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Developing Skill and Expertise in the Use of Panoramic Radiography

Developing Skill and Expertise in the Use of Panoramic Radiography

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5/13/2013<br />

Common Position<strong>in</strong>g Requirements:<br />

Tongue Position<br />

If <strong>the</strong> patient does not place his or her tongue on <strong>the</strong> ro<strong>of</strong> <strong>of</strong> <strong>the</strong><br />

mouth <strong>and</strong> hold it <strong>the</strong>re throughout <strong>the</strong> imag<strong>in</strong>g procedure, a<br />

radiolucent shadow will be superimposed over <strong>the</strong> image <strong>of</strong> <strong>the</strong> apices<br />

<strong>of</strong> maxillary teeth.<br />

O<strong>the</strong>r Considerations<br />

These items should be removed to allow visualization <strong>of</strong><br />

all structures <strong>and</strong> prevent creat<strong>in</strong>g ghost images:<br />

• Dentures/pros<strong>the</strong>tic appliances<br />

• Jewelry (<strong>in</strong>clud<strong>in</strong>g necklaces)<br />

• Oral/facial/ear pierc<strong>in</strong>gs<br />

• Hear<strong>in</strong>g aids/glasses<br />

•Hairp<strong>in</strong>s<br />

• Bib cha<strong>in</strong>s<br />

Large hoop earr<strong>in</strong>gs (1) <strong>and</strong> ghost images (2). The ghost<br />

image <strong>of</strong> <strong>the</strong> earr<strong>in</strong>g appears on <strong>the</strong> opposite side <strong>of</strong> <strong>the</strong> image<br />

<strong>and</strong> is enlarged <strong>and</strong> laterally distorted.<br />

*<br />

11

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