2D dental panoramic X-ray
Centres/Radiology/Dental panoramic X-ray

2D dental panoramic X-ray

Panoramic X-ray of the upper and lower dental arches in a single image, providing an overall view of the teeth, jaws and adjacent structures.

What is it?

The dental panoramic X-ray, also called an orthopantomogram (OPG), is a specialized radiograph that provides, in a single image, a complete, unfolded view of both dental arches, the upper and lower jaws, the temporomandibular joints and the adjacent bone structures. This technique uses an X-ray beam that rotates around the patient's head during acquisition, producing a 2D panoramic image. This examination is fundamental in dentistry and maxillofacial surgery. It makes it possible to visualize the entire dentition (present, impacted and supernumerary teeth), the condition of the roots and alveolar bone, extensive carious lesions, periapical infections (cysts, granulomas, abscesses), periodontal disease with bone loss, tumors and cysts of the jaws, as well as mandibular fractures. The dental panoramic X-ray is a rapid, low-radiation and non-invasive first-line examination. It provides a valuable overall view that guides the practitioner toward additional examinations if necessary (cone beam CT, CT scan). It is systematically requested before orthodontic treatment, wisdom tooth extraction, dental implant placement or any maxillofacial surgery. At Clinique Pasteur in Tunis, the 2D digital dental panoramic unit provides high-resolution images allowing an accurate diagnosis. The examination is quick, comfortable and delivers a very low radiation dose, equivalent to about one day of natural exposure to background radiation.
2D dental panoramic X-ray

When is it indicated?

Complete dental assessment: cavities, infections, periodontitis

In a single image, the dentist visualizes all the teeth and the bone that supports them. This makes it possible to detect hidden cavities, infections at the root of the teeth or early gum recession.

Evaluation of wisdom teeth before extraction

Before removing wisdom teeth, the panoramic X-ray shows their position, the orientation of their roots and their proximity to the nerves, allowing the practitioner to plan a safe and precise procedure.

Pre-implant and pre-orthodontic assessment

Before implant placement or orthodontic treatment, this overall view makes it possible to assess the amount of bone available and the position of all the teeth in order to properly prepare the treatment.

Detection of impacted or supernumerary teeth

Some teeth remain trapped in the bone or develop in excess without being visible in the mouth. The panoramic X-ray locates them precisely, particularly in children and adolescents.

Trauma to the face and mandible

After an impact to the face, this quick examination checks the integrity of the jaw and teeth, and makes it possible to detect a possible fracture.

Cysts and tumors of the jaws

The panoramic X-ray can reveal lesions developing in the jawbone, which are often silent, and point to more detailed imaging if necessary.

Temporomandibular joint disorders

In cases of jaw pain, clicking or difficulty opening the mouth, this examination gives a first overview of the joints connecting the jaw to the skull.

Assessment of maxillary sinusitis of dental origin

Some sinus infections originate from an infected tooth whose root is close to the sinus. The panoramic X-ray helps identify the tooth responsible so the problem can be treated at its source.

Preparation

1Remove all metallic objects from the face and neck: earrings, piercings, necklace, glasses
2Remove removable dental appliances (dentures, aligners)
3No fasting necessary
4Report any pregnancy or suspected pregnancy
5Bring the prescription from the dentist or surgeon
6Bring previous dental X-rays if available

Procedure

1

The patient stands facing the machine

2

They bite on a positioning rod that holds the dental arches in the correct position

3

The forehead and temples are held by supports to prevent any movement

4

The arm of the machine rotates around the patient's head (about 15 seconds)

5

The patient must remain perfectly still, with the tongue pressed against the palate and the lips closed

6

The panoramic image appears immediately on the screen in digital form

7

The radiologist checks the quality of the image and interprets it

Duration

5 minutes (acquisition takes a few seconds)

Results

The digital image is available immediately. The radiology report is sent to the referring dentist or surgeon within 24 hours. The patient can obtain a digital copy of their panoramic X-ray.

Risks and side effects

Extremely low X-ray exposure (about 0.01 mSv, the equivalent of one day of natural background radiation)
No pain or side effects
Contraindication in case of pregnancy (precautionary measure)
Reduced image quality if the patient moves during acquisition

These risks remain rare. Your physician will inform you in detail before the examination.

Book an Appointment

Contact us to schedule your examination or request a quote.

Request a Quote +216 36 402 000

At a glance

Duration: 5 minutes (acquisition takes a few seconds)
Preparation: Required
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