Pembimbing:dr. Yanto Budiman, Sp. Rad, M.Kes

Presentan:Handy Putra 2010.061.006Melissa Nathania Theda 2010.061.007Stefanus Harris 2010.061.014

Definisi Panoramik = Orthopantomografi

Pemeriksaan radiologis dari gigi +rahangnya yang berbentuk melengkung terlihat gambaran lurus dari film dengan menggunakan prinsip tomografi

Referensi: Langland, Olaf E. 1989. Panoramic Radiology, Second Edition. Philadelphia : Lea and Febiger. Whaites, Eric. 1997. Essentials of Dental Radiography and Radiology, Reprinted Second Edition. New

York : Churchill Livingstone

Tujuan Skrining orthodontic dan periodontal

Diagnosis dini gangguan perkembangan gigi (umur 10 tahun,15 tahun,20tahun)

Deteksi kista atau tumor odontogenik

Evaluasi etilogi gigi tanggal

Evaluasi gangguan pada temporomandibular joint

Evaluasi fraktur maxillofacial

Evaluasi pre dan post operasi

Komponen pesawat panoramik

A. Tube head sinar-XB. Penyangga dan fiksasi kepalaC. Tempat kasetD. Kontrol panel.

Kaset tipis fleksibel / kaset kaku dengan dilengkapi screen, ukuran kaset 5 x 12 inchi atau 6 x 12 inchi

Referensi: Langland, Olaf E. 1989. Panoramic Radiology, Second Edition. Philadelphia : Lea and Febiger

Prinsip kerja

Referensi: Langland, Olaf E. 1989. Panoramic Radiology, Second Edition. Philadelphia : Lea and Febiger Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme

Regio diagnostikDentoalveolar region

Maxillary region

Mandibullary region

Temporomandibular joint region

Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme

Dentoalveolar region

Posteroanterior

Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology.. Thieme

CariesBite wing radiograph

Maxillary region

Water’s Projection

Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme

Mandibullary regionReverse Towne Radiograph

Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme

Temporomandibular joint region

Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme

Kriteria foto baikStruktur anatomi yang harus tampak pada

radiografi panoramik: gigi geligi, mandibula, temporomandibular joints (TMJs), nasal fossae, sinus maksila, arkus zygomatikum, maksila, dan bagian vertebra servikal

Ramus dan gigi belakang magnifikasinya sama

Gigi depan dan belakang tampak secara tajam dengan magnifikasi yang sama

Simpisis mandibula terproyeksi secara lurus di bawah mandibular angles, mandibula berbentuk lengkung

Gigi atas dan bawah terletak rapi dan terpisah tanpa superposisi

Densitas mandibula dan gigi geligi sama dalam gambaran

Tidak ada artefak yang bertumpukan pada gambaran

Referensi: Bontrager, Kenneth L. 2001. Textbook of Radiographic Positioning and Related Anatomy . Fifth Edition. Saint

Louis : Mosby

A. Septum nasalB. Tengah dan bawah turninatesC. Garis orbitaD. Hard palateE / F. Permukaan antrumG. MAEH. Prosesus styloidI. HyoidJ. Plastik kepala pendukung

Bayangan jaringan keras (hard tissue)Gigi geligi, mandibula, maksila, hard palate,

prosesus styloid, tulang hyoid, septum nasal dan konka, lingkaran orbita, dan dasar kepala

Bayangan jaringan lunakLobus telinga, kartilago nasal, soft palate,

punggung lidah, bibir, pipi, dan lipatan nasolabial.

Bayangan artefakVertebra servikal, body, angle dan ramus sisi

samping mandibula, serta palateReferensi: Bontrager, Kenneth L. 2001. Textbook of Radiographic Positioning and Related Anatomy. Fifth

Edition. Saint Louis : Mosby

Intra Oral

Fig. 1.7 Annotated panoramic radiograph. 1 Nasal septum, 2 anterior nasal spine, 3 inferior turbinate, 4 middle turbinate, 5 superior turbinate, 6 soft tissue shadow of the nose, 7 airspace between soft tissue shadow of upper border of tongue and hard palate, 8 lateral wall of nasal passage, 9 maxillary sinus (antrum), 10 nasolacrimal canal orifice, 11 orbit, 12 infraorbital canal, 13 zygomatic process of the maxilla, 14 pterygomaxillary fissure, 15 maxillary tuberosity with developing third permanent molar tooth, 16 zygoma, 17 zygomatico-temporal structure, 18 articular eminence of temporal bone, 19 mandibular condyle, 20 external auditory meatus, 21 first cervical vertebra (atlas), 22 second cervical vertebra (axis), 23 third cervical vertebra, 24 fourth cervical vertebra, 25 mandibular foramen and lingula, 26 mandibular canal, 27 mental foramen, 28 inferior border of mandible, 29 hyoid, 30 pharyngeal airspace, 31 epiglottis, 32 coronoid process of mandible, 33 inferior orbital rim, 34 mastoid process, 35 middle cranial fossa, 36 bite-block for patient positioning during panoramic radiography, 37 chin holder, 38 shadow of cervical spine, 39 ethmoid sinus, 40 angle of mandible, 41 crypt of developing mandibular third permanent molar tooth, 42 developing mandibular second premolartooth, 43 primary second molar tooth showing physiological root resorption, 44 maxillary permanent central incisor tooth, 45 maxillary permanent lateral incisor tooth, 46 maxillary permanent canine tooth, 47 maxillary first premolar tooth, 48 maxillarypermanent first molar tooth, 49 ramus of mandible, 50 pterygoid plates

Daftar PustakaLangland, Olaf E. 1989. Panoramic Radiology,

Second Edition. Philadelphia : Lea and Febiger.Whaites, Eric. 1997. Essentials of Dental

Radiography and Radiology, Reprinted Second Edition. New York : Churchill Livingstone.

Bontrager, Kenneth L. 2001. Textbook of Radiographic Positioning and Related Anatomy. Fifth Edition. Saint Louis : Mosby.

Pasler, Priedrich A. 2005. Color Atlas of Dental Medicine Radiology. Thieme

Carver, Elizabeth dan Barry Carver. 2006. Medical Imaging, Techniques, Reflection and Evaluation. New York : Churchill Livingstone.