analysis. Dentomaxillofac Radiol 2013; 42: 29951683. https://doi.org/10.1259/dmfr/29951683
  13. Yalcinkaya S, Kunzel A, Willers R, Thoms M, Becker J. Subjective image quality of digitally filtered radiographs acquired by the Dürr Vistascan system compared with conventional radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 643-51. https://doi.org/10.1016/j.tripleo.2005.08.003
  14. Gallimidi J, Brunel G, Castello J, Ohnona M, Tavernier JC, Mazza R. A practical method for the determination of the available bone height in oral implantology. Rev Stomatol Chir Maxillofac 1989; 90: 357-61.
  15. Ludlow JB, Platin E. A comparison of Web page and slide/tape for instruction in periapical and panoramic radiographic anatomy. J Dent Educ 2000; 64: 269-75.
  16. Van Ongeval Ch. Digital mammography for screening and diagnosis of breast cancer: an overview. JBR-BTR 2007; 90: 1636.
  17. Rabukhina NA, Zhibitskaia EI, Ippolitov VP, Abdullaev ShIu. X-ray characteristics of changes in the jaw bones in phlegmons of the maxillofacial area. Stomatologiia(Mosk) 1989; 68: 502.
  18. Närhi TO, Leinonen K, Wolf J, Ainamo A. Longitudinal radiological study of the oral health parameters in an elderly Finnish population. Acta Odontol Scand 2000; 58: 119-24. https://doi.org/10.1080/000163500429244
  19. Almog DM, Elad S, Shortell C. The role of panoramic radiographs in the medical surveillance of a patient at risk for stroke: case report. Gen Dent 2004; 52: 514-6.
  20. Ciftci Y, Kocadereli I, Canay S, Senyilmaz P. Cephalometric evaluation of maxillomandibular relationships in patients wearing complete dentures: a pilot study. Angle Orthod 2005; 75: 821-5.
  21. Taguchi A, Ohtsuka M, Nakamoto T, Tanimoto K. Screening for osteoporosis by dental panoramic radiographs. Clin Calcium 2006; 16: 291-7.
  22. Correa LR, Spin-Neto R, Stavropoulos A, Schropp L, da Silveira HE, Wenzel A. Planning of dental implant size with digital panoramic radiographs, CBCT-generated panoramic images, and CBCT cross-sectional images. Clin Oral Implants Res (in press).
  23. Rushton VE, Horner K. The use of panoramic radiology in dental practice. J Dent 1996; 24: 185-201. https://doi.org/10.1016/0300-5712(95)00055-0
  24. Royal College of Radiologists, National Radiological Protection Board. Guidelines on radiology standards for primary dental care. London: National Radiological Protection Board; 1994. p. 30.
  25. Ohman A, Kivijarvi K, Blomback U, Flygare L. Pre-operative radiographic evaluation of lower third molars with computed tomography. Dentomaxillofac Radiol 2006; 35: 30-5. https://doi.org/10.1259/dmfr/58068337
  26. Peretz B, Gotler M, Kaffe I. Common errors in digital panoramic radiographs of patients with mixed dentition and patients with permanent dentition. Int J Dent 2012; 2012: 584138.
  27. De Senna BR, Dos Santos Silva VK, França JP, Marques LS, Pereira LJ. Imaging diagnosis of the temporomandibular joint: critical review of indications and new perspectives. Oral Radiol 2009; 25: 86-98. https://doi.org/10.1007/s11282-009-0025-x
  28. Helmrot E, Thilander-Klang A. Methods for monitoring patient dose in dental radiology. Radiat Prot Dosimetry 2010; 139: 303-5. https://doi.org/10.1093/rpd/ncq095
  29. Langland OE, Sippy FH, Morris CR, Langlais RP. Principles and practice of panoramic radiology. 2nd ed. Philadelphia: WB Saunders; 1992.
  30. Ezoddini Ardakani F, Zangouie Booshehri M, Behniafar B. Evaluation of the distortion rate of panoramic and periapical radiographs in erupted third molar inclination. Iran J Radiol 2011; 8: 15-21.
  31. Rushton VE, Horner K, Worthington HV. The quality of panoramic radiographs in a sample of general dental practices. Br Dent J 1999; 186: 630-3.
  32. Akarslan ZZ, Erten H, Güngör K, Celik I. Common errors on panoramic radiographs taken in a dental school. J Contemp Dent Pract 2003; 4: 24-34.
  33. Schiff T, D'Ambrosio J, Glass BJ, Langlais RP, McDavid WD. Common positioning and technical errors in panoramic radiography. J Am Dent Assoc 1986; 113: 422-6. https://doi.org/10.14219/jada.archive.1986.0212
  34. Brezden NA, Brooks SL. Evaluation of panoramic dental radiographs taken in private practice. Oral Surg Oral Med Oral Pathol 1987; 63: 617-21. https://doi.org/10.1016/0030-4220(87)90240-4
  35. Horner K. Quality assurance: 2. The image receptor, the darkroom and processing. Dent Update 1992; 19: 120-6.
  36. Li G. Patient radiation dose and protection from cone-beam computed tomography. Imaging Sci Dent 2013; 43: 63-9. https://doi.org/10.5624/isd.2013.43.2.63
  37. Ono K, Yoshitake T, Akahane K, Yamada Y, Maeda T, Kai M, et al. Comparison of a digital flat-panel versus screen-film, photofluorography and storage-phosphor systems by detection of simulated lung adenocarcinoma lesions using hard copy images. Br J Radiol 2005; 78: 922-7. https://doi.org/10.1259/bjr/75926824
  38. Gianni AB, D'Orto O, Biglioli F, Bozzetti A, Brusati R. Neurosensory alterations of the inferior alveolar and mental nerve after genioplasty alone or associated with sagittal osteotomy of the mandibular ramus. J Craniomaxillofac Surg 2002; 30: 295-303. https://doi.org/10.1054/jcms.2002.0311

Cited by

  1. Imaging Findings of Bisphosphonate-Related Osteonecrosis of the Jaws: A Critical Review of the Quantitative Studies vol.2014, pp.None, 2014, https://doi.org/10.1155/2014/784348
  2. Assessment of panoral radiograph quality in a dental treatment center vol.6, pp.2, 2016, https://doi.org/10.4103/2321-1407.177960
  3. Automatic analysis algorithm for acquiring standard dental and mandibular shape data using cone-beam computed tomography vol.8, pp.None, 2018, https://doi.org/10.1038/s41598-018-31869-6
  4. Evaluation of bone texture imaging parameters on panoramic radiographs of patients with Sheehan’s syndrome: a STROBE-compliant case-control study vol.30, pp.11, 2014, https://doi.org/10.1007/s00198-019-05086-4
  5. Die Beurteilung der Sekundärdentinbildung im Pulpencavum der mandibulären Prämolaren im Orthopantomogramm zur Altersdiagnostik lebender Personen vol.29, pp.6, 2014, https://doi.org/10.1007/s00194-019-00345-4
  6. A retrospective institutional study of human age determination by evaluating the pulp length and width ratio of the maxillary lateral incisor on panoramic radiographs in Indonesian subjects vol.51, pp.None, 2021, https://doi.org/10.5624/isd.20210117
  7. 치과용 Cone-beam CT를 이용한 상악 정중과잉치의 3차원적 특성에 관한 후향적 연구 vol.48, pp.1, 2014, https://doi.org/10.5933/jkapd.2021.48.1.77
  8. Holistic radiographic interpretation vol.230, pp.10, 2014, https://doi.org/10.1038/s41415-021-3101-1
  9. Basic Knowledge and New Advances in Panoramic Radiography Imaging Techniques: A Narrative Review on What Dentists and Radiologists Should Know vol.11, pp.17, 2021, https://doi.org/10.3390/app11177858