Download CE 71 - Practical Panoramic Radiography

Approved PACE Program Provider
The Procter & Gamble Company is designated as an Approved PACE Program Provider
by the Academy of General Dentistry. The formal continuing education programs of this
program provider are accepted by AGD for Fellowship, Mastership, and Membership
Maintenance Credit. Approval does not imply acceptance by a state or provincial board
of dentistry or AGD endorsement. The current term of approval extends from 8/1/2013 to
7/31/2017. Provider ID# 211886
Overview
Panoramic radiographic technique, error recognition and error correction are the primary focus of this
course. The components involved in the optimal production of a panoramic image will be outlined. A
technique for acquiring an image on any panoramic machine will be presented. Interpretation of the
panoramic image will include basic anatomic structures as well as the identification and correction of
imaging errors. Finally a checklist for the assessment of unacceptable images will also be presented
incorporating the appearance of artifacts from errors in processing, patient preparation or technique related
problems. This course is provided to test the participant’s understanding of common errors and their
correction in an effort to improve image quality.
Learning Objectives
Upon completion of this course, the dental professional should be able to:
• Review the selection criteria and the indications for panoramic imaging.
• Compare and contrast panoramic and intraoral imaging.
• Outline the advantages and limitations of panoramic radiography.
• Compare and contrast digital panoramic imaging to film-based panoramic radiography.
• Describe the concepts involved in panoramic image formation.
• Outline the procedures required for correct machine and patient preparation, patient positioning and
panoramic unit operation.
• Become familiar with anatomic structures that are recorded on panoramic images.
• Identify and propose corrective action for common panoramic image errors.
• Demonstrate ability to recognize and correct common errors via a self-assessment exercise.
Course Contents
• Image Projection
Slit Radiography
• Operational Basics
Equipment
• Steps in Taking a Panoramic Exposure
Preparation
- Film-based Machine Preparation
- Patient Preparation
Patient Positioning and Exposure
Processing and Identification
• Image Evaluation
Features of an Ideal Panoramic Radiograph
• Identifying Panoramic Errors
Stepwise Approach to Panoramic Technique
Assessment
• Patient Positioning Errors
Incorrect Head Orientation
Tissue Projection Errors
• Indications for Panoramic Imaging
• Comparisons to Intraoral Radiography
Equipment Differences
Exposure Factors
• X-ray Source and Other Factors
Panoramic X-ray Machines
Image Receptors
Film Processing Considerations
Quality Assurance
Patient Preparation
Patient Protection
Dose Comparisons
• Patient Positioning Requirements
Midsagittal Plane
Occlusal Plane
Anteroposterior Plane
Pre-exposure Instructions
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Crest® Oral-B® at dentalcare.com Continuing Education Course, Revised November 17, 2015