Orthopantogram (eg, panoramic x-ray)
CPT4 code
Name of the Procedure:
Orthopantogram (Panoramic X-ray)
Summary
An orthopantogram, often called a panoramic X-ray, is a dental imaging procedure that captures the entire mouth in a single image, including the teeth, jaws, and surrounding structures and tissues.
Purpose
The orthopantogram is used to detect dental issues such as impacted teeth, bone abnormalities, jaw disorders, and to evaluate the sinuses. It helps in planning treatments for orthodontics, implants, and extractions.
Indications
- Tooth pain or dental decay
- Planning for dental implants or braces
- Suspected jaw tumors or cysts
- Evaluation of impacted wisdom teeth
- Assessing temporomandibular joint (TMJ) disorders
Preparation
- Remove any jewelry, eyeglasses, or metal objects from the head and neck area.
- Inform the dentist or radiologist if you are pregnant.
- No special fasting or medication adjustments are required.
Procedure Description
- Positioning: The patient stands or sits with their head stabilized by a chin rest, forehead rest, and bite block to keep the head still.
- Imaging: The machine rotates around the patient's head, capturing images using a rotating arm with a digital sensor or a film holder.
- Completion: The procedure is completed quickly, usually within a few minutes.
No anesthesia or sedation is required.
Duration
The entire procedure typically takes about 5-10 minutes.
Setting
The procedure is performed in dental offices or radiology clinics equipped with panoramic X-ray machines.
Personnel
A dentist, dental hygienist, or radiologic technologist usually conducts the procedure.
Risks and Complications
- Minimal exposure to radiation, significantly less than a conventional full-mouth series of X-rays.
- Rare risks include allergic reactions to materials used in the equipment if the patient has specific allergies.
Benefits
- Non-invasive, quick, and provides comprehensive views of the entire mouth.
- Helps in accurate diagnosis and treatment planning for various dental conditions.
- Ensures a better understanding of complex dental cases.
Recovery
- No recovery time is required; patients can return to their normal activities immediately.
- Follow-up appointments may be scheduled based on the findings.
Alternatives
- Intraoral X-rays: Provide more detailed images of specific teeth but do not capture the entire mouth.
- Cone Beam CT: Offers 3D images and more detailed information but involves higher radiation exposure.
Pros and cons: Panoramic X-rays provide a broad overview and are quick with minimal radiation, whereas intraoral X-rays and Cone Beam CT scans give more detail but may require longer duration and more radiation.
Patient Experience
- Patients may feel slight discomfort while biting on the rest and keeping still, but the procedure is painless.
- Comfort measures include clear instructions and reassurance throughout the brief procedure.