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OPG (ortopanthomogam, panoramic X-ray)

Is a panoramic or wide view x-ray of the lower face, which displays all the teeth of the upper and lower jaw on a single film. It demonstrates the number, position and growth of all the teeth including those that have not yet surfaced or erupted.

Parameters defined during the test

  • Teeth contour
  • The presence of decay cavities, their dimensions, depth and the proportion to the tooth cavity
  • Paradontal condition
  • Tooth pulp condition
  • Inter-alveolar septum condition
  • Accuracy of the pulp cap, excavation and filling material.
  • The number of erupted and unerupted teeth
  • Accuracy of the dental arcade
  • Accuracy of the occlusion of teeth
  • Condition of the bones of the upper and lower jaw
  • Toothache
  • Increased sensitivity of the tooth
  • Shaky tooth
  • Pyorrhea under the dental crown
  • Redness, swelling and soreness of the gums
  • The presence of visible cavities in the tooth
  • Enlarged teeth
  • Delayed eruption of milk dentition or permanent teeth
  • Teething problem

You should arrive 15 minutes before your appointment time to complete all necessary paperwork.

No other preparation is required for an OPG.

Bring any previous x-ray films with you to the appointment in case they are needed for comparison.

How the procedure is performed

The patient’s chin is placed on a chin rest. The jaws are held in place by biting down on a small disposable plastic guide. Most OPGs are performed with the patient standing. During the exposure, the X-ray tube and film cassette rotate around the jaws. An exposure lasts a few seconds during which time the patient must remain still. The film cassette is then removed to allow development of the exposed X-ray film. If a lateral cephalogram is required, the head is placed in a special support on the end of the lateral cephalogram attachment for accurate positioning and an X-ray obtained.

 Abnormalities determined by Dental X-ray

  • Primary / secondary caries
  • Pulpitis
  • Degenerative processes in the pulp
  • Amphodontitis
  • Developmental abnormalities, such as cysts and some types of tumors
  • An abscess (an infection at the root of a tooth or between the gum and a tooth)
  • Gingivitis
  • Periodontitis
  • Parodontosis
  • Eosinophilic granuloma
  • Fracture of the upper and lower jaw
  • Teeth abnormalities

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